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A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program’s Proposal

Author

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  • Concetta Polizzi

    (Italian Society of Pediatric Psychology (S.I.P.Ped.), Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy)

  • Giovanna Perricone

    (Italian Society of Pediatric Psychology (S.I.P.Ped.), Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy)

  • Maria Regina Morales

    (Italian Society of Pediatric Psychology (S.I.P.Ped.), Mental Health Department, ASST Sette Laghi, 21100 Varese, Italy)

  • Sofia Burgio

    (Italian Society of Pediatric Psychology (S.I.P.Ped.), Department of Psychology, Educational Science and Human Movement, University of Palermo, 90128 Palermo, Italy)

Abstract

The study was conducted with 104 mothers (average age 32.5 years, SD 6.1) of preterm infants (very and moderately preterm but still healthy) to monitor the perceived maternal role competence from the time of hospitalisation to post-discharge, in order to define an intervention program to support mothers during this transition. A targeted Q-Sort tool (Maternal Competence Q-Sort in preterm birth) was applied at two different times as a self-observation tool for parenting competence in neonatology. A tendency towards dysregulation of the maternal role competence was detected, mainly in terms of low self-assessment and was found to worsen during post-discharge, particularly with regard to caregiving ability. This study suggests the importance of accompanying parenting competence in preterm birth conditions, not only during hospitalisation in the Neonatal Intensive Care Unit (NICU) but also following discharge in order to promote the development of premature infants. This paper reports in the last part a specific integrated psychoeducational intervention program (psychologist and nurses), which we defined precisely in light of the suggestions offered by the study data on perceived maternal competence created with the Q-sort.

Suggested Citation

  • Concetta Polizzi & Giovanna Perricone & Maria Regina Morales & Sofia Burgio, 2021. "A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program’s Proposal," IJERPH, MDPI, vol. 18(16), pages 1-24, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8670-:d:615708
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    References listed on IDEAS

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    1. Livio Provenzi & Elena Santoro, 2015. "The lived experience of fathers of preterm infants in the Neonatal Intensive Care Unit: a systematic review of qualitative studies," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(13-14), pages 1784-1794, July.
    2. Esther Abena Adama & Sara Bayes & Deborah Sundin, 2018. "Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(17-18), pages 3377-3386, September.
    3. Cathrine Fowler & Janet Green & Doug Elliott & Julia Petty & Lisa Whiting, 2019. "The forgotten mothers of extremely preterm babies: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(11-12), pages 2124-2134, June.
    4. Laurene Aydon & Yvonne Hauck & Jamee Murdoch & Daphne Siu & Mary Sharp, 2018. "Transition from hospital to home: Parents’ perception of their preparation and readiness for discharge with their preterm infant," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(1-2), pages 269-277, January.
    5. Pia Lundqvist & Janne Weis & Bengt Sivberg, 2019. "Parents’ journey caring for a preterm infant until discharge from hospital‐based neonatal home care—A challenging process to cope with," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(15-16), pages 2966-2978, August.
    6. Shahirose S. Premji & Gianella Pana & Genevieve Currie & Aliyah Dosani & Sandra Reilly & Marilyn Young & Marc Hall & Tyler Williamson & Abhay K Lodha, 2018. "Mother's level of confidence in caring for her late preterm infant: A mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1120-1133, March.
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