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“早产儿?”——关于早产及其后果的沉默。

"Babies born early?" - silences about prematurity and their consequences.

机构信息

Department of Obstetrics and Gynecology, School of Medical Science, University of Campinas, Campinas, São Paulo, Brazil.

Jundiai Medical School, São Paulo, Brazil.

出版信息

Reprod Health. 2018 Sep 12;15(1):154. doi: 10.1186/s12978-018-0594-4.

Abstract

BACKGROUND

The principal aim of this study was to understand how communication between parents and health professionals concerning prematurity occurs, from delivery to admission to the neonatal Intensive Care Unit.

METHODS

This is an exploratory, descriptive study with a qualitative methodology. Data were collected using tape-recorded and Focal Groups technique interview with mothers of premature newborns and health professionals involved in caring for preterm infants, at southeast Brazil.

RESULTS

The word "premature" was not said or heard during prenatal care. From the narratives, it was observed that there was a lack of information available to pregnant women about preterm birth, failure in medical care regarding signs and symptoms reported by pregnant women, and lack of communication between the medical teams, mothers and family during delivery and Neonatal Intensive Care Unit (NICU) admission.

CONCLUSION

There is a fine line between born too soon and die too soon, that increases stress, fear and distance impacting negatively over communication between mothers and health professionals during antenatal care, childbirth and NICU admission.

摘要

背景

本研究的主要目的是了解从分娩到新生儿重症监护病房(NICU)入院期间,父母与医疗保健专业人员之间关于早产儿的沟通方式。

方法

这是一项在巴西东南部进行的探索性、描述性研究,采用定性方法。通过对早产儿母亲和参与早产儿护理的医疗保健专业人员进行录音和焦点小组访谈收集数据。

结果

在产前护理期间,没有人提及或听到“早产儿”这个词。从这些叙述中可以看出,孕妇缺乏关于早产的信息,医护人员未能关注孕妇报告的症状和体征,并且在分娩和 NICU 入院期间,医疗团队、母亲和家庭之间缺乏沟通。

结论

“出生太早和死亡太早”之间的界限很微妙,这增加了压力、恐惧和距离,对产前护理、分娩和 NICU 入院期间母亲和医疗保健专业人员之间的沟通产生负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/84e1/6136169/f8a4f2fe9838/12978_2018_594_Fig1_HTML.jpg

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