Premature birth: complexities and difficulties in building the mother–child relationship

Ionio, Chiara; Lista, Gianluca; Mascheroni, Eleonora; Olivari, Maria Giulia; Confalonieri, Emanuela; Mastrangelo, Massimo; Brazzoduro, Valeria; Balestriero, Maria Antonella; Banfi, Annamaria; Bonanomi, Andrea; Bova, Stefania Maria; Castoldi, Francesca; Colombo, Caterina; Introvini, Paola; Scelsa, Barbara

doi:10.1080/02646838.2017.1383977

Cited by 63 publications

(54 citation statements)

References 44 publications

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“…After birth, the mother normally initiates specific behaviours towards her newborn, aimed at supporting the neonate who experiences high levels of stress during hospitalisation in the NICU,39 and at fostering the infant’s socioemotional development 40 41. However, mothers of preterm infants may present difficulties in developing these protective behaviours 42. Thus, parental stress may interfere with the infant’s socioemotional and cognitive development, and is associated with more difficulties in building positive parent–infant relationships due to disrupted interactions 40 43 44.…”

Section: Developmental Carementioning

confidence: 99%

Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care

et al. 2019

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IntroductionPreterm birth may generate significant distress among the parents, who often present with difficulties in appropriating their parental role. Parental stress and low perceived parental self-efficacy may interfere with the infant’s socioemotional and cognitive development, particularly through disrupted parent–infant interactions. Perceived parental self-efficacy represents the belief of efficacy in caring for one’s own infant and successful incarnation of the parental role, as well as the perception of one’s own abilities to complete a specified task. Interventions to support parental role, as well as infant development, are needed, and parental self-efficacy represents a useful indicator to measure the effects of such early interventions.Methods and analysisThis study protocol describes a randomised controlled trial that will test an early intervention in the neonatal intensive care unit (NICU) (JOIN: Joint Observation In Neonatology) carried out by an interdisciplinary staff team. Mothers of preterm neonates born between 28 and 32 6/7 weeks of gestational age are eligible for the study. The intervention consists of a videotaped observation by a clinical child psychologist or child psychiatrist and a study nurse of a period of care delivered to the neonate by the mother and a NICU nurse. The care procedure is followed by an interactive video guidance intended to demonstrate the neonate’s abilities and resources to his parents. The primary outcome will be the difference in the perceived maternal self-efficacy between the intervention and control groups assessed by self-report questionnaires. Secondary outcomes will be maternal mental health, the perception of the parent– infant relationship, maternal responsiveness and the neurodevelopment of the infant at 6 months corrected age.Ethics and disseminationEthical approval was granted by the Human Research Ethics Committee of the Canton de Vaud (study number 496/12). Results from this study will be disseminated at national and international conferences, and in peer-reviewed journals.Trial registration numberNCT02736136, Pre-results.

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Section: Developmental Carementioning

confidence: 99%

Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care

et al. 2019

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“…In accordance with the results of this study, mothers of preterm infants showed a higher level of obsession (M preterm birth = 4.07 ± 0.74, M full-term birth = 4.39 ± 0.51, t = 2.22, p = 0.029) and remoteness (M premature babies = 4.45 ± 0.83, M full-term babies ) = 4.79 ± 0.34, t = 2.51, p = 0.015) than mothers of full-term children. From the data obtained, the researchers conclude that preterm delivery can be a risk factor for the interactive relationship between a mother and a premature baby [2].…”

Section: Introductionmentioning

confidence: 98%

Mother and child”: a comparative analysis of socio-cultural discourses

et al. 2019

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Astract. This article discusses the phenomenon of motherhood through the prism of dyadic relations "mother-child" in an interdisciplinary context: biological, medical, psychological and social aspects are given. The analysis of factors affecting the occurrence of various kinds of problems in dyadic relations is carried out. The data of various studies in different countries, on various social and age groups of respondents are considered. The aspects affecting the dyad and perception of oneself as a mother that arise after childbirth, as well as factors that arise long before motherhood, are evaluated. The article describes the results of a study among unmarried girls regarding their readiness for motherhood, positioning themselves as expectant mothers. The empirical study involved 319 female full-time students at Southern Federal University, aged 18 to 22 years. According to the results of the study, it was determined that most of the girls are not ready to become mothers, not for reasons related to health, but because of a lack of necessary knowledge and skills. They lack information to complete a holistic view of the upbringing and education of the child.  Corresponding author: aalevshina@sfedu.ru , 0 (2019) Web of Conferences

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“…As a result, their parents suffer from emotional distress, depression, and anxiety at higher rates than parents of healthy infants and can develop altered parenting patterns on discharge home [4][5][6][7][8] . These negative outcomes particularly affect the mothers who are more likely to be the primary caretaker [9][10][11] . These infants also face higher risk of hospital readmission and death during the first year after birth 12,13 .…”

Section: Introductionmentioning

confidence: 99%

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

Rio

Tenthorey

Ramelet

2021

Australian Critical Care

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Background Discharge teaching has been positively associated with discharge readiness in various care settings and patient types. Association of discharge readiness with unplanned use of health services has not received as much attention in the neonatal intensive care unit (NICU) population, but has been negatively associated in parents of older children. Objectives The objective of the study was to describe and assess relationships between maternal readiness for neonates' discharge, discharge teaching, and unplanned use of health services after discharge from an NICU. Methods Mothers from an NICU of a tertiary referral hospital in Switzerland completed the "Readiness for Hospital Discharge Scale" and the "Quality of Discharge Teaching Scale parental forms" in the 24 h preceding discharge. Telephone interviews evaluating the unplanned use of health services were conducted 28 days after discharge. Simple linear regressions and multiple regressions were used to explore the links between the readiness, perceived quality of discharge, and unplanned use of health services. Results Of the 71 participants, 75% (n = 53%) felt ready for discharge when asked directly, and for 60% (n = 42) of them, the amount of discharge teaching received was equal to or higher than that needed, but with high heterogeneity in scores. For 38% of mothers (n = 27), the expected support from the medical care of their child after discharge was deemed insufficient. In the month after discharge, unplanned use of health services occurred in 46% of the participants (n = 32). Perceived quality of teaching positively predicted readiness for discharge (R 2 = 0.24, p = 0.0004). Unplanned use of health services correlated neither with readiness nor with perceived teaching quality. Conclusions At discharge, mothers felt mostly ready and well prepared to go home. In the month after discharge, almost half used health services in an unplanned manner. Further exploration of reasons leading to this high rate of postdischarge healthcare utilisation is warranted.

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Premature birth: complexities and difficulties in building the mother–child relationship

Cited by 63 publications

References 44 publications

Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care

Joint observation in NICU (JOIN): study protocol of a clinical randomised controlled trial examining an early intervention during preterm care

Mother and child”: a comparative analysis of socio-cultural discourses

Unplanned postdischarge healthcare utilisation, discharge readiness, and perceived quality of teaching in mothers of neonates hospitalized in a neonatal intensive care unit: A descriptive and correlational study

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