Caring for a premature child at home: from fear and doubt to trust

Abstract

ABSTRACT:Being a mother is the result of a process that involves the development of a strong maternal identity, begins during pregnancy, and includes the child's first months of life. This process thrives on the constant mother-child interaction. In order to know the lived experiences of mothers of previously hospitalized premature infants while assuming the child's care at home, a phenomenological study involving ten mothers was conducted. Findings indicate that the separation of the dyad during hospitalization imposes limitations, which prevent women from taking on the new role with confidence and joy. It is important to empower the nursing staff in neonatal units toward implementing strategies for early and continuous mother-child contact that will support women in the process of becoming mothers. DESCRIPTORS:Mother-child relations. Premature. Child care. CUIDANDO UN HIJO PREMATURO EN CASA: DEL TEMOR Y LA DUDAA LA CONFIANZA RESUMEN: Ser madre es el resultado de un proceso que implica desarrollar una fuerte identidad maternal, se inicia en la gestación y abarca incluso los primeros meses de vida del hijo. Este proceso se nutre de la constante interacción madre-hijo. Para conocer las vivencias de las madres de niños prematuros previamente hospitalizados, al asumir el cuidado de ellos en casa, se realizó un estudio fenomenológico con participación de diez madres. Los hallazgos indican que la separación de la diada durante la hospitalización impone limitaciones, que impiden que la mujer asuma con tranquilidad y alegría el nuevo rol. Es importante empoderar al personal de enfermería de las unidades neonatales para implementar estrategias de contacto temprano y continuo madre-hijo, que apoyen a las mujeres en el proceso de convertirse en madres. DESCRIPTORES:Relaciones madre-hijo. Prematuro. Cuidado del niño.CUIDANDO UM FILHO PREMATURO EM CASA: DO TEMOR E DA DÚVIDA À CONFIANÇA RESUMO: Ser mãe é o resultado de um processo que implica desenvolver uma forte identidade maternal; que se inicia na gestação e envolve, inclusive, os primeiros meses de vida do filho. Este processo se nutre da constante interação mãe-filho. Para conhecer as vivências das mães que tiveram que assumir os cuidados dos bebês prematuros em casa, após a hospitalização, foi realizado um estudo fenomenológico, com a participação de dez mães. Os resultados indicaram que a separação da díade durante a hospitalização impõe limitações que impedem que a mulher assuma com tranquilidade e alegria o novo papel. É importante empoderar o pessoal de enfermagem das unidades neonatais para que implementem estratégias de contato precoce e contínuo mãe-filho, que possam apoiar essas mulheres no processo de converterem-se em mães. DESCRITORES:Relações mãe-filho. Prematuro. Cuidado da criança.

Estresse materno pós-alta do recém-nascido prematuro

“…Low socioeconomic status, identified in this study, may be associated with other factors such as inadequate nutrition, excessive workload, psychological and physical stress, and poor health care, 15 However, there is no statistical significance with regard to increased maternal stress due to the family income of the participating women.…”

“…However, it is recalled that the previous experience of hospitalization of a preterm child in an intensive environment does not represent that the mother will have full security in the development of baby care activities in the home environment. 15 It is important, because the hospitalization of a child in NICU proves to be a source of maternal stress, to know the experiences of the mother in the hospital environment, as well as concerns about her and the newborn's health, social conditions and family, which can trigger maternal psychological distress. 5 The necessary professional support is provided for better health outcomes for children and families, although the average maternal stress found in this study was determined to be compatible with people's daily life stress.…”

Devir Cuidadora De Prematuro E Os Dispositivos Constituintes Da Continuidade Da Atenção Pós-Alta

“…There is a reorganization of the daily life for home care marked by the presence of challenges because of the condition of fragility and the different and complex demands of care that the premature newborn requires. 7 The preparation of mothers for hospital discharge during the period of hospitalization of the premature newborn is a device that favors safety and tranquility in post-discharge care. In addition, there is scientific evidence that actions during hospitalization aimed at preparing the family in the management of the premature newborn reduces anxiety, increases maternal self-confidence in the home care and facilitates the adaptation of the family to the child.…”

“…The transition of the premature newborn from the hospital to the household has been revealed to be a process that involves feelings of insecurity in the caregiver, considering that she will take care of a child who has gone through a long period of hospitalization and who has experienced difficulties. [7][8] With all the complexity immanent to the continuity of the care in the context of prematurity, we have identified in this study that its discussion is timely considering the thematic of networks. The discussion of networks has been proposed by different theoretical and organizational conceptions in the field of Brazilian health care, and in this research we have opted to look at and think about the dynamics of the continuity of the care for premature newborns, seeking a theoretical construction in which the network of care could resemble a rhizome.…”

Efectividad de la atención domiciliaria de enfermería en el seguimiento de prematuros después del alta hospitalaria

“…De igual modo, se ha descrito las vivencias de madres colombianas de niños prematuros previamente hospitalizados, al asumir el cuidado de ellos en casa. La separación de la diada durante la hospitalización impone limitaciones que impiden que la mujer asuma con tranquilidad y alegría el nuevo rol, por lo que es importante empoderar al personal de enfermería de las unidades neonatales para implementar estrategias de contacto temprano y continuo madre-hijo 18 .…”