Transition to motherhood and mothering for women in wheelchairs: a nursing perspective

Abstract

Objective: To discuss the process of transition to motherhood and mothering of women who are wheelchair users, from the perspective of Afaf Ibrahim Meleis. Method: Qualitative, descriptive, exploratory study conducted with six women in the state of Rio de Janeiro. The Life Narrative method was used, with thematic analysis in the light of Transitions Theory. Results: Developmental and situational transitions occurred and were influenced by personal, community and social factor. Moved mainly by ignorance and prejudice of family members and of the social network, these factors were not barriers for motherhood and mothering. Final Considerations: The reproductive rights of women with disabilities must be respected and, for this, inclusive policies focused on women with disabilities should be adopted. Descriptors: Disabled Persons; Women; Pregnancy; Mother-Child Relations; Nursing Care. RESUMOObjetivo: Discutir o processo de transição para a maternidade e maternagem de mulheres cadeirantes na perspectiva de Afaf Ibrahim Meleis. Método: Estudo qualitativo, descritivo, exploratório, realizado com 6 mulheres cadeirantes residentes no estado do Rio de Janeiro. Utilizou-se o método Narrativa de Vida com análise temática à luz da Teoria da Transição. Resultados: Ocorreram as transições desenvolvimental e situacional, com influência de fatores pessoais, comunitários e sociais. Movidos principalmente por desconhecimento, preconceito da família e da rede social, esses fatores não foram impedimentos para o exercício da maternidade e da maternagem. Considerações finais: Os direitos reprodutivos da mulher cadeirante devem ser respeitados e, para isso, políticas transversais devem ser adotadas com práticas inclusivas às mulheres com deficiência. Descritores: Pessoas com Deficiência; Mulheres; Gravidez; Relações Mãe-Filho; Cuidados de Enfermagem. RESUMENObjetivo: Discutir el proceso de transición hacia la maternidad y el maternaje de mujeres usuarias de silla de ruedas según la perspectiva de Afaf Ibrahim Meleis. Método: Se trata de un estudio cualitativo, descriptivo, exploratorio, realizado entre 6 mujeres usuarias de silla de ruedas y residentes en el estado de Río de Janeiro. Se utilizó el método Narrativa de Vida con análisis temático a la luz de la Teoría de la Transición. Resultados: Se produjeron transiciones de desarrollo y de situación, influenciadas por factores personales, comunitarios y sociales. Movidos principalmente por el desconocimiento, el prejuicio de la familia y de la red social, estos factores no fueron un impedimento para el ejercicio de la maternidad y del maternaje. Consideraciones finales: Deben respetarse los derechos reproductivos de las mujeres con movilidad reducida y para lograr este cometido se hace necesario adoptar políticas transversales con prácticas inclusivas. Descriptores: Personas con Movilidad Reducida; Mujeres; Embarazo; Relación Madre-Hijo; Cuidados de Enfermería. Transition to motherhood and mothering for women in wheelchairs: a nursing perspectiveTransição para maternidade e maternagem ...

Transition to Motherhood of Mothers Receiving Continuity of Child-Rearing Support

“…It was important for them to reflect on child-rearing in the community and build new relationships and connections to get the sense that child-rearing was not only an individual effort, but was also positioned in the community and society through child-rearing support. Several previous studies on transition to motherhood have referred to partner and family support and the changed relationships with them [ 9 , 11 , 12 , 13 ], with similar results to this study, which showed that building new relationships and connections was key. Conversely, a new finding of reflecting on child-rearing in the community was clarified as a transition condition, not only the relationships with partners and families.…”

“…Since most of the existing research on the transition to motherhood has studied white, married, and middle-class individuals, it is necessary to expand it to a wider range of socioeconomic classes and to more culturally diverse participants as they transition into motherhood [ 9 ]. Recently, there have been studies targeting adolescent mothers [ 10 ], blind women [ 11 ], women in wheelchairs [ 12 ], and women with infants with special care needs [ 13 ]. A review has shown that the transition to motherhood includes two inherent processes: (1) engagement and (2) growth and transformation [ 9 ].…”

Resilient Mothering

“…17,19,20 Furthermore, a lack of family and partner support has been shown to negatively impact this transition. 17,19,20 We expand on these findings by showing partners, who primarily provided poor-quality or nonexistent support during the perinatal transition, were a major source of stress for women across the perinatal transition. During pregnancy, women described being abandoned and/or fear about disclosing their HIV status to their partner.…”

Reconocimiento y percepción para la Maternidad y la Paternidad

“…La maternidad y la paternidad se consideran elementos complejos y son objeto de estudios a nivel nacional e internacional. En consecuencia, en los círculos científicos se han difundido con frecuencia numerosas ideas sobre la paternidad, lo que puede llevar a las madres y los padres a considerar que los modelos que han aprendido y utilizado ya no tienen ninguna validez o son inadecuados frente a los avances del país y del mundo (2).…”

“…De esta manera, es posible reorganizar los papeles y funciones de los hombres y las mujeres con respecto al cuidado de los niños. La paternidad se inserta en un nuevo modelo de familia, que asume y reconoce la paternidad ofreciendo valor a la mujer, facilita el ciclo gravitatorio, haciendo que se produzcan intercambios afectivos y demostrando fragilidades para el hombre, demuestra seguridad y confianza, haciendo que se produzca la división de tareas entre la pareja, compromiso y apoyo a la mujer en todo el proceso de gestación, parto, alumbramiento, posparto y seguimiento del crecimiento y desarrollo del niño (1)(2)(3)(4).…”