PARENTS’ CONCERNS ABOUT THE

NEWBORN DURING PRIMARY

CARE NURSING CONSULTATIONS
IN BRAZIL
Priscila Costa, Guilherme Ferreira de Souza Lima,
Aline Santa Cruz Belela Anacleto, Paula Rosemberg de
Andrade, Myriam Aparecida Mandetta, and Flávia
Simphronio Balbino

Presented by:
LUGINA AHDIANI YANUARTI (1118002)
RATIH MULYANINGSIH (1118028)
OUTLINE

• ABSTRACT
• METHODS
 Study Design
 Setting
 Participants
 Procedures
 Data Analysis
• RESULTS
• DISCUSSION
• CONCLUSION
 ABSTRACT

The first 28 days of life represents the most

vulnerable period for a child’s survival.
(World Health Organizations)

Caused by:
- Preterm birth
- Low birth weight
- Infectious diseases
 ABSTRACT

The neonatal period is also challenging for

parents because of multiple challenges such
as adapting to the parental role and
bonding to the newborn.
 ABSTRACT

From that vulnerable period for a child’s

survival, the Brazilian public healthcare
system prioritizes maternal and infant
health policies.
 ABSTRACT

In the nursing consultation, the Brazilian

law approved in 2016, creates programs,
services, and initiatives aimed at
promoting the integral development of
children from birth to 6 years of age.
 METHODS

STUDY DESIGN

Quantitative analysis of intake interview data

from nursing consultations registered at the
medical record of the newborns
 METHODS

SETTING

The study was conducted at a philanthropic

community healthcare center that provides
primary health care.
This community healthcare center is an
entry point of the public healthcare
system in Brazil (SUS).
 METHODS

PARTICIPANTS

All parents of newborns who attended a

nursing consultations between January and
December 2016 where selected to
participate in the study (mother, father,
grandparent, uncle, caregiver, or legally
responsible adult for the newborn)
 METHODS

PROCEDURES

• Asked the parents if they wanted to

participate, and obtained informed consent.
• Routinely performed and interview with
parents to obtained data of socio-demographic
characteristic, health status, and parent’s
concern about the newborn.
 METHODS

DATA ANALYSIS

• Descriptive analysis was performed to

describe socio-demographic characteristics
of the participants and parents’ concerns
• Bivariate analysis is used to test the
association between socio-demographic
characteristics and the occurence of
concern about the newborn
 RESULTS

42 parents and their newborns attended

nursing consultations in the community
healthcare service

Mother 59,5%
Both parents 23,8%
Mother & extended family14,3%
Father 2,4 %
 RESULTS

Maternal age 14-40 years average = 24,8 years

Paternal age 16-50 years average = 25,5 years

23,8% of the mother were adolescents

2,9 % of the father were adolescents
 RESULTS
Newborns

52,4% Female
97,2% Without low birth weight
84,2% without hospitalization in the neonatal period

Chronological age of the newborn varied between 1 and 27 days

Mean: 15,2 days of life
Mode: 10 days of life
RESULTS
RESULTS
RESULTS
 DISCUSSION

• Vasconcelos and colleagues (2012) found

first-time mothers expressed uncertainties and
concerns about parenting and protecting the
Newborn.
• In the investigation, parents reported
concerns related to exclusively
biopsychological aspects about the newborn’s
health.
 DISCUSSION
• In this study, we did not find a statistically
significant association between socio-demographic
characteristics and parent’s concerns.
• Adolescent mothers may have more symptoms
of depression and stress in late pregnancy and
the early postpartum period than young adult
mothers.
• Singleparent families composed of mothers alone
were more concerned than fathers alone or than both
parents.
• Parents with a lower educational level had higher
levels of concern, and older parents at childbirth presented
lower levels of parental concerns.
 DISCUSSION
We suggest nurses consider parents’ concerns and
enhance health education at nursing consultation,
home visiting, and group-based interventions.
Considering our findings, aspects such as a protective
and loving parent-child relationship, management of
usual breastfeeding complications, and routine care of
the newborn at home must be emphasized for nurses
according to each local context.
 DISCUSSION
Although we analyzed concerns reported by 42
newborns’ parents, some limitations should be
considered. Findings reported in this study expressed
concerns of families from a single philanthropic
community health care center. Further, additional
evidence-based studies with a larger sample size
representative of a diverse social context might move
knowledge ahead in this area. Future investigations
should adopt validated instruments to recognize
parents’ concerns about the newborn and address aspects
related to the development of parenting skills to foster
newborn care.
 ANY
QUESTIONS?
“PARENTS’ CONCERNS ABOUT THE NEWBORN DURING
PRIMARY CARE NURSING CONSULTATIONS IN BRAZIL”
 CONCLUSION

Most parents had concerns about physical

protection, safety, and regulation of the
newborn. During nursing consultations,
parents mainly reported concerns regarding
the respiratory condition and the routine
care of the newborn, such as the sleeping
and defecation pattern, umbilical stump
care, and regurgitation.
 CONCLUSION

Adolescent mothers, single-parent families, and

parents of preterm newborns were more likely
to report concerns compared to other parents.

We suggest neonatal and pediatric nurses

consider parents’ concerns and enhance
health education practices during nursing
consultations to engage and support families
on newborn care.
Thank you!