Having a preterm low-birthweight infant influences a family's finances
, social isolation, distress, and mastery (the four dimensions of the
Impact on Family Scale). This longitudinal study examined health (acut
e care visits, rehospitalizations, immunizations, well-child visits, a
nd developmental outcomes) and family (Impact on Family Scale) outcome
s of 224 preterm low-birthweight infants for the first six months foll
owing infant hospital discharge. The impact on the family of having a
preterm low-birthweight infant decreased over time. Families whose inf
ants were rehospitalized reported that having a preterm low-birthweigh
t infant had a greater impact on their family than did families whose
infants were not rehospitalized. Families whose infants had more well-
child visits also reported that having a preterm low-birthweight infan
t had more impact on their families than did families who took their i
nfants for fewer well-child visits. Infant health outcomes were reflec
tive of other published norms; however, there was a high number of inf
ants who were not adequately immunized.