학술논문

Impact on family and parental stress of prenatal vs postnatal repair of myelomeningocele
Document Type
article
Source
American Journal of Obstetrics and Gynecology. 215(4)
Subject
Reproductive Medicine
Biomedical and Clinical Sciences
Behavioral and Social Science
Clinical Trials and Supportive Activities
Pediatric
Clinical Research
Reproductive health and childbirth
Good Health and Well Being
Adult
Caregivers
Child
Preschool
Female
Fetus
Gestational Age
Humans
Infant
Meningomyelocele
Parents
Postnatal Care
Risk Factors
Stress
Psychological
family impact
maternal-fetal surgery
myelomeningocele parental stress
spina bifida
Management of Myelomeningocele Study Investigators
myelomeningocele
parental stress
Paediatrics and Reproductive Medicine
Obstetrics & Reproductive Medicine
Reproductive medicine
Language
Abstract
BackgroundThe Management of Myelomeningocele Study was a multicenter, randomized controlled trial that compared prenatal repair with standard postnatal repair for fetal myelomeningocele.ObjectiveWe sought to describe the long-term impact on the families of the women who participated and to evaluate how the timing of repair influenced the impact on families and parental stress.Study designRandomized women completed the 24-item Impact on Family Scale and the 36-item Parenting Stress Index Short Form at 12 and 30 months after delivery. A revised 15-item Impact on Family Scale describing overall impact was also computed. Higher scores reflected more negative impacts or greater stress. In addition, we examined Family Support Scale and Family Resource Scale scores along with various neonatal outcomes. Repeated measures analysis was conducted for each scale and subscale.ResultsOf 183 women randomized, 171 women completed the Impact on Family Scale and 172 completed the Parenting Stress Index at both 12 and 30 months. The prenatal surgery group had significantly lower revised 15-item Impact on Family Scale scores as well as familial-social impact subscale scores compared to the postnatal surgery group (P = .02 and .004, respectively). There was no difference in total parental stress between the 2 groups (P = .89) or in any of the Parenting Stress Index Short Form subscales. In addition, walking independently at 30 months and family resources at 12 months were associated with both family impact and parental stress.ConclusionThe overall negative family impact of caring for a child with spina bifida, up to 30 months of age, was significantly lower in the prenatal surgery group compared to the postnatal surgery group. Ambulation status and family resources were predictive of impact on family and parental stress.