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Abstract
The birth of a premature infant i an unexpected and tressful event for which Iamilie re emotionally unprepared, Tiley find themselve simultaneously coping with their own need .jhe needs of their iufaut and tIle need of their families (e pecilly v hen there are rher childreu). They are faced with multiple crises and over whelming feelings of re pousibility expense, and fmstration (WOllg, 199 ~,
A preterm infant is nearly alway low birth weight, but Call also be
llWIJ COl gestational age SGA). appropriate for gestational age (AGA), or large for gestational a e (LGA). Becan e of the immaturity of their body sySlem and lack of adequate nutritional reserve, pretenn infant are at” risk for a number of herr and long-tern’ problems. A lack of lung
urf etant make them e pecially vulnerable to re piratory di tress S:J- adrome, Separation from parent and prolonged lio pitalizaticu i additional $11 so. An infant’s long term outcome depend on birthhweight, gestational age, nnderlying illness or abnounaliries, and ability to feed and gain weight [Gree», 2001).
Pre-maturity account fOI’ the largest numb . of admission to the NI U. Immaturity places infants At risk for not. only neonatal complications, RD and hyperbilie ibinemia, which is highes: in rhe pretenn infant but also 1’Ot other high risk factors, such as congenital anomalies in association with pre-mlltl.1rity(Bl’ollg; 2003).
All parent have orne anxienes about (he outcome of pregnancy bur folio ving it plel’tiatlue birth the concern i heiahtened about both the viability and rh inta rue of their infant . Mothers ee their infam only briefly before the newborn is removed ro the intensive care L10jt or even to
another hospita], leaving them with just tile recolleetion of the infam’s very small size <lUG unu ual appearanc (Wo1lg. 199 ?
Th primary care goal for premarur infant. and th if families is normali anon. TIIi$ means helping pAl’enrs 10 resume nonual dail acrivitie with their newborn infant after an early delivery and long-term hosp ita lizati CHI. omerunes thi early birth Ita, been preceded by a highhri k pregnancy requiring long period of bed re I, a 11’ ful neonatal CQ\U’ e. The feedback froiu early follow-up, hi ll. family tress, infant vulnerability. ri k of haudicapsvand the need. (or parental rea surance, as a result. premature infant follow-up pro aLUS have evolved as an exteasion of the Care provided in ueonatal inlen ive care unit (Fox; 2{)02.
ignificance of the study:
Thi: study will be aimiua 10 help and SUpp0!1 mothers, \’0 identify the predominant trategies that can help them to manage the e stre sful
ituations. This could be done through fostering the development of artaeluuenr to their high-risk infant and minimize ’he psychological disorganization of mothers during an I after infant hospiralization she can AI”o e rablish effective communication pattern provid mformarion and anticipatory guidanc 10 ’he uiotlrers, In ddition, ’he nurse has to provide. S\IPPOf! sad limit motile! I powe Iessness by establi lung a mother-infant relationship rhrouzh visiting the infant in neonatal imen ive care unir aud participate ill care giving activities 10 their high-risk infant, TIle nurse can encourage rh mothers to ventilate their feelin s and verbalize UJek taoughr and questions. TJJXQ\lgll Ji to! ling; to mo hers reflecting; their concern and reassure them about their high-risk infant’s condition.