Family Learning Demands About Post-Natal Newborn Care

Abstract

Objective to analyze the learning demands of puerperal women and their families about postnatal newborn care based on their knowledge and practices. Method this is a qualitative research developed through the Dynamis of Concrete of the Sensitive Creative Method, with 19 puerperal women and families of low-risk newborns, in a municipal hospital in Rio das Ostras, Rio de Janeiro, Brazil, from March to June 2019. Data were submitted to lexicographic analysis using the software IRaMuTeQ. Results different families’ knowledge and practices regarding postnatal newborn care were identified, in addition to different learning demands related to newborns’ body hygiene, including bathing and handling the umbilical stump, and nutrition, in relation to breastfeeding and use of artificial nipples. Conclusion health professionals, including nurses, need to develop dialogical educational practices based on families’ learning demands, from prenatal care, going through the discharge process in the maternity hospital, until post-discharge in primary care, aiming at promoting safe and quality care for newborns.

Maternal Concerns in Home Care for the Premature Newborn: An Integrative Review

“…Regarding hygiene care, mothers may fear breaking a limb of the baby or injuring the baby while cleaning the umbilical stump ( 38 ) . A study conducted in Brazil, published in 2020 with the participation of 247 postpartum women aged between 20 and 34, revealed that 57.6% felt insecure about holding the baby due to its size.…”

Produção e validação de material educativo: instrumento educativo para o cuidado domiciliar ao recém-nascido prematuro

“…Por ocasião da alta hospitalar, os cuidados com a higiene e a nutrição do recém-nascido são frequentemente alvo de dúvidas e insegurança por parte das famílias. Esses cuidados foram analisados por Santos, Góes, Ledo et al (8) em um estudo que levantou as demandas de aprendizagem de puérperas e familiares sobre cuidados pós-natais de recém-nascidos. Os autores observaram que, de forma equivocada, as famílias realizavam algumas práticas atreladas à herança cultural, contrariando as recomendações científicas e podendo colocar em risco a saúde do recém-nascido.…”

“…Nesse contexto, o uso de tecnologias educacionais em saúde vem ganhando um considerável espaço no que se refere à educação em saúde da população, devido ao seu potencial de estimular o empoderamento individual e coletivo através de informações e conhecimento pertinentes ao tema. Podem ser benéfica aos cuidadores, com instruções que poderão melhorar o fortalecimento de vínculo afetivo e diminuir a insegurança diante do cuidado do prematuro (8)(9)(10) .…”

Educational material production and validity: educational instrument for home care for premature newborns

“…At the time of hospital discharge, care with the hygiene and nutrition of newborns is often the subject of doubts and insecurity by families. This care was analyzed by Santos, Góes, Ledo et al ( 8 ) in a study that raised the learning demands of puerperal women and their families about postnatal care for newborns. The authors observed that, mistakenly, families performed some practices linked to cultural heritage, contrary to scientific recommendations and may endanger newborns’ health.…”

“…In this context, the use of educational technologies in health has been gaining considerable space in terms of health education for the population, due to its potential to encourage individual and collective empowerment through information and knowledge relevant to the topic. They can be beneficial to caregivers, with instructions that can improve the strengthening of affective bonding and reduce insecurity in premature baby care ( 8 - 10 ) .…”