Contribution of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates
Introduction: In the care of preterm newborn, practices that favor the participation of mothers in care are recommended. The use of appropriate instruments by professionals can contribute to strengthen maternal participation.
Objective: To analyse the contributions of the use of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates.
Methods: Descriptive qualitative study, using participant observation and semi-structured interviews with 14 mothers of preterm newborns who underwent NBO. Data was submitted to content analysis, assinted by the software MAXQda 12.
Results: It was found that the mothers' prior perceptions of the newborn´s capacities or how they react to environmental stimuli do not differ from what was observed and reported by them after NBO. However, it was verified that NBO confirms this perception and broadens the mothers' understanding of the meaning of the newborn's behavior. Participating in the NBO helped the mothers to identify strategies to find the needs of the newborn, qualifying the care already performed by them and opening new possibilities for maternal care.
Conclusions: The NBO is an instrument that favors the mother's learning about the behavior of the newborn and contributes to the construction of practices with potential to be used by them within daily care. This allows us to consider it as a tool that favors the mother-baby relationship, contributes to the mother's participation in the care, and supports the mother in the construction of her autonomy for the continuity of the newborn's care after hospital discharge.
Whittingham K, Boyd RN, Sanders MR, Colditz P. Parenting and prematurity: understanding parent experience and preferences for support. J Child Fam Stud. 2015; 24(5):1529. DOI: http://dx.doi.org/10.1007/s10826-015-0166-y
Fleck P. Connecting mothers and infants in the neonatal intensive care unit. Newborn Infant Nurs Rev. 2016;16(2):92-6. DOI: http://dx.doi.org/10.1053/j.nainr.2016.03.007
Raines DA. Mothers' stressor as the day of discharge from the NICU approaches. Adv Neonatal Care. 2013;13(3):181-7. DOI: http://dx.doi.org/10.1097/ANC.0b013e318285fa2a
Maguire CM, Bruil J, Wit JM, Walther FJ. Reading preterm infants' behavioral cues: An intervention study with parents of premature infants born <32 weeks. Early Hum Dev. 2007; 83(7):419-24. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2007.03.004
Newnham CA, Milgrom J, Skouteris H. Effectiveness of a modified mothering infant transaction program on outcomes for preterm infants from 3 to 24 months of age. Infant Behav Dev. 2009; 32(1):17-26. DOI: http://dx.doi.org/10.1016/j.infbeh.2008.09.004
Schroeder M, Pridham K. Development of relationship competencies through guided participation for mothers of preterm infants. J Obstet Gynecol Neonatal Nurs. 2006;35(3):358-68. DOI: http://dx.doi.org/10.1111/j.1552-6909.2006.00049.x
Melnyk BM, Crean HF, Feinstein NF, Fairbanks E. Maternal anxiety and depression after a premature infant's discharge from the neonatal intensive care unit: explanatory effects of the creating opportunities for parent empowerment program. Nurs Res. 2008; 57(6):383-94. DOI: http://dx.doi.org/10.1097/NNR.0b013e3181906f59
Ra JS, Lim J. Development and evaluation of a video discharge education program focusing on mother-infant interaction for mothers of premature infants. J Korean Acad Nurs. 2012; 42(7):936-46. DOI: http://dx.doi.org/10.4040/jkan.2012.42.7.936
Cheetham NB, Hanssen TA. The Neonatal Behavioral Observation System: A tool to enhance the transition to motherhood. Vard Nord Utveckl Forsk. 2014; 34(4):48-52. DOI: http://dx.doi.org/10.1177/010740831403400410
Sanders LW, Buckner EB. The newborn behavioral observations system as a nursing intervention to enhance engagement in first-time mothers: feasibility and desirability. Pediatr Nurs. 2006; 32(5):455-9.
Brazelton TB, Nugent JK. The neonatal behavioral assessment scale. 4ª ed. London: Mac Keith Press; 2011.
Nugent JK, Keefer CH, Minear S, Johnson LC, Blanchard Y. Understanding newborn behavior and early relationships: the newborn behavioral observations (NBO) system handbook. Baltimore: Paul H. Brookes Publishing Co; 2007.
Nugent JK. The competent newborn and the neonatal behavioral assessment scale: T. Berry Brazelton's legacy. J Child Adolesc Psychiatr Nurs. 2013; 26(3):173-9. DOI: http://dx.doi.org/10.1111/jcap.12043
Brasil. Ministério da Saúde. Atenção humanizada ao recém-nascido de baixo peso: Método Canguru. 2. ed. Brasília: Ministério da Saúde; 2011.
Dittz ES, Sena RR, Motta JAC, Duarte ED. Cuidado materno ao recém-nascido na unidade de terapia intensiva neonatal: possibilidades e desafios. Cienc Enferm. 2011; 17(1): 45-55. DOI: http://dx.doi.org/10.4067/S0717-95532011000100006
Guimarães MAP. O comportamento de recém-nascidos de risco: adaptação transcultural e utilização clínica da Neonatal Behavioral Observation (NBO). Dissertação (Mestrado) – Escola de Educação Física, Fisioterapia e Terapia Ocupacional da Universidade Federal de Minas Gerais. Belo Horizonte: 2016.
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 13. ed. São Paulo: Hucitec; 2013.
Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005; 15(9):1277-88. DOI: http://dx.doi.org/10.1177/1049732305276687
Lincoln YS, Guba EG. Naturalistic inquiry. London: Sage Publications; 1985.
Evans T, Whittingham K, Sanders M, Colditz P, Boyd RN. Are parenting interventions effective in improving the relationship between mothers and their preterm infants? Infant Behav Dev. 2014;37(2):131-54. DOI: http://dx.doi.org/10.1016/j.infbeh.2013.12.009
Craig JW, Glick C, Phillips R, Hall SL, Smith J, Browne J. Recommendations for involving the family in developmental care of the NICU baby. J Perinatol. 2015;35(Suppl 1):S5-8. DOI: http://dx.doi.org/10.1038/jp.2015.142
Nugent JK. The newborn behavioral observation (NBO) system as a form of intervention and support for new parents. Zero Three. 2015; 36(1):2-10.
Altimier L. Mother and child integrative developmental care model: a simple approach to a complex population. Newborn Infant Nurs Rev. 2011;11(3):105-8. DOI: http://dx.doi.org/10.1053/j.nainr.2011.06.004
Freitas JO, Camargo CL. Discutindo o cuidado ao recém-nascido e sua família no método mãe-canguru. Rev Bras Crescimento Desenvolv Hum. 2006; 16(2):88-95. DOI: http://dx.doi.org/10.7322/jhgd.19794
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