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

Fernández Medina, Isabel María; Granero-Molina, José; Fernández-Sola, Cayetano; Hernández-Padilla, José Manuel; Camacho Ávila, Marcos; López Rodríguez, María del Mar

doi:10.1016/j.wombi.2017.11.008

Cited by 197Infant Development and Preterm CareInfant Health and DevelopmentMaternal Mental Health During Pregnancy and Postpartum

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

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Fernández Medina, Isabel María, Granero-Molina, José, Fernández-Sola, Cayetano, Hernández-Padilla, José Manuel, Camacho Ávila, Marcos, López Rodríguez, María del Mar·2018·Women and Birth

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 group and 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.

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Authors: Fernández Medina, I. M., Granero-Molina, J., Fernández-Sola, C., Hernández-Padilla, J. M., Camacho Ávila, M., & López Rodríguez, M. D. M.
Venue: Women and Birth
Publisher: Elsevier BV
Published: 2018-08
Volume: 31
Issue: 4
Pages: 325-330
ISSN: 1871-5192 (ISSN-L)
DOI: 10.1016/j.wombi.2017.11.008
OpenAlex: W2768870513
Semantic Scholar: 5aab4a9bbd7c9e9b233b6f00dc2556892966a56b
Cited by: 192
References: 29
Citations by year: 2026: 19 · 2025: 22 · 2024: 35 · 2023: 16 · 2022: 27 · 2021: 35 · 2020: 25 · 2019: 11 · 2018: 2
FWCI: 11.34
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Women and Birth (publishedVersion)
PubMed (publishedVersion)
Middlesex University Research Repository (Middlesex University Of London) (acceptedVersion)
RISalud Institutional Health Repository of Andalucía (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Health Sciences › Health Professions › Pharmacy › Infant Health and Development
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
Keywords: mother-infant bonding, extremely preterm infants, neonatal intensive care unit, maternal experience, premature labour, technological environment, maternal emotional state, nursing care, breastfeeding, skin-to-skin contact
MeSH terms: Adult, Breast Feeding, Emotions, Female, Humans, Infant, Newborn, Infant, Premature, Intensive Care Units, Neonatal, Interviews as Topic, Male, Mother-Child Relations, Mothers, Object Attachment, Pregnancy, Focus Groups, Qualitative Research, Infant, Extremely Premature

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

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