An exploration of co-parenting in the context of caring for a child prenatally diagnosed and born with a complex health condition

Abstract

Aim: The aim of this study was to describe co-parenting communication in couples in the context of caregiving for children prenatally diagnosed and born with complex health conditions.

Background: Foetal diagnosis of complex health conditions such as heart, central nervous system, or abdominal anomalies are confirmed more often than ever before. Following diagnosis, parents face challenges beginning before birth. The quality of co-parenting, when two individuals relate to each other as parents and share parental responsibilities, can have an impact on child health and development. Yet, little is known about co-parenting during the transition to parenthood after foetal diagnosis.

Design: This secondary analysis of interview data was informed by Bowlby's theoretical work on a parent's view of self as caregiver and the literature on co-parenting.

Methods: Data were drawn from a larger, mixed methods, longitudinal study and included audio-recorded interviews conducted with 16 parents participating as eight couples after foetal diagnosis during the third trimester of pregnancy in 2011-2012 and again when children were 14-37 months old in 2014. Analysis of interviews transcribed verbatim focused on co-parenting communication.

Findings: Co-parenting communication regarding support, agreement and information sharing and a new category of shared meaning were related to the diagnosis before birth. Later, couples evolved in their co-parenting communication while caring for their toddlers and working towards achieving a sense of normalcy.

Conclusion: Variation in co-parenting communication among couples preparing and caring for children with complex health conditions, including the development of a shared meaning of the child's diagnosis, needs further investigation to inform nursing assessment and guide tailored interventions.

Keywords: caregiving; childbearing; childhood illness; parenting; psychosocial nursing; qualitative approaches.

Conflict of interest statement

CONFLICT OF INTEREST

No conflict of interest has been declared by the authors.

© 2017 John Wiley & Sons Ltd.

Figures

FIGURE 1

Conceptual framework. Note: The framework guiding this study represents co-parenting a child prenatally diagnosed and born with a complex health condition, and is adapted from Pridham et al. (2017). The co-parent relationship is formed between caregiving partners (e.g., mother, father, grandmother, aunt). The nature of the relationship is informed by each partner’s internal working model (IWM) of caregiving that structures their views of self as a caregiver, and by characteristics of the fetus/infant. Co-parenting involves communication related to mutual support, agreement on caregiving issues, and information sharing. The co-parent relationship, in turn, can influence psychological and developmental outcomes for the child, parents, and family (Cabrera et al. 2012, Solmeyer & Feinberg 2011)