Birthing and Parenting a Premature Infant in a Cultural Context

Brooks, Jada L.; Diane, Holdtich-Davis,; Docherty, Sharron L.; Theodorou, Christina S.

doi:10.1177/1049732315573205

Cited by 15 publications

(12 citation statements)

References 39 publications

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“…Various cultural beliefs are inherent across Indonesian society and often cannot be separated from daily life (Rahayu & Hasballah, 2017). Diversity in culture and distinct characteristics of a particular culture is something that can facilitate or impede the receipt of healthcare and can be harmful to the infant's health (Brooks et al, 2016; Rahayuningsih et al, 2015). Factors occurring with the microsystem (ethnicity), mesosystem (extended family network), and macrosystem (cultural background) can impact on a mother's environment for parenting experiences, particularly physical and social settings in which premature infants and their mothers are mutually involved (Brooks et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study

Hariati

Sutomo

McKenna

et al. 2021

Specialist Pediatric Nursing

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Purpose: Premature birth may be associated with infant health problems and frequently requires in-hospital and then at-home specialized care. Studies investigating home-caring experiences of mothers of preterm infants in developing countries are limited. This study was to explore preterm mothers' experiences of caring practices at home 1 month after their infant's discharge from a neonatal unit.Design and Method: A descriptive qualitative study using in-depth interviews with eight purposively sampled mothers who had been discharged home from neonatal unit in one city in Indonesia. All interviews were audio-recorded, transcribed verbatim, and analyzed using thematic analysis.Result: Three main themes emerged: (1) transition to independent motherhood, (2) focus on care of infant after discharge, and (3) barriers and enablers for care. The mothers managed their infant care at home by focusing on feeding and managing infant health problems. They faced on myth and culture as one of the barriers.Conclusions: Comprehensive discharge education for mothers of preterm infants and their families is required to enhance mothers' caring abilities and overcome barriers is sufficient. Nurses/midwives need to improve care related to the wellbeing of mothers and their infants in preparation for, and after, discharge from the neonatal unit. K E Y W O R D Shospital discharge, independent motherhood, myth and culture, neonatal intensive care unit, premature infant WHAT IS ALREADY KNOWN?Some studies have focused on parents' emotional experiences after their infants' discharge from the neonatal unit; however, little is known about mothers' caring practices for their preterm infants at home in the first month after discharge. WHAT THIS PAPER ADDS?This paper shows assuming home-caring practices for preterm infants by Indonesian mothers were initially challenging as they faced wide cultural variations and beliefs from their families that impacted on mothers' and infants' daily lives and health. Mothers of preterm infants described a gradual process whereby they achieved independent motherhood after discharge from the neonatal unit.Home-caring focus areas included feeding (weight gain) and maintaining infant health; along with managing internal factors and family/community beliefs/traditions that influenced their caring practices at home.

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Section: Discussionmentioning

confidence: 99%

Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study

Hariati

Sutomo

McKenna

et al. 2021

Specialist Pediatric Nursing

View full text Add to dashboard Cite

show abstract

“…Even though the richness and thickness of our data outweighed the small sample size, our explanatory model is hypothetical in nature and needs to be critically assessed in further studies, for instance, involving prospective ethnographic designs or parents from diverse cultural backgrounds (cf. Brooks, Holdtich-Davis, Docherty, & Theodorou, 2016). As mentioned, our sampling strategy was unable to reach such parents.…”

Section: Methodsmentioning

confidence: 99%

“You Can Only Give Warmth to Your Baby When It’s Too Late”: Parents’ Bonding With Their Extremely Preterm and Dying Child

Ábrahám

Hendriks

2017

Qual Health Res

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This study on end-of-life decisions in extremely preterm babies shows that the parents under study experience a multitude of stressors due to the immediate separation after birth, the alienating setting of the neonatal intensive care unit (NICU), the physical distance to the child, medical uncertainties, and upcoming decisions. Even though they are considered to be parents (assigned parenthood), they cannot act as primary caregivers. Instead, they depend on professional instructions for access and care. Embodied parenthood can be experienced only at the end-of-life, that is, during the dying trajectory and after the child's death. Professionally supporting parents during this compressed process (from assigned and distant to embodied parenthood) contributes fundamentally to their perception of being a family and supports their mourning. This calls for the further establishment of palliative and bereavement care concepts in neonatology.

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“…Por consequência, Cecagno (2020) destacam que também desconstroem algumas expectativas com relação aos filhos egressos da UTIN, visto que alguns poderão apresentar alguma particularidade no crescimento e desenvolvimento se comparados a RN a termo saudáveis. As mulheres que vivenciam a prematuridade de seus filhos, conforme Brooks (2016), passaram a refletir sobre um novo conceito do que significa ter qualidade de vida, pois crianças prematuras têm risco de apresentar atrasos cognitivos, deficiências sensoriais, problemas comportamentais e de aprendizagem, além do risco da dependência de algum tipo de tecnologia para se alimentar, respirar ou andar. Wilson e Cook (2018), obtiveram relatos maternos de que, a partir dessa experiência com a prematuridade de um filho, há nova perspectiva das mulheres com relação a planejar ou não uma nova gestação.…”

Section: Sentimentos Ambíguos E As Dificuldades Na Concretização Da Maternidadeunclassified

Relações mãe-filho no contexto da prematuridade e a importância da enfermagem neonatal: revisão integrativa

Szewczyk

Gomes

Pasini

et al. 2021

RSD

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Objetivo: identificar na literatura científica sentimentos e percepções evidenciados por mães de filhos prematuros internados na Unidade de Terapia Intensiva Neonatal acerca das interações com a equipe de enfermagem. Método: revisão integrativa realizada em novembro de 2020. Captaram-se estudos publicados integralmente entre 2015 - 2020, indexados nas bases de dados MEDLINE, LILACS e BDENF, em português e inglês, submetidos à síntese qualitativa. Resultados: foram selecionados 14 artigos publicados em revistas nacionais e internacionais. A análise dos resultados, de forma descritiva, constituiu três categorias temáticas: Sentimentos ambíguos e dificuldades para concretizar a maternidade; Método canguru como estratégia significativa para vinculação afetiva mãe-filho e Acolhimento da equipe de enfermagem às famílias. Conclusão: O cuidado de enfermagem baseado na compreensão do outro, interação social, acolhimento e partilha das angústias das mães que têm seus recém-nascidos internados na nidade de Terapia Intensiva Neonatal mostra a relevância de ações que promovam o vínculo afetivo entre mães e filhos.

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Birthing and Parenting a Premature Infant in a Cultural Context

Cited by 15 publications

References 39 publications

Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study

Indonesian mothers' beliefs on caring practices at home for preterm babies after hospital discharge: A qualitative study

“You Can Only Give Warmth to Your Baby When It’s Too Late”: Parents’ Bonding With Their Extremely Preterm and Dying Child

Relações mãe-filho no contexto da prematuridade e a importância da enfermagem neonatal: revisão integrativa

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