Domestic maternal experience with preterm newborn children

Abstract

RESUMOObjetivo Explorar as vivências maternas no cuidar de um recém-nascido prematuro em casa e analisar as dificuldades na assistência materno-infantil, após a alta hospitalar dos prematuros. Métodos Estudo descritivo de natureza qualitativa com utilização do grupo focal com 24 mulheres que tiveram partos pré-termos em uma Maternidade escola, referência estadual para gestação de alto risco no nordeste brasileiro, no período junho a outubro de 2005. As mulheres retornaram ao serviço no período mínimo de 30 dias após a alta do neonato para relatar suas experiências de como cuidavam do recém-nascido prematuro em casa. Resultados Os conteúdos das entrevistas foram divididos em quatro núcleos temáticos: A alta hospitalar; o preparo da família para a alta; cuidando de um bebê prematuro no domicílio materno e, mudanças na vida impostas pelo nascimento prematuro. As maiores dificuldades apresentados pelas mães no cuidado com o filho prematuro em casa dizem respeito à alimentação e resultaram das falhas da equipe de saúde no preparo dessas famílias para os cuidados domiciliares com o prematuro. Surgiram ainda sentimentos de insegurança e medo, revelando a necessidade de uma rede de apoio com seguimento ambulatorial e de pronto atendimento para oferecer suporte às famílias de bebês prematuros após a alta. Conclusões No cuidado materno com o filho prematuro no domicílio predominaram sentimentos negativos que impuseram mudanças no cotidiano familiar, no trabalho e na própria vida social, revelando a necessidade de apoio aos pais na transição da vida hospitalar para domiciliar em situação de prematuridade.Palavras-chaves: Nascimento prematuro, comportamento materno, relações mãe-filho (fonte: DeCS, BIREME). ABSTRACTObjective Exploring maternal experience with premature newborn children in a domestic environment. 356

Breastfeeding Preterm Infants at Home

“…Therefore, in this study, as well as in others, [11][12][15][16] formula was a solution for the infants' nourishment at home, and knowing how to offer it is one of the mothers' needs. 11 We emphasize that the perception of the formula as a solution for preterm infant nutrition is a result of the women/mothers' position concerning the benefits of BF and what they learned at the NICU and at home in relation to the PTNs' nourishment.…”

“…13 Moreover, the collaboration between workers and mothers is more noticeable in the hospital environment, in comparison to the home environment, 12,14 in a way that women feel helpless when facing problems with handling BF at home. This fact results in the interruption of HM offering and the introduction of the formula, 5,[11][12][15][16] which happened with the women in this research and was intensified by the duality in professional attitudes when handling the infants' nourishment.…”

“…Differently from other mothers, the ones in this study did not contemplate changes in how they handled BF at home in order to expand it. 17 The participation of workers in the promotion of BF, beyond educational 12 and encouragement 15 processes, is pressing, with special attention to the congruence between discourse and practice. They influence BF and its maintenance at home 12,15 and can support the mothers of preterm infants, especially in overcoming their fears and insecurities.…”

“…17 The participation of workers in the promotion of BF, beyond educational 12 and encouragement 15 processes, is pressing, with special attention to the congruence between discourse and practice. They influence BF and its maintenance at home 12,15 and can support the mothers of preterm infants, especially in overcoming their fears and insecurities. 14 Still, they are part of the social interactions that result in the concept of preterm infant frailty 11,15 and, as a consequence, promote super-protective actions toward PTNs, 15 which, when at home, cause insecurities in handling BF and doubts about it.…”

“…They influence BF and its maintenance at home 12,15 and can support the mothers of preterm infants, especially in overcoming their fears and insecurities. 14 Still, they are part of the social interactions that result in the concept of preterm infant frailty 11,15 and, as a consequence, promote super-protective actions toward PTNs, 15 which, when at home, cause insecurities in handling BF and doubts about it. 16 Results show a dilemma for the mothers to see themselves as "good mothers", since they did not choose BF exclusively.…”