Maternal reactions and feelings towards the hospitalization of the child in a Neonatal Intensive Care Unit: a narrative literature review
DOI:
https://doi.org/10.33448/rsd-v11i8.31527Keywords:
Maternity; Internment; Intensive therapy; Newborn; Family dynamics.Abstract
Introduction: There is an intrinsic social pressure placed on women's lives in relation to motherhood and, therefore, when the gestation period does not end as expected, there is a great impact on the family environment and, especially, on the mother-baby relationship. Objectives: to elucidate the conceptions regarding the feeling of motherhood in the face of the hospitalization of the neonate in intensive care, seeking to establish challenges and learning related to the scope. Methodology: This is a descriptive research of the type narrative review of the literature. The research was carried out through online access to the National Library of Medicine (PubMed MEDLINE), Scientific Electronic Library Online (Scielo), Cochrane Database of Systematic Reviews (CDSR), Google Scholar, Virtual Health Library (BVS) and EBSCO databases. Information Services. Results and discussion: The high complexity of procedures performed in the Intensive Care Unit (NICU) restricts the visiting hours and physical contact so expected by the pregnant woman and, therefore, the hospitalization of a newborn (NB) in the neonatal ICU demands the reorganization of a new routine for the newborn's family. In this way, the family dynamics is altered and arouses several feelings in the puerperal woman, such as anxiety due to early separation, failure, insecurity, concern and decreased or even lack of confidence in the ability to care for her child. This experience lived by the mother can trigger the emergence of depression, anxiety disorders, fatigue and sleep disorders, affecting the family bond. Final considerations: With this, it is noted that the hospitalization of an NB impacts the idealized expectations of the child's birth. Thus, the communication of the hospital's multidisciplinary team with the baby's family is extremely important for the construction of the family's autonomy.
References
Arruda, C. P. et al. (2019). Reações e sentimentos da família frente à internação do recém-nascido na unidade neonatal. REAS/EJCH, 11 (15), 1-9.
Barros, S. M. M., et al. (2007). Maternidade “prematura”: uma investigação psicossociológica na unidade de terapia intensiva neonatal. Psicologia, Saúde e Doenças, 8 (2), 253-269.
Bernadino, F. B. S. et al. (2022). Tendência da mortalidade neonatal no Brasil de 2007 a 2017. Ciência & Saúde Coletiva, 27 (2), 567-578.
Cavalcanti, E. C., et al. (2020). Lesão por pressão relacionada a dispositivo médico em adultos: revisão integrativa. Texto Contexto Enferm., 29 (2), 1-14.
Costa, P. et al. (2018). Nursing diagnoses in primary health care consultations to newborns. Rev Bras Enferm. 71 (6), 2961-2968.
Freitas, K. S., et al. (2012). Conforto na perspectiva de familiares de pessoas internadas em Unidade de Terapia Intensiva. Texto & Contexto-Enfermagem, 221 (4), 896-904.
Gomes, T. R. A., et al. (2020). A relação mãe-bebê prematuro na UTI neonatal: Um olhar Winnicottiano. REAS/EJCH. 12 (2), 1-8.
Guidolin, B. L., et al. (2011). Sintomas depressivos e de ansiedade em mães durante internação pediátrica em um hospital universitário. Revista de psiquiatria do Rio Grande do Sul, 33(2), 80-86.
Hagen, I. H., et al. (2016). Differences and similarities between mothers and fathers of premature children: a qualitative study of parents’ coping experiences in a neonatal intensive care unit. BMC Pediatrics, 16 (92), 1-11.
Kegler, J. J. et al. (2019). Estresse em pais de recém-nascidos em uma Unidade de Terapia Intensiva Neonatal. Esc Anna Nery., 23 (1), 1-6.
Lima, L. G., et al. (2019). A experiência da maternidade diante da internação do bebê em uti: uma montanha russa de sentimentos. Revista Psicologia em Estudo, 24 (8), 1-14.
Luz S. C. L. (2022). Método Canguru: potencialidades, barreiras e dificuldades nos cuidados humanizados ao recém-nascido na UTI Neonatal. Rev Bras Enferm., 75 (2), 1-8.
Morais, A. C., et al. (2020). Práticas de aleitamento materno em unidade de terapia intensiva neonatal. Rev Baiana de Enferm., 34 (7), 1-11.
Reichert, A. P. S., et al. (2007). Humanização do Cuidado da UTI Neonatal. Revista Eletrônica de Enfermagem, 9 (1), 200-213.
Rodrigues, J. I. B., et al. (2020). Preocupações e necessidades dos pais de crianças hospitalizadas. Saúde Soc. São Paulo, 29 (2), 1-14.
Santos, L. F. et al. (2017). Forças que interferem na maternagem em unidade de terapia intensiva neonatal. Texto Contexto Enferm., 26 (3), 1-10.
Silva, E. M. P. et al. (2019). Impacto da implantação da Rede Cegonha nos óbitos neonatais. Rev Enferm UFPE, 13 (5), 1317-1326.
Soares, F. M. P. (2018). Interferências traumáticas da internação na UTI neonatal na capacidade de maternagem: contribuições winnicottianas a partir do conceito de Preocupação Materna Primária. Nat. hum., 20 (2), 71-79.
Veronez, M. (2017). Vivência de mães de bebês prematuros do nascimento a alta: notas de diários de campo. Rev Gaúcha Enferm., 38 (2), 1-8.
Yismaw, A. E., et al. (2018). Proportion and factors of death among preterm neonates admitted in University of Gondar comprehensive specialized hospital neonatal intensive care unit, Northwest Ethiopia. BMC Research Notes, 11 (1), 567-578.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Maria Jacilene de Araújo Gomes; Amanda Silva Pereira; Aurélia Silva Rodrigues; Bárbara Queiroz de Figueiredo; Bruna Cristine Ulhoa Carvalho; Cynthia Moraes Alvim; Eduardo Batista de Carvalho; Sara Rosa Peixoto; Soraya Martins Mendes Vieira; Vivian Lee Neves Borges
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
