Mother-child separation in critical care: emotional implications, impact on the bond and intervention strategies

Authors

DOI:

https://doi.org/10.56294/saludcyt20251440

Keywords:

mother-child binomial, hospitalization, premature newborn, mother-child separation

Abstract

Introduction: the hospitalization of a premature baby is the cause of stress for many mothers, affecting the mother-child bond, producing emotional changes in the mother and, on the other hand, the presence of complications in the neonate's health status. The general objective is to analyze the available literature on the effects on the health of the mother, the newborn and the family when separation occurs.
Methods: a literature review was carried out under a qualitative approach and descriptive design in DIALNET, SCOPUS, SciELO, Science Direct, PubMed and LATINDEX databases, using search terms such as: mother-child separation, experiences, critical care, implications; with Boolean operators “and” and “or”. The selection of articles was based on inclusion and exclusion criteria, leaving a final sample of 30 original articles.
Results: separation of the mother-infant dyad in critical care poses risks to the neonate, ranging from poor neuropsychological development to extension of care. A negative pattern is observed in the psychological health of the mother manifested by negative emotions, reaching a point where both become emotionally and functionally disengaged. Methods have been developed to lessen the effects of these problems and improve both the quality of life of the newborn during their stay and the mother-child bond.
Conclusions: it is crucial the support of health personnel, with programs and workshops that involve the mother in the care of the baby, helping to a better development and clinical evolution of the newborn.

References

1. Organización Mundial de la Salud. Preterm birth. 2023. https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth

2. Iono C, Ciuffo G, Colombo C, Melani O, Figlino M, Landoni M, Castoldi F, Cavigioli F, Lista G. Preterm birth and maternal mood states: what is the impact on bonding?. Pediatric Reports 2024;16(1). https://doi.org/10.3390/pediatric16010004

3. Conforme N, Daquilema M, Cabrera J, Barrera M, Rodríguez J. Experiencias de gestantes con trastornos hipertensivos ingresadas a áreas críticas, y separación del binomio madre-hijo, en tres instituciones en Ecuador, durante la pandemia por Covid-19 (2020). Revista Colombiana de Obstetricia y Ginecología 2024;75(4). https://doi.org/10.18597/rcog.4234

4. Mira A, Bastías R. Interações entre mães e seus bebês prematuros durante o período de hospitalização. Cadernos Brasileiros de Terapia Ocupacional 2020;28(3). https://doi.org/10.4322/2526-8910.ctoAO2042

5. Faúndez R, Herrera V, Moreno B, Vilca M, Vargas V, Gallegos S. Exploração da saúde mental de pais e mães de prematuros hospitalizados em unidade neonatal durante a pandemia de COVID-19. Cadernos Brasileiros de Terapia Ocupacional 2024;32. https://doi.org/10.1590/2526-8910.ctoAO276936043

6. Santos M, Bortolin D, Garbin S, Tabaczinski C. Impacto da prematuridade na constelação da maternidade. Psicologia E Saúde Em Debate 2020;6(2). https://doi.org/10.22289/2446-922X.V6N2A16

7. Muñoz M, Tejada S, Huyhua S, Bustamante L, Herrera Y. Vivencias maternas al tener un recién nacido hospitalizado.ACC CIETNA: Revista De La Escuela De Enfermería 2020;7(1). https://doi.org/10.35383/cietna.v7i1.365

8. Veloz R, González D. Estrés Parental o Familiar en una Unidad de Cuidados Intensivos Pediátricos: Un Estudio Fenomenológico. Ciencia Latina Revista Científica Multidisciplinar 2024;8(4). https://doi.org/10.37811/cl_rcm.v8i4.13764

9. Reis C, Marques L, Souza E, Pimentel F, Santo S. Experiências maternas na primeira semana de hospitalização do prematuro em cuidado intensivo. Revista De Enfermagem Da UFSM 2020;10. https://doi.org/10.5902/2179769242072

10. Vizcaíno P, Maldonado I, Cedeño R. Metodología de la investigación científica: guía práctica. Ciencia Latina Revista Científica Multidisciplinar 2023;7(4). https://doi.org/10.37811/cl_rcm.v7i4.7658

11. Vásquez A, Guanuchi L, Cahuana R, Vera R, Holgado J. Métodos de investigación científica. Perú: Instituto Universitario de Innovación Ciencia y Tecnología Inudi Perú S.A.C; 2023. https://doi.org/10.35622/inudi.b.094

12. Chipana G. La investigación científica. Bolivia: LetaníasCentro Editoria; 2023. https://doi.org/10.53287/waan8140cx35t

13. Jeong S, Farfán L, Jiménez J. Cómo se redacta un artículo de revisión sistemática. Mediografic 2024;2(2). https://doi.org/10.35366/115863

14. Hernández S, Duana D. Técnicas e instrumentos de recolección de datos. Boletín Científico de las Ciencias Económico Administrativas del ICEA 2020;9(17).

15. Nogueira B, Oliveira A, Farias E, Martins G. Vivências das mães de crianças crônicas dependentes de tecnologias em Unidade de Terapia Intensiva Pediátrica. Revista Cogitare Enfermagem 2023;28. https://doi.org/10.1590/ce.v28i0.88848

16. Poblete M, Gaete F, Muñoz J, Núñez P, Salgado S, Bravo S. Vivencias de las madres frente a la incertidumbre que experimentan durante la hospitalización de su hijo en una unidad de cuidados intensivos neonatal. Revista Cuadernos de Enfermería 2021;3(1). https://cuenfer.ucm.cl/article/view/860/820

17. Alencar R, Aparecida V, Piazentin O. Sentimentos e Percepções Maternas sobre a Internação de Bebês Pré-Termo e a Termo: estudo comparativo. Contexto Clínicos 2021;14(1). https://doi.org/10.4013/ctc.2021.141.02

18. Thomazini V, Guisantes C. Narrativas de mulheres mães: vivências e ressignificações diante da prematuridade extrema. Revista Psicologia, Diversidade e Saúde 2023;12. https://doi.org/10.17267/2317-3394rpds.2023.e4659

19. Marocco C, Cadore J, Sobreira R, Piccinini C. “É um Bombardeio de Sentimentos”: Experiências Maternas no Contexto do Nascimento Prematuro. Psico-USF 2023;28(1). https://doi.org/10.1590/1413-82712023280105

20. Cecagno D, Cardoso C, Cecagno S, Marques J, Benigno C, Correa M. The experience in a neonatal intensive care unit: mothers’ point of view. Revista de Pesquisa Cuidado é Fundamental Online 2020;12. https://doi.org/10.9789/2175-5361.rpcfo.v12.8827

21. Dos Santos L, Celli A, Marini R, Correa H, Marciniak A. Frequência de estresse materno e de risco psíquico em recém-nascidos que foram hospitalizados em unidade de terapia intensiva neonatal. Revista Brasileira de Saúde Materno Infantil 2022;22(4). https://doi.org/10.1590/1806-9304202200040004

22. Santos R, Zimmermann J, Volpato C. UTI Neonatal: o que dizem as mães. Psicologia E Saúde Em Debate 2021;7(1). https://doi.org/10.22289/2446-922X.V7N1A14

23. Acharya S, Bhandari S, Bhattarai S, Gaire H. Experiences of mothers having preterm infants admitted in Neonatal Intensive Care Unit: a qualitative study. Journal of Chitwan Medical College 2021;11(4). https://doi.org/10.54530/jcmc.454

24. Batista L, Barros I, Flausino P, Ferreira D. Os impactos da hospitalização neonatal para mães de recém-nascidos. REVISA 2021;10(2). https://doi.org/10.36239/revisa.v10.n2.p368a378

25. Khasanah N, Rustina Y, Wanda D, Luthfa I. Enhancing early bonding between mothers and preterm infants: findings from a Multicentre Qualitative Study of Nurses. Revista Latino-Americana de Enfermagem 2024;32. https://doi.org/10.1590/1518-8345.7034.4200

26. Almeida N, Abramowicz R. Impactos psíquicos nas vivências de mães de bebê com extremo baixo peso internado em UTI Neonatal. Revista da Sociedade Brasileira de Psicologia Hospitalar 2022;25(1). https://doi.org/10.57167/Rev-SBPH.25.30

27. Borba M, Aparecida Z, Böing E. Promoção do vínculo afetivo entre mãe e recém-nascido pré-termo: percepções e ações de uma equipe multiprofissional. Contextos Clínicos 2020;13(1). https://doi.org/10.4013/ctc.2020.131.04

28. Shrestha T, Singh A, Bhattarai S, Raut K. Experience of Mothers Having Preterm Newborns in Neonatal Care Units. Journal of Karnali Academy of Health Sciences 2020;3(2). https://doi.org/10.3126/jkahs.v3i2.30782

29. Martins M, Milfont L, Socorro A, Melão R, Mazoni S, Griboski R. Percepções de mães nutrizes ao vivenciarem a prematuridade na Unidade de Terapia Intensiva Neonatal. Revista Cogitare Enfermagem 2022;27. https://doi.org/10.5380/ce.v27i0.80125

30. Väliaho A, Lehtonen L, Axelin A, Korja R. Parental Narratives of Bonding and Relational Experiences with Preterm Infants Born at 23 to 24 Weeks—A Qualitative Descriptive Study. Children 2023;10(5). https://doi.org/10.3390/children10050793

31. Gutiérrez S, Escobar P, Saelices A, Rodriguez L, Longueira B, Blanco R. Emotional support for parents with premature children admitted to a neonatal intensive care unit: a qualitative phenomenological study. The Turkish Journal of Pediatrics 2020;62(3). https://doi.org/10.24953/turkjped.2020.03.011

32. Díaz D, Agudelo S, Maldonado M, Díaz E, Tuta E. Experiencias de las madres en el proceso de alimentación con leche humana en recién nacidos en la unidad neonatal. Gaceta Médica De Caracas 2022;130(4). https://doi.org/10.47307/GMC.2022.130.4.9

33. Torrecilla N, Wadheim J, Contreras D. Ansiedad, depresión e interacciones vinculares en madres de prematuros durante el período de internación en una Unidad de Cuidados Intensivos Neonatales (UCIN) y prealta de sus hijos. Revista Científica Multidisciplinaria Arbitrada YACHASUN 2023;7(12). https://doi.org/10.46296/yc.v7i12.0277

34. Ochoa S, Arboleda A, García E, Arroyave I. Apoyo a la lactancia materna en una unidad de cuidados neonatales. Revista Cuidarte 2023;14(3). https://doi.org/10.15649/cuidarte.2946

35. Filippa M, Casa E, D’amico R, Picciolini O, Lunardi C, Sansavini A, Ferrari F. Effects of Early Vocal Contact in the Neonatal Intensive Care Unit: Study Protocol for a Multi-Centre, Randomised Clinical Trial. International Journal of Environmental Research and Public Health 2021;18(8). https://doi.org/10.3390/ijerph18083915

36. Le Frienc B. Musicoterapia con bebés prematuros en UCIN: una propuesta de intervención centrada en la familia. Re-Unir 2021;1(7-13). https://reunir.unir.net/handle/123456789/11321

37. Abbasinia N, Rad Z, Qalehsari M, Gholinia H, Arzani A. The effect of instructing mothers in attachment behaviors on short-term health outcomes of premature infants in NICU. Journal of Education and Health Promotion 2023;12(9). https://doi.org/10.4103/jehp.jehp_514_22

38. Salas M, Depaula P. Herramientas clínicas y conocimientos del sector de enfermería sobre la población de los Servicios de Maternidad y Unidad de Cuidados Intensivos Neonatales. Calidad de Vida & Salud 2024;17(1). http://revistacdvs.uflo.edu.ar/index.php/CdVUFLO/article/view/393/306

39. Piloni M, Krebs J, Dias E, Zilly A, Munhak R. Orientações realizadas em unidade de terapia intensiva neonatal aos país. Revista Pesquisa Qualitativa 2022;10(23). https://doi.org/10.33361/RPQ.2022.v.10.n.23.332

40. Sharifi M, Heidari H, Choopani R, Deris F, Heidarzadeh M. Comparing the Effect of Face-to-Face and App-Based Education on Mothers with Infants in Neonatal Intensive Care Unit. Journal of Clinic Care and Skills. 2023;4(1). http://jccs.yums.ac.ir/browse.php?a_id=175&slc_lang=en&sid=1

41. Im M, Oh J. Nursing support perceived by mothers of preterm infants in a neonatal intensive care unit in South Korea. Child Health Nursing Research 2021;27(2). https://doi.org/10.4094/chnr.2021.27.2.146

42. Degaga G, Sendo E, Tesfaye T. Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study. Pediatric Health, Medicine and Therapeutics 2020;11. https://doi.org/10.2147/PHMT.S215295

43. Kynoe N, Fugelseth D, Hanssen I. When a common language is missing: Nurse–mother communication in the NICU. A qualitative study. Journal of Clinic Nursing 2020;29(13-14). https://doi.org/10.1111/jocn.15212.

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Published

2025-04-17

How to Cite

1.
Cabrera Olvera JL, Zhizhpon Gavidia CG, Velasco Cedeño JD, Sinchiguano Moreno GL. Mother-child separation in critical care: emotional implications, impact on the bond and intervention strategies. Salud, Ciencia y Tecnología [Internet]. 2025 Apr. 17 [cited 2025 May 18];5:1440. Available from: https://sct.ageditor.ar/index.php/sct/article/view/1440