Early Emotional Care for Mothers and Infants

PEDIATRICS ◽  
1998 ◽  
Vol 102 (Supplement_E1) ◽  
pp. 1278-1281
Author(s):  
Nadia Bruschweiler Stern
Keyword(s):  
Child Health ◽  
Therapeutic Alliance ◽  
Preterm Infants ◽  
Health Professionals ◽  
Clinical Management ◽  
Behavioral Changes ◽  
Holding Environment ◽  
Mothers Of Preterm Infants ◽  
The Creation ◽  
Insight Into

The experiences of most child health professionals give them only partial insight into the complex emotional and behavioral changes brought on by maternity. This article describes an approach to clinical management and emotional care based on the principles of birth as an opportunity for reorganization and changes; the meeting of the mother's “real” and “imagined” infants; appreciation of the infant's strengths; and development of a therapeutic alliance with the mother. Central to this process is the creation of a safe holding environment for the mother, especially mothers of preterm infants.

scholarly journals Encountering Parents Who Are Hesitant or Reluctant to Vaccinate Their Children: A Meta-Ethnography

2021 ◽  
Vol 18 (14) ◽  
pp. 7584
Author(s):  
Sara Fernández-Basanta ◽  
Manuel Lagoa-Millarengo ◽  
María-Jesús Movilla-Fernández
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Therapeutic Alliance ◽  
Health Professionals ◽  
Communication Strategies ◽  
Vaccine Hesitancy ◽  
Multidisciplinary Teams ◽  
Vaccination Programs ◽  
Qualitative Work ◽  
The Creation

(1) Background: Health professionals play an important role in addressing parents who are hesitant or reluctant to immunise their children. Despite the importance of this topic, gaps remain in the literature about these experiences. This meta-ethnography aimed to synthesise the available body of qualitative work about the care experiences of community and hospital health professionals in encounters with parents hesitant or reluctant to vaccinate their children. The aim is to provide key information for the creation of strategies that address vaccine hesitancy or refusal and ensure public trust in vaccination programs, which are required in a pandemic context such as the current one. (2) Methods: Noblit and Hare’s interpretive meta-ethnography of 12 studies was followed. A line of argument synthesis based on a metaphor was developed. (3) Results: The metaphor “The stone that refuses to be sculpted”, accompanied by three themes, symbolises the care experiences of health professionals in their encounters with parents that hesitate or refuse to vaccinate their children. (4) Conclusions: The creation of clearer communication strategies, the establishment of a therapeutic alliance, health literacy and the empowerment of parents are recommended. The incorporation of health professionals in decision making and the strengthening of multidisciplinary teams interacting with such parents are also included.

Kangaroo Care: Is It for Everyone?

2004 ◽  
Vol 23 (5) ◽  
pp. 47-54 ◽  
Author(s):  
Madalynn Neu
Keyword(s):  
Preterm Infants ◽  
Standard Care ◽  
Emotional State ◽  
Close Contact ◽  
Naturalistic Inquiry ◽  
Holding Environment ◽  
Kangaroo Care ◽  
Healthy Infants ◽  
Mothers Of Preterm Infants ◽  
Hospital To Home

Purpose: In spite of the benefits reported for kangaroo holding, many mothers of preterm infants requiring intensive care do not choose to hold kangaroo style. The purpose of this study is to describe factors that influence mothers of healthy preterm infants to choose kangaroo holding compared to the standard care method of blanket holding.Sample: Twenty-four primiparous mothers of healthy infants born at 30–34 weeks gestational age.Design: In this naturalistic inquiry, mothers were interviewed twice: once while the infant was hospitalized and again after the infant was discharged home.Results: Mothers’ holding practices divided them into three groups: (1) kangaroo holding in hospital and home, (2) blanket holding in hospital and home, and (3) holding practice switched from hospital to home. Three themes emerged from the interview data: (1) emotional state, (2) holding environment, and (3) benefits of close contact with the infant.

Tailoring Communications for Primary Care Settings

1998 ◽  
Vol 37 (02) ◽  
pp. 171-178 ◽  
Author(s):  
B. Glassman ◽  
B. K. Rimer
Keyword(s):  
Primary Care ◽  
Health Professionals ◽  
Contact Time ◽  
Behavioral Changes ◽  
Patient Specific ◽  
Specific Information ◽  
Medical Settings ◽  
Primary Care Settings ◽  
Professional Contact ◽  
Tailored Communications

AbstractIn more and more medical settings, physicians have less and less time to be effective communicators. To be effective, they need accurate, current information about their patients. Tailored health communications can facilitate positive patient-provider communications and foster behavioral changes conducive to health. Tailored communications (TCs) are produced for an individual based on information about that person. The focus of this report is on tailored print communications (TPCs). TPCs also enhance the process of evaluation, because they require a database and the collection of patient-specific information. We present a Tailoring Model for Primary Care that describes the steps involved in creating TPCs. We also provide examples from three ongoing studies in which TPCs are being used in order to illustrate the kinds of variables used for tailoring the products that are developed and how evaluation is conducted. TPCs offer opportunities to expand the reach of health professionals and to give personalized, individualized massages in an era of shrinking professional contact time.

Pax and the Politics of Peace

2017 ◽  
Author(s):  
Hannah Cornwell
Keyword(s):  
Civil War ◽  
Political System ◽  
The Political ◽  
Power Dynamics ◽  
Roman Imperialism ◽  
Two Generations ◽  
Pax Romana ◽  
The Creation ◽  
The Republic ◽  
Insight Into

This book examines the two generations that spanned the collapse of the Republic and the Augustan period to understand how the concept of pax Romana, as a central ideology of Roman imperialism, evolved. The author argues for the integral nature of pax in understanding the changing dynamics of the Roman state through civil war to the creation of a new political system and world-rule. The period of the late Republic to the early Principate involved changes in the notion of imperialism. This is the story of how peace acquired a central role within imperial discourse over the course of the collapse of the Republican framework to become deployed in the legitimization of the Augustan regime. It is an examination of the movement from the debates over the content of the concept, in the dying Republic, to the creation of an authorized version controlled by the princeps, through an examination of a series of conceptions about peace, culminating with the pax augusta as the first crystallization of an imperial concept of peace. Just as there existed not one but a series of ideas concerning Roman imperialism, so too were there numerous different meanings, applications, and contexts within which Romans talked about ‘peace’. Examining these different nuances allows us insight into the ways they understood power dynamics, and how these were contingent on the political structures of the day. Roman discourses on peace were part of the wider discussion on the way in which Rome conceptualized her Empire and ideas of imperialism.

Psalm 104: The Panorama of Life

2021 ◽  
Vol 51 (1) ◽  
pp. 4-14
Author(s):  
Robert Gnuse
Keyword(s):  
Global Warming ◽  
Ecological Crisis ◽  
Biblical Text ◽  
Modern Age ◽  
The World ◽  
Formal Presentation ◽  
Genesis 1 ◽  
The Creation ◽  
Insight Into

Psalm 104 is a majestic hymn to creation, a dynamic corollary to the more formal presentation of the creation of the world in Genesis 1. Reflection upon some of the passages provides us with insight into the biblical author’s appreciation for nature, an attitude that needs to inspire us in this age of ecological crisis. Though the biblical text is unaware of such an ecological crisis; nonetheless, passages shine forth that can speak to us in our modern age of global warming and environmental collapse.

scholarly journals Tube Feeding Practices and Transition to Breastfeeding Experiences of Mothers of Preterm Infants at a Kangaroo Mother Care Unit of a Tertiary Hospital in South Africa

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110370
Author(s):  
Sphiwe Madiba ◽  
Malmsey Sengane
Keyword(s):  
South Africa ◽  
Breast Milk ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Tube Feeding ◽  
Feeding Practices ◽  
Tertiary Hospital ◽  
Very Preterm Infants ◽  
Mothers Of Preterm Infants ◽  
Group Interviews

To receive human milk, most preterm infants initially receive the mothers’ expressed milk through a nasogastric tube. However, breast milk feeding the preterm infant and making the transition to direct breast-feeding come with significant challenges. The study explored and described the experiences of mothers of preterm infants regarding initiation and expressing breast milk, tube feeding practices, and transition to breastfeeding during the infants’ stay in a kangaroo care unit (KMC) of an academic hospital in South Africa. Using a qualitative design, focus group interviews were conducted with 38 mothers of preterm infants after discharge from the neonatal intensive care unit (NICU). We analyzed transcripts following the 5 steps for qualitative thematic data analysis. Tube feeding and breastfeeding preterm infants was challenging and exhausting for the mothers. Many described their experiences of initiating expression and sustaining milk supply as negative. They had constant concerns about their ability to produce adequate milk volumes to feed their infants. They had immense dislike of expressing, which they described as physically exhausting, stressful, and painful. Those who had initiated breastfeeding were highly motivated to breastfeed their preterm infants. They described breastfeeding as a positive bonding experience that they derived pleasure from. The mothers’ dislike of expressing was overshadowed by their emotional obligation toward their preterm infants. Although the KMC unit promotes breastfeeding, mothers encountered problems and struggled to initiate expression and sustain milk production. Mothers of extreme and very preterm infants need support to continue with milk expression during the long NICU and KMC stay.

scholarly journals Child health professionals´ experiences of the introduction and successful implementation of rotavirus vaccination in Sweden

2021 ◽  
Author(s):  
Margaretha Stenmarker ◽  
Carin Oldin ◽  
Marie Golsäter ◽  
Margareta Blennow ◽  
Karin Enskär ◽  
...  
Keyword(s):  
Child Health ◽  
Health Professionals ◽  
Successful Implementation ◽  
Rotavirus Vaccination
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