Parenting an infant with a congenital anomaly: An exploratory study on patterns of adjustment from diagnosis to six months post-birth.

Abstract

The present study examined psychological adjustment in parents of infants with congenital anomalies, focusing on the interval from the disclosure of the diagnosis to six months after the infant’s birth, and considering the effects of the parent’s gender and the timing of diagnosis (pre- vs. postnatal). Within-group diversity was also examined, by identifying distinct patterns of individual adjustment over time. Parents of 43 infants (43 mothers and 36 fathers) with a pre- or postnatal diagnosis of a congenital anomaly answered questionnaires assessing psychological distress and quality of life, one month after the disclosure of the diagnosis and six months after the infant’s birth. Results showed a significant reduction in psychological distress and a significant increase in Physical quality of life over time, for both parents, regardless of the timing of diagnosis. Fifty-seven per cent of parents presented a pattern of recovery from diagnosis to six months post-birth, and 26.6% presented a pattern of resilience. However, 15.2% of parents showed chronic adjustment difficulties. Findings suggest that most parents tend to adjust to their infant’s CA, although some experienced difficulties and should be targeted for specialised counselling. Both members of the couple should be acknowledged, as both experience similar patterns of adjustment.