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415 Parents’ Evaluation of Developmental Status (PEDS:DM) and the Parenting Relationship in Children Born very Preterm
  1. MA Pritchard1,
  2. C Crothers1,
  3. T de Dassel2,
  4. L Johnston3,
  5. E Beller4,
  6. F Bogossian5,
  7. S Callan2,
  8. PB Colditz1,
  9. S Russo6,
  10. D Cartwright2
  1. 1Centre for Clinical Research, The University of Queensland
  2. 2Women’s Newborn Services, Royal Brisbane Women’s Hospital, Brisbane, QLD, Australia
  3. 3Nursing and Midwifery, Queen’s University, Belfast, Ireland
  4. 4Centre for Research in Evidence-Based Practice, Bond University, Robina
  5. 5Nursing and Midwifery, The University of Queensland
  6. 6Better Life Psychology, Brisbane, QLD, Australia

Abstract

Background/aim Differences in parenting children born very-preterm (VPT < 29 weeks gestation) with and without developmental delay has not been fully described. This study examines the association between parent-reported child developmental status, psychosocial-risk and the parenting-relationship in VPT children.

Methods Cross-sectional hospital-cohort of infants at 2 and 4-years corrected age for prematurity during 2010. Uni-multivariate analysis examined the association between developmental delay (DD) (scores -≥2SD in ≥2 domains-gross/fine motor, receptive/expressive language, social-emotional and self-help using Parent Evaluations of Developmental Status-Developmental Milestones-(PEDS:DM)-Assessment-Level) and parenting-relationship (score -≥1SD in ≥1 domain-attachment, involvement, discipline-practices, parenting confidence and relational frustration assessed by the Parenting Relationship Questionnaire). Outcomes are for the total cohort and by age-group, adjusted for psychosocial-risk (≥4/11 risks on Brigance Observations of Psychosocial-Risk Scale).

Results Cohort data is available on 165/192, 86% (2-years, N=80; 4-years, N=85) children which showed parenting a child with DD was associated with higher parenting-relationship problems for the total cohort (OR 3.2, 95%CI 1.5, 7.0, p<0.01) who experienced greater difficulties in attachment (OR 3.2, 95%CI 1.1, 10.3, p =0.04) and parenting confidence (OR 4.7, 95%CI, 2.1, 11.5, p<0.01) compared to the non-delayed group. Differences by age group were (2-year-group, attachment; OR 7.3, 95%CI 1.4, 37.0, p =0.02) and (4-year-group, parenting confidence; OR 16.0, 95%CI 4.4, 57.3, p<0.01) found.

Conclusion Mothers of VPT children with DD may require additional parenting support; strengthening early attachment may impact latter parenting confidence in these families. Examining these findings in relation to child behavior and possible pathways for intervention is planned.

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