Resumen
Objetivo: Conocer las percepciones de las madres de recién nacidos prematuros internados en unidades neonatales ante la pandemia del COVID-19. Método: Investigación cualitativa realizada en junio y julio de 2020 con la participación de 12 madres de recién nacidos prematuros internados en las unidades neonatales de una maternidad del estado de Ceará durante la pandemia del Coronavirus. Se contactó a las madres por medio de la aplicación WhatsApp. Para el análisis textual se utilizó la Clasificación Jerárquica Descendente realizada en el programa de software IRAMUTEQ. Resultados: La percepción de las madres se enfocó en las dificultadas que debieron enfrentar en este período de la pandemia. La palabra “no” se hizo presente en gran medida en el corpus del texto, evidenciando así el efecto de la imposibilidad de las visitas y de la permanencia de las madres en las unidades, además del hecho de no poder amamantar. Conclusión: La prestación de atención humanizada en las unidades neonatales no debe limitarse al recién nacido, siendo fundamental el apoyo emocional a las madres por parte del equipo de salud.
Citas
Worldometer. COVID-19: coronavirus pandemic [Internet]. 2021 [cited 2021 Feb 3]. Available from: https://www.worldometers.info/coronavirus/
Ministério da Saúde (BR). Centro de Operações de Emergência em Saúde Pública. Doença pelo Coronavírus 2019 (COE-COVID19) [Internet]. 2021. (Boletim Epidemiológico; no. 11) [cited 2021 Feb 10]. Available from: https://susanalitico.saude.gov.br/extensions/covid-19_html/covid-19_html.
Chen H, Guo J, Wang C, Luo F, Yu X, Zhang W, et al. Clinical characteristics and intrauterine vertical transmission potential of COVID-19 infection in nine pregnant women: a retrospective review of medical records. Lancet. 2020;395(10226):809-7. http://dx.doi.org/10.1016/S0140-6736(20)30360-3. PMid:32151335.
Dong Y, Mo X, Hu Y, Qi X, Jiang F, Jiang Z, et al. Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics. 2020;145(6):e20200702. http://dx.doi.org/10.1542/peds.2020-0702. PMid:32179660.
Ministério da Saúde (BR). Secretaria de Atenção Primária à Saúde. Nota técnica nº 6/2020-COCAM/ CGCIVI/DAPES/SAPS/MS [Internet]. 2020 [cited 2021 Feb 10]. Available from: http://189.28.128.100/dab/docs/portaldab/documentos/notatecnicaneonatal30mar2020COVID-19.pdf
Abraeili M, Hassankhani H, Negarandeh R, Abbaszadeh M, Cleveland LM. Mothers’ emotional experiences providing care for their infants with in the culture of an Iranian Neonatal Unit. Adv Neonatal Care. 2018;18(4):E3-12. http://dx.doi.org/10.1097/ANC.0000000000000530. PMid:29933339.
Machado MMT, Rocha HAL, Castro MC, Sampaio EGM, Oliveira FA, Silva JPFD, et al. COVID-19 and mental health of pregnant women in Ceará, Brazil. Rev Saude Publica. 2021;55(37):37. http://dx.doi.org/10.11606/s1518-8787.2021055003225. PMid:34105605.
Vieira LG, Camargo ELJS, Schneider G, Silva GPR, Thomazini M, Possani MA et al. Repercussions of the Covid-19 pandemic on the mental health of pregnant and puerperal women: a systematic review. medRxiv. 2020 https://doi.org/10.1101/2020.08.17.20176560.
Chaves AFL, Ximenes LB, Rodrigues DF, Vasconcelos CTM, Monteiro JCS, Oriá MOB. Intervenção telefônica na promoção da autoeficácia, duração e exclusividade do aleitamento materno: estudo experimental randomizado controlado. Rev Lat Am Enfermagem. 2019;27(36):e3140. http://dx.doi.org/10.1590/1518-8345.2777-3140.
Bardin L. Análise de conteúdo. 70ª ed. Lisboa: Persona; 1977.
Bamishigbin ON Jr, Wilson DK, Abshire DA, Mejia-Lancheros C, Dunkel Schetter C. Father involvement in infant parenting in na ethnically diverse community sample: predicting paternal depressive symptoms. Front Psychiatry. 2020;11:578688. http://dx.doi.org/10.3389/fpsyt.2020.578688. PMid:33173524.
Osorio Galeano SP, Salazar Maya AM. experiences of parents of preterm children hospitalized regarding restrictions to interact with their children imposed because of the COVID-19 pandemic. Invest Educ Enferm. 2021;39(2):1. http://dx.doi.org/10.17533/udea.iee.v39n2e10. PMid:34214287.
Carvalho LS, Pereira CMC. Psychological reactions of parents for hospitalization of premature infants in the neonatal ICU. Rev SBPH [Internet]. 2017 [cited 2021 fev 14];20(2):101-22. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_abstract&pid=S1516-08582017000200007&lng=pt&nrm=iso&tlng=en
Fernández Medina IM, Granero-Molina J, Fernández-Sola C, Hernández-Padilla JM, Camacho Ávila M, López Rodríguez MM. Bonding in neonatal intensive care units: experiences of extremely preterm infants’ mothers. Women Birth. 2018;31(4):325-30. http://dx.doi.org/10.1016/j.wombi.2017.11.008. PMid:29191725.
Murray PD, Swanson JR. Visitation restrictions: is it right and how do we support families in the NICU during COVID-19? J Perinatol. 2020;40(10):1576-81. http://dx.doi.org/10.1038/s41372-020-00781-1. PMid:32772051.
Crispim D, Silva MJP, Cedotti W, Câmara M, Gomes SA. Visitas virtuais durante a pandemia do COVID-19: recomendações práticas para comunicação e acolhimento em diferentes cenários da pandemia [Internet]. 2020 [cited 2021 Feb 5]. Available from: https://ammg.org.br/wp-content/uploads/Visitas-virtuais-COVID-19.pdf
Rocha RS, Chaves AFL, Gomes MCR, Leonacio MS, Cavalcante MA, Medeiros PM, et al. Visitas virtuais nas Unidades Neonatais durante pandemia COVID-19: experiência da equipe de saúde. Rev Enferm Atual In Derme. 2021;95(36):e-021150. http://dx.doi.org/10.31011/reaid-2021-v.95-n.36-art.1177.
Jones H, Santamaria N. Physiological benefits to parentes from under taking skin-to-skin contact with their neonate, in a neonatal intensive special care unit. Scand J Caring Sci. 2018;32(3):1012- 7. http://dx.doi.org/10.1111/scs.12543. PMid:29131378.
Lima ACMACC, Chaves AFL, Oliveira MG, Lima SAFCC, Machado MMT, Oriá MOB. Breastfeeding consultnacy during the COVID-19 pandemic: experience repor. Esc Anna Nery. 2020;24:1-6. http://dx.doi.org/10.1590/2177-9465-EAN-2020-0350.
Lima SP, Santos EKA, Erdmann AL, Souza AIJ. Unveiling the lived experience meaning of being a woman breastfeeding with puerperal complications. Texto Contexto Enferm. 2017;26(3):e0880016. http://dx.doi.org/10.1590/0104-07072018000880016.
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