Malformação no bebê e maternidade: aspectos teóricos e clínicos / Baby's malformation and motherhood: theoretical and clinical aspects

Este trabalho apresenta uma revisão de estudos teóricos e clínicos acerca da maternidade no contexto de malformação do bebê. Inicialmente se discute o impacto do diagnóstico no psiquismo materno e na relação mãe-bebê e, num segundo momento, as intervenções psicológicas utilizadas nestas situações. Inquestionavelmente, o diagnóstico de malformação no bebê se revela como sendo uma experiência psíquica bastante complexa e difícil para a mãe, implicando em prejuízos psíquicos para ela e, consequentemente, para a relação mãe-bebê. Ademais, percebe-se que a representação mental que a mãe constrói acerca do bebê pode assumir um papel limitador ou potencializador do desenvolvimento psíquico do bebê. Os estudos destacam o quanto a representação psíquica materna merece ser examinada neste contexto de malformação, visando eventuais intervenções clínicas. A psicoterapia breve pais-bebê tem se mostrado uma técnica eficiente para acessar estas representações e redimensioná-las a favor de um crescimento psíquico mais saudável, tanto da mãe como do bebê. Assim, é importante que a malformação não seja tratada somente nos seus aspectos físicos e funcionais, mas também na sua dimensão psíquica.

This study presents a theoretical and clinical review concerning motherhood in the context of infant malformation. Initially, the impact of the diagnosis on the mother's psyche and on the mother-infant relationship is discussed, as well as psychological interventions geared toward them. Infant malformation diagnosis reveals itself as a quite complex and difficult psychic experience, implying psychic damages for the mother and, consequently, for the mother-infant relationship. Besides, the mother's mental representation concerning the baby can either facilitate or distort the infant's psychic development. Studies highlight the importance of examining maternal psychic representation in the context of malformation for eventual clinical interventions. Brief parent-infant psychotherapy has shown to be an efficient technique to access these representations in favor of a healthier psychic development for both mother and infant. Therefore, it is important that malformation is not only treated in its physical and functional aspects, but also in its psychic dimension.

Situational Meaning and Maternal Self-esteem in Mothers with High Risk Newborn / 간호학회지

PURPOSE: This study was designed to explore the relationship of situational meaning with maternal self-esteem in mothers with high risk newborn. METHOD: The subjects of this study were 82 mothers with high risk newborn. Data were collected using a translated Family Meaning Attribution Scale and Maternal Self-Report Inventory. Data were analyzed using descriptive statistics, t-test, Pearson Correlation Coefficients and Stepwise Multiple Regression. RESULT: The average score of the situational meaning in high risk newborn mothers was 64.01(possible score is between 0-96) and the average score of each item was 1.98. The average score of the maternal self-esteem in high risk newborn mothers was 81.96(possible score is between 26-104) and the average score of each item was 3.15. No significant differences were found in situational meaning according to general characteristics except whether it was a planned pregnancy or not. No significant differences were found in maternal self-esteem according to general characteristics except disease or admission experience during pregnancy. There was significant positive correlation between situational meaning and maternal self-esteem. CONCLUSION: It is necessary for nurses to provide high risk newborn mothers with care for improving situational meaning that is attributed to the mothers. It can be helpful to improve maternal self-esteem and in the end it will facilitate the maternal transition in mothers with high risk newborn.