Maternal Stressful Experience in Giving Birth to Premature Baby in Neonatal Intensive Care Unit Ward


  • Andi Fatmawati Syamsu Student of Doctoral Program, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia; Department of Nursing, Poltekkes Kemenkes Palu, Palu, Indonesia
  • A. Dwi Bahagia Febriani Department of Pediatrics, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia
  • Ema Alasiry Department of Pediatrics, Faculty of Medicine, Universitas Hasanuddin, Makassar, Indonesia
  • Kadek Ayu Erika Department of Pediatric, Faculty of Nursing, Universitas Hasanuddin, Makassar, Indonesia
  • Andi Mardiah Tahir Department of Obstetrics and Gynecology, Faculty of Medicine, Dr. Wahidin S. Husodo Hospital, Makassar, Indonesia
  • Isharyah Sunarno Department of Obstetrics and Gynecology, Faculty of Medicine, Dr. Wahidin S. Husodo Hospital, Makassar, Indonesia



Maternal stress, Preterm baby, Parental scale stressor, Neonatal Intensive Care Unit, Stressor


AIM: This study aimed to determine the stressor of mothers whose baby was treated in Neonatal Intensive Care Unit (NICU) ward and identify the demography parameter which affected the stressor.

METHODS: This cross-sectional study was done in four hospitals in Makassar City. Stressor was evaluated using Parental Scale Stressor (PSS): NICU. Samples were taken consecutively for 30 babies treated in NICU ward for more than 24 h.

RESULTS: On the average, the mothers’ stressors were the situation and view of NICU (2.87), appearance and behavior of the baby (2.78), the role of parents (2.74), and communication relationship between the parents and nurse (2.80). Meanwhile, demography factors (maternal age, age of pregnancy, parity, and experience) did not affect the maternal stress statistically.

CONCLUSION: Premature babies who are treated in NICU ward can be the source of maternal stress, thus provision of education to the mothers can decrease the stress.


Download data is not yet available.


Metrics Loading ...

Plum Analytics Artifact Widget Block


Agrawal R, Gaur A. Parent stress in neonatal intensive care unit: An unattended aspect in medical care. Int J Contemp Pediatr. 2016;4(1):148-53.

Ashwani N, Rekha NA, Kumar CS. Parental stress experiences with NICU admission in a tertiary care centre. Int J Psychol Behav Sci. 2017;7(1):27-31.

Miles MS, Carter MC. Assessing parental stress in intensive care units. MCN Am J Matern Child Nurs. 1983;8(5):354-9.

Hunter J. Neonatal Intensive Care Unit. 4th ed. St. Louis, MO: Mosby; 2001. p. 636-89.

Smithgall LM. Perceptions of Maternal Stress and Neonatal Patient Outcomes in a Single Private Room Versus Open Room Neonatal Intensive Care Unit Environment; 2010.

Musabirema P, Brysiewicz P, Chipps J. Parents perceptions of stress in a neonatal intensive care unit in Rwanda. Curationis. 2015;38(2):1499. PMid:26842090

Sameroff AJ, Chandler MJ. Reproductive risk and the continuum of caretaking casualty. Rev Child Dev Res. 1975;4:187-244.

Busse M, Stromgren K, Thorngate L, Thomas KA. Parents’ responses to stress in the neonatal intensive care unit. Crit Care Nurse. 2013;33(4):52-9. PMid:23908169

Harvey ME. The Experiences and Perceptions of Fathers Attending the Birth and Immediate Care of Their Baby. United Kingdom: Aston University; 2010.

Syamsu A, Febriani A, Alasiry E, Erika K, Rustina Y. In: Hanaruddin DY, editor. Pedoman Asuhan Perkembangan Bayi Prematur Bagi Perawat NICU. Makassar: Isam Cahaya Publisher; 2020. p. 1-46.

Bostanabad MA, Areshtanab HN, Balila M, Jafarabadi MA, Ravanbakhsh K. Effect of a supportive-training intervention on mother-infant attachment. Iran J Pediatr. 2017;27(6):1.

Fairus M, Widiyanti S. Relationship of husband’s support with post-partum depression incidence in postpartum mothers. J Kesehatan Metro Sai Wawai. 2017;7(1):11-8.

Qiftiyah M. Overview of the factors (family support, knowledge, pregnancy status and type of delivery) behind the post-partum blues incidence in postpartum mothers on the 7th day (at polindes doa ibu gesikharjo and polindes teratai kradenan palang). J Midpro. 2018;10(2):9-19.

Gudruk KM, Champagne FA. Epigenetic effects of early developmental experiences. Clin Perinatol. 2011;38(4):703-17. PMid:22107899

Wong DL, Hockenberry-Eaton M, Wilson D, Winkeistein ML, Schawrtz P. Wong: Buku Ajar Keperawatan Pediatrik. 6th ed. Jakarta: EGC; 2009.

Rahayu S, Nurhayati IA. Factors affecting parental stress levels on low birth weight (lbw) treated in neonate intensive care unit rsud dr. Moewardi in surakarta. J Keperawatan Glob. 2016;1(2):1-7.

Rahayuningsih SI. Parents’ stress levels and interaction with their babies in the nicu room at rsudza banda aceh. Idea Nurs J. 2012;3(1):50-61.

Hariati S, Sutomo R, McKenna L, Reisenhofer S, Lusmilasari L, Febriani AD. Indonesian mothers’ beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study. J Spec Pediatr Nurs. 2021;26(3):e12330. PMid:33773015

Hariati S, Sutomo R, Lusmilasari L, Febriani ADB, Kadar K. Discharge readiness of Indonesian mother with preterm infant in NICU. Enferm Clin. 2020;30 Suppl 2:234-7. PMid:32204154

Sindun S. Gambaran Mekanisme Koping Dalam Mengatasi Stress Pada Ibu yang Memiliki Bayi BBLR Dalam Perawatan Di Ruang NICU RSUP Dr M Djamil Padang Tahun 2016. Indonesia: Universitas Andalas; 2016.

Cockcroft S. How can family centred care be improved to meet the needs of parents with a premature baby in neonatal intensive care? J Neonatal Nurs. 2012;18(3):105-10.

D’Souza SR, Karkada S, Lewis LE, Mayya S, Guddattu V. Relationship between stress, coping and nursing support of parents of preterm infants admitted to tertiary level neonatal intensive care units of Karnataka, India: A cross-sectional survey. J Neonatal Nurs. 2009;15(5):152-8.

Holditch-Davis D, Miles MS. Mothers’ stories about their experiences in the neonatal intensive care unit. Neonatal Netw. 2000;19(3):13-21. PMid:11949060




How to Cite

Syamsu AF, Febriani ADB, Alasiry E, Erika KA, Tahir AM, Sunarno I. Maternal Stressful Experience in Giving Birth to Premature Baby in Neonatal Intensive Care Unit Ward. Open Access Maced J Med Sci [Internet]. 2021 Sep. 11 [cited 2021 Oct. 19];9(G):106-11. Available from:



Emergency Nursing