Multiples in the Newborn Intensive Care Unit: Parents' and Nurses' Perspectives

Nurse, Sharon; Kenner, Carole

doi:10.1053/j.nainr.2011.09.006

Cited by 6 publications

(7 citation statements)

References 23 publications

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“…Physical discomfort was the difficulty most cited by couples during pregnancy, while nurses placed greater emphasis on difficulties like anxiety and parental stress. Physical discomfort is explained by the fact that in twin pregnancy, there is an increase in circulating hormonal levels, which can exacerbate common pregnancy disorders, and the presence of two or more fetuses in the maternal uterus increases uterine distension, promoting physical discomfort such as lower back pain, pelvic discomfort, and fatigue [ 7 ]. Some studies show the greater susceptibility of twin mothers to developing parental stress due to medical, practical, and financial demands during pregnancy and postpartum [ 6 , 7 , 13 , 14 ], which may justify the emphasis given by nurses to this parental difficulty.…”

Section: Discussionmentioning

confidence: 99%

“…The birth of twins may result in prolonged hospitalizations, requiring couples to manage visits to the twins, maternal recovery and rest, and attention to older siblings, which can make them feel neglectful towards them. During the initial visits, parents should be assisted in adapting to the environment and caring for their twins, to play an active role in their parenthood [ 6 , 7 ]. Nurses should promote bonding and help parents individualize the twins, according to their characteristics, qualities, and unique abilities, advising them to focus on the daily gains of each one [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

“…It is important to emphasize that advising and promoting breastfeeding of twins or providing breast milk can help mothers emotionally connect with them [ 6 ]. However, feeding twins can be challenging for mothers, and to improve this experience, it is important to prepare for breastfeeding during pregnancy [ 7 ], with continuous support from the nurse throughout the process. At home, caring for twins can be exhausting due to different sleep and feeding patterns and the repetitive performance of routines, causing greater sleep deprivation and interruption.…”

Section: Introductionmentioning

confidence: 99%

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Parents’ Needs When Experiencing the Transition to Twin Parenthood

Freitas,

Maneta Travanca,

García-Fernández

2024

Healthcare

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(1) Background: The transition to twin parenthood is a demanding challenge with a higher risk of maternal and fetal complications during pregnancy and a postpartum period that involves caring for more than one newborn at the same time with similar and simultaneous needs. (2) Aim: To find out about parents’ needs when experiencing the transition to twin parenthood and to describe the intervention of their specialized nursing support network. (3) Methodology: A descriptive exploratory study, based on a proper non-probabilistic sample of 15 nurses and 55 couples who are parents of twins, using two online questionnaires publicized on social networks. (4) Results: The couple’s needs were identified through knowledge of their experiences and difficulties during pregnancy and after the twin birth. Couples’ and nurses’ perceptions differed on the identified needs. The specialized nursing support network focuses its intervention on providing informative guidance on twin pregnancy and postpartum period, health education, group sharing experiences, home visits, planning, and including a family support network in the management of twin care and the creation of a daily routine. (5) Conclusions: There is a need to implement a program focused on the needs of parents of twins, promoting realistic expectations for the birth and parenting of twins, preparing parents, improving their well-being, and creating a specialized nursing support network available to this population.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parents’ Needs When Experiencing the Transition to Twin Parenthood

Freitas,

Maneta Travanca,

García-Fernández

2024

Healthcare

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“…5 The stress and anxiety resulting from the uncertainty about the survival and health of the baby influences the acceptance of the mothering role and providing proper care to the infant. 6 Unsuccessful attempts by the mother to establish a responsive, intimate, and caring relationship with the infant during the first months of life can lead to stress, anxiety, a feeling of frustration, and a care burden. 7 According to evidence, social support is an influential factor with a positive effect on the care burden.…”

Section: Introductionmentioning

confidence: 99%

Effect of Family-Centered Care on Maternal Caring Burden in Premature Infants Admitted to Intensive Care Unit

Mansouri¹,

Pourmovahed²,

Mahmoodabadi³

2022

WJPN

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Background: The birth of a preterm newborn profoundly challenges the mother to play her parenting role. The care burden of the mother affects the entire family system. This study aimed to identify the impact of family-centered care on the care burden of mothers with preterm newborns hospitalized in neonatal intensive care unit (NICU). Methods: In this quasi-experimental study, 60 mothers of preterm newborns hospitalized in the NICU of the Hafiz hospital in Shiraz were assessed. A four-stage family-centered care program was implemented in the first seven days of the infant's hospitalization. The control group received routine care. The amount of care burden of the mothers was measured using Caregiver Burden Scale (CBS). The two groups filled out the questionnaire at the baseline (third day after admission) and the seventh day after hospitalization. Results: After the intervention, the mean score of care burden in mothers in the control and experimental groups were 62.73 ± 7.44 and 58.13 ± 8.17, respectively. In the experimental group, the mean score significantly decreased compared to before the intervention. The results of the univariate analysis of covariance (ANCOVA) showed a significant difference between the two groups' mean score of care burden and its subscales (P < 0.05). Conclusion: Family-centered care reduces the care burden of mothers of preterm newborns by emphasizing the helpful presence of the other family members, especially the father in the NICU. The family-centered care approach is cost-effective, feasible, practical, and effective, in addition to the positive effects of parental involvement in the care of the newborn on the process of recovery.

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“…(Harvey et al, 2014) Pregnancy and the transition to parenthood are widely recognized as critical time periods that will influence longer term outcomes for infants and their families (Department of Health & Social Care, 2021). Multiple birth families require health and social care practitioners who are both knowledgeable and responsive and are able to adapt and lead in the provision of high quality, individualized care, and support (Jena et al, 2011;Nurse & Kenner, 2011;Ooki & Hiko, 2012) Multiple births present an increased risk of complications for the mother and her babies, which can affect family life and wellbeing.…”

Section: Introductionmentioning

confidence: 99%

Supporting multiple birth families: Perceptions and experiences of health visitors

Turville

Alamad

Denton

et al. 2021

Public Health Nursing

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Objective: To explore the current practice and perceptions of health visitors in supporting multiple birth families. Design and sample:Practicing health visitors across the United Kingdom were invited to complete a cross-sectional, descriptive, online survey. The questionnaire covered multiple birth caseload, education received about multiples and the experience of working with families. Two-hundred and ninety health visitors completed the questionnaire. Descriptive and inferential statistics were used for analysis of the quantitative components and thematic analysis for the qualitative data.Results: Most health visitors had twins on their current workload. Most health visitors had not received any specific training or continuing professional development regarding the needs of multiple birth families. Supporting the families within the confines of reduced time and increased workload was challenging. Daily tasks of caring for multiples were the main areas that health visitors and parents wanted more information about. Conclusions:In the United Kingdom, health visitors are uniquely positioned to support multiple birth families, in particular during the more challenging early years. However, the findings of this study suggest that many health visitors are aware that the care and support that they are able to provide multiple birth families falls short of meeting their needs

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Multiples in the Newborn Intensive Care Unit: Parents' and Nurses' Perspectives

Cited by 6 publications

References 23 publications

Parents’ Needs When Experiencing the Transition to Twin Parenthood

Parents’ Needs When Experiencing the Transition to Twin Parenthood

Effect of Family-Centered Care on Maternal Caring Burden in Premature Infants Admitted to Intensive Care Unit

Supporting multiple birth families: Perceptions and experiences of health visitors

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