Inevitable mother-baby separation in the immediate postpartum from a maternal perspective

Abstract

Objectives: to understand the process of inevitable mother-baby separation in the immediate postpartum from a maternal perspective. Methods: this is a qualitative approach research study developed by interviewing 15 mothers who were separated from their children in the postpartum at a public maternity hospital in Belo Horizonte, Minas Gerais, Brazil. The analysis content was used for data interpretation. Results: the categories were evidenced through "Maternal feelings and perceptions regarding to the child's separation in the postpartum period" and "Women's perception about health professionals' performance at the time of the separation and the presence of their companions", the contradictions offeelings and challenges experienced by the mothers due to the separation as for, the happiness of her child's birth followed by the anguish of being separated and the fear of losing her child..The healthcare team plays a relevant role regarding the difficulties and helps to overcome these challenges. Conclusions: advances in healthcare actions are needed in order to offer directed care to the real necessities of these mothers and decrease the negative impacts caused by this separation.

Neonatal care practices in Buikwe District, Uganda: a qualitative study

“…Separation between the mother and the newborn may create insecurity and unnecessary worrying for the mother and delay the bonding and breastfeeding initiation. Studies have also revealed separation as a cause for stressors in the newborn which could lead to neurodevelopmental problems [39][40][41]. The study found cases of separation from the newborn for up to 3 days after birth complications.…”

Prevalence, characteristics, and impact of pain during the postpartum period

“…This research's results show that pain was significantly more common among mothers who had their newborn hospitalized in other units (nursery or neonatal ICU) and needed to move to follow their children, which may be related to this higher mobility or to the emotional overload of having their newborn in a different unit. Studies indicate that the process of mother-baby separation due to prematurity or newborn complications in the immediate postpartum period makes the mother feel fear, anxiety, insecurity, and distress (16)(17) , emotions which may negatively influence the perception of pain. In these situations, nurses should act as facilitators of skin-to-skin contact as soon as possible, fostering the bond between mother and baby (16) .…”

“…Studies indicate that the process of mother-baby separation due to prematurity or newborn complications in the immediate postpartum period makes the mother feel fear, anxiety, insecurity, and distress (16)(17) , emotions which may negatively influence the perception of pain. In these situations, nurses should act as facilitators of skin-to-skin contact as soon as possible, fostering the bond between mother and baby (16) .…”

Sentimentos e Percepções Maternas sobre a Internação de Bebês Pré-Termo e a Termo: estudo comparativo

“…É possível que, pelo fato de o bebê ter nascido a termo e, provavelmente não ter intercorrências durante a gestação, não esperavam que o bebê tivesse problemas de saúde que justificasse sua internação em UITN. Manzo et al (2018) apontaram que a internação pode desencadear diversos sentimentos negativos (frustração, tristeza, angústias, medo da perda seu filho e intensa preocupação frente ao desconhecido). Por outro lado, mesmo diante desses sentimentos negativos quando existe a presença do acompanhante em todo período de internação esse processo é vivenciado de forma menos traumática.…”

“…Contudo, não basta que os objetivos das políticas públicas de humanização sejam propostos, é necessário que as equipes compreendam sua importância e a efetivem. Para Manzo et al (2018), apesar das diversas políticas públicas propostas pelo Ministério da Saúde, com o objetivo de reduzir a morbimortalidade materna e do bebê, de modo a garantir a qualidade e humanização na assistência durante o parto e puerpério, ainda existem práticas que contradizem essas propostas.…”