medigraphic.com
SPANISH

Revista Cubana de Obstetricia y Ginecología

ISSN 1561-3062 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2018, Number 2

<< Back Next >>

Revista Cubana de Obstetricia y Ginecología 2018; 44 (2)

Stress in mothers of newborns admitted to the intensive care unit

Campo GA, Amador MR, Alonso URM, Ballester LI
Full text How to cite this article

Language: Spanish
References: 25
Page: 1-11
PDF size: 333.55 Kb.


Key words:

newborns, mothers, stress.

ABSTRACT

Introduction: The hospitalization of a newborn in a neonatal intensive care unit is a stressful event for the family.
Objective: To assess the level of stress reported by mothers and the relationship with sociodemographic and clinical variables, in relation to various stressors.
Methods: A descriptive and longitudinal study was conducted in mothers of 58 critical newborns admitted to neonatal intensive care at Guanabacoa Hospital Gynecobstetric from January 2016 to December 2017. The parental stress scale was applied. It had four subscales: sights and sounds, baby appearance and behavior, relationship with the baby and parental role, and relationship with the staff.
Results: The average age was 24 years, pre-university education level in 50% of cases. Multiparous with eutocic delivery was present in 62.07%, preterm in 74.14% and 50% underweight. The most frequent cause of admission was respiratory distress, 41.38% required non-invasive mechanical ventilation. The average hospital stay was 7 days. The subscales that yielded the highest scores of stress were relationship with the baby and parental role, and appearance and behavior of the baby.
Conclusions: The stress generating elements in the mothers studied were identified with the application of the parental stress scale. This encourages promoting cognitive, emotional and behavioral practices, stimulation techniques and basic care to help parents cope better with hospitalization.


REFERENCES

  1. Palma E, Von Wussow F, Morales I, Cifuentes J, Ambiado S. Stress in parents of hospitalized newborns in a neonatal intensive care unit. Rev Chil Pediatr. [Internet]. 2017[citado diciembre 2017];88(3):27-33. Disponible en: http://dx.doi.org/10.4067/S0370-41062017000300004

  2. Davis D, Stein MT. Intensive Parenting. Surviving the emotional journey through the NICU. [Internet]. 2013[revisado enero 2018]. Disponible en: https://www.amazon.com/Intensive-Parenting-Surviving-EmotionalJourney/dp/1555917445

  3. Sanguesa P, Farkas C, Rochet P. The relationship between maternal representations and interactive behaviour with the mother's emotional state, perceived social support and the infant's risk level in a group of premature babies. Estud Psicol. 2014[citado diciembre 2017];35:80-103. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0370-41062017000300004

  4. Hynan MT, Mounts KO, Vanderbilt DL. Screening parents of high-risk infants for emotional distress: rationale and recommendations. J Perinatol. 2013[citado noviembre 2017];12:6. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S037041062017000300004&lng=en&tlng=en

  5. Carter JD, Mulder RT, Darlow BA. Parental Stress in the NICU: the influence of personality, psychological, pregnancy and family factors. Personality and mental health. 2007[citado diciembre 2017];1:40-50. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1002/pmh.4

  6. Shaw R, St John N, Lilo E. Prevention of traumatic stress in mothers with preterm infants: a randomized controlled trial. Pediatrics. 2013;132:886-94. [revisado diciembre 2017]. Disponible en: www.pediatrics.aappublications.org/content/pediatrics/early/2013/08/28/peds.20131331.full.pdf

  7. Woodward L, Bora S, Clark C. Very preterm birth: maternal experiences of the neonatal intensive care environment. J Perinatol. 2014[citado noviembre 2017];34:555-61. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/24651730

  8. Mounts KO. Screening for maternal depression in the neonatal ICU. Clin Perinatol. 2009[citado enero 2018];36:137-52. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762650/

  9. Miles M, Funk S, Carlson J. Parental Stressor Scale: Neonatal Intensive Care Unit. Nurs Res. 1993[citado diciembre 2017];42:148-52. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/8506163

  10. Wormald F, Tapia JL, Torres G. Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico. Arch Argen Pediatr. 2015[citado diciembre 2017];113:303-9. Disponible en: www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0325-00752015000400005

  11. Montirosso R, Provenzi L, Calciolari G, Borgatti R. Measuring maternal stress and perceived support in 25 Italian NICUs. Acta Paediatrica. 2012[citado diciembre 2017];101:136-42. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/21827551

  12. Matricardi S, Agostino R, Fedeli C, Montirosso R. Mothers are not fathers: differences between parents in the reduction of stress levels after a parental intervention in a NICU. Acta Paediatrica. 2013[citado diciembre 2017];102:8-14. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23072502

  13. Sikorova L, Kucova J. The needs of mothers to newborns hospitalised in intensive care units. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2012;156:330-6. Disponible en: www.biomed.papers.upol.cz/artkey/bio-201204-0006_The_needs_of_mothers_to_newborns_hospitalised_in_intensive_care_units.php

  14. Vasa R, Eldeirawi K, Kuriakose V, Nair J, Newsom C, Bates J. Postpartum Depression in Mothers of Infants in Neonatal Intensive Care Unit: Risk Factors and Management Strategies. Am J Perinatol. 2014[citado diciembre 2017];31:425-34. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S037041062017000300004&lng=en&tlng=en

  15. Caruso A. El estrés en los padres ante el nacimiento y la internación de un bebé nacido prematuro en la unidad de cuidados intensivos neonatales. [Internet].

  16. 2012[citado 24 Abril 2017]:[aprox. 6 p.]. Disponible en: https://www.aacademica.org/000-072/962.pdf

  17. Parra FM, Moncada Z, Oviedo SJ, Marquina M. Estrés en padres de los recién nacidos hospitalizados en la Unidad de Alto Riesgo Neonatal. Index Enferm. 2009[citado diciembre 2017];18(1):1132-296. Disponible en: www.scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1132-12962009000100003

  18. Craig JW, Glick C, Phillips R, Hall SL, Smith J, Brown J. Recomendations for involving the family in developmental care of the NICU baby. J Perinatol. 2015[citado diciembre 2017];35:5-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/26597804

  19. Brown J. Early relationship environments: physiology of skin-to-skin contact for parents and their preterm infants. Clin Perinatol. 2004[citado diciembre 2017]:287-98. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15289033

  20. Shaw R, Ikuta L, Fleisher B. Acute stress disorder among parents of infants in the Neonatal Intensive Care Unit. Psychosomatics. 2006[citado diciembre 2017];47:207-12. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/16684937

  21. Forcada-Guex M, Borghini A, Pierrehumbert B, Ansermet F, Muller-Nix C. Prematurity, maternal posttraumatic stress and consequences on the mother-infant relationship. Early Human Development. 2011[citado diciembre 2017];87:21-6. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/20951514

  22. Hynan MT, Steinberg Z, Baker L. Recommendations for mental health professionals in the NICU. J Perinatol. 2015[citado diciembre 2017];35:14-8. Disponible en: https://www.nature.com/articles/jp2015144

  23. Tahirkheli N, Cherry A, Tackett A, McCaffree MA, Gillaspy S. Postpartum depression on the neonatal intensive care unit: current perspectives. International Journal of Women's Health. 2014[citado diciembre 2017];6:975-87. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247145/

  24. Cherry A, Blucker R, Thornberry T, Hetherington C, McCaffree MA, Gillaspy S. Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned. Journal of Multidisciplinary Healthcare. 2016[citado diciembre 2017];9:59-67. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4762650/

  25. Sánchez LG, Pérez J, Tamariz FE, Delgado M. Seguridad del neonato hospitalizado. Aproximaciones y propuestas. Enfermería Univ. 2012[citado diciembre 2017];9(2): 2736. Disponible en: www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S166570632012000200004




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Obstetricia y Ginecología. 2018;44