Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns

Abstract Background Mothers’ reports about pregnancy, maternity and their experiences during the perinatal period have been associated with infants’ later quality of attachment and development. Yet, there has been little research with mothers of very preterm newborns. This study aimed to explore mot...

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Main Authors: Joana L. Gonçalves, Marina Fuertes, Maria João Alves, Sandra Antunes, Ana Rita Almeida, Rute Casimiro, Margarida Santos
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12884-020-02934-8
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author Joana L. Gonçalves
Marina Fuertes
Maria João Alves
Sandra Antunes
Ana Rita Almeida
Rute Casimiro
Margarida Santos
author_facet Joana L. Gonçalves
Marina Fuertes
Maria João Alves
Sandra Antunes
Ana Rita Almeida
Rute Casimiro
Margarida Santos
author_sort Joana L. Gonçalves
collection DOAJ
description Abstract Background Mothers’ reports about pregnancy, maternity and their experiences during the perinatal period have been associated with infants’ later quality of attachment and development. Yet, there has been little research with mothers of very preterm newborns. This study aimed to explore mothers’ experiences related to pregnancy, premature birth, relationship with the newborn, and future perspectives, and to compare them in the context of distinct infants’ at-birth-risk conditions. Methods A semi-structured interview was conducted with women after birth, within the first 72 h of the newborn’s life. A total of 150 women participated and were divided in three groups: (1) 50 mothers of full-term newborns (Gestational Age (GA) ≥ 37 weeks; FT), (2) 50 mothers of preterm newborns (GA 32–36 weeks; PT) and (3) 50 mothers of very preterm newborns (GA < 32 weeks; VPT). Results Mothers of full-term infants responded more often that their children were calm and that they did not expect difficulties in taking care of and providing for the baby. Mothers of preterm newborns although having planned and accepted well the pregnancy (with no mixed or ambivalent feelings about it) and while being optimistic about their competence to take care of the baby, mentioned feeling frightened because of the unexpected occurrence of a premature birth and its associated risks. Mothers of very preterm newborns reported more negative and distressful feelings while showing more difficulties in anticipating the experience of caring for their babies. Conclusion The results indicate that Health Care Systems and Neonatal Care Policy should provide differentiated psychological support and responses to mothers, babies and families, taking into account the newborns’ GA and neonatal risk factors.
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spelling doaj.art-5ce0816876054ec7b1f8d41155598f042022-12-22T01:53:39ZengBMCBMC Pregnancy and Childbirth1471-23932020-05-0120111610.1186/s12884-020-02934-8Maternal pre and perinatal experiences with their full-term, preterm and very preterm newbornsJoana L. Gonçalves0Marina Fuertes1Maria João Alves2Sandra Antunes3Ana Rita Almeida4Rute Casimiro5Margarida Santos6Center for Psychology at University of Porto (CPUP)Center for Psychology at University of Porto (CPUP)Center for Psychology at University of Porto (CPUP)School of Health Technology, Polytechnic Institute of LisbonLisbon School of Education/CIED, Polytechnic Institute of LisbonLisbon School of Education/CIED, Polytechnic Institute of LisbonSchool of Health Technology, Polytechnic Institute of LisbonAbstract Background Mothers’ reports about pregnancy, maternity and their experiences during the perinatal period have been associated with infants’ later quality of attachment and development. Yet, there has been little research with mothers of very preterm newborns. This study aimed to explore mothers’ experiences related to pregnancy, premature birth, relationship with the newborn, and future perspectives, and to compare them in the context of distinct infants’ at-birth-risk conditions. Methods A semi-structured interview was conducted with women after birth, within the first 72 h of the newborn’s life. A total of 150 women participated and were divided in three groups: (1) 50 mothers of full-term newborns (Gestational Age (GA) ≥ 37 weeks; FT), (2) 50 mothers of preterm newborns (GA 32–36 weeks; PT) and (3) 50 mothers of very preterm newborns (GA < 32 weeks; VPT). Results Mothers of full-term infants responded more often that their children were calm and that they did not expect difficulties in taking care of and providing for the baby. Mothers of preterm newborns although having planned and accepted well the pregnancy (with no mixed or ambivalent feelings about it) and while being optimistic about their competence to take care of the baby, mentioned feeling frightened because of the unexpected occurrence of a premature birth and its associated risks. Mothers of very preterm newborns reported more negative and distressful feelings while showing more difficulties in anticipating the experience of caring for their babies. Conclusion The results indicate that Health Care Systems and Neonatal Care Policy should provide differentiated psychological support and responses to mothers, babies and families, taking into account the newborns’ GA and neonatal risk factors.http://link.springer.com/article/10.1186/s12884-020-02934-8Maternal representationsPrematurityPregnancyBirthPostpartum
spellingShingle Joana L. Gonçalves
Marina Fuertes
Maria João Alves
Sandra Antunes
Ana Rita Almeida
Rute Casimiro
Margarida Santos
Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
BMC Pregnancy and Childbirth
Maternal representations
Prematurity
Pregnancy
Birth
Postpartum
title Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
title_full Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
title_fullStr Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
title_full_unstemmed Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
title_short Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns
title_sort maternal pre and perinatal experiences with their full term preterm and very preterm newborns
topic Maternal representations
Prematurity
Pregnancy
Birth
Postpartum
url http://link.springer.com/article/10.1186/s12884-020-02934-8
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