Bonding in neonatal intensive care units: experiences of extremely preterm infants’ mothers

Fernández Medina, Isabel Maria, Granero-Molina, José, Fernández-Sola, Cayetano, Hernández-Padilla, José Manuel, Camacho Ávilae, Marcos and López-Rodríguez, María del Mar (2018) Bonding in neonatal intensive care units: experiences of extremely preterm infants’ mothers. Women and Birth, 31 (4). pp. 325-330. ISSN 1871-5192 (doi:10.1016/j.wombi.2017.11.008)

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Abstract

Background: The birth of an extremely preterm infant can disrupt normal mother–infant physical contact and the care provided by the mother. This situation has an impact on the process of bonding between the mother and the child.

Aim: The objective of this study was to describe and understand the experiences of mothers who have extremely preterm infants admitted in Neonatal Intensive Care Units with regard to their bonding process.

Methods: An interpretive, qualitative research methodology using Gadamer’s philosophical hermeneutics was carried out. A focus groupand eleven in-depth,semi-structured interviews were conducted. Data were collected between June and September of 2016.

Findings: Sixteen women with a mean age of 34.4 years participated in the study. Two themes emerged from the data analysis: (1) premature labour and technological environment, a distorted motherhood, with the subthemes ‘feeling of emptiness and emotional crisis’ and ‘the complexity of the environment and care generate an emotional swing’; (2) learning to be the mother of an extremely preterm infant, with the subthemes “the difficulty of relating to a stranger” and ‘forming the bond in spite of difficulties’.

Conclusions: The bonding with extremely preterm infants is interrupted after giving birth. The maternal emotional state and the environment of the neonatal intensive care unit limit its development. Nursing care can facilitate mother–infant bonding by encouraging communication, participation in care, massaging or breastfeeding.

Item Type: Article
Research Areas: A. > School of Health and Education > Adult, Child and Midwifery
Item ID: 23041
Useful Links:
Depositing User: Jose Hernandez-Padilla
Date Deposited: 28 Nov 2017 12:44
Last Modified: 02 Apr 2019 18:59
URI: https://eprints.mdx.ac.uk/id/eprint/23041

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