Social Support Network for Mothers of Premature Newborns in NICUs: a scoping review

Authors

DOI:

https://doi.org/10.12957/reuerj.2024.84445

Keywords:

Nursing, Intensive Care Units, Neonatal, Maternal Behavior, Social Support, Self-Help Groups

Abstract

Objective: to map the practices of social support networks for mothers of premature newborns admitted to Neonatal Intensive Care Units (NICUs). Method: a scoping review structured according to the methodological guidelines of the Joanna Briggs Institute. Eleven health-related databases were used with relevant descriptors. The search, identification, and evaluation of articles were conducted from February to March 2023, with an update in 2024, to address the research question: what are the social support practices for mothers of premature infants in neonatal intensive care units? Results: twenty-six studies were included, highlighting the predominance of emotional, informational, and material support practices provided by family members, friends, and secondary social networks within hospital institutions. Conclusion: support practices for mothers, combined with the inclusion of fathers in maternal support groups with multidisciplinary teams and health education practices identified in informational support, contribute to reducing maternal stress during hospitalization.

Author Biographies

Suely de Fátima Santos Freire Bonfim, Universidade Federal de Pernambuco

Nurse. Specialist in pediatric nursing. Doctoral Candidate in Nursing at the Graduate Program, Universidade Federal de Pernambuco. Recife, PE, Brazil.

Cleide Maria Pontes, Universidade Federal de Pernambuco

PhD in Nutrition, Specialist in Obstetric Nursing. Full Professor in the Department of Nursing and permanent member of the Graduate Program in Nursing, Universidade Federal de Pernambuco. Recife, PE, Brazil.

Weslla Karla Albuquerque Silva de Paula, Universidade Federal de Pernambuco

Specialist in Child's Health. PhD in Maternal and Child Health. Assistant Professor in the Department of Nursing and permanent member of the Graduate Program in Nursing,  Universidade Federal de Pernambuco. Recife, PE, Brazil.

Wilson Jorge Correia Pinto de Abreu, Escola Superior de Enfermagem do Porto

Specialist in Psychiatry and Mental Health. PhD in Educational Sciences. Full Professor at the Escola Superior de Enfermagem do Porto (ESEP). Porto, Portugal.

Luciana Pedrosa Leal, Universidade Federal de Pernambuco

PhD in Nutrition. Associate Professor in the Department of Nursing and permanent member of the Graduate Program in Nursing, Universidade Federal de Pernambuco. Recife, PE, Brazil.

References

Sociedade Brasileira dos Enfermeiros Pediatras. Cuidado integral ao recém-nascido pré-termo e à família [Internet]. São Paulo: Sociedade Brasileira dos Enfermeiros Pediatras; 2021 [cited 2023 Feb 06]. Available from: https://journal.sobep.org.br/wp-content/uploads/2021/10/Livro-cuidado-SOBEP-2.x19092.pdf#page=53.

Rotando J, Tedesco RP. Prevalência de TEPT em mães de Prematuros internados em UTIN: atualização. Femina. 2018 [cited 2023 Feb 06]; 46(1):59-65. Available from: https://www.febrasgo.org.br/pt/femina/item/476-femina-revista-femina-2018-vol-46-n-1#dflip-flipbookContainer/17/.

Cossul, MU. Experiência materna durante a internação do filho na Unidade de Terapia Intensiva Neonatal: repercussões no estabelecimento do vínculo afetivo e na parentalidade [Dissertação de Mestrado]. Brasília: Universidade de Brasília; 2021 [cited 2023 Feb 06]. Available from: http://repositorio.unb.br/handle/10482/43281.

Marciano RP, Evangelista PG, Amaral WN. Grupo de mães em UTI neonatal: um espaço de escuta e intervenção precoce em psicanálise. Rev. SBPH. 2019 [cited 2023 Feb 06]; 22(2):48-67. Available from: https://pepsic.bvsalud.org/pdf/rsbph/v22n2/v22n2a04.pdf.

Montagner CD, Arenales NG, Rodrigues OMPR. Mães de bebês em UTIN: rede de apoio e estratégias de enfrentamento. Fractal, Rev Psicol. 2022 [cited 2024 Feb 07]; 34:e28423. DOI: https://doi.org/10.22409/1984-0292/2022/v34/28423.

Sanicola, L. As dinâmicas de rede e o trabalho social. Napoli: Liguori Editore; 2015.

Sousa AM, Fracolli LA, Zoboli ELCP. Práticas familiares relacionadas à manutenção da amamentação: revisão da literatura e metassíntese. Rev Panam Salud Publica. 2013 [cited 2023 Feb 24]; 34(2):127–34. Available from: https://www.scielosp.org/pdf/rpsp/v34n2/08.pdf.

Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI; 2020 [cited 2023 Feb 24]. DOI: https://doi.org/10.46658/JBIMES-20-01.

Tricco AC, Lillie E, Zarin W, O´Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018 [cited 2024 Feb 07]; 169(7):467-73. DOI: https://doi.org/10.7326/M18-0850.

Morais R, Souza T, Oliveira I, Moraes J. Structure of the social network of mothers/caregivers of hospitalized children. Cogitare Enferm. 2018 [cited 2023 Feb 23]; 23(1):e50456. DOI: https://doi.org/10.5380/ce.v23i1.50456.

Affleck G, Tennen H, Rowe J, Roscher B, Walker L. Effects of formal support on mothers' adaptation to the hospital-to-home transition of high-risk infants: the benefits and costs of helping. Child Dev. 1989 [cited 2023 Feb 03]; 60(2):488-501. DOI: https://doi.org/10.1111/j.1467-8624.1989.tb02730.x.

Ahmadi Z, Joz Mohtashami M, Seyyed Fatemi N, Haghani H. Comparing the social support which fathers and mothers of preterm infants receive in the neonatal intensive care units. J Client-Center Nurs Care. 2016 [cited 2023 Mar 25]; 2(2):83-8. DOI: https://doi.org/10.32598/jccnc.2.2.83.

Akkoyun S, Tas Arslan F. Investigation of stress and nursing support in mothers of preterm infants in neonatal intensive care units. Scand J Caring Sci. 2019 [cited 2023 Feb 23]; 33(2):351-8. DOI: https://doi.org/10.1111/scs.12630.

Al-Maghaireh DF, Khalaf IA, Abdullah KL, Chan CM, Basyoun NR, Kawafha MM. The effect of an emotional support training program on acute stress disorder among mothers of preterm infants hospitalized in neonatal intensive care units. J Neonatal Nurs. 2020 [cited 2023 Feb 20]; 26(5):273–7. DOI: https://doi.org/10.1016/j.jnn.2020.06.003.

Viera CS, Mello DF, Oliveira BRG, Furtado MCC. Rede e apoio social familiar no seguimento do recém-nascido pré-termo e baixo peso ao nascer. Rev. Eletr. Enferm. 2010 [cited 2024 Feb 07]; 12(1):11-9. DOI: https://doi.org/10.5216/ree.v12i1.9487.

Boukydis C. Support services and peer support for parents of at-risk infants: an international perspective. Child Health Care. 2010 [cited 2023 Feb 23]; 29(2000):129–45. DOI: https://doi.org/10.1207/S15326888CHC2902_5.

Bracht M, O'Leary L, Lee SK, O'Brien K. Implementing family-integrated care in the NICU: a parent education and support program. Adv Neonatal Care. 2013 [cited 2024 Mar 20]; 13(2):115–26. DOI: https://doi.org/10.1097/ANC.0b013e318285fb5b.

Cabral VBC. Grupo de apoio para os pais de neonatos de risco: abordagem transdiciplinar com a famílias na Unidade de Terapia Intensiva Neonatal [Dissertação de Mestrado]. Recife: Universidade Federal de Pernambuco; 2005 [cited 2023 Feb 01]. Available from: https://repositorio.ufpe.br/handle/123456789/9814.

Fróes GF, Mendes ENW, Pedroza GA, Cunha MLC. Stress experienced by mothers of preterm newborns in a neonatal intensive care unit. Rev Gaúcha Enferm. 2020 [cited 2023 Mar 14]; 41(spe):e20190145. DOI: https://doi.org/10.1590/1983-1447.2020.20190145.

Coppola G, Cassibba R, Bosco A, Papagna S. In search of social support in the NICU: features, benefits and antecedents of parents' tendency to share with others the premature birth of their baby. J Matern Fetal Neonatal Med. 2013 [cited 2023 Feb 23]; 26(17):1737-41. DOI: https://doi.org/10.3109/14767058.2013.798281.

Dantas MMC, Araújo PCB, Revorêdo LS, Pereira HG, Maia EMC. Madres de recién nacidos prematuros y a término hospitalizados: evaluación del apoyo social y de la sintomatología ansiógena. Acta Colomb de Psic. 2015 [cited 2023 Feb 23]; 18:(2):129–38. DOI: https://doi.org/10.14718/acp.2015.18.2.11.

Goral E, Geçkil E. The effect of a comprehensive support program on the stress level of mothers in a neonatal intensive care unit. Nurs Pract Today. 2021 [cited 2023 Feb 24]; 9(1):54-61. DOI: https://doi.org/10.18502/npt.v9i1.7331.

Rafael-Gutiérrez SS, García PE, Prellezo AS, Paulí LR, Del-Castillo BL, Sánchez RB. Emotional support for parents with premature children admitted to a neonatal intensive care unit: a qualitative phenomenological study. Turk J Pediatr. 2020 [cited 2023 Feb 25]; 62(3):436-49. DOI: https://doi.org/10.24953/turkjped.2020.03.011.

Hall SL, Ryan DJ, Beatty J, Grubbs L. Recommendations for peer-to-peer support for NICU parents. J Perinatol. 2015 [cited 2023 Feb 24]; 35(Suppl 1):S9-13. DOI: https://doi.org/10.1038/jp.2015.143.

Hemle Jerntorp S, Sivberg B, Lundqvist P. Fathers' lived experiences of caring for their preterm infant at the neonatal unit and in neonatal home care after the introduction of a parental support programme: a phenomenological study. Scand J Caring Sci. 2021 [cited 2023 Feb 24]; 35(4):1143-51. DOI: https://doi.org/10.1111/scs.12930.

Leahy-Warren P, Coleman C, Bradley R, Mulcahy H. The experiences of mothers with preterm infants within the first-year post discharge from NICU: social support, attachment and level of depressive symptoms. BMC Pregnancy Childbirth. 2020 [cited 2023 Feb 26]; 20(1):260. DOI: https://doi.org/10.1186/s12884-020-02956-2.

Liu CH, Chao YH, Huang CM, Wei FC, Chien LY. Effectiveness of applying empowerment strategies when establishing a support group for parents of preterm infants. J Clin Nurs. 2010 [cited 2023 Feb 27]; 19(11-12):1729-37. DOI: https://doi.org/10.1111/j.1365-2702.2009.03082.x

Maleki M, Mardani A, Harding C, Basirinezhad MH, Vaismoradi M. Nurses' strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis. Womens Health (Lond). 2022 [cited 2023 Feb 27]; 18:17455057221104674. DOI: https://doi.org/10.1177/17455057221104674.

Månsson C, Sivberg B, Selander B, Lundqvist P. The impact of an individualised neonatal parent support programme on parental stress: a quasi-experimental study. Scand J Caring Sci. 2019 [cited 2023 Feb 27]; 33(3):677-87. DOI: https://doi.org/10.1111/scs.12663.

Minde K, Shosenberg N, Marton P, Thompson J, Ripley J, Burns S. Self-help groups in a premature nursery-a controlled evaluation. J Pediatr. 1980 [cited 2023 Feb 28]; 96(5):933-40. DOI: https://doi.org/10.1016/s0022-3476(80)80586-5.

Mok E, Leung SF. Nurses as providers of support for mothers of premature infants. J Clin Nurs. 2006 [cited 2023 Feb 22]; 15(6):726-34. DOI: https://doi.org/10.1111/j.1365-2702.2006.01359.x.

Rajabzadeh Z, Moudi Z, Abbasi A, Aliabad GM. The effect of family-centered educational supportive intervention on parental stress of premature infants hospitalized in the NICU. Med-Surg Nursi Jour. 2020 [cited 2023 Feb 24]; 9(3):1–7. DOI: Available from: https://brieflands.com/articles/msnj-111847.

Ramos FP. Uma proposta de análise do coping no contexto de grupo de mães de bebês prematuros e com baixo peso na unidade de terapia intensiva neonatal [Doctoral dissertation]. Vitória: Universidade Federal do Espírito Santo; 2012 [cited 2023 Feb 24]. Available from: http://repositorio.ufes.br/handle/10/3134.

Sabino V. #DaUTINeoParaAVida: interação entre profissionais de saúde e mães de bebês da UTI neonatal mediada pelas redes sociais digitais [Dissertação de Mestrado]. Rio de Janeiro: Fundação Oswaldo Cruz; 2020 [cited 2023 Feb 24]. Available from: https://www.arca.fiocruz.br/handle/icict/47322.

Taheri M, Nikfarid L, Shirinabadi Farahani A, Shakeri N. O efeito de um programa de intervenção de apoio de grupos de pares sobre as tensões de mães com neonatos prematuros internados em unidades de terapia intensiva em Babol, Irã. Adv Nurs Obstetrícia 2018 [cited 2023 Mar 22];28(1):15-9. Disponível em: https://journals.sbmu.ac.ir/en-jnm/article/view/18121

Guimarães EC, Melo ECP. Características do apoio social associados à prematuridade em uma população de puérperas de baixa renda. Esc Anna Nery. 2011 [cited 2023 Feb 24]; 15(1):54–61. DOI: http://dx.doi.org/10.1590/S1414-81452011000100008.

Almeida CR, Carvalho ES, Passos SS, Miranda FP, Santos LM. Experiências maternas na primeira semana de hospitalização do prematuro em cuidado intensivo. Rev Enferm UFSM. 2020 [cited 2024 Mar 05]; 10:e75. DOI: https://doi.org/10.5902/2179769242072.

Tilahun B D. Parental stress and associated factors among parents of preterm neonates admitted at neonatal intensive care unit among selected governmental hospitals Addis Ababa, Ethiopia, 2022. An institution-based cross-sectional study. Front. Psychiatry. 2024 [cited 2024 Mar 05]; 15:1377180. DOI: https://doi.org/10.3389/fpsyt.2024.1377180.

Souza AD. O discurso na prática clínica e as terminologias de padronização: investigando a conexão [Doctoral dissertation]. Belo Horizonte: Universidade Federal de Minas Gerais; 2021 [cited 2023 Feb 02]. Available from: https://repositorio.ufmg.br/handle/1843/38044.

Lima MF, Siqueira RM. Ventura CMU. UTI neonatal: percepção dos pais sobre o internamento e os cuidados da equipe de enfermagem. RGC. 2022 [cited 2023 Feb 02]; 16(2):692-705. Available from: https://ojs.revistagc.com.br/ojs/index.php/rgc/article/view/214.

Liu Y, Zhang L, Guo N. Postpartum depression and postpartum post-traumatic stress disorder: prevalence and associated factors. BMC Psychiatry. 2021 [cited 2023 Feb 02]; 21:487. DOI: https://doi.org/10.1186/s12888-021-03432-7.

Durí B, Scodov Z, Skova M B. Risk factors associated with postpartum depression and PTSD after birth in a sample of Slovak women. Heliyon. 2024 [cited 2023 Feb 02]; 10:e23560. DOI: https://doi.org/10.1016/j.heliyon.2023.e23560.

Kegler JJ, Neves ET, Silva AM, Jantsch LB, Bertoldo CS, Silva JH. Stress in parents of newborns in a neonatal intensive care unit. Esc Anna Nery 2019 [cited 2023 Feb 02]; 23(1):e20180178. DOI: https://doi.org/10.1590/2177-9465-EAN-2018-0178.

Souza LG, Queiroz VC, Andrade SSC, César ESR, Melo VFC, Oliveira SHS. Anxiety and depression in mothers of newborns in intensive care units. Rev Gaúcha Enferm. 2021 [cited 2023 Feb 02]; 42:e20200388. DOI: https://doi.org/10.1590/1983-1447.2021.20200388.

Hunter RF, Haye K, Murray JM, Badham J, Valente TW, Clarke M, et al. Social network interventions for health behaviours and outcomes: a systematic review and meta-analysis. PLoS Med. 2019 [cited 2023 Feb 02]; 16(9):e1002890. DOI: https://doi.org/10.1371/journal.pmed.1002890.

Boyamian TMDL, Mandetta MA, Balieiro MMFG. Nurses' attitudes towards families in neonatal units. Rev Esc Enferm USP. 2021 [cited 2024 Feb 05]; 55:e03684. DOI: https://doi.org/10.1590/S1980-220X2019037903684.

Veronez M, Borghesan NAB, Corrêa DAM, Higarashi IH. Experience of mothers of premature babies from birth to discharge: notes of field journals. Rev Gaúcha Enferm. 2017 [cited 2023 Feb 24]; 38(2):e60911. DOI: https://doi.org/10.1590/1983-1447.2017.02.60911.

Nascimento ACST, Moraes AC, Amorim RC, Souza SL. Redes Sociais de Apoio às famílias de prematuros que vivenciam a hospitalização: um estudo transcultural. REAS. 2019 [cited 2023 Feb 24]; 37:e1986. DOI: https://doi.org/10.25248/reas.e1986.2019.

Published

2024-12-17

How to Cite

1.
Bonfim S de FSF, Pontes CM, Paula WKAS de, Abreu WJCP de, Leal LP. Social Support Network for Mothers of Premature Newborns in NICUs: a scoping review. Rev. enferm. UERJ [Internet]. 2024 Dec. 17 [cited 2025 May 2];32(1):e84445. Available from: https://www.e-publicacoes.uerj.br/enfermagemuerj/article/view/84445

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