Maternal Feelings
4-12-2014
Affonso et al. 1993
PT, post—discharge comparison study of KC vs no KC. KC helped mothers
increase confidence, get to know their baby, makes mom feel that baby needs
them, parental mood improved and perceived their infant differently than
controls.
Bauer et al. 1999
PT, Descriptive of 17 moms who gave KC and said they had positive feeling and
increased attachment to their babies and they increased the spontaneous
amount of KC time.
Brett et al., 2011
Review article of ways to improve communication and cites KC as an
intervention that improves communication with mother and supports maternal
role.
Boju et al., 2012
PT, pretest-posttest 1 grp of 86 preterms who got 1 hour of KC because mothers
felt that 4-6 hours of KC was too much. DURATION OF KC TOO LONG.
Bouloumie 2008
FT, quasi exp study of Birth KC + Postpartum KC for 3 nights. Kcers’s moms were
Felt more confident than nonKC group moms and had PLEASURE.
Canadian Ped Soc2010 PT, Position statement and it reviews the works that show that mothers are
more sensitive to their babies, feel more confident in knowing their babies, etc.
Conde-Agudelo 2011 PT, Cochrane Meta-analysis improved maternal satisfaction in KMC moms
Dalbye et al., 2011
FT, phenomenology. Infants appeared very satisfied with KC; some moms
thought KC “is unlike anything else” (pg. 109), is “wonderful, cozy, intimate, creates
security, harmony, joy and tranquility.” And other mothers worried about falling asleep
and dropping baby.
De Macedo et al. 2007 PT, descriptive of 3 groups: 30 moms of term newborns, 30 moms of preterms with KC,
and 30 moms of preterms in incubators. After visit to infant, incubator mothers reported
feeling more awkward than before. KC moms had increased feelings of well being, intense
connectedness with the infant, and high self-confidence in ability to care for infant.
Differences in KC mom’s moods were attributed to prolonged contact with baby, pleasant
feelings from skin to skin contact, help of professional during baby’s placement and
removal, and knowledge of on-going benefits to the baby. These elements need to be
provided to moms when they visit the infant in an incubator.
Discenza, 2011
PT, clinical report reviewing a little lit that says KC helps stabilize infant and may
help with maternal depression.
Discenza, 2012
PT, mother’s report that she felt “powerful, even a bit magical. I finally felt like a
mother could do something amazing for my daughter that showed immediate
effect. It was like winning the lottery.”
Gale, F. & L, 1993
PT, descriptive study of one group of drug abusing moms. After giving one
session of KC moms reported strong sense of identifying with their infant.
Gregson & Blacker 2011 PT, late preterm quasi exp of 107 in each group. Mothers in KC group really
loved it and were very satisfied with KC. Has a lot of really good quotes from
qualitative portion of study. Kc helped with feeding, breastfeeding, settling, and
bonding, even Dads loved KC for bonding.
Heinemann et al., 2013
PT, KMC helps them feel in control and feel needed, which increases presence.
Holditch-Davis etal 2013 PT, moms taught ATVV, KC, or control and at discharge from NICU and 2 months later
all moms were satisfied with the intervention that they were taught in the hospital. No
difference between KC and White-Traut’s ATVV, so moms like having something to do
for their babies.
Finigan & Long 2014
FT, qualitative study of English, Pakistani, and Bangladeshi women doing Birth KC in
England even though midwives thought the Asian women would not like it due to birth
fluids, dirty fluids, but all moms had positive experience and did not mind birth fluids.
Professional opinions may limit offering the practice and professionals need to be
updated.
Lasiuk et al., 2013
PT,Qualitative study from Canada, PTB is traumatic, shatters parents'
expectations of parenthood. Parental trauma not related to infant
characteristics (e.g., gestational age, birth weight, Apgar scores, or length
of stay in the NICU), but rather to prolonged uncertainty, lack of agency,
disruptions in meaning systems, and alterations in parental role
expectations. Breast feeding, kangaroo care, and family centered practices
are so meaningful to parents because they help them (re)construct their
role as parents, give them a sense of agency (control), moderate their
helplessness.
Legault/Goulet, 1995
Lazarazo et al., 2012
Muddu et al. 2013
PT, moms preferred KC to traditional holding because infant was closer to them,
more maternal feelings of well-being, and parental fulfillment.
PT retrospective chart review of 374 24/7 KMC infants and moms had better
maternal psychology than non-kmc infants’ moms.
PT, 3rd world, India, Quasi-exp of pretest-KC-posttest feelings and knowledge
and attitude to KC. . Positive feelings like closeness to baby (93.5 %) and sense
of goodness (97.8 %) were noted amongst mothers. Though statistically not
significant, the proportion of mothers who felt it impracticable to give breast
feeding while doing KMC was considerable (39.1 %; 95 % CI 25.1-54.6 %)
compared to those who felt no difficulty in breast feeding (60.9 %; 95 % CI 45.474.9 %). Practicable duration of KMC is 1, 2 and 12 h as felt by 52 %, 19.6 %
and 6.5 % of mothers respectively. All the mothers expressed their willingness to
continue KMC at home.
Nguah et al. 2011
PT, mom’s increased use of KC at home and thought it was beneficial to their
Babies. Positive perception of ambulatory KC,doing it outside of home, felt it
was beneficial to them and to their babies, and would recommend it to other
mothers. INCREASED LENGTH OF KC
Nolan & Lawrence, 2009 FT, RCT of 25 infants who got three types of KC (ventral to ventral,
ventral to lateral, cradle hold on mother’s side under axilla) that started
> 30 mins post birth compared in PACU to 25 controls who were not in
PACU KC infants had better HR, RR, and temp stabilization and lower
cortisol levels than controls. KC moms had less anxiety and more
satisfaction with their care.
Sandin-Bojo, et al.
2006,2008, etc
FT, a whole slew of articles as to how well Sweden is meeting the WHO 1996
guidelines for normal birth. And they include measuring maternal perceptions of
the birth experience as positive or negative.
Sandin-Bojo, k, B, L2011 FT, 1173 mothers were asked to rank their birth experiences according to WHO
1996 guidelines and mothers ranked having the chance to hold their infant skin
to skin directly after delivery more highly on the subjective importance scale
than the perceived reality of it. BIRTH KC is IMPORTANT to Swedish Mothers.
Stevens et al.,2014
FT, Review of KC + C/S studies and says that studies show more maternal
satisfaction with birth experience when given KC soon
Svenson et al., 2013
FT, RCT of BF+KC vs BF alone in women with severe latlching on problems.
Those who got KCduring BF had a more positive breastfeeding experience according
to the Breastfeeding Emotional Scale during the intervention than mothers in the
control group (n = 50) (p-value = 0.022).
Suman et al. 2008
Tessier et al. 1998
Warren 2008
PT, FT (SGA), RCT of 24/7 KMC and most mothers felt KMC was acceptable and
many said they would do it at home and did do it at home.
PT, KC gives moms greater sense of competence, greater sensitivity
FT, Review and says that mothers have intensely strong feelings with onset of
WHO, 1996
Birth KC.
FT, guidelines for normal birth and say that when the guidelines are not
followed mothers will have a negative experience with their birth and that lasts
a long time.