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      Perceptions of mothers with preterm infants about early communication development: A scoping review

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          Abstract

          Background

          Preterm infants are at risk of communication disorders or delays, and their mothers experience various difficult emotions and realities. These communication difficulties could be effectively prevented or addressed through the provision of appropriate maternal support. Maternal perceptions regarding early communication–interaction and development in preterm population should thus be well understood by health professionals. Previous studies have focussed on parents’ and patients’ perceptions of medical information received from health professionals. Limited research, however, has been undertaken on maternal perceptions of early communication development in preterm infants, specifically in the South African context.

          Objectives

          The study aims to summarise the range and the nature of available research in the fields of early communication development and intervention in preterm infants, specifically maternal perceptions thereof.

          Method

          A scoping review methodology comprising five phases was used. Data were extracted from the final selection of 12 articles and analysed through quantitative and thematic techniques.

          Results

          The results of the scoping review indicate that the defined research field is in a developing phase. Mothers mainly experience negative emotions and have limited knowledge regarding communication interaction with preterm infants. Furthermore, hospitalisation has been experienced as a barrier to natural communication–interaction between mother and infant.

          Conclusion

          Based on these results, it is recommended that primary research be conducted with the mothers of preterm infants to establish the most effective strategies for communication–interaction training with this vulnerable population. A further recommendation would be to increase awareness of early communication development and intervention in the preterm population amongst both parents and health professionals.

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          Most cited references16

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          Trustful bonds: a key to "becoming a mother" and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit.

          A preterm birth and subsequent hospitalization of an infant at a neonatal unit (NU) implies an extraordinary life situation for mothers, in which the maternal role and breastfeeding begin and evolve in a medical and unfamiliar setting. Descriptions of how women experience "becoming a mother" and breastfeeding in such a situation are sparse and this question was addressed in the present study. In this qualitative study, inspired by the grounded theory approach, in-depth interviews were conducted with 25 mothers whose very preterm infants had been cared for in seven NUs in Sweden. Findings indicated the importance of quality in social bonds with the infant, father, staff and other mothers at the NU, for "becoming mothers" and experiencing mutually satisfying breastfeeding. Three themes comprised a structure for descriptions of experiences, social bonds and mediated emotions: (1) 'loss' of the infant and the emotional chaos--"putting life on hold"; (2) separation--a sign of being unimportant as a person and mother; and (3) critical aspects of becoming more than a physical mother. The qualities were described as trustful or distrustful, characterized by accompanying feelings of pride/trust or shame/distrust. Social bonds were affected not only by the interpersonal interplay but also by the public environment and care routines. In conclusion, the contextual setting and distrustful social bonds impaired the ability to "become mothers" and the sensation of reciprocity i.e. breastfeeding becoming dutiful and not mutually satisfying. As breastfeeding is an intimate interplay and a personal choice it was considered that the best breastfeeding support would seem to be provision of a favorable environment that enhances the mother's confidence in herself. The contextual setting should be modeled such as to create conditions for a trustful and reciprocal mother-infant bond.
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            Development of early communication skills in the first two years of life

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              • Abstract: not found
              • Article: not found

              Parents’ lived experience of providing kangaroo care to their preterm infants

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                Author and article information

                Journal
                S Afr J Commun Disord
                S Afr J Commun Disord
                SAJCD
                The South African Journal of Communication Disorders
                AOSIS
                0379-8046
                2225-4765
                29 January 2020
                2020
                : 67
                : 1
                : 640
                Affiliations
                [1 ]Division of Speech-Language and Hearing Therapy, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
                Author notes
                Corresponding author: Elanie van Schalkwyk, elanie789@ 123456gmail.com
                Author information
                https://orcid.org/0000-0002-5605-2163
                https://orcid.org/0000-0002-6407-1743
                https://orcid.org/0000-0003-2139-1162
                https://orcid.org/0000-0002-0878-6015
                https://orcid.org/0000-0003-2195-6661
                Article
                SAJCD-67-640
                10.4102/sajcd.v67i1.640
                7059246
                32129663
                0144d01e-8f60-4caa-8bd5-113a8c814970
                © 2020. The Authors

                Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.

                History
                : 29 May 2019
                : 24 October 2019
                Categories
                Original Research

                mother,perception,preterm infant,early communication development,communication,interaction

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