Maternagem ao recém-nascido cirúrgico: bases para a assistência de enfermagem

Abstract

The study aimed to understand the phenomenon of mothering in the presence of a neonatal surgery. This is a qualitative study, applying the life story method, engaging eighteen women-mothers of newborn undergoing surgery. The data, collected between July and August 2009, pointed to the emergence of two units of meaning: Separation, removal and rejection in the face of neonatal surgery and Experiencing a 'different' way of mothering'. Mothering in the presence of a neonatal surgery is a time of transition and adaptation against the unexpected, and what is normal and normative. Occurs in different ways, and may go through phases of rejection and separation and has focused on surgery and procedures performed. The construction of models to support women and family is essential for them to cope and adapt to the experience of neonatal surgery.

Forças Que Interferem Na Maternagem Em Unidade De Terapia Intensiva Neonatal

“…In this sense, health professionals should initiate progressive approaches between mother and child, facilitating the development of motherhood/ mothering and create a healthy bond between the mother and her child. 5 It is valid to point out that the factors that affect the affective bond between mother and newborn, fragmenting the formation of attachment, are closely related to the various emotions and suffering experienced by the mother due to the illness and hospitalization of the newborn. 18 In this research, feelings of fear, anguish and insecurity, and lack of skills to care for the newborn in the force field that represents the mothering process.…”

“…[7][8] However, the harmful effects on the formation of the child's personality and the social consequences caused by the estrangement, such as rejection and can be minimized when health workers support good mothering. 5 Thus, these women need the help of health professionals to improve and effectively assume the maternal role. 18,28 However, despite the discussions that address the need to humanize care for families in situations of emotional vulnerability, systematized strategies of formal support for these people are incipient.…”

“…This situation can provoke tensions between professionals and the family due to the confrontation between models, practices, interests and opinions. 4 The hospitalization of the newborn can compromise mothering/motherhood, [5][6] that is, the set of care performed by the mother to the baby in order to attend to their needs for "continence" which not consist of the physical act of holding the child in their arms and the care related to the handling of the body but also the physical and emotional support. [7][8] The process of mothering involves the sensitivity of the mother (the person who performs the maternal function) in decoding and understanding the child's needs, establishing a routine that favors the child's growth, development and emotional stability, and offers protection against external dangers.…”

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

“…The health professional must translate the feelings presented by these women, whether or not they are ready for mothering. Progressive approaches and the clarification of their doubts, frustrations and longings will help the development of mothering (12) .…”

Experiences of Families of Premature Children in a Neonatal Intensive Therapy Unit

“…15 Neste estudo verificou-se que a insegurança e a impotên-cia diante da situação que não pode ser modificada podem ser agravadas, uma vez que as mães assumem a posição de expectadoras do cuidado e, em seu ponto de vista, nada podem fa- O convívio de pais de prematuros com outros pais que se encontram há mais tempo nessa condição pode ser benéfi-co, pois os mesmos conseguem tranquilizá-los nesse momento de apreensão e medo. Para os familiares cuja prematuridade é desconhecida, receber informações quanto à melhora dos RNs traz ânimo, conforto e fortalecimento no que diz respeito à evolução de seus filhos.…”