Experiences and coping strategies of preterm infants’ parents and parental competences after early physiotherapy intervention: qualitative study

Ochandorena-Acha, Mirari; Noell-Boix, Rosa; Yildirim, Meltem; Cazorla-Sánchez, Maria; Iriondo-Sanz, Martín; Troyano-Martos, Maria José; Casas-Baroy, Joan Carles

doi:10.1080/09593985.2020.1818339

Cited by 8 publications

(16 citation statements)

References 37 publications

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“…The findings in this study show that the mothers were positive to the EACI and there were few negative comments or suggestions for improvements. However, this is in accordance with previous studies of parents with preterm infants participating in an intervention (Baraldi et al, 2020; Ettenberger et al, 2017; Ochandorena‐Acha et al, 2020). If given extra support in a vulnerable situation, it might be obvious to expect parents to feel encouraged and empowered.…”

Section: Discussionsupporting

confidence: 92%

“…Previous studies have recently described informational and practical needs as well as for staff to be sensitive and able to adjust the support to different parental prerequisites (Adama et al, 2021). Moreover, parents felt empowered and in control when they were able to take care of and interact with their preterm infants (Brødsgaard et al, 2019; Treherne et al, 2017) and how staff support helped them feel secure (Ochandorena‐Acha et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

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Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study

Helmer

Thornberg

Abrahamsson

et al. 2022

Journal of Clinical Nursing

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Aim: To explore mothers' experiences of the EArly Collaborative Intervention.Background: Preterm birth puts a considerable emotional and psychological burden on parents and families. Parents to moderate and late premature infants have shorter stays at the neonatal intensive care unit and have described a need for support. The EArly Collaborative Intervention was developed to support parents with preterm infants born between gestational Weeks 30 to 36. In this study, mothers' experiences of the new intervention were explored. Design:A qualitative design guided by a reflexive thematic analysis according to Braun and Clarke. Interviews were individually performed with 23 mothers experienced with the EArly Collaborative Intervention. Data were identified, analysed and reported using reflexive thematic analysis. The COREQ checklist was used preparing the manuscript.Results: Two main overarching themes were constructed. The first theme, 'mothers' feelings evoked from the EArly Collaborative Intervention' describes the emotions raised by the intervention and how the intervention affected their parental role. Their awareness of the preterm baby's behaviour increased, and the intervention helped the parents to communicate around their baby's needs. The second theme, 'based on the preterm baby's behavior', describes experiences of the provision and the learning process about their preterm baby's needs and communication. The intervention was experienced as helpful both immediately and for future interaction with the baby.Conclusions: Mothers found the intervention to be supportive and encouraging. They came to look upon their baby as an individual, and the new knowledge on how to care and interact with their baby affected both their own and their baby's well-being. Furthermore, the intervention felt strengthening for their relationship with the other parent.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study

Helmer

Thornberg

Abrahamsson

et al. 2022

Journal of Clinical Nursing

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“…A recently published qualitative study concluded that parents’ involvement in infants’ care is associated with increased empowerment. Those parents also develop more coping strategies to deal with prematurity and challenges in the parenting role [ 16 ]. Similarly, a randomized controlled trial studied whether early intervention focused on sensitizing affected the parenting stress among mothers and fathers of preterm infants.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has shown that parents’ involvement in early interventions enables them to better understand their child’s development and learn how to support their child. Moreover, when parents provide hands-on programs, they experience a sense of autonomy, empowerment, and stronger bonding with their infant [ 12 , 13 , 14 , 15 , 16 ]. This large body of research has provided valuable information when designing and administrating developmental programs to enhance preterm infants’ development and improve their parents’ mental health [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

et al. 2022

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Background: The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants’ motor and global development, and on parents’ stress index. Methods: 48 infants were enrolled and randomized into two groups. Infants allocated to the intervention group received an early physiotherapy intervention, based on parental education sessions and tactile and kinesthetic stimulation during the NICU period, as well as a home-based activity program. The intervention commenced after 32 weeks post-menstrual age and ended at 2 months corrected age. Infants allocated to the control group received the usual care based on the NIDCAP-care. Results: No differences were found between groups on the Alberta Infant Motor Scale at 2- or 8-months corrected age. Infants in the intervention group showed more optimal fine motor, problem-solving, personal-social, and communication development at 1 month corrected age. Conclusions: The results showed no effect on the early physiotherapy intervention. Results might be related to the dose or intensity of the intervention, but also to the poor parental compliance. ClinicalTrials.gov NCT03313427.

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“…Obstetric physiotherapy is a discipline that provides benefits to pregnant women [ 14 , 15 ]. It is mainly used with the following objectives: treatment of painful obstetric pathologies (lumbago, perineal pain, sciatica, cramps, etc.,) [ 16 ], physical preparation for delivery (perineal massage, pushing teaching, practice of different dilatation and second-stage labour positions, etc.,) [ 17 , 18 ] and to provide information on changes associated to delivery and postpartum (which psychologically prepares the patient for the upcoming changes and raises her self-confidence to deal with them) [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

Álvarez-González

Leirós‐Rodríguez

Álvarez-Barrio

et al. 2021

JCM

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Perineal massage increases elasticity of myofascial perineal tissue and decreases the burning and perineal pain during labour, thus optimising child birth, although an application protocol has not been standardised yet. The objective of this study is to determine the efficiency of massage in perineal tear prevention and identification of possible differences in massage application. Total of 90 pregnant participants were divided into three groups: perineal massage and EPI-NO® device group, applied by an expert physiotherapist, self-massage group, where women were instructed to apply perineal massage in domestic household, and a control group, which received ordinary obstetric attention. Results: The results showed significant differences among the control group and the two perineal massage groups in perineal postpartum pain. Correlations in perineal postpartum pain, labour duration and the baby’s weight were not statistically significant. Lithotomy posture was significantly less prevalent in the massage group than in the other two; this variable is known to have a direct effect on episiotomy incidence and could act as a causal covariate of the different incidence of episiotomy in the groups. Perineal massage reduces postpartum perineal pain, prevalence and severity of perineal tear during delivery.

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Experiences and coping strategies of preterm infants’ parents and parental competences after early physiotherapy intervention: qualitative study

Cited by 8 publications

References 37 publications

Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study

Mothers' experiences of a new early collaborative intervention, the EACI, in the neonatal period: A qualitative study

Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

Prevalence of Perineal Tear Peripartum after Two Antepartum Perineal Massage Techniques: A Non-Randomised Controlled Trial

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