Dads stress out more than moms when preemies get home

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Fathers of premature babies are more stressed than mothers during the tense transition between the Neonatal Intensive Care Unit (NICU) and home, according to a new study.

Researchers found that fathers and mothers of these very low birth weight babies had high levels of the stress hormone cortisol in their saliva prior to their discharge from the hospital. But fathers experienced an increase in their stress levels as measured several times over the next 14 days at home while the mothers’ stress levels stayed constant.

“One day of being stressed at home is not a big deal. But if their levels are still high after two weeks, that’s more concerning.”

“Dad goes from a situation where the baby and mom are cared for by experts in the hospital to having to simultaneously care for his baby, partner, and work. He is supposed to be the ‘rock’ for his partner but the stress can really set in,” says lead study author Craig Garfield, associate professor of pediatrics and of medical social sciences at Northwestern University’s Feinberg School of Medicine.

Garfield and his team measured parents’ stress levels in two ways: salivary tests that measure cortisol levels and paper self-reported surveys. They tested the participants the day before they were discharged from the hospital, then on day one, day five, and day 14 of being at home.

“One day of being stressed at home is not a big deal,”says Garfield. “But if their levels are still high after two weeks, that’s more concerning.”

During the 14 days after arriving home, fathers’ cortisol levels steadily increased while the mothers’ stress levels returned to “pretty much back to where they started,” Garfield says.

Interestingly, the fathers’ stress levels based on salivary test results were higher than they reported feeling in the survey.This could indicate that the fathers weren’t in touch with how stressed they really were, Garfield says.

To help relieve fathers’ stress and ease the transition, Garfield recommends parents place more emphasis on the dad becoming comfortable and gaining confidence with the baby while still in the NICU. Moms need to remember that dads need time to relax, too, Garfield says.

“Dads should be telling the mom to go take a walk, take a shower, see a friend,” Garfield says. “But moms can also say, ‘Why don’t you go to the gym, see your friends, meet someone after work?’ as ways to reduce some of the stress.

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“Babies thrive when parents thrive, and if parents are stressed out, that can impact their parenting of the child, the relationship between the mom and dad, and can alter infant attachment. This all is just much more pronounced with medically vulnerable babies leaving the NICU and going home with mom and dad,” Garfield says.

While the study didn’t examine stress levels in parents of full-term babies, Garfield says those parents still report feeling stress when returning home.

“While finally bringing a baby home is really wonderful, it can also be stressful because of sleep deprivation, the lack of control, and having to respond constantly to the baby’s needs,” Garfield says.

The researchers report their findings in the Journal of Perinatal and Neonatal Nursing.

The Agency for Health Research and Quality funded the work.

Source: Northwestern University