Mothers of very low birthweight babies: how do they adjust?

H E McHaffie1

  • 1Department of Nursing Studies, University of Edinburgh.

A prospective study was conducted to investigate the perceptions of 21 mothers of singleton babies weighing 1500 g or less. Six in-depth interviews were held with each respondent from 1 week after delivery to 3 months after the baby's discharge from hospital. Diaries and Neonatal Perception Inventories supplied additional data. Six phases were identified each characterized by certain critical factors related to the mother's emotional state, her perceptions of the baby, and family responses. Significant statistical differences were found between those mothers who did not feel ready to take the infant home and the rest of the sample. Those who were not ready demonstrated a marked difficulty in establishing and maintaining relationships and held very inappropriate perceptions of the baby. These findings have important implications for the discharge of very low birthweight babies after a prolonged stay in hospital.

Related Concept Videos

Transcytosis of IgG01:15

Transcytosis of IgG

Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Physiological Barriers01:25

Physiological Barriers

Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...