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Parents' expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents.
BMC Pediatr. 2013 Feb 01; 13:18.BPed

Abstract

BACKGROUND

During the first weeks of hospitalization, premature babies and their parents encounter difficulties in establishing early bonds and interactions. Only a few studies have explored what caregivers can do to meet parents' needs in relation to these interactions and help optimize them. This study sought to explore parents' perception of these first interactions and to identify the actions of caregivers that help or hinder its development.

METHODS

Prospective study, qualitative discourse analysis of 60 face-to-face interviews conducted with 30 mothers and 30 fathers of infants born before 32 weeks of gestation (mean ± SD: 27 ± 2 weeks of gestational age), during their child's stay in one out of three NICUs in France. Interviews explored parental experience, from before birth up to the first month of life.

RESULTS

Data analysis uncovered two main themes, which were independent of parents' geographical or cultural origin but differed between mothers and fathers. First, fathers described the bond with their child as composed more of words and looks and involving distance, while mothers experienced the bond more physically. Secondly, two aspects of the caregivers' influence were decisive: nurses' caring attitude towards baby and parents, and their communication with parents, which reduced stress and made interactions with the baby possible. This communication appeared to be the locus of a supportive and fulfilling encounter between parents and caregivers that reinforced parents' perception of a developing bond.

CONCLUSIONS

At birth and during the first weeks in the NICU, the creation of a bond between mothers and fathers and their premature baby is rooted in their relationship with the caregivers. Nurses' caring attitude and regular communication adapted to specific needs are perceived by parents as necessary preconditions for parents' interaction and development of a bond with their baby. These results might allow NICU staff to provide better support to parents and facilitate the emergence of a feeling of parenthood.

Authors+Show Affiliations

Réanimation et Pédiatrie Néonatales, Hôpital Robert Debré, APHP, Paris, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23375027

Citation

Guillaume, Sonia, et al. "Parents' Expectations of Staff in the Early Bonding Process With Their Premature Babies in the Intensive Care Setting: a Qualitative Multicenter Study With 60 Parents." BMC Pediatrics, vol. 13, 2013, p. 18.
Guillaume S, Michelin N, Amrani E, et al. Parents' expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents. BMC Pediatr. 2013;13:18.
Guillaume, S., Michelin, N., Amrani, E., Benier, B., Durrmeyer, X., Lescure, S., Bony, C., Danan, C., Baud, O., Jarreau, P. H., Zana-Taïeb, E., & Caeymaex, L. (2013). Parents' expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents. BMC Pediatrics, 13, 18. https://doi.org/10.1186/1471-2431-13-18
Guillaume S, et al. Parents' Expectations of Staff in the Early Bonding Process With Their Premature Babies in the Intensive Care Setting: a Qualitative Multicenter Study With 60 Parents. BMC Pediatr. 2013 Feb 1;13:18. PubMed PMID: 23375027.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Parents' expectations of staff in the early bonding process with their premature babies in the intensive care setting: a qualitative multicenter study with 60 parents. AU - Guillaume,Sonia, AU - Michelin,Natacha, AU - Amrani,Elodie, AU - Benier,Brigitte, AU - Durrmeyer,Xavier, AU - Lescure,Sandra, AU - Bony,Charlotte, AU - Danan,Claude, AU - Baud,Olivier, AU - Jarreau,Pierre-Henri, AU - Zana-Taïeb,Elodie, AU - Caeymaex,Laurence, Y1 - 2013/02/01/ PY - 2012/09/26/received PY - 2013/01/24/accepted PY - 2013/2/5/entrez PY - 2013/2/5/pubmed PY - 2013/6/25/medline SP - 18 EP - 18 JF - BMC pediatrics JO - BMC Pediatr VL - 13 N2 - BACKGROUND: During the first weeks of hospitalization, premature babies and their parents encounter difficulties in establishing early bonds and interactions. Only a few studies have explored what caregivers can do to meet parents' needs in relation to these interactions and help optimize them. This study sought to explore parents' perception of these first interactions and to identify the actions of caregivers that help or hinder its development. METHODS: Prospective study, qualitative discourse analysis of 60 face-to-face interviews conducted with 30 mothers and 30 fathers of infants born before 32 weeks of gestation (mean ± SD: 27 ± 2 weeks of gestational age), during their child's stay in one out of three NICUs in France. Interviews explored parental experience, from before birth up to the first month of life. RESULTS: Data analysis uncovered two main themes, which were independent of parents' geographical or cultural origin but differed between mothers and fathers. First, fathers described the bond with their child as composed more of words and looks and involving distance, while mothers experienced the bond more physically. Secondly, two aspects of the caregivers' influence were decisive: nurses' caring attitude towards baby and parents, and their communication with parents, which reduced stress and made interactions with the baby possible. This communication appeared to be the locus of a supportive and fulfilling encounter between parents and caregivers that reinforced parents' perception of a developing bond. CONCLUSIONS: At birth and during the first weeks in the NICU, the creation of a bond between mothers and fathers and their premature baby is rooted in their relationship with the caregivers. Nurses' caring attitude and regular communication adapted to specific needs are perceived by parents as necessary preconditions for parents' interaction and development of a bond with their baby. These results might allow NICU staff to provide better support to parents and facilitate the emergence of a feeling of parenthood. SN - 1471-2431 UR - https://www.unboundmedicine.com/medline/citation/23375027/Parents'_expectations_of_staff_in_the_early_bonding_process_with_their_premature_babies_in_the_intensive_care_setting:_a_qualitative_multicenter_study_with_60_parents_ L2 - https://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-13-18 DB - PRIME DP - Unbound Medicine ER -