Preparing for NICU Discharge: Mothers’ Concerns

Raines, Deborah A.

doi:10.1891/0730-0832.32.6.399

Cited by 25 publications

(46 citation statements)

References 15 publications

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“…In average, the mothers participating in the study needed seven weeks to start feeling comfortable and secure to take care of their infants at home, after the return of their children from the neonatal unit. Such findings are similar to those described by other researchers, who report the difficulties mothers undergo to establish a bond with their children when they do not have a close contact with them right after their birth; 1,4,7 , the feeling of impotence toward caring for the child at home after the infant is discharged from the hospital; [5][6]8,10 the doubts and uncertainties as to how to perform some care activities and how to modify them as the baby grows and changes, as well as the feeling of not being a real mother but a fearful person that is incapable of taking care of her child without the support of healthcare professionals. [4][5][6][14][15][16] Throughout the pre and postnatal period, the professional nurse is recognized as the one being in more contact with the woman.…”

Section: Discussionsupporting

confidence: 90%

“…6,[8][9] Hence, healthcare professionals should recognize these facts and offer parents of hospitalized newborn babies the place they deserve to be with their children. 10 The aim of this study is to describe how mothers who are submitted to stressors, such as the separation from their children and restricted participation in the care for their babies during the hospitalization process at the NICU, experience the care for the infants at home. The study will describe the process experienced by mothers toward building the confidence and the assurance that they will be able to provide their infants the love and necessary care to keep them away from the hospital and growing healthy.…”

Section: Introductionmentioning

confidence: 99%

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Caring for a premature child at home: from fear and doubt to trust

González

Espitia

2014

Texto contexto - enferm.

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ABSTRACT:Being a mother is the result of a process that involves the development of a strong maternal identity, begins during pregnancy, and includes the child's first months of life. This process thrives on the constant mother-child interaction. In order to know the lived experiences of mothers of previously hospitalized premature infants while assuming the child's care at home, a phenomenological study involving ten mothers was conducted. Findings indicate that the separation of the dyad during hospitalization imposes limitations, which prevent women from taking on the new role with confidence and joy. It is important to empower the nursing staff in neonatal units toward implementing strategies for early and continuous mother-child contact that will support women in the process of becoming mothers. DESCRIPTORS:Mother-child relations. Premature. Child care. CUIDANDO UN HIJO PREMATURO EN CASA: DEL TEMOR Y LA DUDAA LA CONFIANZA RESUMEN: Ser madre es el resultado de un proceso que implica desarrollar una fuerte identidad maternal, se inicia en la gestación y abarca incluso los primeros meses de vida del hijo. Este proceso se nutre de la constante interacción madre-hijo. Para conocer las vivencias de las madres de niños prematuros previamente hospitalizados, al asumir el cuidado de ellos en casa, se realizó un estudio fenomenológico con participación de diez madres. Los hallazgos indican que la separación de la diada durante la hospitalización impone limitaciones, que impiden que la mujer asuma con tranquilidad y alegría el nuevo rol. Es importante empoderar al personal de enfermería de las unidades neonatales para implementar estrategias de contacto temprano y continuo madre-hijo, que apoyen a las mujeres en el proceso de convertirse en madres. DESCRIPTORES:Relaciones madre-hijo. Prematuro. Cuidado del niño.CUIDANDO UM FILHO PREMATURO EM CASA: DO TEMOR E DA DÚVIDA À CONFIANÇA RESUMO: Ser mãe é o resultado de um processo que implica desenvolver uma forte identidade maternal; que se inicia na gestação e envolve, inclusive, os primeiros meses de vida do filho. Este processo se nutre da constante interação mãe-filho. Para conhecer as vivências das mães que tiveram que assumir os cuidados dos bebês prematuros em casa, após a hospitalização, foi realizado um estudo fenomenológico, com a participação de dez mães. Os resultados indicaram que a separação da díade durante a hospitalização impõe limitações que impedem que a mulher assuma com tranquilidade e alegria o novo papel. É importante empoderar o pessoal de enfermagem das unidades neonatais para que implementem estratégias de contato precoce e contínuo mãe-filho, que possam apoiar essas mulheres no processo de converterem-se em mães. DESCRITORES:Relações mãe-filho. Prematuro. Cuidado da criança.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Caring for a premature child at home: from fear and doubt to trust

González

Espitia

2014

Texto contexto - enferm.

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“…In similar study of Patil, (2014) showed slightly different results. Assessing the mothers stress they found 70% had moderate stress and 30% had severe stress, while no mothers with mild stress were present.…”

Section: Resultsmentioning

confidence: 78%

“…Preterm infants usually require additional care and support post-discharge, because of health and developmental problems related to their immaturity (Hutchinson, Spillet, & Cronin, 2012). Further, factors that cause parental stress about bringing the infant home inhibit the bonding process (Aagaard et al, 2015;Browne and Talmi, 2005); these include high medical needs, the length of hospitalization, and a lack of knowledge about the infant's condition and development (Patil, 2014;Segre et al, 2015). Olshtain-Mann & Auslander (2008) have also reported on the ongoing stress after returning home.…”

Section: Discussionmentioning

confidence: 99%

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Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

2017

Aust. J. Basic & Appl. Sci.

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Background: Low birth weight infants are born weighing less than 2500 grams. The chance of life increases with the advancement of technology through intensive care in the perinatology ward. High medical needs during infant care, duration of care, and lack of knowledge about the condition of the infant are factors that causes stress on mothers to bring the infant home. Mother may feel incompetence in caring for the infant at home. Greater stress occurs among mothers who are lack of proper coping skills. Objective: This study aimed to appraise mothers' coping strategies for dealing with stress related to the discharge preparations of a low birth weight (LBW) infant. Sixty mothers of LBW infants hospitalized in a perinatology ward participated in this descriptive-correlational study. They were selected using a convenience sampling method. Data were collected using a structured questionnaire of the Stress and Coping Strategies Scale, and the questionnaire was tested for validity and reliability (Cronbach's alpha: 0.72). Descriptive and inferential statistics, including the Pearson's correlation test, were applied to analyze the data using SPSS. Results: Most mothers (86%) used coping strategies focused on emotions, and 78% reported using ones that focus on solving problems. There was a significant correlation among the infant's length of hospitalization (p. 0.024) and history of hyperbilirubinemia (p. 0.007) with a mother's coping strategy. We also found a strong significant correlation between mothers' stress and coping strategies (r. −0.641; p. < 0.001). Conclusion: This study indicate that stress scores are significantly associated with coping strategies: the higher the score, the lower the mother's coping ability. Developing a maternal coping strategy that focuses on problem solving will increase mother's confidence in preparing for the discharge of LBW infants from perinatology ward and able to care for the baby at home. We recommend that nurses help mothers develop coping strategies with a focus on problem solving through family involvement and educational care for LBW infants.

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Multi-disciplinary team (MDT)

Petty¹

2015

Bedside Guide for Neonatal Care

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Preparing for NICU Discharge: Mothers’ Concerns

Abstract: The mothers expressed confidence in their ability as a caregiver but expressed concern about being tired, the need for readmission to the hospital, and missing a change in the infant's conditions.

Cited by 25 publications

References 15 publications

Caring for a premature child at home: from fear and doubt to trust

Caring for a premature child at home: from fear and doubt to trust

Mothers’ Coping Strategies in Preparing for the Discharge of Low Birth Weight Infants from a Perinatology Ward

Multi-disciplinary team (MDT)

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