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Cassibba R, Balenzano C, Silletti F, Coppola G, Costantini A, Giorgio S, Taurino A, Cheah CSL, Musso P. The Placement of Children in Need of Out-of-Home Care: Forms of Care and Differences in Attachment Security and Behavioral Problems in the Italian Context. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:7111. [PMID: 38063541 PMCID: PMC10706020 DOI: 10.3390/ijerph20237111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 11/12/2023] [Accepted: 11/20/2023] [Indexed: 12/18/2023]
Abstract
The current paper investigated differences in secure attachment levels and behavioral problems among four groups of children in out-of-home care in Italy: closed adoption (child and birth parents not in contact following adoption), open adoption (child and birth parents still in contact after placement), foster care (child living temporarily with relatives or unrelated foster parents) and institutional care (child in residential care for large groups of children). One hundred and thirty children aged 10-19 were included in this study. The Attachment Interview for Childhood and Adolescence and the Achenbach Youth Self-Report were employed to measure participants' secure attachment levels and behavioral problems. Both a multivariate analysis of covariance and measured variable path analysis were performed. Age, gender and time elapsed between the request for child protection and placement on out-of-home care were used as covariates. The results showed that adolescents in closed adoption had higher secure attachment scores than those in foster care and institutional care, while adolescents in open adoption scored significantly higher on problem behaviors than those in the other out-of-home care groups. Findings were discussed in terms of limitations and implications for future research.
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Affiliation(s)
- Rosalinda Cassibba
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
| | - Caterina Balenzano
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
- Department of Political Sciences, University of Bari Aldo Moro, 70122 Bari, Italy
| | - Fabiola Silletti
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
| | - Gabrielle Coppola
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
| | - Alessandro Costantini
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
- Department of Political Sciences, University of Bari Aldo Moro, 70122 Bari, Italy
| | - Stefania Giorgio
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
| | - Alessandro Taurino
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
| | - Charissa S. L. Cheah
- Department of Psychology, University of Maryland, Baltimore County, Baltimore, MD 21250, USA;
| | - Pasquale Musso
- Department of Educational Sciences, Psychology, Communication, University of Bari Aldo Moro, 70122 Bari, Italy; (F.S.); (G.C.); (S.G.); (A.T.); (P.M.)
- Interdepartmental Training and Research Centre for Care and Protection of Children and Families, University of Bari Aldo Moro, 70122 Bari, Italy; (C.B.); (A.C.)
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Kostilainen K, Partanen E, Mikkola K, Wikström V, Pakarinen S, Fellman V, Huotilainen M. Repeated Parental Singing During Kangaroo Care Improved Neural Processing of Speech Sound Changes in Preterm Infants at Term Age. Front Neurosci 2021; 15:686027. [PMID: 34539329 PMCID: PMC8446605 DOI: 10.3389/fnins.2021.686027] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2021] [Accepted: 07/20/2021] [Indexed: 11/13/2022] Open
Abstract
Preterm birth carries a risk for adverse neurodevelopment. Cognitive dysfunctions, such as language disorders may manifest as atypical sound discrimination already in early infancy. As infant-directed singing has been shown to enhance language acquisition in infants, we examined whether parental singing during skin-to-skin care (kangaroo care) improves speech sound discrimination in preterm infants. Forty-five preterm infants born between 26 and 33 gestational weeks (GW) and their parents participated in this cluster-randomized controlled trial (ClinicalTrials ID IRB00003181SK). In both groups, parents conducted kangaroo care during 33-40 GW. In the singing intervention group (n = 24), a certified music therapist guided parents to sing or hum during daily kangaroo care. In the control group (n = 21), parents conducted standard kangaroo care and were not instructed to use their voices. Parents in both groups reported the duration of daily intervention. Auditory event-related potentials were recorded with electroencephalogram at term age using a multi-feature paradigm consisting of phonetic and emotional speech sound changes and a one-deviant oddball paradigm with pure tones. In the multi-feature paradigm, prominent mismatch responses (MMR) were elicited to the emotional sounds and many of the phonetic deviants in the singing intervention group and in the control group to some of the emotional and phonetic deviants. A group difference was found as the MMRs were larger in the singing intervention group, mainly due to larger MMRs being elicited to the emotional sounds, especially in females. The overall duration of the singing intervention (range 15-63 days) was positively associated with the MMR amplitudes for both phonetic and emotional stimuli in both sexes, unlike the daily singing time (range 8-120 min/day). In the oddball paradigm, MMRs for the non-speech sounds were elicited in both groups and no group differences nor connections between the singing time and the response amplitudes were found. These results imply that repeated parental singing during kangaroo care improved auditory discrimination of phonetic and emotional speech sounds in preterm infants at term age. Regular singing routines can be recommended for parents to promote the development of the auditory system and auditory processing of speech sounds in preterm infants.
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Affiliation(s)
- Kaisamari Kostilainen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Eino Partanen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Kaija Mikkola
- New Children's Hospital, Pediatric Research Center, Neonatology, Department of Pediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Valtteri Wikström
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Satu Pakarinen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Vineta Fellman
- Pediatrics, Department of Clinical Sciences, Lund University, Lund, Sweden.,Children's Hospital, University of Helsinki, Helsinki, Finland
| | - Minna Huotilainen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland.,CICERO Learning Network, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
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Kostilainen K, Mikkola K, Erkkilä J, Huotilainen M. Effects of maternal singing during kangaroo care on maternal anxiety, wellbeing, and mother-infant relationship after preterm birth: a mixed methods study. NORDIC JOURNAL OF MUSIC THERAPY 2020. [DOI: 10.1080/08098131.2020.1837210] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Kaisamari Kostilainen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Kaija Mikkola
- Children’s Hospital, Jorvi Hospital, Department of Pediatrics and Neonatology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland
| | - Jaakko Erkkilä
- Department of Music, Art and Culture Studies, Faculty of Humanities and Social Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Minna Huotilainen
- Cognitive Brain Research Unit, Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
- CICERO Learning Network, Faculty of Educational Sciences, University of Helsinki, Helsinki, Finland
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Mind-Mindedness and Parenting Stress: A Cross-Sectional Study in a Cohort of Mothers of 3-Month-Old Full-Term and Preterm Infants. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17217735. [PMID: 33105872 PMCID: PMC7660160 DOI: 10.3390/ijerph17217735] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/22/2020] [Revised: 10/17/2020] [Accepted: 10/19/2020] [Indexed: 12/11/2022]
Abstract
The preterm birth of a child is a sudden event that can disturb the overall family system and its functioning. Many studies have been conducted with the aim of exploring how and the degree to which this event affects the early mother–infant dyadic relationship and maternal well-being, with often mixed findings. The present study investigates the combined effect of preterm birth and parenting stress on mind-mindedness, a parenting dimension that captures how parents represent and treat their children as separate individuals with their own mental states and activities. A hundred and ten mothers and their three-month-old infants (preterm = 54; full-term = 56) participated in the study. Mind-mindedness was assessed by coding mothers’ comments about infant’s mental states during dyadic face-to-face interaction. Parenting stress was evaluated with the Parenting Stress Index Short Form questionnaire. Mothers of preterm infants reported similar levels of appropriate and non-attuned mind-related comments to mothers of full-term infants. The reported parenting stress levels were also comparable. Interestingly, only mothers of preterm infants who reported higher stress in parenting showed more non-attuned comments during the interaction. The results underline the need to address preterm birth as a complex event, going beyond group differences and considering its interplay with other risk or protective factors in shaping children’s and parents’ adjustments and well-being.
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An Observational Study on Early Dyadic Interactive Behaviors of Mothers With Early-Preterm, Late-Preterm, and Full-Term Infants in Malawi. Adv Neonatal Care 2020; 20:90-99. [PMID: 31764211 DOI: 10.1097/anc.0000000000000673] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Mother-infant interactions are necessary for infant growth and development. However, preterm birth is associated with less positive mother-infant interactions than full-term birth. Malawi has the highest preterm birth rate in the world, but studies of the mother-infant relationship in Malawi are limited and studies that observed mother-infant interactions could not be located. PURPOSE This study explored mother-infant interactions among Malawian mothers of early-preterm, late-preterm, and full-term infants. METHODS This observational study explored maternal and infant interactive behaviors. We recruited 83 mother-infant dyads (27 early-preterm, 29 late-preterm, and 27 full-term dyads). FINDINGS Mothers of early-preterm infants looked at and rocked their infants less, and their infants looked at their mothers less, than mothers of either late-preterm infants or full-term infants. The infants in all groups were asleep most of the time, which contributed to low levels of interactive behaviors. Factors that were related to infant behaviors included marital status, maternal occupation, maternal education, infant medical complications, infant gender, history of neonatal deaths, and multiple births. IMPLICATIONS FOR PRACTICE Our findings provide evidence about the need to encourage mothers to engage interactive behaviors with their infants. IMPLICATIONS FOR RESEARCH Future studies of factors that contribute to positive interactions in Malawi are needed.
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Lomotey AY, Bam V, Diji AK, Asante E, Asante HB, Osei J. Experiences of mothers with preterm babies at a Mother and Baby Unit of a tertiary hospital: A descriptive phenomenological study. Nurs Open 2020; 7:150-159. [PMID: 31871698 PMCID: PMC6917974 DOI: 10.1002/nop2.373] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 08/10/2019] [Accepted: 08/22/2019] [Indexed: 11/08/2022] Open
Abstract
Aim To describe the lived experiences of mothers with preterm babies at a Mother and Baby Unit (MBU) of a tertiary hospital. Design A descriptive phenomenological approach. Method Ten mothers were purposively sampled during the month of May, 2017 to describe their experiences of having preterm babies. Recorded in-depth individual interviews were transcribed verbatim; codes were generated and inductively organised into themes. Results Four themes were actively generated: 'Emotional experiences of mothers', 'Mother-baby interaction', 'Perception on care and support' and 'Challenges within Mother and Baby Unit environment'. Mothers were anxious about the premature delivery and were afraid of possible infant's death. They cherished interactions with their babies during kangaroo mother care and breastfeeding. Mothers applauded the nurses for their professional competence. They expressed concerns about inadequate accommodation, high cost of care, the frequency and duration of mother-baby interactions.
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Affiliation(s)
| | - Victoria Bam
- Department of NursingP. M. B., U. P. O.KNUST‐KumasiGhana
| | | | - Ernest Asante
- Department of NursingP. M. B., U. P. O.KNUST‐KumasiGhana
| | | | - Joyce Osei
- Department of NursingP. M. B., U. P. O.KNUST‐KumasiGhana
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Stefana A, Lavelli M, Rossi G, Beebe B. Interactive sequences between fathers and preterm infants in the neonatal intensive care unit. Early Hum Dev 2019; 140:104888. [PMID: 31670161 DOI: 10.1016/j.earlhumdev.2019.104888] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/25/2019] [Revised: 09/15/2019] [Accepted: 09/17/2019] [Indexed: 10/25/2022]
Abstract
AIMS The first purpose of the study was to examine fathers' spontaneous communicative behavior with their preterm infants in the neonatal intensive care unit, and how father's and infant's behaviors affected each other. The second purpose was to examine any possible association between the fathers' and/or infants' characteristics and the quality of fathers' behaviors with their infants. STUDY DESIGN/SUBJECTS/OUTCOME MEASURES Father-preterm infant dyads (n=20) were assessed at 34-36 weeks postmenstrual age, during a spontaneous face-to-face communication with the infant placed in a heated cot in the NICU, and coded according to the Parent-Preterm Infant Coding System. RESULTS The presence of the father's Affiliative Behavior increased the occurrences of infant Gazing at the parent's face. In turn, infant gazing increased the occurrence of paternal Affiliative Behavior. The likelihood of infant's Gazing at the father's face was also significantly elicited by infrequent occurrences of paternal Affectionate Talk, co-occurring with Gazing at infant with Positive Facial Affect (but no Touch). With regard to the predictors of quality in father-infant interactions, we found a significant positive correlation between fathers' level of depressive symptomatology and fathers' Affiliative Behavior. CONCLUSION Our results show the of bidirectional sequential patterns of communication between fathers and preterm infants at 35 weeks postmenstrual age, and provide important information about the quality and modalities of paternal communication and their influence on infant behavioral states. From a clinical perspective, these results suggest that father-specific interventions designed to improve and sustain fathers' positive engagement with infants in the NICU should be pursued.
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Affiliation(s)
| | - Manuela Lavelli
- Department of Human Sciences, University of Verona, Lungadige Porta Vittoria 17, 37129 Verona, Italy
| | - Germano Rossi
- Department of Psychology, University of Milan Bicocca, Piazza dell'Ateneo Nuovo 1, 20126 Milano, Italy
| | - Beatrice Beebe
- Department of Psychiatry, New York State Psychiatric Institute, 40 Haven Avenue Unit 78 New York, NY 10032, USA
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Effects of early communication intervention on speech and communication skills of preterm infants in the neonatal intensive care unit (NICU): A systematic review. ACTA ACUST UNITED AC 2019. [DOI: 10.1016/j.jnn.2019.04.004] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Butti N, Montirosso R, Borgatti R, Urgesi C. Maternal sensitivity is associated with configural processing of infant's cues in preterm and full-term mothers. Early Hum Dev 2018; 125:35-45. [PMID: 30199717 DOI: 10.1016/j.earlhumdev.2018.08.018] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2018] [Revised: 08/21/2018] [Accepted: 08/30/2018] [Indexed: 01/08/2023]
Abstract
BACKGROUND Prematurity may affect mother-infant bonding and alter maternal sensitivity to infant's cues. Efficient perception of infants' facial and bodily cues is a crucial aspect of maternal sensitivity and may be challenged by prematurity, as infants' signals may not be easily intelligible. However, it is still unexplored how premature birth impacts the maternal ability to perceive infants' signals. AIMS To investigate whether prematurity influences the perceptual sensitivity of mothers to infants' cues and, in particular, the configural processing of the faces and bodies of familiar and unfamiliar infants. STUDY DESIGN The inversion effect paradigm was used to evaluate the configural vs. detail-based processing of the face and body of own or others' infants. Preterm mothers were compared to full-term mothers with either low or high maternal sensitivity. PARTICIPANTS Forty-three healthy full-term and twenty-one preterm mothers of infants aged about six months. OUTCOME MEASURES Maternal sensitivity during dyadic interaction, gestational age, accuracy and reaction time in a delayed matching-to-sample task of upright vs. inverted body and face stimuli (i.e., inversion effect). RESULTS Preterm mothers were found to be less sensitive than the full-term ones. Higher maternal sensitivity during dyadic interaction was associated with lower inversion effect for unfamiliar as compared to own infants' bodies. However, preterm mothers and full-term mothers with low sensitivity showed comparable inversion effect in perceiving unfamiliar infants' faces or bodies. CONCLUSIONS Preterm birth per se does not directly affect body configural processing, but it may be associated to reduced maternal sensitivity, ultimately leading to a less refined perception of own infant's cues.
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Affiliation(s)
- Niccolò Butti
- Neuropsychiatry and Neurorehabilitation Unit - Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy
| | - Rosario Montirosso
- 0-3 Centre for the at-Risk Infant - Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy.
| | - Renato Borgatti
- Neuropsychiatry and Neurorehabilitation Unit - Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy
| | - Cosimo Urgesi
- Neuropsychiatry and Neurorehabilitation Unit - Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy; Laboratory of Cognitive Neuroscience, Department of Languages and Literatures, Communication, Education and Society, University of Udine and Scientific Institute, IRCCS Eugenio Medea, San Vito al Tagliamento, Pordenone, Italy
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Greater brain response to emotional expressions of their own children in mothers of preterm infants: an fMRI study. J Perinatol 2017; 37:716-722. [PMID: 28151495 DOI: 10.1038/jp.2017.2] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2016] [Revised: 11/18/2016] [Accepted: 01/09/2017] [Indexed: 01/29/2023]
Abstract
OBJECTIVE The birth of a preterm infant and Neonatal Intensive Care Unit hospitalization constitute a potentially traumatic experience for mothers. Although behavioral studies investigated the parenting stress in preterm mothers, no study focused on the underlying neural mechanisms. We examined the effect of preterm births in mothers, by comparing brain activation in mothers of preterm and full-term infants. STUDY DESIGN We used functional magnetic resonance imaging to measure the cerebral response of 10 first-time mothers of preterm infants (gestational age <32 weeks and/or birth weight <1500) and 11 mothers of full-term infants, viewing happy-, neutral- and distress-face images of their own infant, along with a matched unknown infant. RESULTS While viewing own infant's face preterm mothers showed increased activation in emotional processing area (i.e., inferior frontal gyrus) and social cognition (i.e., supramarginal gyrus) and affiliative behavior (i.e., insula). CONCLUSION Differential brain activation patterns in mothers appears to be a function of the atypical parenthood transition related to prematurity.
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Steyn E, Poggenpoel M, Myburgh C. Lived experiences of parents of premature babies in the intensive care unit in a private hospital in Johannesburg, South Africa. Curationis 2017; 40:e1-e8. [PMID: 28281766 PMCID: PMC6091584 DOI: 10.4102/curationis.v40i1.1698] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2016] [Revised: 08/10/2016] [Accepted: 08/10/2016] [Indexed: 11/23/2022] Open
Abstract
Background Many of the 15 million premature babies born worldwide every year survive because of advanced medical interventions. Their parents have intense experiences when their babies are in the intensive care unit (ICU), and these have an impact on their thoughts, feelings and relationships, including their relationships with their premature babies. Objectives The aim of the study was to explore and describe the lived experiences of parents of premature babies in an ICU. Method Research design was qualitative, exploratory, descriptive and contextual. A purposive sample of parents with premature babies in an ICU in a private hospital in Johannesburg Gauteng in South Africa was used. Eight parents, four mothers and four fathers, married and either Afrikaans or English-speaking, were included in the study. Data were collected by conducting in-depth phenomenological interviews with them and making use of field notes. Trustworthiness was ensured by implementing the strategies of credibility, transferability, dependability and confirmability. Ethical principles such as autonomy, beneficence, non-maleficence and justice were adhered to throughout the research process. Results Thematic analyses were utilised to analyse the data. Two themes in the experiences of parents with premature babies in ICU became apparent. Parents experienced thoughts, emotions and hope while their premature babies were in the ICU as well as challenges in their relationships and these challenges influenced their experiences. Recommendations Mindfulness of intensive care nurses should be facilitated so that intensive care nurses can promote the mental health of parents with premature babies in the ICU. Conclusion Parents with premature babies in the ICU have thoughts and emotional experiences which include hope and they affect parents’ relationships.
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Roque ATF, Carraro TE. [Perceptions about the hospital environment from the perspective of high-risk puerperal women based on Florence Nightingale's theory]. ACTA ACUST UNITED AC 2016; 36:63-9. [PMID: 26735760 DOI: 10.1590/1983-1447.2015.04.51057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2014] [Accepted: 09/30/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE to understand the perceptions of high-risk puerperal women about the hospital environment based on Florence Nightingale's theory. High-risk postpartum period is the period of time when post-partum women care for their babies in the neonatal ICU, and experience high stress levels. METHODS it is a qualitative study with narrative approach based on Florence Nightingale's theory, conducted at a public institution in southern Brazil, from January to March 2010. Seven mothers over 18 years with newborns admitted to the neonatal ICU were the research subjects. RESULTS the contextualization of their narratives, the caring environment in which they experienced this particular stage in their lives, indicates that high-risk puerperal women seek ties and support. CONCLUSIONS the challenge of spending an indefinite period of time in a strange environment, away from home, with their babies under the care of health professionals, while apart from their relatives, highlights the need for nursing care during this stage.
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Affiliation(s)
| | - Telma Elisa Carraro
- Departamento de Enfermagem, Universidade Federal de Santa Catarina, Florianópolis, Santa Catarina, Brasil
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Rossman B, Greene MM, Meier PP. The role of peer support in the development of maternal identity for "NICU Moms". J Obstet Gynecol Neonatal Nurs 2015; 44:3-16. [PMID: 25580732 DOI: 10.1111/1552-6909.12527] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To examine first-time neonatal intensive care unit (NICU) mothers' perceptions of the initial effect and stress of their birth experiences and hospitalizations of their infants and what facilitated or hindered the development of their maternal roles within the context of the NICU. DESIGN A qualitative descriptive design. SETTING A 57-bed, tertiary NICU in Chicago. PARTICIPANTS Twenty-three mothers of very low birth weight (VLBW) infants hospitalized in the NICU. METHODS Participants were a subset of a larger longitudinal mixed-method study of psychological distress in 69 mothers of VLBW infants. Mothers were interviewed using an adaptation of the Clinical Interview for Parents of High-Risk Infants (CLIP) approximately 6 weeks after the births of their infants. Data were analyzed using conventional content analysis. RESULTS Mothers characterized the infants' births and hospitalizations as a time of overwhelming change culminating in a new perspective on life. Primary themes were loss, stress and anxiety, adapting, resilience, peer support, and "I'm a NICU Mom." Mothers rated peer support as the most facilitative and supportive aspect of developing the maternal role in the NICU. CONCLUSION Peer support and role modeling by NICU-based breastfeeding peer counselors helped the mothers throughout every stage of their infants' hospitalizations, from giving them hope, to helping them begin to develop maternal identity, to providing anticipatory guidance about taking their infants home. Talking points are provided for nurses who work in NICUs without dedicated peer support to help mothers establish a healthy mother/infant relationship.
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Carmona EV, Vale IND, Ohara CVDS, Abrão ACFDV. Percepção materna quanto aos filhos recém-nascidos hospitalizados. Rev Bras Enferm 2014; 67:788-93. [DOI: 10.1590/0034-7167.2014670517] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2013] [Accepted: 08/06/2014] [Indexed: 11/21/2022] Open
Abstract
Estudo transversal e descritivo, desenvolvido em unidade neonatal de um hospital público de ensino do estado de São Paulo, Brasil, em que se objetivou verificar a percepção das mães quanto aos filhos recém-nascidos hospitalizados. A amostra foi constituída por 100 mulheres, questionadas, por meio do Inventário de Percepção Neonatal de Broussard, sobre quanta dificuldade esperavam que os bebês da unidade, em geral, apresentassem para comportamentos como: chorar; alimentar; regurgitar ou vomitar; evacuar; dormir e estabelecer uma rotina. Em seguida, as mesmas perguntas foram repetidas sobre o próprio filho. Noventa mães consideraram os filhos com menos dificuldades que os outros bebês da unidade. As mulheres mais jovens e as mães de bebês com maiores pesos tenderam a considerar seus filhos com mais dificuldade. O Inventário é de fácil aplicação e pode ser útil no processo de avaliação da interação mãe-filho, embora seu resultado não possa ser considerado de forma isolada.
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Carmona EV, Vale IND, Ohara CVDS, Abrão ACFDV. Clinical validation of nursing diagnosis "parental role conflict" in mothers of hospitalized newborns. Int J Nurs Knowl 2013; 24:171-5. [PMID: 23859771 DOI: 10.1111/j.2047-3095.2013.01251.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
OBJECTIVE To clinically validate the nursing diagnosis, parental role conflict, in mothers of hospitalized newborns. METHOD Fehring's Clinical Validation Model was used, focusing on mothers, using a sample of 83. Major defining characteristics have been defined as the main indicators of the presence of a diagnosis, whereas minor are secondary indicators. RESULTS Four minor defining characteristics were identified: (a) "anxiety," (b) "expresses concerns about changes in maternal role," (c) "expresses concerns about family," and (d) "fear." Major defining characteristics did not occur. CONCLUSION Mothers who spent less time with their infants were the ones that presented a major number of defining characteristics; therefore, they should have more opportunities for being with their babies. Other studies on subjective phenomena are needed.
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Coppola G, Cassibba R, Bosco A, Papagna S. In search of social support in the NICU: features, benefits and antecedents of parents' tendency to share with others the premature birth of their baby. J Matern Fetal Neonatal Med 2013; 26:1737-41. [PMID: 23611441 DOI: 10.3109/14767058.2013.798281] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE To investigate social sharing among 40 parents (20 couples) of hospitalized premature newborns, the social network of addressees with whom they shared their experience, the perceived benefits of this activity and the sources of individual differences. METHOD Emotional reaction and attachment status were assessed within 7 days and between 30 and 45 days from birth, respectively. At 3 months of infant's corrected age, parents completed a self-report assessing retrospectively their social sharing. RESULTS Over 80% of the parents felt the need to share the event and actually did within a week; one's own partner was the most preferred addressee. The extent of father's social sharing was mainly related to the newborn's medical risk, while mother's to her own emotional reaction. Guilt and anger were found to lengthen the latency of sharing in mothers and fathers, respectively. Secure attachment status, compared to insecure ones, was found to be the most effective in promoting social sharing. CONCLUSIONS These findings help to understand why parents differ from each other in their use of social support in the NICU; from a practical standpoint, they highlight important factors which require attention when implementing intervention program in the NICU directed to parents of premature newborns.
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Affiliation(s)
- Gabrielle Coppola
- Department of Neuroscience and Imaging, University "G. D'Annunzio" of Chieti-Pescara , Italy and
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Costantini A, Cassibba R, Coppola G, Castoro G. Attachment security and language development in an Italian sample. INTERNATIONAL JOURNAL OF BEHAVIORAL DEVELOPMENT 2011. [DOI: 10.1177/0165025411426682] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
We investigated the influence of biological immaturity and attachment security on linguistic development and tested whether maternal language mediated the impact of security on the child’s linguistic abilities. Forty mother–child dyads were followed longitudinally, with the child’s attachment security assessed at 24 months of age through trained observers’ Attachment Q-Sorts, and linguistic abilities assessed at 24 and 30 months through observational measures and maternal reports. Both factors were found to contribute, though not independently, to the prediction of the child’s linguistic abilities, and the mediation model was confirmed.
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