Parents under Kangaroo Mother Care Method reluctant to hospital discharge- a thematic analysis
PDF
XML

Keywords

Kangaroo Mother Care Method; parents; education; patient discharge; infant, premature; infant, low birth weight.

How to Cite

Parents under Kangaroo Mother Care Method reluctant to hospital discharge- a thematic analysis. (2022). Universitas Medica, 63(2). https://doi.org/10.11144/Javeriana.umed63-2.kang
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar

Abstract

Introduction: Parents of premature or low birth weight babies in Colombia receive training in the Kangaroo Mother Care (KMC) method from the hospital, to empower themselves in the care of their children and achieve an early discharge. If it is not possible, babies will have a higher risk of infections, a longer separation time from parents and higher costs for hospitalization. Objective: to describe the experiences of kangaroo parents reluctant to hospital discharge in order to identify and modify possible mistakes in the in-hospital KMC adaptation phase. Method: Pilot focus group with 5 kangaroo parents reluctant to graduate. A thematic analysis of the transcription was done. Results: parents experienced feelings of poor empowerment that did not improve with training provided, based on talk and observation; this, together with the perception of the expertise of health personnel, could lead them to think that the best place for their babies is the hospital. At home, repeated and direct exposure to baby care seems to build more confidence. Conclusions: increasing parents' direct exposure to their babies' care before discharge, would improve their hospital experience, their confidence, the quality of care they can provide, and allow them for an early discharge.

PDF
XML

References

Rossel C. K, Carreño T, Maldonado ME. Afectividad en madres de niños prematuros hospitalizados: un mundo desconocido. Rev Chil Pediatr. 2002 Jan;73(1):15–21. https://doi.org/10.4067/S0370-41062002000100004

Ballantyne M, Benzies KM, Trute B. Depressive symptoms among immigrant and Canadian born mothers of preterm infants at neonatal intensive care discharge: a cross sectional study. BMC Pregnancy Childbirth. 2013 Jan;13 Suppl 1(Suppl 1):S11. https://doi.org/10.1186/1471-2393-13-S1-S11

Flacking RR, Lehtonen L, Thomson G, Axelin A, Ahlqvist S, Moran VH, et al. Closeness and separation in neonatal intensive care. Acta Paediatr. 2012 Oct;101(10):1032–7. https://doi.org/10.1111/j.1651-2227.2012.02787.x

Gonya J, Martin E, McClead R, Nelin L, Shepherd E. Empowerment programme for parents of extremely premature infants significantly reduced length of stay and readmission rates. Acta Paediatr. 2014 Jul;103(7):723-31. https://doi.org/10.1111/apa.12669

Peyrovi H, Mosayebi Z, Mohammad-Doost F, Chehrzad M-M, Mehran A. The effect of empowerment program on “perceived readiness for discharge” of mothers of premature infants. J Matern Neonatal Med. 2016;29(5):752–7. https://doi.org/10.3109/14767058.2015.1017461

Gallegos-Martínez J, Reyes-Hernández J, Silvan-Scochi CG. La unidad neonatal y la participación de los padres en el cuidado del prematuro. Perinatol Reprod Hum [Internet]. 2010;24(2):98–108. Available from: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=26093

Wataker H, Meberg A, Nestaas E. Neonatal family care for 24 hours per day: effects on maternal confidence and breast-feeding. J Perinat Neonatal Nurs. 2012;26(4):336–42. https://doi.org/10.1097/JPN.0b013e31826d928b

Liu CH, Chao YH, Huang CM, Wei FC, Chien LY. Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants. J Clin Nurs. 2010;19:1729–37. https://doi.org/10.1111/j.1365-2702.2009.03082.x

Martínez H, Rey E, Navarrete L, Marquette C. Programa Madre Canguro en el Instituto Materno Infantil de Bogotá. Primer Encuentro Internacional del Programa Madre Canguro. Bogotá: UNICEF; 1990.

Charpak N, Ruiz-Peláez JG, Zupan J, Cattaneo A, Figueroa Z, Tessier R, et al. Kangaroo Mother Care: 25 years after. Acta Pædiatra. 2005 Jan;94(5):514–22. https://doi.org/10.1111/j.1651-2227.2005.tb01930.x

Charpak N, Ruiz-Peláez JG, Figueroa de C Z, Charpak Y. A randomized, controlled trial of kangaroo mother care: results of follow-up at 1 year of corrected age. Pediatrics. 2001;108(5):1072–9. https://doi.org/10.1542/peds.108.5.1072

Charpak N, Ruiz-Peláez JG, Figueroa de C Z, Charpak Y. Kangaroo mother versus traditional care for newborn infants =2000 grams: a randomized, controlled trial. Pediatrics. 1997;100(4):682–8. https://doi.org/10.1542/peds.100.4.682

Charpak N, Ruiz-Pelaez JG, Figueroa Z. Influence of feeding patterns and other factors on early somatic growth of healthy, preterm infants in home-based kangaroo mother care: a cohort study. J Pediatr Gastroenterol Nutr. 2005;41(4):430–7. https://doi.org/10.1097/01.mpg.0000177310.86909.52

Lawn JE, Mwansa-Kambafwile J, Horta BL, Barros FC, Cousens S. “Kangaroo mother care” to prevent neonatal deaths due to preterm birth complications. Int J Epidemiol. 2010 Apr;39 Suppl 1(suppl. 1):i144-54.

Método Madre Canguro, experiencia exitosa en atención en salud a la primera infancia [Internet]. Available from: https://www.minsalud.gov.co/salud/Paginas/Primera-infancia-reconocimiento-experiencias-exitosas-materno-infantil.aspx

World Medical Association. World medical association declaration of Helsinki. 2001;79.

Ministerio de Salud de Colombia. Resolución 8430 de 1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [Internet]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF.

Charpak N, Villegas J. Actualización de los lineamientos técnicos para la implementación de Programas Madre Canguro en Colombia, con énfasis en la nutrición del neonato prematuro o de bajo peso al nacer [Internet]. Ministry of Health and Social Protection of Colombia. Bogotá, Colombia; 2017. Available from: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/implementacion-programa-canguro.pdf

Cherry AS, Blucker RT, Thornberry TS, Hetherington C, McCaffree MA, Gillaspy SR, et al. Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned. J Multidiscip Healthc. 2016;9:59–67. https://doi.org/10.2147/JMDH.S91559

Gonçalves JL, Fuertes M, Alves MJ, Antunes S, Almeida AR, Casimiro R, et al. Maternal pre and perinatal experiences with their full-term, preterm and very preterm newborns. BMC Pregnancy Childbirth. 2020;20(1):1–16.

Lewis TP, Andrews KG, Shenberger E, Betancourt TS, Fink G, Pereira S, et al. Caregiving can be costly: a qualitative study of barriers and facilitators to conducting kangaroo mother care in a US tertiary hospital neonatal intensive care unit. BMC Pregnancy Childbirth. 2019;19(1):1–12. https://doi.org/10.1186/s12884-019-2363-y

Boykova M. Transition from hospital to home in parents of preterm infants. J Perinat Neonatal Nurs. 2016;30(4):327–48.

Ionio C, Colombo C, Brazzoduro V, Mascheroni E, Confalonieri E, Castoldi F, et al. Mothers and fathers in NICU: the impact of preterm birth on parental distress. Eur J Psychol. 2016;12(4):604–21. https://doi.org/10.5964/ejop.v12i4.1093

Raines DA, Brustad J. Parent’s confidence as a caregiver. Adv Neonatal Care. 2012;12(3):183–8.

Bry A, Wigert H. Psychosocial support for parents of extremely preterm infants in neonatal intensive care: a qualitative interview study. BMC Psychol. 2019;7(1):1–12. https://doi.org/10.1186/s40359-019-0354-4

Weber A, Harrison TM. Reducing toxic stress in the neonatal intensive care unit to improve infant outcomes. Nurs Outlook. 2019;67(2):169–89. https://doi.org/10.1016/j.outlook.2018.11.00

De Bernardo G, Svelto M, Giordano M, Sordino D, Riccitelli M. Supporting parents in taking care of their infants admitted to a neonatal intensive care unit: A prospective cohort pilot study. Ital J Pediatr. 2017;43(1):1–11. https://doi.org/10.1186/s13052-017-0352-1

Raiskila S, Axelin A, Toome L, Caballero S, Tandberg BS, Montirosso R, et al. Parents’ presence and parent–infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries. Acta Paediatr Int J Paediatr. 2017;106(6):878–88. https://doi.org/10.1111/apa.13798

Sankey JJ, Brennan S. Living with difference: caring for a premature baby at home. Collegian. 2001 Apr;8(2):10–8.

de Souza NL, Pinheiro-Fernandes AC, Clara-Costa IDC, Cruz-Enders B, de Carvalho JBL, da Silva MDLC. Domestic maternal experience with preterm newborn children. Rev Salud Publica (Bogota). 2010 Jun;12(3):356–67. https://doi.org/10.1590/S0124-00642010000300002

Oswalt KL, Mc Clain D, Melnyk BM. Reducing Anxiety among Children Born Preterm and their Young Mothers. Changes. 2012;29(3):997–1003.

Peyrovi H, Mosayebi Z, Mohammad-Doost F, Chehrzad M-M, Mehran A. The effect of empowerment program on “perceived readiness for discharge” of mothers of premature infants. J Matern Fetal Neonatal Med. 2016 Mar;29(5):752–7. https://doi.org/10.3109/14767058.2015.1017461

Kangaroo Mother Care Learning Portal [Internet]. Available from: http://fundacioncanguro.co/KMCT/index.php/en/component/users/?view=registration

Granero-Molina J, Fernández Medina IM, Fernández-Sola C, Hernández-Padilla JM, Jiménez Lasserrotte M del M, López Rodríguez M del M. Experiences of mothers of extremely preterm infants after hospital discharge. J Pediatr Nurs. 2019 Dec 21;45:1–7.

Bowles JD, Jnah AJ, Newberry DM, Hubbard CA, Roberston T. Infants with technology dependence. Adv Neonatal Care. 2016;16(6):424–9.

Raines DA. Preparing for NICU discharge: Mothers concerns. Neonatal Netw. 2013;32(6):399–403. https://doi.org/10.1891/0730-0832.32.6.399

Gehl MB, Alter CC, Rider N, Gunther LG, Russell RB. Improving the efficiency and effectiveness of parent education in the neonatal intensive care unit. Adv Neonatal Care. 2020;20(1):59–67. https://doi.org/10.1097/ANC.0000000000000644

Toivonen M, Lehtonen L, Ahlqvist-Björkroth S, Axelin A. Key factors supporting implementation of a training program for neonatal family- centered care - A qualitative study. BMC Health Serv Res. 2019;19(1):1–10.

Ingram JC, Redshaw M, Manns S, Beasant L, Johnson D, Fleming PJ, et al. “Giving us hope”: Parent and neonatal staff views and expectations of a planned family-centred discharge process (Train-to-Home). BMJ Open. 2017;7(1):1–12. https://doi.org/10.1111/hex.12514

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2022 Adriana del Pilar Montealegre Pomar, Jhon Camacho Sánchez, Aura Domínguez Perilla, Sandra Milena Puentes Sánchez