Maternal difficulties in home care for newborns

Lediana Dalla  Costa; Kelly Dalorsoletta; Ketlin Margarida Warmling; Marcela Gonçalves Trevisan; Géssica Tuani Teixeira; Jolana Cristina Cavalheiri; Alessandro Rodrigues  Perondi

doi:10.15253/2175-6783.20202144194

Authors

Lediana Dalla Costa Universidade Paranaense http://orcid.org/0000-0002-9114-3669
Kelly Dalorsoletta Universidade Paranaense http://orcid.org/0000-0003-0353-3286
Ketlin Margarida Warmling Universidade Paranaense http://orcid.org/0000-0001-5801-3179
Marcela Gonçalves Trevisan Universidade Paranaense http://orcid.org/0000-0002-1703-7200
Géssica Tuani Teixeira Universidade Paranaense http://orcid.org/0000-0002-4479-1452
Jolana Cristina Cavalheiri Universidade Paranaense http://orcid.org/0000-0002-9549-8985
Alessandro Rodrigues Perondi Universidade Paranaense http://orcid.org/0000-0002-2001-8828

DOI:

https://doi.org/10.15253/2175-6783.20202144194

Keywords:

Postpartum Period; Infant Care; Infant, Newborn; Perinatal Care.

Abstract

Objective: to analyze the association between maternal difficulties in home care for newborns and parity. Methods: cross-sectional study, carried out in Primary Health Care in a Brazilian municipality. The sample consisted of 247 puerperal women, whose data collection took place by using two questionnaires, applied in home visits. The data were analyzed using Pearson’s chi-square test. Results: it was observed that both primiparous and multiparous women had a very high percentage of difficulties related to care, however, primigravid women showed greater obstacles in the care related to bathing and belching while multiparous women reported greater obstacles during breastfeeding. The worry with the choice of clothes and the umbilical stump was statistically significant, regardless of the number of gestations. Conclusion: there were difficulties, regardless of the woman’s previous obstetric experience, being mainly associated with insecurity, concern, and helplessness.

References

Rocha GM, Cordeiro RC. Assistência domiciliar puerperal de enfermagem na estratégia saúde da família: intervenção precoce para promoção da saúde. Rev Universidade Vale Rio Verde. 2015; 13(2):483-93. doi: http://dx.doi.org/10.5892/ruvrd.v13i2.2345

Munhoz NT, Schmdt KT, Fontes KB. Difficulties experienced by recent mothers in household care for the newborn. Rev Enferm UFPE online [Internet]. 2015 [cited June 13, 2020]; 9(suppl 3):7516-23. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10489

Santos DR, Viera CS, Guimarães ATB, Toso BRGO, Ferrari RAP. Assessment of effectiveness of the Rede Mãe Paranaense Program. Saúde Debate. 2020; 44(124):70-85. doi: https://dx.doi.org/10.1590/0103-1104202012405

Malta DC, Prado RR, Saltarelli RMF, Monteiro RA, Souza MFM, Almeida MF. Preventable deaths in childhood, according to actions of the Unified Health System, Brazil. Rev Bras Epidemiol. 2019; 22:e190014.doi: https://dx.doi.org/10.1590/1980-549720190014

Demarchi RF, Nascimento VF, Borges AP, Terças ACP, Grein TAD, Bággio E. Perception of pregnant women and primiparous puerperas on maternity. Rev Enferm UFPE online [Internet]. 2017[cited June 13, 2020]; 11(7):2663-73. Available from:https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/23438

Lopes KDCL, Oliveira Neto JG, Sá GGM, Carvalho DA, Monteiro MM, Martins MCC. Dificuldades nos cuidados ao recém-nascido: realidades de puérperas primíparas. Rev Saúde Públ Santa Cat [Internet]. 2015 [cited Apr 19, 2020]; 8(3):19-33. Available from: http://revista.saude.sc.gov.br/index.php/inicio/article/view/351/317

Gomes ALM, Rocha CR, Henrique DM, Santos MA, Silva LR. Family knowledge on newborn care. Rev Rene. 2015; 16(2):258-65. doi: https://dx.doi.org/10.15253/2175-6783.2015000200016

Carvalho MS, Santana MDA, Oliveira SJGS. Educação em saúde durante o pré-natal com foco nos cuidados relacionados ao recém-nascido. Rev Ciênc Biol Saúde Unit [Internet]. 2016 [cited Apr 19, 2020]; 3(3):195-208. Available from: https://periodicos.set.edu.br/index.php/cadernobiologicas/article/view/2932/1995

Silva CMS, Dantas JC, Souza FMLC, Silva RAR, Lopes TRG, Carvalho JBLC. Sentimentos vivenciados por puérperas na realização do primeiro banho do recém‑nascido no alojamento conjunto. Mundo Saúde. 2015; 39(3):279-86. doi: http://dx.doi.org/10.15343/0104-7809.20153903279286

Vasconcelos ML, Pessoa VLMP, Chaves EMC, Pitombeira MGV, Moreira TMM, Cruz MR, et al. Care for children under six months at domicile: primiparae mother’s experience. Esc Anna Nery. 2019;23(3):e20180175. doi: https://dx.doi.org/10.1590/2177-9465-EAN-2018-0175

Mathiolli C, Parada CMGL, Ferrari RAP, Zani AV. Care for preterm child in house: fatherly experiences. Texto Contexto Enferm. 2020; 29:e20190033. doi: https://doi.org/10.1590/1980-265x-tce-2019-0033

Linhares EF, Dias JAA, Santos MCQ, Boery RNSO, Santos NA, Marta FEF. Collective memory of umbi- lical cord stump care: an educational experience. Rev Bras Enferm. 2019; 72(3):376-80. doi: http://dx.doi.org/10.1590/0034-7167-2018-0735.

Nelas P, Coutinho E, Chaves C, Amaral O, Cruz C. Difficulties in breastfeeding in the first month of life: life contexts impact. Rev INFAD Psicol. 2017; 2(1):183-92. doi: https://doi.org/10.17060/ijodaep.2017.n1.v3.987

Costa RSL, Silva AS, Araújo CM, Bezerra KCM. Difficulties encountered by mothers to breastfeed in a Unit of Reference in Primary Care. Rev Ciênc Foco [Internet]. 2017 [cited Apr 19, 2020]; 1(1):48-63. Available from: http://revistas.uninorteac.com.br/index.php/DeCienciaemFoco0/article/view/20

Moura ERBB, Florentino ECL, Bezerra MEB, Machado ALZ. Investigação dos fatores sociais que interferem na duração do aleitamento materno exclusivo. Rev Intertox-Eco Advisor Toxicol Risco Ambiental Soc. 2015; 8(2):94-116. doi: https://doi.org/10.22280/revintervol8ed2.203

Muller KTC, Souza ALP, Cardoso JMF, Palhares DB. Conhecimento e adesão à doação de leite humano de parturientes de um hospital público. Interações. 2019; 20(1):315-26. doi: http://dx.doi.org/10.20435/inter.v0i0.1588

Alves YR, Couto LL, Barreto ACM, Quitete JB. Breast feeding under the umbrella of support networks: a facilitative strategy. Esc Anna Nery. 2020;24(1):e20190017. doi: https://doi.org/10.1590/2177-9465-EAN-2019-0017

Miranda JOF, Santos DV, Camargo CL, Rosa DOS, Sobrinhos CLN, Mussi FC. Evidence for umbilical stump care practices: integrative review. Rev Enferm UFPE online [Internet]. 2016[cited Apr 19, 2020]; 10(2):821-9. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/11025