Josefina Gallegos-Martínez

The hospitalized preterm newborn: The significance of parents' participation in the Neonatal Unit

OBJETIVO: identificar y analizar los significados para los padres de su participacion en una unidad neonatal de un hospital/maternidad en San Luis Potosi, Mexico. METODO: estudio cualitativo con 20 padres de ambos sexos, entre 18 y 39 anos, basado en referencial participacion de los padres con hijo prematuro hospitalizado. Se utilizo analisis de contenido modalidad analisis tematico para tratamiento de la informacion. RESULTADOS: los significados: a) la unidad neonatal como un espacio de sufrimiento y espera b) afrontando el internamiento del hijo c) siendo excluido del cuidado del hijo hospitalizado d) descubriendose sin competencias para el cuidado del hijo. CONCLUSION: los padres afrontan su sufrimiento y experiencian barreras que les impide la participacion, se asumen bajo la jerarquia medica limitando su participacion aun contra su rol natural como padres. Se requiere transformar la filosofia asistencial concibiendo a los padres como personas con derecho de participar y ser competentes en el cuidado del hijo.OBJECTIVE to identify and analyze the significance of participation for parents in a Neonatal Unit (NU) of a maternity hospital in San Luis Potosí, Mexico. METHOD a qualitative study with 20 parents of both sexes, between 18 and 39 years of age, with a preterm hospitalized child. A content analysis using a thematic approach was used for information processing. RESULTS the significance of: a) the NICU as a place of suffering and waiting, b) dealing with the childs admittance, c) being excluded from the hospitalized childs care and d) being aware of inadequacies in the childs care. CONCLUSION parents deal with their suffering and experience barriers that impede their participation; they respond to the medical hierarchy that limits participation, even when it goes against their natural role as parents. The caregiving philosophy needs to be transformed so that parents are considered people with the right to participate and to be competent in caring for their child.

Homogeneity of Maternal Perception of Her Child's Weight in Northeastern Mexico

Abstract The objectives were to assess a maternal perception of her child’s weight through two tests, words, and images, to validate tests; and to compare perception among Mexican populations. Participants 2,842 mother– child dyads; the child’s body mass index measurement was the gold standard. Sensitivity, specificity, Kappa value, Z test and homogeneity of Kappas were calculated. By words found that 55.1%, 77.5%, 32.2% and 25.1% of mothers of underweight, normal, overweight, and obese children had an adequate perception. By images found that 76.4%, 92.9%, 73.0%, and 89% of mothers of underweight, normal, overweight, and obese children had an adequate perception. Sensitivity, specificity, and Kappa values for the words were 28.4%, 22.5% and 0.442 (p=0.000); for the images were 81.6%, 23.6% and 0.043 (p=0.001). A small proportion of mothers of overweightobese children had adequate perception by words . The images had higher sensitivity. There are various levels of homogeneity across the States.

O neonato prematuro hospitalizado: significado da participação na Unidade Neonatal para os pais

OBJETIVO: identificar y analizar los significados para los padres de su participacion en una unidad neonatal de un hospital/maternidad en San Luis Potosi, Mexico. METODO: estudio cualitativo con 20 padres de ambos sexos, entre 18 y 39 anos, basado en referencial participacion de los padres con hijo prematuro hospitalizado. Se utilizo analisis de contenido modalidad analisis tematico para tratamiento de la informacion. RESULTADOS: los significados: a) la unidad neonatal como un espacio de sufrimiento y espera b) afrontando el internamiento del hijo c) siendo excluido del cuidado del hijo hospitalizado d) descubriendose sin competencias para el cuidado del hijo. CONCLUSION: los padres afrontan su sufrimiento y experiencian barreras que les impide la participacion, se asumen bajo la jerarquia medica limitando su participacion aun contra su rol natural como padres. Se requiere transformar la filosofia asistencial concibiendo a los padres como personas con derecho de participar y ser competentes en el cuidado del hijo.OBJECTIVE to identify and analyze the significance of participation for parents in a Neonatal Unit (NU) of a maternity hospital in San Luis Potosí, Mexico. METHOD a qualitative study with 20 parents of both sexes, between 18 and 39 years of age, with a preterm hospitalized child. A content analysis using a thematic approach was used for information processing. RESULTS the significance of: a) the NICU as a place of suffering and waiting, b) dealing with the childs admittance, c) being excluded from the hospitalized childs care and d) being aware of inadequacies in the childs care. CONCLUSION parents deal with their suffering and experience barriers that impede their participation; they respond to the medical hierarchy that limits participation, even when it goes against their natural role as parents. The caregiving philosophy needs to be transformed so that parents are considered people with the right to participate and to be competent in caring for their child.

El neonato prematuro hospitalizado: significado para los padres de su participación en la Unidad Neonatal

OBJETIVO: identificar y analizar los significados para los padres de su participacion en una unidad neonatal de un hospital/maternidad en San Luis Potosi, Mexico. METODO: estudio cualitativo con 20 padres de ambos sexos, entre 18 y 39 anos, basado en referencial participacion de los padres con hijo prematuro hospitalizado. Se utilizo analisis de contenido modalidad analisis tematico para tratamiento de la informacion. RESULTADOS: los significados: a) la unidad neonatal como un espacio de sufrimiento y espera b) afrontando el internamiento del hijo c) siendo excluido del cuidado del hijo hospitalizado d) descubriendose sin competencias para el cuidado del hijo. CONCLUSION: los padres afrontan su sufrimiento y experiencian barreras que les impide la participacion, se asumen bajo la jerarquia medica limitando su participacion aun contra su rol natural como padres. Se requiere transformar la filosofia asistencial concibiendo a los padres como personas con derecho de participar y ser competentes en el cuidado del hijo.OBJECTIVE to identify and analyze the significance of participation for parents in a Neonatal Unit (NU) of a maternity hospital in San Luis Potosí, Mexico. METHOD a qualitative study with 20 parents of both sexes, between 18 and 39 years of age, with a preterm hospitalized child. A content analysis using a thematic approach was used for information processing. RESULTS the significance of: a) the NICU as a place of suffering and waiting, b) dealing with the childs admittance, c) being excluded from the hospitalized childs care and d) being aware of inadequacies in the childs care. CONCLUSION parents deal with their suffering and experience barriers that impede their participation; they respond to the medical hierarchy that limits participation, even when it goes against their natural role as parents. The caregiving philosophy needs to be transformed so that parents are considered people with the right to participate and to be competent in caring for their child.