Adolescents’ Description and Management of Pregnancy and Preterm Labor

Mackey, Marlene C.; Tiller, Cecilia M.

doi:10.1111/j.1552-6909.1998.tb02665.x

Cited by 14 publications

(13 citation statements)

References 35 publications

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“…Other researchers have demonstrated that social support is related to improved birth outcomes (Mackey & Coster‐Schulz 1992, Norbeck & Anderson 1989, Norbeck et al . 1996, Mackey & Tiller 1998). A prospective study in which medical risk factors, stressful events, emotions, and social supports of women with PTL, are monitored from the time of treatment for PTL until birth (both pre‐term and term) would help identify factors that would predict time of birth after an episode of PTL.…”

Section: Discussionmentioning

confidence: 99%

“…One exception was De Muylder (1989) who found that women with PTL were more likely to report a poorly timed pregnancy, a worse personal life and a recent disturbing life event, compared to women without pre‐term labour. Other researchers reported that women who were hospitalized for the treatment of PTL described multiple recent stressful life experiences, stress and depression during qualitative interviews conducted in the hospital prior to being discharged undelivered (Mackey & Coster‐Schulz 1992, Coster‐Schulz & Mackey 1998, Mackey & Tiller 1998, Mackey et al . 1999, Williams & Mackey 1999).…”

Section: Literature Reviewmentioning

confidence: 99%

“…In summary, researchers: have reported inconsistent findings about the relationship of stress and mood states to LBW and PTB; have been unable to explain how race is related to birth outcomes; have suggested that work may have positive or negative effects on birth outcomes; and have neglected to examine their common precursor to LBW and PTL — the pre‐term labour experience. The findings of preliminary qualitative studies have suggested that stressful life experiences preceding and following treatment and stabilization of pre‐term labour may be important (Mackey & Coster‐Schulz 1992, Coster‐Schulz & Mackey 1998, Mackey & Tiller 1998, Mackey et al . 1999, Williams & Mackey 1999); however, a systematic comparison of the stress of women with and without pre‐term labour has not been reported.…”

Section: Literature Reviewmentioning

confidence: 99%

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Stress, pre‐term labour and birth outcomes

Mackey

Williams

Tiller

2000

Journal of Advanced Nursing

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Stress, pre-term labour and birth outcomes Preliminary studies have suggested that stress may be associated with the onset, treatment and outcomes of pre-term labour; however, a systematic comparison of the stress of women with and without pre-term labour has not been reported. Therefore, the purpose of this exploratory study was to compare the stress (daily hassles and mood states) and birth outcomes of black and white women who experienced pre-term labour (PTL) during pregnancy with those who did not. The convenience sample consisted of 35 pregnant women hospitalized in 1996-1997 for the treatment of PTL (24-35 weeks gestation) and 35 controls matched on age, race, parity, gestational age and method of hospital payment. Women in the PTL group had significantly higher tension-anxiety and depression-dejection on the Profile of Mood States (POMS), lower mean birthweight and mean gestational age, and a higher percentage of babies born <37 weeks and weighing 2500 g or less. Black women in the PTL group and white women in the control group had significantly higher scores on the fatigue sub-scale of the POMS and the work and future security sub-scales of the Daily Hassles Scale. Women in the PTL group whose babies weighed 2500 g or less had significantly higher scores on the health, inner concern and financial responsibility sub-scales of the Daily Hassles Scale. The findings from this study indicate the need for further exploration of the interaction of race and stress in understanding and preventing PTL and low birthweight and the need to examine the role of social support in preventing pre-term birth after an episode of PTL.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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Stress, pre‐term labour and birth outcomes

Mackey

Williams

Tiller

2000

Journal of Advanced Nursing

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“…McCain and Deatrick (1994) also studied women's experiences, finding that women felt vulnerable, anxious, and often that a poor outcome was inevitable. Mackey and Tiller (1998) studied adolescents who experienced preterm labor. The adolescents had varying degrees of difficulty in coping with the diagnosis and had better outcomes when living in a supportive environment.…”

Section: The Experience Of Preterm Labormentioning

confidence: 99%

Nursing's Contribution to the Literature on Preterm Labor and Birth

Freda

2003

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…The feeling experienced through the experience of motherhood is related to a natural narcissistic desire, as pregnancy, the fruit of the instincts of life and love, would be a way of feeling oneself to be recognized, as well as seeing a commitment with immortality through a fruit which is "one's own" (Mackey & Tiller, 1998). However, these young women do not yet feel that they are full mothers, as the hospitalization of their babies stops them from feeling as they would like to: "I'm not being able to be a mother completely!"…”

Section: The Symbolization Of the Child: "She Was A Present For Me …"mentioning

confidence: 99%

Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI Neonatal1

Chvatal

Vasconcellos

Rivorêdo

et al. 2017

Paidéia (Ribeirão Preto)

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Adolescent motherhood, in the context of neonatal hospitalization, causes the health professional to need to understand the specificities of this phase of the life cycle and peculiarities of the mother-hospitalized baby dyad. This study aims to analyze life experiences in the puerperium of first-time adolescent mothers with premature babies hospitalized in the neonatal ICU. We use the Clinical-Qualitative Method, with intentional sampling, in 7 adolescents aged between 13-19 years old. Semi-directed interviews were used and the data underwent thematic analysis and are discussed in a psychodynamic approach. We observed that to deal with the conflicting feelings of omnipotence, affliction, ambivalence, estrangement, shock, confusion, surprise, anger, fear, sadness, anguish, pain, guilt, joy and affection, these adolescents used primitive defense mechanisms: denial, dissociation, splitting and idealization, which are inefficient and require great expenditure of psychic energy. Identifying these defense mechanisms is fundamental to an appropriate therapeutic formulation.Keywords: puerperium, adolescent pregnancy, premature birth, defense mechanisms, qualitative research Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI NeonatalResumo: A maternidade entre adolescentes, no contexto de internação neonatal, traz ao profissional de saúde uma demanda de compreensão sobre especificidades desta fase do ciclo vital e peculiaridades da díade mãe-bebê internado. Este artigo teve por objetivo explorar as vivências no puerpério de adolescentes primíparas com bebês prematuros internados em UTI Neonatal. Utilizamos método clínico-qualitativo com amostragem intencional fechada pelo critério de saturação. Aplicamos entrevistas semi-dirigidas em sete adolescentes entre 13 e 19 anos. Os dados foram tratados por análise temática de conteúdo e discutidos em referencial psicodinâmico. Na composição das categorias constatamos que para lidar com os sentimentos conflitantes de onipotência, aflição, ambivalência, estranhamento, choque, confusão, surpresa, impotência, medo, tristeza, angústia, dor, culpa, afeto e alegria utilizaram mecanismos de defesa de natureza primitiva: negação, dissociação, divisão (splitting) e idealização, que são ineficazes e exigem grande dispêndio de energia psíquica. A identificação desses mecanismos de defesa é fundamental para uma adequada formulação terapêutica.Palavras-chave: puerpério, gravidez na adolescência, nascimento prematuro, mecanismos de defesa, pesquisa qualitativa Los Mecanismos de Defensa Utilizados por Adolescentes con Bebés Prematuros em la UCIResumen: Maternidad adolescente en contexto hospitalario neonatal aporta una comprensión de la demanda de profesionales acerca de características específicas de esta fase del ciclo de vida y peculiaridades de la díada madre-hijo hospitalizados. Este artículo objetivó Analizar las experiencias adolescentes primíparas posparto con bebés prematuros. Utilizamos método Clínico-cualitativo con muestreo intencional cerrado por...

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Adolescents’ Description and Management of Pregnancy and Preterm Labor

Cited by 14 publications

References 35 publications

Stress, pre‐term labour and birth outcomes

Stress, pre‐term labour and birth outcomes

Nursing's Contribution to the Literature on Preterm Labor and Birth

Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI Neonatal1

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