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Fernandez, Maria Isabel. "Comparison of perceived needs of mothers of neonates and nurses in the neonatal intensive care unit." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/3298.
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The transition to motherhood is not easy for any new parent but it is especially difficult for the mother of an infant in the Neonatal Intensive Care Unit (NICU). There may be instances in the NICU where the nurses' perception of maternal needs may be incongruent with the mother's perception. Many NICU nurses focus on the physical needs of infants such as cardiorespirartory monitoring, mechanical ventilator support, and I.V. therapy. Mothers may instead be focused on their own need for emotional and psychological support.
This study investigated the differences and similarities regarding maternal needs as perceived by the mothers and NICU nurses. A 30 item questionnaire called the Perceived Needs of Family Members of Critically Ill Patients (Norris and Grove, 1986) was given to a group of mothers and a group of NICU nurses. The instrument consists of "needs" statements which are ranked on a Likert Scale from "very important" to "not important". The rankings by mothers and the rankings by nurses were compared.
The results of this study demonstrated that the mothers' perceptions and the nurses perceptions of maternal needs were similar in most instances, althought there were some differences. Therefore, it is important that the mothers' needs are accurately identified so that nursing interventions can be developed to meet them.
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Kairamkonda, Venkatesh. "Amylin peptide : an association with feed intolerance in preterm neonates and infants of diabetic mothers." Thesis, University of Sheffield, 2012. http://etheses.whiterose.ac.uk/2893/.
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Title: Amylin peptide: An association with feed intolerance in preterm neonates and infants of diabetic mothers Introduction: Delayed enteral nutrition due to feed intolerance is common in preterm infants and infants of mothers whose pregnancy was complicated by diabetes mellitus (IMDM). Amylin, a 37 amino-acid polypeptide hormone, is a potent inhibitor of gastric emptying that may play a role in the patho-physiology of feed intolerance in these infants. Aims and Objectives: To determine serum amylin levels (i) at birth (umbilical cord) and postnatal day 5 (Guthrie) in healthy preterm and term infants-Study A, (ii) at birth (umbilical cord) and postnatal day 5 (Guthrie) in preterm and term IMDM-Study B, and (iii) in preterm infants experiencing feed-intolerance (nTOL) and feed-tolerance (TOL)-Study C. Hypothesis: Serum amylin levels are raised in (i) IMDM and (ii) preterm infants with increased gastric residual volumes (GRV); which may explain their feed intolerance. Methods and Material: Blood samples were analysed for total amylin immunoreactivity using monoclonal antibody based sandwich immunoassay. Results: Serum amylin concentrations (median (interquartile range)) in healthy term infants at birth (n=138) and postnatal day 5 (n=14) were 6.10 (3.30-9.70) pmol/L and 5.65 (3.10-8.20) pmol/L respectively. Similarly, the amylin concentrations in healthy preterm infants at birth (n=43) and postnatal day 5 (n=25) were 4.60 (1.90–8.30) pmol/L and 6.9 (2.75–9.50) pmol/L respectively. The amylin concentrations were significantly raised in both term IMDM at birth [n=17, 34.30 (28.35-50.00) pmol/L, p<0.0001] and postnatal day 5 [n=4, 25.20 (22.20-48.75) pmol/L, p<0.0001] and preterm IMDM at birth [n=14, 32.0 (18.65-44.27) pmol/L, p<0.0001] and postnatal day 5 [n=9, 23.4 (15.37-46.57) pmol/L, p<0.0001]. The amylin concentration was significantly elevated in nTOL group [n=30, 47.9 (21.4-79.8) pmol/L, p<0.0001)] compared to TOL group [n=30, 8.7 (5.7-16) pmol/L]. Conclusions: Amylin by virtue of its inhibitory effect on gastric emptying may be responsible in delaying establishment of enteral nutrition in preterm infants and infants of mothers whose pregnancy was complicated by diabetes mellitus.
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GREGOR, SARAH MARGARET. "INVESTIGATION OF HEARING LOSS IN NEONATES OF MOTHERS WITH DIABETES MELLITUS (TYPE I, TYPE II, AND GESTATIONAL DIABETES MELLITUS)." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1022180186.
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Gregor, Sarah. "Investigation of hearing loss in neonates of mothers with diabetes mellitus (type I, type II, and gestational diabetes mellitus." Cincinnati, Ohio : University of Cincinnati, 2002. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=ucin1022180186.
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Barnes, Christopher. "Cognitive, emotional and environmental mediators of early parenting in high risk families." Thesis, University of Wolverhampton, 2008. http://hdl.handle.net/2436/33753.
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The UK currently has the highest number of premature births (babies born before 37 weeks gestation age and below 2.5kg) in Europe affecting around 70,000 babies and their caregivers each year. Consequently many interventions have been created to support the development of the preterm newborn and minimise the complications of prematurity. Many of the interventions developed have been predominantly tactile and have almost exclusively focused upon their effect upon the baby and not, for example considered the effect that this type of intervention might have upon the parents; specifically the mother, when they are the ones who perform the therapy. In fact there is a severe lack of systematic studies investigating the latter. Hence, the aim of this thesis was to search for research-based evidence on the benefits of environmental support to both babies (e.g. increased weight gain or awake periods) and their mothers (e.g. higher perceptions of themselves as a mother) during hospital confinement and within the context of Neonatal Health Psychology (NNHP). For this reason, the main hypothesis investigated whether mothers’ cognitions and emotions; specifically Maternal Self-Efficacy, Self-Esteem and Attachment, would be affected by environmental mediators in the form of structured or non-structured tactile sensory nurturing interventions. The empirical work reported in this thesis is divided into 3 distinct phases. Firstly, as their was no appropriate measure of maternal Self-Efficacy for mothers of hospitalised preterm neonates the main aim of Phase-1 was to develop and validate an appropriate measure. Using a prospective survey method and a mixed design (between/within and correlational) a total of 160 mother-preterm dyads (pooled from 2 cohorts; cohort 1, N=100; cohort 2, N=60) were recruited. The results demonstrated that the Perceived Maternal Parenting Self-Efficacy (PMPS-E) tool had good initial psychometric properties (including internal/external reliability and construct validity) for its use with mothers of relatively healthy hospitalised preterm neonates. Secondly, in order to investigate mothers’ perceived maternal parenting self-efficacy beliefs further Phase-2 examined whether the type of feeding a mother chose to give to her baby mediated her self-efficacy beliefs. The results suggested that breastfeeding a preterm neonate during hospital confinement may adversely affect mothers’ perceptions of their efficacy in all aspects of parenting. Finally, using an experimental method Phase-3 tested the main hypothesis of this thesis and used a randomised cluster control trial (RCCT) design to allocate 60 mothers and their preterms equally to one of three cluster groups; consisting of either structured (e.g. TAC-TIC therapy or Using a Toy) or non-structured (Placebo/Control) tactile sensory nurturing interventions. The main findings illustrate that tactile sensory nurturing interventions do mediate maternal cognitions and emotions, preterm weight gain and behavioural state. In particular, mothers who performed TAC-TIC demonstrated significantly higher self-reported perceptions in their self-efficacy, self-esteem and attachment, which was attributed to the fact that these babies spent increased amounts of time in an alert and responsive behavioural state, and gained more weight throughout the study period. Thus, the work presented throughout this thesis has implications for Neonatal Health Psychologists and other Health Care professionals’ practice within neonatal units, the use of Neonatal Health Psychology as a framework to study the preterm neonate and their family, and also the way in which both mothers and their hospitalised preterm neonates are supported during hospital confinement.
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Flacking, Renée. "Breastfeeding and Becoming a Mother : Influences and Experiences of Mothers of Preterm Infants." Doctoral thesis, Uppsala University, Department of Women's and Children's Health, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7898.
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<p>The overall aim of this thesis was to expand the knowledge and understanding of the processes of breastfeeding and becoming a mother in mothers of preterm infants. </p><p>For this purpose, in-depth interviews were conducted with 25 mothers, whose very preterm infants had received care in seven neonatal units (NU) in Sweden, 1-12 months after discharge (I-II). In addition, prospective population-based register studies were performed of infants born 1993-2001; among 35 250 term and 2093 preterm infants (III), and a subpopulation of 225 very preterm infants (IV). Data were obtained from the Child Health Service registry of breastfeeding in Uppsala and Örebro, the Medical Birth Registry, and Statistics Sweden. </p><p>The experiences of mother-infant separation, institutional authority, emotional exhaustion and disregard of breastfeeding as a relational interplay, comprised major hindrances to mothers’ experiences of breastfeeding as reciprocal and of a secure mother-infant relation, during and after the discharge from an NU (I-II). All studied socioeconomic factors, i.e. lower educational level, receiving unemployment benefit or social welfare or having a low equivalent disposable income, were individually adversely associated with breastfeeding up to six months of infants’ postnatal age, but were not found more decisive for weaning in mothers of preterm infants compared to those of term infants (III). Preterm infants were breastfed for a shorter time than term infants (III), but a long breastfeeding duration was evident. In addition, gestational age and neonatal disorders were not associated with breastfeeding duration in very preterm infants (IV).</p><p>In conclusion, this thesis shows that improvements in the NU environment and the caring paradigm are called for. Furthermore, as socioeconomic status clearly has an impact on breastfeeding duration, increased equity in health care in accordance with the individuals’ needs must be sought, where resources are allocated to ensure fulfilment of needs in more vulnerable mothers and infants. </p>
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Flacking, Renée. "Breastfeeding and becoming a mother : influences and experiences of mothers of preterm infants /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7898.
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Bouchghoul, Hanane. "Déterminants de l’hypoglycémie néonatale et maternelle chez les femmes ayant un diabète gestationnel traité par glyburide Hypoglycemia and glycemic control with glyburide in women with gestational diabetes and genetic variants of cytochrome P450 2C9 and/or OATP1B3 Transplacental transfer of glyburide in women with gestational diabetes and neonatal hypoglycemia risk Assessment of risk of hypoglycemia by anthropometric measurements in neonates of mothers with treated gestational diabetes." Thesis, université Paris-Saclay, 2021. http://www.theses.fr/2021UPASR008.
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Le diabète gestationnel (DG), dont la prévalence était de 10,8% en 2016 en France, est associée à une morbidité maternelle et néonatale. Actuellement, le traitement de référence est l’insulinothérapie. Le glyburide est efficace notamment sur le contrôle de l’équilibre glycémique par rapport à l'insuline. Cependant, il serait associé à une augmentation du risque d’hypoglycémie maternelle et néonatale en comparaison à l’insulinothérapie.L’objectif général de cette thèse était de mieux comprendre les déterminants de l’hypoglycémie maternelle et de l’hypoglycémie néonatale à partir d’analyses ancillaires et secondaires issues de l’essai randomisé national INDAO, publié en 2018.Les objectifs spécifiques étaient d’étudier 1-le passage transplacentaire de glyburide à l'accouchement, 2-l'association entre les mesures anthropométriques néonatales (rapport poids-taille (RPT) et poids de naissance) et l'hypoglycémie néonatale chez les femmes bénéficiant d’un traitement médicamenteux du DG, 3-l'association entre l’hypoglycémie maternelle et les variants à fonction diminuée CYP2C9*2 et les variants perte de fonction CYP2C9*3 et OATP1B3*4, puis l'association entre la dose quotidienne de glyburide et les porteurs de variants perte et diminution de fonction.Nous avons montré qu’il existait un passage placentaire du glyburide avec un rapport de la concentration de glyburide fœtus/mère de 0,62 (IC 95% : 0,50-0,74). Le risque d'hypoglycémie néonatale augmentait de manière significative avec l’augmentation de la concentration de glyburide dans le cordon ombilical, indépendamment de la macrosomie néonatale. Ensuite, nous avons montré que le risque accru d'hypoglycémie néonatale est associé de manière indépendante à des valeurs extrêmes du RPT, pour un faible Z-score du RPT (inférieur à -1,28), et un Z-score du RPT élevé (supérieur à 1,28), indépendamment du traitement maternel. Enfin, nous avons constaté un taux augmenté d'hypoglycémie maternelle au début du traitement par glyburide dans le groupe variant comprenant les porteuses de l’allèle CYP2C9*3 et/ou d'OATP1B*4 à l’état homozygote, associé à une augmentation moindre de la dose de glyburide et à une dose plus faible de glyburide atteinte en fin de traitement.Ces travaux apportent de nouvelles connaissances concernant le mécanisme d’action du glyburide chez les femmes enceintes, permettant une meilleure utilisation dans le traitement du DG. Demeurent cependant pour l’enfant les conséquences potentielles à long terme de l’exposition prolongée in utero au glyburide<br>Gestational diabetes (GD), whose prevalence in France was 10.8% in 2016, is associated with maternal and neonatal morbidity. Currently, the reference treatment is insulin therapy. Glyburide is effective, particularly in achieving glycemic control, compared with insulin. However, according to some studies, it is associated with an increased risk of maternal and neonatal hypoglycemia compared to insulin therapy.The main objective of this thesis was to better understand the determinants of maternal hypoglycemia and neonatal hypoglycemia based on ancillary and secondary analyses from the national randomized INDAO trial, published in 2018. The specific objectives were to investigate 1-the transplacental transfer of glyburide at delivery, 2-the association between neonatal anthropometric measures (weight-for-length ratio [WLR] and birth weight) and neonatal hypoglycemia in women receiving drug therapy for GD, 3-the association between maternal hypoglycemia and CYP2C9*2 reduced-function variants and CYP2C9*3 and OATP1B3*4 loss-of-function variants, and then in a second step to investigate the association between daily glyburide dose and carriers of loss-of-function and reduced-function variants.First, we showed that there was a placental transfer of glyburide with a fetal/maternal glyburide concentration ratio of 0.62 (95% CI 0.50-0.74). The risk of neonatal hypoglycemia increased significantly with increasing umbilical cord blood glyburide concentration, regardless of neonatal macrosomia. Second, we showed that the increased risk of neonatal hypoglycemia was independently associated with extreme values of WLR, for a low WLR Z-score (less than -1.28) and a high WLR Z-score (greater than 1.28), regardless of maternal treatment. Finally, we found an increased rate of maternal hypoglycemia at the beginning of glyburide treatment in the variant group including carriers of the CYP2C9*3 and/or OATP1B*4 allele in a homozygous state, associated with a smaller glyburide dose increment and a lower glyburide dose reached at the end of treatment.This thesis work provides new insights into the mechanism of action of glyburide in pregnant women, allowing for better use in the treatment of GD. However, the potential long-term consequences for the child of prolonged in utero exposure to glyburide remain
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Anderson, Diane Marie. "Zinc, retinoids and protein interrelationships in the neonate and mother." Case Western Reserve University School of Graduate Studies / OhioLINK, 1992. http://rave.ohiolink.edu/etdc/view?acc_num=case1056570126.
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Abdullah, Khatijah Lim. "Mothers' experiences of their babies' transfer to a regional neonatal unit." Thesis, University of Southampton, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.439629.
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Rowland, Emily. "Influences of the Neonatal Intensive Care Unit Microsystem on Mothers' Experiences." Thesis, Université d'Ottawa / University of Ottawa, 2015. http://hdl.handle.net/10393/32418.
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The goal of this project was to explore mothers’ experiences of caring for infants in the Neonatal Intensive Care Unit (NICU) using a microsystem perspective. This perspective focuses on the structure, processes and people and in so doing allows for a critical exploration of how these elements work together to influence mothers in the NICU. The research framework involved an institutional ethnography to explore care delivery, relationships, and discourses in the NICU. Data was collected using nonparticipant-observations, interviews, and collection of discourse artifacts. There is clear evidence that caring for an infant in the NICU can result in significant increases in maternal stress and associated outcomes. Results from triangulation of the data indicated that being separated from the infant and learning to mother in the unit were particularly salient experiences retold by the mothers. These experiences were affected – either positively or negatively – by different elements of the microsystem including consistency in communications, increased opportunities for mothers’ inclusion in decision-making and infant care and lastly, access to more support resources. Implementing improvements to the microsystem could better empower mothers adjusting to parenthood within the NICU context.
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Ömer, Elif, and Linnea Öberg. "MOTHERS’ EXPERIENCES OF BREASTFEEDING SUPPORT IN NEONATAL DEPARTMENTS A QUALITATIVE INTERVIEW STUDY." Thesis, Malmö universitet, Fakulteten för hälsa och samhälle (HS), 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25221.
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Bakgrund: Det naturligaste sättet att ge näring åt ett nyfött barn är genom att amma, vilket inte alltid är enkelt och problemfritt. I Sverige föds ungefär 7000 barn per år som behöver vård på neonatalavdelningar. När ett barn är fött för tidigt kan amning dessutom vara förenat med ytterligare svårigheter. Problematiken som kan uppstå kan bero på att det för tidigt födda barnet är omoget och därför inte har samma förutsättningar som fullgångna barn har för att amma. Mödrar på neonatalavdelningar kan samtidigt uppleva en stress och oro över den nya situationen med att ha fått ett för tidigt fött barn. Vårdpersonal har en viktig roll i att ge det amningsstöd som krävs för att främja amning bland för tidigt födda barn. Syfte: Syftet med studien var att belysa mödrars upplevelser av amningsstöd på neonatalavdelningar. Metod: En intervjustudie med kvalitativ ansats utfördes. Elva intervjuer genomfördes och materialet analyserades med inspiration av Burnards analysmetod för kvalitativa intervjuer.Resultat: Mödrarnas upplevelser av amningsstöd resulterade i fyra kategorier: bemötande, vägledning, kompetens och tillgänglighet, med två tillhörande underkategorier vardera.Slutsats: Mödrarna upplevde att endast ett fåtal av personalgruppen kunde ge amningsstöd. Amningsstöd handlade om både kunskap och erfarenhet, men även om upplevelsen kring samspelet mellan personalen och modern. Samspelet handlade till stor del om personalens bemötande och tillgänglighet. Helheten var betydelsefull för upplevelsen av amningsstöd.<br>Background: The most natural way to nourish a newborn baby is by breastfeeding, which is not always easy and trouble-free. Each year about 7000 children who need care in neonatal departments are born in Sweden. When a baby is born prematurely breastfeeding may be associated with additional difficulties. The difficulty that may arise may be the premature baby’s immaturity and therefore the conditions are not the same as a full-term baby’s capacity to breastfeed. At the same time, mothers in neonatal departments experience stress and anxiety about the new situation of having a premature baby. Nursing staff have an important role in providing the breastfeeding support needed, to promote breastfeeding among premature babies.Aim: The aim of the study was to highlight mothers’ experiences of breastfeeding support in neonatal departments.Method: An interview study with a qualitative approach has been performed. Eleven interviews where completed and then analyzed with inspiration of Burnards method of analyzing qualitative interviews.Results: The mothers' experiences of breastfeeding support resulted in four categories: encounter, guidance, competence and availability, with two matching subcategories each.Conclusion: The mothers felt that only a few of the nursing staff could provide breastfeeding support. Breastfeeding support was about knowledge and experience, but also about the experience of the interaction between the staff and the mother. The interaction was largely about the staff's encounter and availability. The entirety was important for the experience of breastfeeding support.
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Isaacs, Kathy B. "A GROUNDED THEORY MODEL OF MOTHER ROLE DEVELOPMENT WHILE IN THE NEONATAL INTENSIVE CARE UNIT." UKnowledge, 2013. http://uknowledge.uky.edu/nursing_etds/10.
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When a woman discovers that she is pregnant, she begins a process of internal work to develop her mother role. This process has been outlined in the literature for the delivery of a healthy full-term baby, however little is known about the process for mothers of medically fragile babies. A threatened pregnancy and subsequent delivery of a medically fragile baby involves a different process of internal work by the mother to prepare for her role. Mothers with a baby in the Neonatal Intensive Care Unit (NICU) experience stress, uncertainty, and anxiety potentially causing a permanent impact on the successful development of her role.
It is the purpose of this dissertation to explore the process of mother role development among those first-time mothers having a baby in the NICU. This study was conducted using a qualitative grounded theory method. Data collection consisted of personal journals, in-person interviews, researcher notes and observation.
The specific aims include (1) describing the disruption in the individual’s preconceived idea of being a mother, (2) exploring specific strategies that support the mother in the development of her role while in the NICU, (3) describing the mother’s perception of her role during physiologic changes in her baby, (4) examining the mother’s evaluation of her mother-role success, (5) developing a deeper understanding of the process of developing the role of mother while in the NICU, and (6) constructing a theoretical model to illustrate the process of becoming a mother while in the NICU.
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Morrison, April H., Retha Gentry, and Joanna Anderson. "Mothers’ Reasons for Early Breastfeeding Cessation." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/7116.
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Purpose: The purpose of this review is to assess maternal explanations for early breastfeeding cessation in economically developed countries.
Study Design and Methods: The electromic databases EBSCO, CINAHL, Child Development & Adolescent Studies, PsycInfo, Health Source: Nursing/Academic Edition, Nursing and Allied Health; ProQuest databases: Family Health Database, Health and Medical Collection, Nursing and Allied Health, Psychology Database, and Public Health Databases were searched using the terms breastfeeding, cessation, stop, discontinuation, early weaning, quit∗, early termination, and six months. Inclusion criteria included infants born at least 37 weeks gestation, single birth, and infant birthweight > 2,500 g.
Results: Initial literature search yielded 117 studies; 10 studies met inclusion criteria. The two most common reasons for early breastfeeding cessation were perceived inadequate milk supply and maternal breast or nipple pain.
Conclusion: Research on maternal reasons for early breastfeeding cessation is limited. Reasons for early breastfeeding cessation are varied; however, the most common themes were perceived inadequate supply and breast or nipple pain. Nurses should tailor assessment of each breastfeeding mother-baby couplet and associated interventions based on these findings.
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McInroy, Alethea. "Communication development of high-risk neonates from admission to discharge from a Kangaroo mother care unit." Diss., University of Pretoria, 2007. http://hdl.handle.net/2263/26481.
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Advances in neonatology have led to increased numbers of high-risk neonates surviving and intensified interest in the developmental outcomes of this population. In the South African context prematurity and low birth weight are the most common causes of death in the perinatal period and the same risk factors that contribute to infant mortality also contribute to the surviving infants’ increased risk for developmental delays. As a result of the interacting biological and environmental risk factors of prematurity, low birth weight, poverty and HIV and AIDS in the South African context Kangaroo Mother Care (KMC) has been developed as best practice to promote infant survival and to facilitate mother-infant attachment. Mother-infant attachment may lead to synchronous interaction patterns between the mother and infant which forms the basis of early communication development. Early communication intervention (ECI) services are recommended as early as possible as high-risk infants are especially at risk for feeding difficulties and communication developmental delays. It is, however, not clear what the content of an ECI programme should be and how it should be implemented according to the changing communication and feeding developmental needs of the infant while receiving KMC. There appears to be a dearth of research on the earliest stages of communication development in high-risk neonates, which should form the foundation of such a programme. A descriptive survey was conducted to describe the development of 25 high-risk infants and their mothers’ changing needs from admission to discharge from a KMC unit. Each participant and mother dyad was followed up over an average of 11 days of data collection with three to four data collection sessions. Data was collected by means of direct observation during routine care-giving activities. The different developmental subsystems of the participants’ feeding, communication, neuro-behavioural organization and mother-neonate interaction were described. The results demonstrated that subtle, but definite changes could be observed in the participants’ development. Development in all the different areas occurred over time as the participants progressed through the three developmental states of the in-turned state, coming-out state and reciprocity state. As the participants progressed during the 11 days of data collection and were increasingly able to attend to their environment, they also developed the ability to regulate and organize their own behaviour in order to develop more complex communication, feeding and interaction skills with their mothers. The functioning of the participants’ sensory systems developed in a specific order namely tactile, auditory and then visual. Although the participants developed consistently throughout their stay in the KMC unit, mother-neonate interaction never reached optimal levels. The importance of an individualized training programme for each mother is reflected in the finding that the neonate’s developmental level and progress needs to be considered when implementing the ECI programme. The need for speech-language therapy involvement in KMC is emphasized in the light of a shortage of practicing speech-language therapists in South Africa. It is therefore imperative that the prevention of communication delays and feeding difficulties in high-risk neonates as well as parent training assume priority.<br>Dissertation (MCommunication Pathology)--University of Pretoria, 2008.<br>Speech-Language Pathology and Audiology<br>unrestricted
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Araújo, Bárbara Bertolossi Marta de. "Vivenciando a internação do filho prematuro na UTIN: (re)conhecendo as perspectivas maternas diante das demandas neonatais." Universidade do Estado do Rio de Janeiro, 2007. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=756.
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As experiências vivenciadas como profissional, no cotidiano da UTIN, com mães de bebês prematuros suscitou o desejo de compreender a ação intencional destas mulheres em permanecer no alojamento de mães durante a internação do filho. O estudo teve como objeto o Vivido da permanência das mães na unidade hospitalar durante a internação do filho prematuro na Unidade de Tratamento Intensivo Neonatal de um Hospital Maternidade Municipal do Rio de Janeiro e o objetivo de apreender o motivo para da mãe permanecer na unidade hospitalar durante a internação do filho prematuro. Adotou-se como suporte metodológico a fenomenologia Sociológica de Alfred Schütz, buscando a apreensão na relação face a face e através da intersubjetividade, a intencionalidade da mãe acompanhante em permanecer no alojamento durante a internação do filho, como uma ação social. Esta corresponde a uma ação projetada, dotada de significados subjetivos que podem ser dirigidas para o passado, presente ou futuro. O motivo para instiga a realização da ação direcionada para o futuro e o motivo porque está presente nas realizações passadas, podendo influenciar nas ações presentes, pois não são esquecidos. Foram sujeitos da pesquisa, 12 (doze) mães de recém-nascidos prematuros que permaneceram no Alojamento de Mães durante a internação do filho. A Entrevista Fenomenológica foi a técnica utilizada para captar a ação intencional, que consistiu de três questões orientadoras: O que você tem em vista quando aceita ficar no alojamento de mães? Como é sua vivência no alojamento de mães? e Como tem sido a sua vida após a decisão de estar no alojamento de mães? A análise teve como base a apreensão do motivo para que possibilitou captar o sentido da ação desta mãe em permanecer na unidade hospitalar durante a internação do filho prematuro, expresso através das categorias: Cuidar do filho: enfrentando o grande desafio de ter um pequeno bebê; Ficar perto do filho prematuro: a presença materna contribuindo para a recuperação mais rápida; e, Apoiar e Ajudar uma a outra: a esperança reforçada a cada dia; e, o motivo porque surgiu a partir do contexto vivencial dessas mães durante a hospitalização dos filhos na UTIN, compreendendo que a presença materna está ligada ao papel de ser mãe, socialmente construído e inserido em seus mundo-vidas. Este estudo possibilitou refletir sobre a criação de um grupo de apoio a essas mães, no que se refere a propiciar assistência psicológica, atividade de lazer, trocas de experiências entre aquelas mães que vivem e as que já viveram este drama da internação do filho, bem como reunião de mães e pais com o intuito de facilitar as relações familiares para superar as dificuldades desse momento. Ressalta-se também a necessidade de valorizar esta mãe como mulher e cidadã, proporcionando apoio para as visitas de familiares, oferecendo melhores instalações e condições adequadas para a permanência de forma sadia.<br>The lived experiences as a professional, in the daily life of Neonatal-ICU, with mothers of premature babies brought about the desire to understand the intentional action of these women in staying in the mothers hospital boarding during the hospitalization of the child. The study aimed as object the Lived of the staying mothers in the hospital unit during the hospitalization of the premature child in the Neo-natal Intensive Care Unit of a maternity District Hospital in Rio de Janeiro and the goal to learn about the mothers motives to stay in the hospital unit during the hospitalization of her premature child. It was adopted as methodological support the Alfred Schutzs sociological phenomenology, seeking the understanding in the face to face relation and through the inter-subjectivity, the intentionality of the supporting mother in remaining in the mothers hospital boarding during the childs hospitalization, as a social action. This action corresponds to a projected one, filled with subjective meanings which may be driven to the past, present or future. The motive for instigates the undertaking of the action directed to the future and the motive why is present in the past undertakings and may influence in the present actions because they are not forgotten. !2 (twelve) premature-new born mothers, were the research subjects, which stayed in the mothers boarding during the childs hospitalization. The phenomenological interview was the technique used to capture the intentional action, which consisted of 3 guiding questions, which are: What do you have in view when you accept to stay in the mothers hospital boarding for mothers? How are the living experiences in the mothers hospital boarding? And, how has you life been after your decision to stay in the mothers hospital boarding? The analysis had as basis the apprehension of the motive for which made it possible to capture the sense of action for this mother in remaining in the hospital unit during the hospitalization of her premature child, stated through the following categories: Childs caring: facing the great challenging of having a small baby; to stay near the premature child: the maternal presence contributing for the more rapid recovery; and, Support and Help one another: the hope re-forced day by day; and, the motive why came about from the living context of these mothers during their childs hospitalization at the neo-natal ICU, understanding that the maternal presence is linked to the role of being a mother, socially built and inserted in their world-lives. This study has made it possible to reflect over the creation of a support group to these mothers, providing psychological aid, leisure, interchanging experiences among those mothers, and mother and father' meetings as well, for the goal to provide easier family relationships to go over difficulties in that moment. It also stresses the need to value this mother as mother and citizen, providing support for the family's visitors, offering better infra-structures and properly conditions for her staying in a more healthy way.
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Gorgulho, Fernanda Rocha. "Tão perto, tão longe: a vivência do enfermeiro na construção/desenvolvimento da relação mãe/recém-nascido na Unidade Terapia Intensiva Neonatal." Universidade do Estado do Rio de Janeiro, 2009. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2588.
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Não há duvidas sobre a grandeza e intensidade que pode existir no relacionamento entre mãe e filho, porém, quando esse recém nascido é um bebê prematuro e/ou necessita de hospitalização em uma Unidade de Terapia Intensivo Neonatal (UTIN) pode haver um pode haver um choque, uma grande decepção, pois essa mãe não poderá interagir de forma plena com seu filho, não poderá amamentar e nem cuidar dele da forma habitual que se espera. Neste sentido, esse estudo propõe uma reflexão sobre a atuação do enfermeiro quanto à relação mãe/recém-nascido na UTIN. Assim sendo, tem-se como objeto A vivência do enfermeiro na construção/desenvolvimento da relação mãe/recém-nascido na UTIN. E como objetivo Compreender o significado da ação do enfermeiro na aproximação mãe/recém-nascido. Para o embasamento teórico foi necessário pensar sobre a prática do enfermeiro na UTIN, no que diz respeito a sua assistência, o processo de humanização neste ambiente e na inserção da família nos cuidados. Outro conceito fundamental discutido foi a interação, destacando o pensamento fenomenológico de Alfred Schutz. Estudo do tipo descritivo, desenvolvido com abordagem qualitativa e o referencial teórico-metodológico da fenomenologia. O cenário para sua realização foi a UTIN de um grande hospital da rede pública, localizado no subúrbio da cidade do Rio de Janeiro e foram sujeitos 16 enfermeiros lotados nesta unidade. A entrevista fenomenológica foi a técnica utilizada para captar as vivências profissionais e em seguida realizou-se a análise compreensiva tendo em vista a categorização. Como resultado chegou-se a 3 categorias do vivido; (1) ambientar as mães na UTIN: o começo da relação,(2) aproximar através do toque: usando os sentidos para se relacionar e (3) melhorar a relação entre mãe/recém-nascido: pensando no futuro. Além dessas categorias foi possível a apreensão do contexto vivencial das experiências dos enfermeiros no relacionamento com as mães de recém-nascidos na UTIN. Conclui-se que os enfermeiros que trabalham em UTIN têm a percepção de quão fundamental é promover a aproximação entre mãe e filho nesse ambiente. Contudo, essa ação ainda acontece de forma intuitiva, sem nenhum embasamento, e ainda muitas vezes é desprestigiada em detrimento da grande carga de trabalho deste setor, ou a gravidade do recém-nascido. É preciso que haja um maior engajamento por parte dos enfermeiros, em aprimorar as estratégias de aproximação entre mãe e recém-nascido, visando sempre um relacionamento mais saudável e harmonioso no futuro. Deste modo, o estudo contribui para enriquecer esta temática e despertar nos enfermeiros neonatologistas um olhar que compreenda não só os aspectos biológicos, mas também os psicossocias e torne, assim, a assistência ao recém nascido e sua família mais plena.<br>There is no doubt about the magnitude and intensity you'll find in the relationship between mother and son however, when the newborn is a premature baby and / or require hospitalization in a Neonatal Intensive Care Unit (NICU) may be a shock and a big disappointment for this mother, because she wiil not interact fully with your baby, couldt brestfeed and a care him like she hope. In this sense, this study proposes a reflection on the nurse's role in the relationship mother / newborn in NICU. Therefore, there has been as subject the nurse experience in construction and development of the relationship between mother / newborn in NICU. And as objective: to understand the meaning of the nurse's action in bringing closer the mother and the newborn. For the theoretical base was necessary to think about the practice of nurses in NICU, with regard to their assistance, the humanization process in this environment and the integration of family care. Another key concept discussed was the interaction highlighting the phenomenological approach of Alfred Schutz. Descriptive study, developed with a qualitative approach and theoretical - methodological phenomenology. The setting for the meeting was a NICU of a large public hospital located on the outskirts of Rio de Janeiro and 16 nurses in this unit were the subjects. The phenomenological interview was the technique used to capture the professional experiences and then held a comprehensive analysis aimed at categorization. As a result reached the 3 categories of living; (1) Setting the mothers in the NICU: the beginning of the relationship, (2) close by touch: using the senses to relate and (3) improve the relationship between mother and newborn: thinking about the future. In addition to these categories was possible to apprehend the living context of nurses experiences in the relationship with the mothers of newborns in the NICU. It was concluded that the nurses in NICU have long understood how important it is to promote rapprochement between mother and child in this environment. However, this action still happens intuitively, without any foundation, and still is often discredited instead of the large workload in this sector or newborn severity. A greater involvement by nurses in improving the strategies of rapprochement between mother and newborn is needed always seeking a healthier and harmonious relationship in future. Thus, the study helps to enrich and raise this issue in neonatology nurses a look that includes not only the biological, but also the psychosocial and make thus assisting the newborn and his family more fully.
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Sato, Chisaki. "Social and behavioral aspect of mother's health behaviors and neonatal health." Scholar Commons, 2004. http://scholarcommons.usf.edu/etd/2972.
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The results of this study indicate that two groups of mothers share a relatively similar socioeconomic status, knowledge of health and hygiene, and have similar health-seeking behaviors. The mothers' lack of knowledge and their local view of illnesses seemed to embody questionable newborn care related to breastfeeding practices and oil applications to newborns. Three psychosocial factors that appeared to contribute to the mother's health-seeking behaviors were attitudinal factors (this consisted of favorable or unfavorable perceptions toward services based on the mother's prior experiences or familiarity with service), social pressures (opinions from others and the mother's competing responsibilities), and self-efficacies accessibility, availability, and affordability). In addition, the external factor of poverty in the slum settlements was also a significant factor which determined the mother's health seeking behaviors.
The implications of these findings are discussed in further detail, which are then followed by a set of recommendations for future health interventions designed to reduce the risk of sepsis neonatorum in urban communities. This study underscores the benefits of integrating the perspectives of anthropology and public health to further the understanding of the neonatal health problem. Finally, the need for future studies is addressed as it is necessary to further understand the existing local practices and beliefs in relation to the risks of sepsis neonatorum.
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Tibbs, Jennifer Leigh. "A comparison of attachment in mothers of newborns in a neonatal intensive care unit." Oklahoma City : [s.n.], 2004.
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Newsome, Christine. "Evaluation of support interventions for mothers following their baby's discharge from a neonatal unit." Thesis, University of Southampton, 2001. https://eprints.soton.ac.uk/423364/.
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Macke, Judith Kuhn. "Analgesia for neonatal circumcisions : effects on behavior and mother/infant interactions /." The Ohio State University, 1993. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487848078451761.
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WALKER, KATHLEEN HUNTER. "REHOSPITALIZATION OF INFANTS AFTER DISCHARGE FROM A NEONATAL INTENSIVE CARE UNIT: MATERNAL OPINIONS." University of Cincinnati / OhioLINK, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1013690751.
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Nicholas, Amy Lynne. "An examination of the needs of mothers with infants in the neonatal intensive care unit." College Park, Md. : University of Maryland, 2006. http://hdl.handle.net/1903/3465.
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Thesis (Ph. D.) -- University of Maryland, College Park, 2006.<br>Thesis research directed by: Special Education. Title from t.p. of PDF. Includes bibliographical references. Published by UMI Dissertation Services, Ann Arbor, Mich. Also available in paper.
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Hennessy, Angie Catharina. "Facilitation of developmental care for high-risk neonates an intervention study /." Thesis, University of Pretoria, 2006. http://upetd.up.ac.za/thesis/available/etd-01182007-173053.
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Eichinger, Kaitlyn Marie. "DEVELOPMENT OF A PSYCHOEDUCATIONAL PARENTING GROUP FOR MOTHERS ADDICTED TO OPIOIDS WITH INFANTS WITH NEONATAL ABSTINANCE SYNDROME." Wright State University Professional Psychology Program / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=wsupsych1530185947331457.
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Quosdorf, Ashley. "Connecting with Adolescent Mothers: Perspectives of Hospital-Based Perinatal Nurses." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/38838.
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Background: Adolescents are more likely to be dissatisfied with perinatal care than adults. Adolescents’ perspectives of their perinatal care experiences have been explored; however, there are few studies exploring adolescent-friendly inpatient care from nurses’ perspectives.
Purpose: To explore adolescent-friendly care from the perspective of hospital-based adolescent-friendly perinatal nurses.
Research Questions: (1) How and why do perinatal nurses in inpatient settings adapt their practice when caring for adolescents? (2) What are the individual nursing behaviours and organizational characteristics of adolescent-friendly care in inpatient perinatal settings, from the perspective of perinatal nurses?
Methods: I report the qualitative component of a mixed methods study. Open-ended interviews were conducted with twenty-seven purposively-sampled expert nurses. Data were analyzed using Interpretive Description.
Findings: Nurses described being mother-friendly to adolescents by being nonjudgmental, forming connections, individualizing care, and employing behavioural strategies that facilitate relationship-building.
Implications: These findings will inform the development of interventions to facilitate connections between nurses and adolescent mothers.
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Conry, Jennifer Robyn. "Mothers' experiences of accessing services following the death of a baby through stillbirth or neonatal death." Diss., Pretoria : [s.n.], 2006. http://upetd.up.ac.za/thesis/available/etd-04172007-122705.
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Srisuthisak, Sasamon. "Relationship Among Stress of Labor, Support, and Childbirth Experience in Postpartum Mothers." VCU Scholars Compass, 2009. http://scholarscompass.vcu.edu/etd/1916.
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Background: Due to the profound and life-changing aspects of giving birth and to each woman’s individualized birthing experience, it is important to understand the myriad of factors that contribute to a positive childbirth experience. The aims of this study were to: (1) identify factors related to a positive childbirth experience; (2) to examine relationships among women’s perceptions and personal evaluations of their childbirth experience, stress associated with labor pain, support from the nursing staff, initial contact with the baby following birth, support from partners, education, age, and obstetric history; and (3) to identify predictors of a positive childbirth experience. Method: A cross-sectional correlational study was conducted using a sample of 122 new mothers recruited over a 3-month period. Data were collected using self-report questionnaires. The three questionnaires used in this study consisted of: (a) the Questionnaire Measuring Attitude About Labor and Delivery Experience (QMAALD 29 items); (b) the Questionnaire Measuring Stress Associated with Labor Pain [SLPS (version 2)]; and (c) Personal Information Questionnaire (Demographic data). The Cronbach’s alpha coefficient for the 29 item QMAALD in this study was .82 and the Cronbach’s alpha coefficient of the SLPS (version 2) in this study was .89. The SPSS statistical software version 16.0 for Windows was used for data analysis. Results: Participants reported a low degree of stress associated with labor pain and a moderate amount of support received from the nursing staff. They reported holding and touching their baby immediately after birth. A positive childbirth experience was inversely related to stress associated with labor pain. The reduction of stress due to support received from the nursing staff was found to be positively related to a positive childbirth. Education was related to a positive childbirth experience; but not a significant predictor of a positive childbirth experience. Maternal age, initial contact with the baby following birth, number of labor and delivery experiences, duration of labor, interventions during labor, attendance at prenatal classes, and support from a partner did not relate to a positive childbirth experience. The regression analysis results indicated that the stress associated with labor pain, the reduction of stress due to the support received from the nursing staff, and attendance at prenatal classes were significant predictors of a positive childbirth experience. Conclusion: Stress associated with labor pain and the reduction of stress due to support received from the nursing staff were key factors contributing to a positive childbirth experience. Further research is needed to better understand the factors influencing women’s positive perceptions of the childbirth experience.
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Smith, Cynthia. "Maternal coping effort in the neonatal intensive care setting." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/276952.
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The purpose of this study was to describe maternal coping effort. The sample was composed of 30 mothers of infants hospitalized in the neonatal intensive care unit. Descriptive and correlational statistics were used to determine maternal coping effort and the maternal factors that may be associated with coping effort. Results of the study showed that a majority of the mothers exerted a great amount of effort to cope with situations encountered in the NICU. Maternal age, marital status, gravidity and parity, mode of delivery and ethnicity did not prove to associate significantly with coping effort. The results of this study are significant to nursing practice in the confirmation of the high degree of maternal coping associated with the hospitalization of an infant in the NICU.
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Barsman, Sarah Gutin. "Decision-Making for High-Risk Infants in the Neonatal Intensive Care Unit (NICU): Mothers' Attitudes and Experiences." Case Western Reserve University School of Graduate Studies / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=case1564484781963305.
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McLoughlin, Angela Mary. "Formal and informal support for mothers who have had a baby in a neonatal intensive care unit." Thesis, University of Manchester, 1995. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.633055.
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Seita, Helene M. "Food allergies in pregnant women: a study of prevalence in expecting mothers and association with neonatal outcomes." Thesis, Boston University, 2013. https://hdl.handle.net/2144/12219.
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Thesis (M.A.)--Boston University<br>Introduction: Food allergies, the second most common form of allergic disorders in Western countries, have been on the rise in the US over the past few decades especially in young children. As the exact causes of food sensitizations are still unknown, much research has been dedicated to solving the mystery of how and why individuals develop food allergies in the first place. However, very few studies have focused solely on the prevalence of food allergies in the adult population. Furthermore, the prevalence of food allergies in expecting mothers and their potential impact on mother-baby health outcomes have barely been investigated. As such, this retrospective chart review study aimed at comparing the prevalence of food allergies in pregnant women to that of the adult US population and investigated the potential effects of maternal food allergies on perinatal maternal outcomes and infant health.
Methods: A total of 595 maternal charts and 614 infant charts were reviewed for expecting mothers age 18 to 49 years old who gave birth at New Hanover Regional Medical Center in Wilmington, NC, between November 15, 2011 and November 15, 2012. Mothers’ data collected included basic demographic information, presence and nature of food allergies, and if applicable, occurrence and length of High Risk Antepartum visits. In addition to basic infant demographic information, the infant health outcomes collected were, when applicable: gestational age at birth, birth weight, 1 and 5 minute APGAR scores, NICU admissions and length of stay, as well as infant death. All statistical tests were two-tailed and p values < 0.05 were considered significant.
Results: Food allergies were documented in 5.6% (N = 22) of the mothers, which was not significantly different from the national average reported by the FDA (Vierk et al., 2007). The most commonly reported allergy in the study’s pregnant women sample was seafood (42.2%), and the least common maternal food hypersensitivity disorder in the sample was egg allergy (2.2%). No significant relationship was found between the presence of maternal food allergies and maternal or infant health outcomes.
Conclusion: Our study found that the proportion of pregnant women with food allergies was consistent with the FDA-reported percentage of US adult population affected by food allergies. Furthermore, we were unable to establish significant relationships between the presence of maternal food allergies and mother-baby health outcomes.
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Yetman, Marion. "Becoming a mother in the NICU : a grounded theory study /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape9/PQDD_0031/MQ47492.pdf.
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Wernet, Monika. "Experiência de tornar-se mãe na unidade de cuidados intensivos neonatal." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7136/tde-09102007-144928/.
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O nascimento prematuro e a hospitalização do filho na Unidade de Cuidados Intensivos Neonatal (UCIN) determina à mulher vivenciar a experiência de tornar-se mãe em um contexto adverso. A maioria dos estudos de enfermagem explora a experiência da mãe na UCIN, e poucos são os que focam a parentalidade. A presente pesquisa visa contribuir nesse âmbito a partir da descrição da experiência da mulher de tornar-se mãe quando vive a estada de seu filho prematuro na UCIN. A pesquisa de narrativa foi estratégia metodológica selecionada em função de possibilitar a extração, análise e compreensão de histórias pessoais vividas. Este estudo analisou a narrativa de doze mulheres e, pautou o processo analítico no referencial teórico do Interacionismo Simbólico. Foi possível estabelecer uma narrativa tradutora da experiência a partir de três grandes núcleos temáticos vividos na UCIN: PROTEGER O FILHO, APRENDER E SENTIR-SE MÃE. Os mesmos traduzem intenções, sentimentos, ações e estratégias integrantes da experiência e, são influenciados pelo núcleo temático SENTE-SE RESPONSÁVEL PELO FILHO, relativo ao período gestacional. Os aprendizados são elementos fundamentais do processo por apoiarem a mulher na determinação do como fazer para se inserir e ser presente junto do filho. Os conceitos desvelados pelo estudo permitem a revisão de práticas clínicas de enfermagem e sinalizam para a necessidade de pesquisas de enfermagem neste âmbito<br>The premature birth and the suns hospitalization in the Neonatal Intensive Care Unit (NICU), impose women to experience becoming a mother in an adverse context. The majority of nursing studies explore the mother experience in the NICU, only some studies focus on parenthood. The present study aim to collaborate in this aspect, describing the experience of women in becoming a mother when their premature sun is hospitalized in the NICU. Narrative research was the methodological strategy option as it provides the opportunity to extract, to analyze and to comprehend personal lived stories. This study explored the narratives of twelve women, and structured the analytic process on the theoretical reference of Symbolic Interactionism. It was possible to establish an integrative narrative of the experience of becoming a mother through three core themes: TO PROTECT THE SUN; TO LEARN and TO FEEL AS A MOTHER. The themes represent intensions, actions, feelings and strategies adopted by mothers and are influenced by the theme FEELING RESPONSIBLE FOR THE SUN, which is related to the pregnancy period. The knowledge gained through out the process are fundamental aspects as they support women to manage their way of how to be present and how to do things for their sun. The concepts revealed in the study allowed the review of clinical practices in Nursing and point out the necessity of nursing research in this area
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Ferecini, Geovana Magalhães. "Aprendendo e ensinando sobre os cuidados com o filho prematuro: a vivência de mães em um programa de educação em saúde." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-19032008-162214/.
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As práticas educativas dirigidas às mães de prematuros ainda ocorrem, em alguns hospitais, de maneira tradicional, ministradas por profissionais sem a participação ativa da clientela nesse processo. Num esforço para o preparo mais adequado de mães para a alta hospitalar de bebês prematuros, vislumbrando a possibilidade de construir com mães conhecimentos acerca dos cuidados com o filho, motivou-se realizar o presente estudo tendo como objetivos específicos: descrever o processo de desenvolvimento de um Programa de Educação em Saúde mediado pelo uso de uma cartilha educativa dirigida às mães de prematuros, utilizando a metodologia participativa; analisar a percepção destas mães sobre a vivência no Programa e avaliar a aquisição de conhecimentos cognitivos destas sobre os cuidados com seus filhos, proporcionados pela participação no Programa. Trata-se de pesquisa de intervenção educacional fundamentado no referencial da problematização de Paulo Freire e que utiliza as abordagens quantitativa e qualitativa. Participaram do estudo 38 mães de prematuros internados na unidade de cuidados intermediários neonatal de um hospital público universitário de Ribeirão Preto - SP. O Programa de Educação em Saúde consistiu em atividades educativas grupais mediadas pelo uso da cartilha educativa \"Cuidados com o bebê prematuro: orientações para a família\". As participantes receberam a cartilha educativa para leitura e, posteriormente, participaram de grupos educativos coordenados pela pesquisadora, utilizando o método da problematização. A atividade grupal era iniciada com uma apresentação, seguida por uma técnica de relaxamento e, posteriormente, eram trabalhados participativamente os conteúdos abordados na cartilha e outros levantados pelas participantes relacionados ao cuidado do filho prematuro visando à alta hospitalar. As participantes também foram estimuladas a expressarem suas percepções acerca da vivência no Pprograma. Os grupos educativos foram filmados e as falas e os comportamentos não-verbais foram transcritos na íntegra a partir das filmagens. Outra técnica de coleta de dados foi a entrevista estruturada, pré e pós intervenção, orientada por um roteiro contendo 46 afirmações sobre os cuidados com o bebê prematuro. O conhecimento de cada participante foi classificado em insuficiente, regular, bom e ótimo ao apresentar quantidade total de respostas corretas nos seguintes intervalos: até 11, de 12 a 23, 24 a 35, 36 a 46 questões, respectivamente. Na análise qualitativa das falas das mães foi utilizada a análise temática. O projeto foi aprovado pelo Comitê de Ética do hospital. Cada mãe participou de uma a duas reuniões educativas, com duração média de 1h a 2h, desenvolvidas utilizando a metodologia participativa auxiliada por técnicas da comunicação terapêutica como a permanência em silêncio, a escuta reflexiva, a verbalização de interesse e aceitação e a devolução de perguntas, promovendo assim o diálogo e a troca de experiências. A cartilha, apesar de não ter sido amplamente lida pelas participantes do estudo, mostrou ser um instrumento de grande importância para posterior consulta após a alta do prematuro além de auxiliar na aquisição de conhecimentos de familiares. Com relação à percepção acerca da vivência no Programa, verificou-se que todas as participantes consideraram-no importante, apreendendo-se quatro núcleos temáticos: o aprendizado proporcionado pelo Programa de Educação em Saúde; a criação de possibilidades de socializar o conhecimento com a família; o Programa de Educação em Saúde como espaço para descontração e escuta e desenvolvendo o vínculo afetivo com outras mães e enfermeira. Verificouse, no pré-teste, que 5 mães (13,2%) apresentaram conhecimento regular, 29 (76,3%) bom e 4 (10,5%) ótimo, enquanto que, no pós-teste, todas (100%) passaram a apresentar conhecimento ótimo, o que demonstra o impacto positivo da intervenção educativa. Obteve-se ganho relativo estatisticamente significante na comparação do pré com o pós-teste, entre as mães de menor escolaridade, do lar e que participaram de grupos educativos com menor duração e menor número de participantes. A questão com menor número de acertos refere-se à vestimenta adequada do prematuro. Concluiu-se que a participação destas mães nas atividades educativas utilizando a metodologia participativa, mediada por uma cartilha educativa, possibilitou a aquisição de conhecimentos cognitivos além de tornar os momentos de educação em saúde prazerosos e possibilitar a troca de experiências e o estabelecimento de vínculos afetivos. Destaca-se a importância de propostas de Educação em Saúde dirigida a essa clientela a fim de contribuir com a construção de uma assistência integral mais criativa, inovadora e participativa.<br>The educational practice directed to mothers of preterm babies in some hospitals still happens in a traditional way without any active participation of the clientele in the process. In an effort to better prepare mothers for the hospital leave of their preterm babies, visualizing the possibility of building with them knowledge concerning the care to their preterm children, we felt motivated to perform the present study having as specific objectives: describing the development process of a Health Educational Program mediated by the use of an educational booklet directed to the mothers of preterm babies using participative methodology ; analyzing the perception of these mothers on the experience lived in the program and evaluating their acquisition of cognitive knowledge about the care to their children by participating in the program. This project is an educational intervention research based on Paulo Freire\'s problematization referential and using quantitative and qualitative approaches.38 mothers of preterm babies staying in the Intermediate Care Neonatal Unit of a public university hospital in the city of Ribeirão Preto -SP participated in the study. The Health Educational Program consisted of group educational activities supported by the use of the booklet: \"Care to the preterm baby: family orientation\'. The participants received the educational booklet and after reading it joined the educational groups coordinated by the researcher using the problematization method. The group activity was initiated with a presentation followed by relaxation techniques and, later on, the contents of the booklet as well as the information received from these mothers in relation to the care to their preterm babies aiming at the hospital leave were compiled in a participative way. The participants were also stimulated to express their opinions about their experience in the program. The educational groups were filmed and the non verbal behaviors were transcripted in full from the film footage. Another data collection technique was a structured interview pre and post intervention oriented by a questionnaire with 46 questions about the care to the preterm. The knowledge of each participant was classified according to the number of correct answers to the questionnaire as follows: insufficient (up to 11), fair (12 to 23) good (24 to 35) and excellent (36 to 46). A thematic analysis was used in the qualitative analysis of the mothers` dialogs. The project has been approved by the Ethics Committee of the hospital. Each mother attended one or two educational meetings, with an average duration of one to two hours, developed through a participative methodology supported by techniques of therapeutic communication such as staying silent, reflexive listening, verbalizing of interests and acceptance and, asking questions thus promoting the dialog and exchange of experiences. The educational booklet in spite of not being thoroughly read by the participants in the study, proved to be an important tool for consultation after the preterm hospital discharge besides assisting the family in the acquisition of knowledge. In relation to the mothers perception of the experience lived in the Health Educational Group, we verified that all the participants considered it to be important in four thematic levels: the knowledge received from the Health Educational Program, the possibility of socializing the knowledge with the family members, the Health Educational Program as a space for relaxation and listening and the development of an affective link with other mothers and with the nurse. We verified in the pretest that 5 mothers (13, 2%) presented fair knowledge, 29 (76, 3%) good and 4 (10, 5%) excellent, and in the post test all of them (100%) presented excellent knowledge thus demonstrating the positive impact of the educational intervention. Comparing the results of the pre and post tests there was a statistically significant relative gain with the mothers with lower schooling level and who participated in Educational Groups with less duration and fewer participants. The questions with the highest number of wrong answers were related to clothing of the baby. The conclusion was that the participation of these mothers in educational activities using the participative methodology, with the use of the educational booklet, made the acquisition of cognitive knowledge and the exchange of experiences possible as well as making the moments of education in health more pleasant. What stands out is the importance of new proposals in Education in Health, in order to contribute to the construction of a thorough more creative, innovative and participative assistance.
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Foch, Gisele Fernandes de Lima. "Enfrentamento religioso-espiritual de m?es de beb?s em Unidade de Terapia Intensiva Neonatal." Pontif?cia Universidade Cat?lica de Campinas, 2015. http://tede.bibliotecadigital.puc-campinas.edu.br:8080/jspui/handle/tede/340.
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Previous issue date: 2015-02-25<br>Coping is the way in which people regulate their behavior, emotion and orientation under stress. This process occurs when there is a threat or challenge to three basic psychological needs: Relationship, Autonomy and Competence, by the Motivational Theory of Coping [MTC]. The admission to the neonatal intensive care unit [NICU] is a stressor that affects family life, and may threaten or challenge these psychological needs. In this context, it is common to use the spiritual-religious coping. This research analyzes the coping process, tut in evidence the spiritual-religious coping of 20 mothers of babies in the NICU. Neonatal outcomes were analyzed by Baby Hospitalization Protocol. Mothers answered these instruments: a) Questionnaire of General Data; b) Economic Classification Criterion Brazil; c) Coping with Baby Hospitalization Interview, with 22 questions, and an adaptation of the Motivational Theory of Coping Scale-12 [MTC-12], evaluating 12 families of coping - six adaptive (Self-confidence, Support Search, Resolution Problems, Information Search, Accommodation, Negotiation), and six maladaptive (Delegation, Isolation, Helplessness,
Escape, Submission, Opposition); d) an adapted version of RCOPE Scale (Spiritual/Religious Coping Scale - SRCOPE Scale), with 87 items, classifying the coping strategies in SRCP (positive - 8 factors, 66 items), and SRCN (negative - 4 factors, 21 items). The correspondence between the items of SRCOPE and MTC-12 and functions of spiritual-religious coping was evaluated by four judges, with an average above 70% agreement was made. Descriptive analyzes and correlational were made between the data of the scales with each other and with the mother and baby variables. The mothers were between 17-35 years, most were Catholic, more lower socioeconomic classes, with incomplete high school, and 3 children. The admission to the NICU ranged from 1-181 days (mean = 10.5), with a predominance of term births (N = 9), by cesarean section, low-risk pregnancy. The social support and perceived by most mothers came mainly from family, for helping with household tasks. Access to psychological professional support proved to be limited. The main stressor was the concern for the health of the baby. In this context, the Submission and the Helplessness were frequent, but also occur Search Information, Accommodation, and Problem Resolution correlated with increased SRCP. There was an "average" level of use of religious-spiritual coping, also with a predominance of RSCN on SRCP. The transformational coping was identified in all mothers, and an increase of faith, especially the belief in God's support. There were several correlations, highlighting the positive expectations for the child and adaptive families of coping (Self-confidence); the higher socioeconomic level and SRCP, and between low education and SRCN. Methodologically, this study contributes to the understanding of coping with the admission of their child in the NICU, showing the relationship between MTC-12 and the role of religious and spiritual coping of SRCOPE for analysis of this concept. This analysis helped the
understanding of the conditions that promote adaptive coping with these mothers, which can promote positive health outcomes and development of babies.<br>O enfrentamento (coping) ? definido como a forma com que as pessoas regulam seu comportamento, emo??o e orienta??o sob estresse. Este processo ocorre quando h? amea?a ou desafio a tr?s necessidades psicol?gicas b?sicas: Relacionamento, Autonomia e Compet?ncia, pela Motivational Theory of Coping [MTC]. A interna??o em Unidade Terapia Intensiva Neonatal [UTIN] ? um estressor que afeta a vida da fam?lia, podendo amea?ar ou desafiar essas necessidades psicol?gicas. Nesse contexto, ? comum o uso do enfrentamento religioso-espiritual. Esta pesquisa analisou o processo de enfrentamento, destacando o enfrentamento religioso-espiritual, de 20 m?es de beb?s em UTIN. Foram analisadas vari?veis neonatais pela Ficha do Beb?. As m?es responderam estes instrumentos: a) Question?rio para registro de dados gerais; b) Crit?rio de Classifica??o Econ?mica Brasil; c) Protocolo de Entrevista de Enfrentamento da Hospitaliza??o do beb?, com 22 quest?es, com uma adapta??o da Motivational Theory of Coping Scale-12 [MTC-12], avaliando 12 fam?lias de enfrentamento, sendo seis adaptativas (Autoconfian?a, Busca de suporte, Resolu??o de problemas, Busca de informa??es, Acomoda??o, Negocia??o) e seis mal adaptativas (Delega??o, Isolamento, Desamparo, Fuga, Submiss?o, Oposi??o); e d) uma adapta??o da Escala RCOPE (Escala de Coping Religioso-Espiritual - CRE), com 87 itens, classificando as estrat?gias de enfrentamento em CREP (positivo - 8 fatores, 66 itens) e CREN (negativo - 4 fatores, 21 itens). Foi feita uma correspond?ncia entre os itens da Escala CRE e a MTC-12 e as fun??es da Escala CRE, avaliada por 4 ju?zes, com concord?ncia m?dia acima de 70%. Foram feitas an?lises descritivas e correlacionais entre os dados das escalas entre si, e com as vari?veis maternas e do beb?. As m?es tinham entre 17-35 anos, a maioria era cat?lica, de uma classe socioecon?mica mais desfavorecida, com Ensino M?dio incompleto e 3 filhos. A interna??o na UTIN variou de 1-181 dias (M = 10,5), com predomin?ncia de nascimentos a termo (N = 9), por cesariana, de baixo risco gestacional. O apoio social recebido e percebido pela maioria das m?es vinha principalmente dos familiares, pelo aux?lio nas tarefas dom?sticas. O acesso ao apoio profissional psicol?gico mostrou-se limitado. O principal estressor era a preocupa??o com a sa?de do beb?. Neste contexto, a Submiss?o e o Desamparo foram frequentes, mas tamb?m ocorrem a Busca de Informa??o, a Acomoda??o e a Resolu??o de Problemas, esta correlacionada ao aumento do CREP. Houve um n?vel m?dio de uso do enfrentamento religioso-espiritual, tamb?m com predom?nio de CREN sobre CREP. O coping transformacional foi identificado em todas as m?es, e um aumento da f?, especialmente da cren?a sobre o apoio de Deus. Houve v?rias correla??es, destacando-se as expectativas positivas em rela??o ao filho e EE adaptativas (Autoconfian?a); o maior n?vel socioecon?mico e CREP, e entre baixa escolaridade e CREN. Metodologicamente, este
estudo contribuiu para a compreens?o do enfrentamento da interna??o do filho em UTIN, apresentando as rela??es entre as EE da MTC-12 e as fun??es do enfrentamento religiosoespiritual do CRE, para an?lise desse conceito. Essa an?lise auxiliou a compreens?o das condi??es que favorecem o enfrentamento adaptativo dessas m?es, o qual pode promover resultados positivos na sa?de e desenvolvimento dos beb?s.
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Evers, Patrick D. M. D. "Prenatal Heart Block Screening in Mothers With SSA/SSB Auto-antibodies: Targeted Screening Protocol is a Cost-Effective Strategy." University of Cincinnati / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1552379621451565.
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Almeida, Marcela Souza de. "Leitura de histórias infantis em UTI neonatal: uma estratégia voltada para a relação mãe jovem-bebê." reponame:Repositório Institucional da FIOCRUZ, 2013. https://www.arca.fiocruz.br/handle/icict/8312.
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Previous issue date: 2013<br>Fundação Oswaldo Cruz. Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira. Departamento de Ensino. Programa de Pós-Graduação em Saúde da Criança e da Mulher. Rio de Janeiro, RJ, Brasil.<br>O alto número de nascimentos de bebês que necessitam de internação em UTIN e os agravos decorrentes da mesma nos convocam a pensar e pesquisar alternativas no campo dos cuidados. Grande importância é dada ao desenvolvimento/ manutenção da relação mãe-bebê como medida capaz de amenizar as dificuldades a serem enfrentadas por essa dupla, bem como pelo núcleo familiar. Estas dificuldades são ainda maiores quando trata-se de uma mãe adolescente ou jovem. No que tange à assistência ao recém-nascido, significativos avanços tecnológicos e de humanização do cuidado são descritos na história recente. O presente estudo tem como objetivo principal analisar, sob a ótica de enfermeiras e mães jovens, quais os sentidos atribuídos à atividade de leitura dirigida a bebês em Unidade de Terapia Intensiva Neonatal, e quais as possibilidades da leitura atuar como facilitadora da relação mãe jovem-bebê, considerando a metodologia do Projeto Biblioteca Viva. Trata-se de estudo com abordagem qualitativa. Paraa coleta de dados, foi utilizada a técnica de entrevista semi-estruturada. Foram entrevistadas 10 (dez) enfermeiras que trabalham em UTINe 7 (sete) mães jovens de bebês internados na unidade referida. A pesquisa demonstrou que a leitura de histórias infantis para bebês em UTI neonatal, que tem por objetivo aproximarmãe e bebê, possibilita para esse par um momento em que o foco principal não seja relativo ao adoecimento e vem a somar às propostas de atenção a essa clientela e às estratégias de aproximação da dupla mãe-bebê. Este estudo revelou ainda que mães e profissionais de enfermagem compreendem a atividade de leitura comouma qualificação da assistência em UTIN, percebendo a promoção de leitura como meio de tornar a oferta de carinho uma dinâmica institucional e como alternativa de oferecer ao RN estímulos positivos ao seu desenvolvimento.<br>The high number of needed-hospitaliz
ation babies born in NICU and its
complications lead us to reflect and pro
pose alternatives ways in the field of
medical care. The development/kepping
of mother-baby relationship as a
manner to overcome the difficulties by them
selves, as well as their families, is a
thing to be considered. These difficu
lties are even harde
r when it is an
adolescent or young mother.
As regard the newborns care, signifi
cant technological advances and in
the humanization care field were recently
described. This study has the aim to
analyze, under the nurses
and young mothers perspective, which are the
meanings attributed to the reading activity
to babies in Neonatal Intensive Care
Unit, as well as its possibilities to become easier the young mother-baby
relationship, considering the methodology
of the Biblioteca Viva Project.
This is a qualitative study. For t
he data collection,
a half-structured
interview approach were used. We interv
iewed 10 (Ten) nurses that work in the
NICU and seven (7) young mothers of hospi
talized babies in the same unit. The
results showed that the readi
ng of children's stories to
babies in NICU, allows
them a time when the major focus is no
t the illness but the
approximation of the
mother-baby. This study also showed that mothers and nurses understand the
reading activity as a qualification for
NICU assistance, realizing that the
promotion of reading is a way to bec
ome the care offering in a dynamic
institution and as an alter
native way to offer the newborn positive stimulation for
their development.
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Montanholi, Liciane Langona. "Efeitos analgésico e de conforto neonatal do contato pele a pele versus sacarose durante duas punções de calcâneos repetidas e sucessivas em recém-nascidos: ensaio clínico randomizado." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-30032015-192102/.
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O contato pele a pele e a administração oral de sacarose têm se mostrado efetivos no alívio da dor em procedimentos únicos. No entanto, há escassez de estudos que avaliam o uso do contato pele a pele em procedimentos repetidos. O objetivo geral deste estudo é comparar a efetividade do contato pele a pele em relação ao uso de sacarose 25% no alívio da dor e conforto neonatal durante duas punções de calcâneo repetidas e sucessivas, nas primeiras horas de vida. Trata-se de ensaio clínico randomizado e controlado com 40 recém-nascidos >= 36 semanas de idade gestacional e 40 mães no grupo pele a pele (3 minutos antes, durante e após a punção de calcâneo) e 40 recém-nascidos no grupo sacarose 25% (administrada 2 minutos antes da punção), todos internados no alojamento conjunto de um hospital universitário de Ribeirão Preto. Antecedendo a coleta de dados, foi assinado o Termo de Consentimento Livre e Esclarecido pelas mães participantes. Os dados foram coletados em 18 fases, divididos em duas punções de calcâneo, com nove fases cada: basal (FB), tratamento (Tto, 3º minuto do contato pele a pele e 2º minuto após a administração da sacarose), antissepsia (Anti), punção de calcâneo até 15 segundos subsequentes (T0), 15 segundos (T15), 30 segundos (T30), 60 segundos (T60), 120 segundos (T120) e 180 segundos (T180) após a punção de calcâneo. Mensuraram-se as variáveis: mímica facial, estado de sono e vigília, choro (duração e qualidade), autorregulação/autoconforto do recém-nascido e ações de conforto oferecidas pela mãe ao filho recém-nascido. Os dados foram tratados de forma descritiva, comparando-se a evolução das medidas ao longo do tempo, nos grupos de tratamento (teste Freedman), e entregrupos, em cada fase (teste de Mann- Whitney). Não houve diferença significativa (p<0,05) entre os grupos estudados quanto à frequência, duração e porcentagem média da mímica facial nas duas punções de calcâneo. Na segunda punção, o grupo pele a pele permaneceu significativamente mais tempo em sono profundo em cinco fases (Tto 2, p=0,010; T0 2, p= 0,0026; T15 2, p=0,005; T30 2, p=0,018 e T60 2, p=0,012) e o grupo sacarose em alerta ativo em três fases do procedimento (T0 2, p=0,007; T15 2, p=0,007 e T30 2, p=0,035). O choro, na segunda punção de calcâneo, esteve mais presente no grupo pele a pele em todas as fases (Tto 2, p=0,010; Anti 2, p=0,022; T0 2, p=0,004; T15 2, p=0,032; T30 2, p=0,022; T60 2, p=0,022; T120 2, p=0,022 e T180 2, p=0,022), predominando o choro forte a maior parte do tempo em ambos grupos. O grupo sacarose manifestou médias de sugar (frequência, duração e porcentagem média) significativamente maiores que o pele a pele em várias fases da coleta de dados. Acariciar e abraçar foram as ações mais frequentes manifestadas pelas mães. A frequência cardíaca não diferiu entre os grupos, exceto na fase tratamento 2 (p=0,04), sendo maior no grupo sacarose em comparação com o pele a pele. Conclui-se que o contato pele a pele é tão efetivo quanto a administração oral de sacarose 25% no alívio da dor de RN expostos a duas punções de calcâneo repetidas e sucessivas, confirmando a hipótese de estudo<br>Skin-to-skin contact and the oral administration of sucrose have been effective in alleviating pain in single instance procedures. There is, however, a lack of studies assessing the effect of skin-to-skin contact in repeated procedures. This study\'s general objective was to compare the effectiveness of skin-to-skin contact in comparison with 25% sucrose in alleviating pain and providing comfort to newborns during two repeated and successive heel punctures in the first hours of life. This randomized and controlled clinical trial was conducted with 40 newborns >= 36 weeks of gestational age, and 40 mothers in the skin-to-skin contact group (3 minutes before, during and after the heel puncture) and 40 newborn in the 25% sucrose group all newborn were hospitalized in rooming-in, of a university hospital in Ribeirão Preto, SP, Brazil The participant mothers signed free and informed consent forms before data collection. Data were collected in 18 phases divided into two heel punctures with nine phases each: (T0), 15 segundos (T15), 30 segundos (T30), 60 segundos baseline, treatment (Tto, the 3rd minute skin-to-skin contact and the 2nd minute after administration of sucrose), antisepsis (Anti), heel puncture until 15 following seconds (T0), 15 seconds (T15), 30 seconds (T30), 60 seconds (T60), 120 seconds (T120) and 180 seconds (T180) after heel puncture. The following variables were measured: facial movements; sleep and wakefulness state; crying (duration and quality); newborn\'s self-regulation; and comfort provided by the mother to the newborn. Data were presented in descriptive form comparing the progression of measures over time in the treatment groups (Freedman test) and between groups in each phase (Mann-Whitney test), duration and average percentage of facial movements for the two heel punctures. In the second puncture, the skin-to-skin group remained a significantly longer time in deep sleep in five phases (Tto 2, p=0.010; T0 2, p= 0.0026; T15 2, p=0.005; T30 2, p=0.018 and T60 2, p=0.012), while the sucrose group remained in active alertness in three phases of the procedure (T0 2, p=0.007; T15 2, p=0.007 and T30 2, p=0.035). In the second puncture, crying was more frequently observed in the skin-to-skin group in all the phases (Tto 2, p=0.010; Anti 2, p=0.022; T0 2, p=0.004; T15 2, p=0.032; T30 2, p=0.022; T60 2, p=0.022; T120 2, p=0.022 and T180 2, p=0.022), while strong crying predominated in most instances in both groups. The sucrose group manifested sugar means (frequency, duration and average percentage) significantly higher than the skin-to-skin group in various phases of data collection. Caressing and hugging were the most frequent actions observed among the mothers. Heart rate did not differ between groups, except for treatment phase 2 (p=0.04), which was higher among the sucrose group in comparison to the skin-to-skin group. The conclusion is that skin-to-skin contact is as effective as orally administering 25% sucrose in alleviating pain in newborns exposed to two repeated and successive heel punctures, confirming the study\'s hypothesis
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Mojapelo, Tshepiso D. "The lived experiences of single teenage mothers in Botswana : a phenomenological study." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 1997. https://ro.ecu.edu.au/theses/890.
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This study was designed to explore-the lived-experiences of single teenage mothers in Botswana, as perceived by them. The participants were teenage mothers who had to leave school due.to pregnancy. They had either completed year one in secondary school or were in year two. Their ages ranged between 16 and 19 years. The ages of their babies range from five to 10 months, with the exception of one child who was three years old. All teenage mothers came from low socio-economic backgrounds with families whose parents were either not working, or were working in the lowest paying jobs as cleaners or drivers. Some were from single parent families with the mother working as a cleaner in government offices. They all lived in the high population density area of Gaborone such as Old Naledi and Broadhurst Self Help Agency, where many illicit behaviours are observed. The study• is undertaken through a phenomenological approach which is guided by the reality of lived experiences to a theoretical construct. This research was conducted to uncover young single experiences .concerning motherhood.
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Bergström, Julia, and Maria Eliasson. "Föräldrars upplevelse av kängurumetoden under vårdtid på neonatal intensivvårdsavdelning." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-425228.
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ABSTRACT Background: Kangaroo-mother care (KMC) is a vital part of the neonatal care. The method is based on skin to skin contact, where the parent or another caregiver, holds the child on itsbare chest for an extensive period of time. This has been proven to have a positive effect on the childs physical and mental development. Less extensive research has been made on the methods effects on the parents. Aim: The aim of this studie was to describe the parents experience of used KMC during their childs time on a NICU (neonatal intensive care unit). Method: A literature study with descriptive design. Based off of 12 original qualitative studies from the databases PubMed, CINAHL and Web of Science. Results: The parents experiences could be devided into four themes: Emotional- and physical experiences as a result of KMC, the unit’s effect on the experience of KMC and bonding. The method was appreciated by the parents and the overall experience was positive. However, the method can be demanding for the parents and the staff and environment on the NICU have a big influence on the experience. Conclusion: Time on a NICU can be stressful for both child and parents. KMC has been proven to be beneficial for the child, but also for the parents’ experience of their childs care. The method should be practiced as much as possible, with the influence of the health care staff and unit’s environment. Keywords: Kangaroo-mother care method. Intensive care. Neonatal. Infant. Parents.<br>SAMMANFATTNING Bakgrund: Kängurumetoden (KMC) utgör en vital del av omvårdnaden på neonatala vårdavdelningar. Metoden utgörs av hud mot hud kontakt, där föräldern eller en annan vårdgivare har barnet vilande på bröstkorgen under en längre tid. Detta har visats ha positiv effekt på barnets fysiska och psykiska utveckling. Det finns mindre forskning gällande metodens effekt på föräldrarna . Syfte: Syftet var att beskriva föräldrarnas upplevelse av genomförd kängurumetod under sitt barns vårdtid på neonatal intensivvårdsavdelning. Metod: Litteraturstudie med beskrivande design och som är av kvalitativ karaktär. Baserat på 12 kvalitativa originalartiklar från databaserna PubMed, CINAHL och Webof Science. Resultat: Föräldrarnas upplevelser kunde delas in i fyra kategorier; känslomässiga upplevelser till följd av KMC, kroppslig upplevelse till följd av KMC, vårdavdelningens påverkan på upplevelsen och anknytning. Metoden var något som uppskattades och upplevelsen var övervägande positivt. Dock ställer den krav på föräldrarna, där också vårdpersonal och vårdmiljö har en viktig påverkan. Slutsats: Tiden på en neonatal intensivvårdsavdelning kan vara påfrestande för både barn och föräldrar. Kängurumetoden har visats vara gynnsam för både barnet men också föräldrarnas upplevelse. Metoden bör tillämpas i så stor utsträckning som möjligt, där vårdpersonal och avdelning har en viktig roll. Nyckelord: Kängurumetoden. Intensivvård. Neonatal. Spädbarn. Föräldrar.
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Strand, Hedvig. "Knowledge of and attitudes to the practice of Kangaroo Mother Care (KMC) among staff in two neonatal units." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-167503.
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Aim: The aim of the study was to compare knowledge and attitudes towards Kangaroo Mother Care (KMC) among neonatal unit staff at two neonatal units 2008 and 2010. Method: Members of staff from two neonatal units completed a questionnaire with 22 statements and an open-ended question in 2008 and 2010. The data were analysed with Mann-Whitney U test and content analysis. Results: There were significant differences between unit A and unit B in both the 2008 survey and the 2010 survey, showing better knowledge of KMC and a more positive attitude to KMC in unit A. Content analysis of responses to the open-ended question revealed concerns in unit B that its care environment was not suitable for KMC. Conclusions: Hypothetically, the fact that staff in unit A work in facilities designed to facilitate KMC, receive training in KMC and practice continuous KMC in intensive care as well as in intermediate care, has resulted in good knowledge of KMC and a general improvement of staff attitudes to KMC.
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Thernström, Blomqvist Ylva. "Kangaroo Mother Care : Parents’ experiences and patterns of application in two Swedish neonatal intensive care units." Doctoral thesis, Uppsala universitet, Pediatrik, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-180047.
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Kangaroo Mother Care (KMC) is an alternative model of care that prevents parent-infant separation when preterm infants need neonatal intensive care by skin-to-skin contact between infants and their parents. KMC is also a strategy that involves parents in their infants’ care and enables them to assume the responsibility for the care. Furthermore, KMC promotes parent-infant bonding and attachment. The overall aim of this thesis was to gain a deeper understanding and knowledge about parents’ capacity, willingness, and experiences of KMC and to which extent parents choose to use KMC throughout their infants' hospital stay. These studies were conducted in the NICUs at two Swedish university hospitals (NICU A and NICU B). Mothers of infants cared for at NICU A (n=17) answered a questionnaire about their experiences of KMC (Paper I). Twenty parents of infants cared for at NICU A recorded the duration of each KMC session during a period of 24 hours and the identity the KMC provider (Paper II). Seven fathers were interviewed about their experiences of KMC (Paper III) and 76 mothers and 74 fathers completed a questionnaire about what facilitated or rendered it difficult to perform KMC (Paper IV). The time of initiation of KMC and duration in minutes, and the identity of the KMC providers was recorded continuously during the infants’ (n=104) hospital stay: 83 mothers and 80 fathers also completed a questionnaire during their infants’ hospital stay (Paper V). This thesis provides new knowledge about parents’ practice of KMC, also continuously day and night, in a high tech NICU in an affluent society, with good resources for infant care in an incubator by trained staff. The accuracy of parents’ records of KMC were comparable to nurses’ records. The results indicate that parents want to be together with their infant in the NICU and be actively involved in the infants’ care. Although parents may experience KMC as exhausting and uncomfortable, they still prefer KMC to conventional neonatal intensive care as it supports their parental role. Early initiation of KMC after birth appears to result in a longer total duration of KMC during the infants’ hospital stay.
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Alnajjar, Hend. "A pilot study to examine the feasibility and acceptability of researching the effectiveness of Kangaroo Mother Care on low birth weight infants in neonatal intensive care units." Thesis, University of Manchester, 2012. https://www.research.manchester.ac.uk/portal/en/theses/a-pilot-study-to-examine-the-feasibility-and-acceptability-of-researching-the-effectiveness-of-kangaroo-mother-care-on-low-birth-weight-infants-in-neonatal-intensive-care-units(f887482d-4f9a-490e-ab00-a49e8eb9d457).html.
Full textAbstract:
Background: Kangaroo Mother Care (KMC) is defined as skin-to-skin contact between a mother and her newborn baby, frequent and exclusive or nearly exclusive breastfeeding and early discharge from hospital. This concept was proposed as an alternative to conventional methods of care for low birth weight (LBW) infants, and in response to problems of serious overcrowding in neonatal intensive care units (NICUs). KMC essentially uses the mother as a natural incubator. According to this principle, LBW babies are placed to the mother’s chest in an upright position, where maternal body heat can help control the baby’s body temperature. Although widely used in some parts of the world, this practice is not the norm in the Kingdom of Saudi Arabia (KSA). Aim: The aim was to assess the feasibility and acceptability of running a randomised controlled trial (RCT) to evaluate the effectiveness of KMC in LBW infants in KSA.Study Design: A pilot RCT with supportive qualitative interviews was conducted, underpinned by a post-positivist approach.Methods: This was a mixed methods study. Quantitative methods were used to measure the effectiveness of KMC, and qualitative methods were used to explore women’s and nurses’ experiences of a) KMC and b) trial processes. The study took place in two urban hospitals in Jeddah, KSA. Ethical approval was gained, and data were collected between March and May 2011.The quantitative element comprised a two-group, individually randomised controlled pilot trial with 20 mothers-and-babies per group. The randomisation sequence was computer-generated, and participants were randomised using consecutively numbered, sealed, opaque envelopes. Data were collected using routinely collected case records, specifically designed clinical data sheets and two questionnaires (validated maternal bonding scale and maternal breastfeeding experience questionnaire). For the latter questionnaire, the design was informed by an expectation-fulfilment model. The qualitative element comprised semi-structured interviews, within 48 hours of birth, with a sample of 20 mothers who participated in the pilot RCT and 12 nurses who were attending these mothers. All 40 mothers were also telephoned when their babies were 6 months old to ascertain their feeding method and exclusivity of feeding.Quantitative data were managed using SPSS and analysed descriptively to estimate confidence intervals and effect sizes. Statistical tests and regression models were used to explore associations with potential outcome measures, with findings interpreted with caution as hypothesis-generating rather than hypothesis-confirming, given the small sample size. Qualitative data were analysed manually, using the Framework Approach.Results: The pilot study confirmed that trial processes were efficient, the intervention was acceptable (to mothers and nurses) and that the outcome measures were appropriate; the percentage of women exclusively breastfeeding at 6 months was identified as the most appropriate primary outcome. A large scale trial of KMC would be feasible and acceptable in KSA. However, issues relating to religious and organisational culture would need to be resolved, including improving privacy in the NICU, addressing language issues arising from transcultural nursing and engaging with male partners. A unique finding was the effect of KSA culture on women’s mobility and the impact that this had on their ability to carry out KMC if they were personally discharged but their baby remained in the NICU. Conclusion: A large scale RCT comparing KMC with standard care in KSA is feasible, acceptable and recommended. However, prior to progressing to a large scale study, a thorough planning stage is necessary which considers cultural practices and ward environment. The understandings gained from this research will be transferable to other research within similar settings
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Keränen, Therese, and Mirjam Kuusela. "Samvård respektive separerad vård : Inverkan på en nybliven mors tillit till sin förmåga att amma." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-316.
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På de flesta svenska sjukhus har samvård av mor och barn efter förlossning eftersträvats eftersom samvård bland annat främjar amning. I samband med kejsarsnitt och då barnet inte mår väl efter födsel separeras dock ofta mor och barn för en kortare eller längre tid, vilket påverkar amningen negativt. Mödrars tillit till sin förmåga att amma har visat sig ha stor betydelse för om de skall lyckas med amning. Mödrar med låg tillit har en högre risk att sluta amma tidigt än de som har hög tillit. Syftet med studien var att jämföra nyblivna mödrars tillit till sin förmåga att amma då mor och barn vårdas tillsammans respektive vårdas separerade efter förlossning. I studien ingick totalt 60 mödrar från fyra olika sjukhus i västra Sverige, varav hälften samvårdats med sitt barn respektive vårdats separerade. Undersökningen gjordes utifrån en kvantitativ ansats genom enkätundersökning med det validerade mätinstrument BSES-SF. Svarsdatan har analyserats med jämförande och förklarande statistik i form av Mann-Whitney U test samt Chi-Square test. Resultatet visade på att numerisk skillnad fanns. Mödrar som separerats hade en lägre tillit till sin förmåga att amma än mödrar som hade samvårdats med sitt barn. Skillnaden var dock ej signifikant. Studien har för litet urval och eventuella störande variabler har ej kunnat uteslutas för att resultatet skall anses tillförlitligt, men tendensen som framkommit stöds i annan forskning. I diskussionen lyfts även att vid initiala amningssvårigheter kan pedagogiska tillitshöjande interventioner vara av betydelse samt undvikande av mjölkersättning i de fall där medicinsk indikation för detta saknas.
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SAKAMOTO, JUNICHI, HIDEKI KASUYA, YOSHITOKU YOSHIDA, et al. "THE IMPACT OF MATERNAL OBESITY ON MOTHER AND NEONATAL HEALTH: STUDY IN A TERTIARY HOSPITAL OF ASTANA, KAZAKHSTAN." Nagoya University School of Medicine, 2012. http://hdl.handle.net/2237/16025.
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Davis, Leigh Margaret. "Factors influencing interaction between a mother and her premature infant." Thesis, Queensland University of Technology, 2003. https://eprints.qut.edu.au/15826/1/Leigh_Davis_Thesis.pdf.
Full textAbstract:
Significant relationships have been identified between elements of early parent-infant interactions and later skills or qualities in the child. Generally speaking, sensitive and responsive interactions between a mother and infant during the first year of life tend to be linked with improved child developmental outcomes (Barnard, 1996; Wyly, 1997). Research has examined the influence of infant and family risk factors on parent-infant interaction. Family risk factors including maternal depression can reduce a mother's sensitivity and responsiveness to her infant. Evidence is mounting that mothers of preterm infants experience higher rates of depression than mothers of fullterm infants (e.g. Miles et al., 1999). Although all infants may be vulnerable to the effects of maternal depression, the premature infant is at greater risk due to his/her decreased responsiveness and increased need for appropriate stimulation (Field, 1995).
The purpose of this study was to examine maternal reports of depressive symptomatology and associated variables at two time points following a very preterm birth: at one-month postpartum (Phase 1); and 3 months after infant hospital discharge (Phase 2). Observational data were collected at Phase 2 to explore whether maternal depressive symptoms and associated factors influenced maternal-infant interaction.
A two-phase prospective follow-up design involved surveying mothers of very premature infants (&It; 32weeks) who were admitted to a neonatal intensive care unit (NICU). Multiple measurements were collected at Phase 1 and Phase 2. Mother-infant observational data were collected at Phase 2. The subject population comprised all eligible mothers of very premature infants who were admitted to a 60 bed tertiary referral NICU of a major metropolitan hospital (n=62).
Mothers completed a survey at Phase 1 and Phase 2. The questionnaire contained a number of validated instruments measuring depression, stress, social support and coping. Maternal and infant demographic data were collated from the hospital records. Observational data were collected and coded using the Nursing Child Assessment Feeding Scale (Barnard et al., 1989).
Results indicated that 40% of women reported clinically significant depressive symptomatology at one month postpartum. High maternal stress and low maternal education and support from nursing staff were major factors explaining depression scores. At Phase 2, 17% of women continued to report clinically significant depressive symptomatology. Depression at Phase 1 and maternal stress at Phase 2 were important factors explaining Phase 2 depression scores. An exploratory analysis of the relationship between mother-infant interaction and Phase 1 and Phase 2 variables revealed that the mothers' coping strategies, both in hospital and at home, were important factors in explaining mother-infant interaction.
The results support previous findings that many women suffer stress and depressive symptoms after very premature birth. The results indicate that maternal depression, at one month postnatally, can be predictive of maternal depression at three months after infant hospital discharge and that very premature infants are less responsive interactive partners. These findings highlight possible parenting difficulties particularly during the first year.
This study has contributed to family centered research by highlighting the importance of early postnatal experiences to the longer-term psychological health of mothers and to the mother-infant relationship. Screening mothers of very premature infants for postpartum depression will enable early identification of symptoms and appropriate referral for treatment.
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Davis, Leigh Margaret. "Factors Influencing Interaction Between a Mother and Her Premature Infant." Queensland University of Technology, 2003. http://eprints.qut.edu.au/15826/.
Full textAbstract:
Significant relationships have been identified between elements of early parent-infant interactions and later skills or qualities in the child. Generally speaking, sensitive and responsive interactions between a mother and infant during the first year of life tend to be linked with improved child developmental outcomes (Barnard, 1996; Wyly, 1997). Research has examined the influence of infant and family risk factors on parent-infant interaction. Family risk factors including maternal depression can reduce a mother's sensitivity and responsiveness to her infant. Evidence is mounting that mothers of preterm infants experience higher rates of depression than mothers of fullterm infants (e.g. Miles et al., 1999). Although all infants may be vulnerable to the effects of maternal depression, the premature infant is at greater risk due to his/her decreased responsiveness and increased need for appropriate stimulation (Field, 1995). The purpose of this study was to examine maternal reports of depressive symptomatology and associated variables at two time points following a very preterm birth: at one-month postpartum (Phase 1); and 3 months after infant hospital discharge (Phase 2). Observational data were collected at Phase 2 to explore whether maternal depressive symptoms and associated factors influenced maternal-infant interaction. A two-phase prospective follow-up design involved surveying mothers of very premature infants (&It; 32weeks) who were admitted to a neonatal intensive care unit (NICU). Multiple measurements were collected at Phase 1 and Phase 2. Mother-infant observational data were collected at Phase 2. The subject population comprised all eligible mothers of very premature infants who were admitted to a 60 bed tertiary referral NICU of a major metropolitan hospital (n=62). Mothers completed a survey at Phase 1 and Phase 2. The questionnaire contained a number of validated instruments measuring depression, stress, social support and coping. Maternal and infant demographic data were collated from the hospital records. Observational data were collected and coded using the Nursing Child Assessment Feeding Scale (Barnard et al., 1989). Results indicated that 40% of women reported clinically significant depressive symptomatology at one month postpartum. High maternal stress and low maternal education and support from nursing staff were major factors explaining depression scores. At Phase 2, 17% of women continued to report clinically significant depressive symptomatology. Depression at Phase 1 and maternal stress at Phase 2 were important factors explaining Phase 2 depression scores. An exploratory analysis of the relationship between mother-infant interaction and Phase 1 and Phase 2 variables revealed that the mothers' coping strategies, both in hospital and at home, were important factors in explaining mother-infant interaction. The results support previous findings that many women suffer stress and depressive symptoms after very premature birth. The results indicate that maternal depression, at one month postnatally, can be predictive of maternal depression at three months after infant hospital discharge and that very premature infants are less responsive interactive partners. These findings highlight possible parenting difficulties particularly during the first year. This study has contributed to family centered research by highlighting the importance of early postnatal experiences to the longer-term psychological health of mothers and to the mother-infant relationship. Screening mothers of very premature infants for postpartum depression will enable early identification of symptoms and appropriate referral for treatment.
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Marinho, Talita Maria Aguiar. "Interações iniciais mãe-bebê: uma comparação entre díades de bebês prematuros e nascidos a termo." Universidade do Estado do Rio de Janeiro, 2013. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=6576.
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O estudo das interações iniciais entre mãe e bebê é fundamental para a compreensão da ontogênese humana (Seidl-de-Moura, et al., 2008) e para ajudar a promover a saúde relacional da díade. Nos estudos sobre as interações inicias entre mãe e bebê prematuro, ainda há um questionamento sobre se o nascimento prematuro e a internação em uma UTI-Neonatal fortalecem ou enfraquecem as trocas entre os membros da díade. Assim, neste estudo observou-se e analisou-se as interações iniciais entre mãe e bebê prematuro na UTI-Neonatal, observou o desenvolvimento das interações ao longo de dois meses, e comparou com interações de um grupo de mães-bebês nascidos a termo, de acordo com categorias predefinidas para a análise de vídeos. Também analisou, através de entrevistas, as características que as mães de cada tipo de díade relataram sobre seus filhos, bem como as metas de desenvolvimento apontadas e as emoções que expressaram em relação ao bebê. Participaram da pesquisa 20 díades mãe-bebê de nascidos a termo, e 20 díades de mãebebê de prematuros, nascidos entre 28 e 36 semanas de idade gestacional. Entre outras evidências, enquanto os bebês estavam na UTI-Neonatal, foram encontradas associações significativas entre as características maternas e as do bebê. Após a alta hospitalar, houve associações significativas entre a sincronia da díade e os comportamentos dos bebês. Não houve diferenças significativas entre as características de interações quando a díade estava na UTI-Neonatal e após dois meses. Não foram observadas diferenças significativas entre as díades de mães-bebês prematuros e mães-bebês a termo em relação à sincronia da díade, nem tampouco entre os comportamentos maternos nos dois momentos de observação, mas uma diferença significativa foi encontrada entre os comportamentos autorregulatórios dos bebês nascidos a termo e os dos prematuros. Verificou-se que para os dois grupos de mães, as emoções mais frequentemente relatadas foram as de amor e apego. As metas de desenvolvimento mais apontadas enquanto as mães estavam com seu bebê na UTI-Neonatal foram voltadas para o desenvolvimento físico do bebê, e quando os bebês estavam com dois meses, as metas eram mais voltadas para o desenvolvimento emocional, da mesma forma como ocorreu com as mães de bebês a termo. As características mais apontadas pelas mães ao pensarem em seus bebês enquanto eles estavam na UTI-Neonatal foram as físicas, enquanto após a alta, foram as pessoais e emocionais, assim como ocorreu com as mães de bebês nascidos a termo. Os resultados se contrapõem a afirmações de que em episódios de interação as mães de prematuros são menos sensitivas, mais intrusivas, e seus bebês, menos atentos e responsivos. Apontaram, ao contrário, para uma certa continuidade entre o que se observou na UTI-Neonatal e aos dois meses. Também não foram identificadas diferenças significativas na maioria das características de interações entre mães e bebês prematuros e mães e bebês nascidos a termo. Assim, tais resultados suavizam possíveis estigmatizações sobre estas mães e apontam a importância de se fortalecer essa relação na UTI-Neonatal através de estratégias de promoção de saúde.<br>The study of early interactions between mother and baby is fundamental to understanding human ontogeny (Seidl-de-Moura, et al., 2008) and to help promote the health of the relational dyad. In initial studies on the interactions between mothers and premature infants, there is still a question about whether premature birth and hospitalization in a neonatal intensive care unit strengthen or weaken the exchanges between members of the dyad. Thus, in this study we observed and analyzed the initial interactions between mother and premature baby in the neonatal intensive care unit, noted the development of interactions over two months, and compared with interactions of a group of mothers-term infants, according to predefined categories for the analysis of videos. Also examined, through interviews, features that mothers of each type of dyad reported on their children, as well as the development goals outlined and the emotions expressed in relation to the baby. Participants were 20 mother-infant dyads of term infants, and 20 mother-infant dyads in premature babies, born between 28 and 36 weeks gestational age. Among other evidence, while the babies were in the neonatal intensive care unit, significant associations were found between maternal characteristics and the baby. After hospital discharge, there were significant associations between dyadic synchrony and behavior of babies. There were no significant differences between the characteristics of interactions when the dyad was in the neonatal intensive care unit and after two months. There were no significant differences between dyads of mothers-term infants and mothers-preterm infants at term in relation to the timing of the dyad, nor between maternal behaviors in the two periods of observation, but a significant difference was found between the behaviors of autorregulatory in infants born at term and preterm infants. It was found that for both groups of mothers, the emotions most frequently reported were those of love and attachment. The goals of developing more pointed while mothers were with their baby in the neonatal intensive care unit were focused on the physical development of the infant, and when the infants were two months, the goals were more focused on emotional development, just as occurred with mothers of term infants. The characteristics most cited by the mothers think about their babies while they were in the neonatal intensive care unit were physical while after discharge, were the personal and emotional, as did mothers of term infants. The findings go against the claims that episodes of interaction in mothers of preterm infants are less sensitive, more intrusive, and their babies, less attentive and responsive. They pointed instead to a certain continuity between what was observed in the neonatal intensive care unit and two months. There were also no significant differences in most characteristics of interactions between mothers and premature babies and mothers and term infants. Thus, these results understate possible stigmatization on these mothers and indicate the importance of strengthening this relationship in the neonatal intensive care unit through health promotion strategies.
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Holness, Nola A. "The Effects of Resilience and Social Influences on Preventing Repeat Adolescent Pregnancies in Parenting Adolescent Mothers." FIU Digital Commons, 2014. http://digitalcommons.fiu.edu/etd/1120.
Full textAbstract:
Every year, 16 million women aged 15 to 19 years give birth globally. Adolescent births account for 11% of all births globally and 23% of the overall burden of disability and diseases due to pregnancy and childbirth. In the United States, 750,000 adolescents (15-19 years) become pregnant each year, making the United States the developed country with the highest rates of adolescent pregnancy. The economic burden of adolescent pregnancy in the U. S. is $7-15 billion per year.
Adolescent pregnancy brings risks associated with pregnancy induced hypertension, preterm infants, maternal and neonatal mortality. Social factors include poverty, low educational levels, alcohol, and drug use. Between 30-50% of adolescent mothers who have a first birth before age 18 years will have a second child within 12 to 24 months. Subsequent adolescent pregnancies compound fetal and maternal risks. Many vulnerable adolescent mothers succumb to external pressures and have a repeat adolescent pregnancy while others are able to overcome the challenges of an adolescent pregnancy and prevent a repeat adolescent pregnancy.
This cross sectional survey designed study investigated the effects of resilience and social influences on contraceptive use or abstinence by Black and Hispanic adolescent parenting mothers to prevent a repeat adolescent pregnancy. 140 adolescent mothers were recruited from three postpartum units of a tertiary hospital system in Miami, Florida. The Wagnild and Young Resilience Scale and the Adolescent Social Influence Scale were used to measure resilience and social influences, respectively. Demographic data, length of labor, plan for contraceptive use or
abstinence were measured by an investigator developed instrument.
Point biserial correlation showed a significant positive correlation between Black adolescent mothers’ resilience and contraceptive use (r =.366, p2(11, N=133) = 27.08, p =.004. (OR = .28). These results indicate a need for interventional strategies to maximize resilience in parenting adolescents to prevent a repeat adolescent pregnancy.