Relação precoce mãe-filho. Revisão dos indicadores pós-parto do projeto Maternidade com Qualidade no CHBM-EPE

O aleitamento materno exclusivo é uma recomendação universal e o contacto pele-a-pele mãe/recém-nascido é fator de desenvolvimento para a díade. O trabalho académico desenvolvido centra-se nos indicadores de medida e evidência - amamentação na 1ª hora de vida & contacto pele a pele entre a díade. Tal enraíza-se no projeto Maternidade com Qualidade, da Ordem dos Enfermeiros Portugueses e em curso no Centro Hospitalar Barreiro-Montijo EPE. O projeto iniciou-se em setembro de 2015, seguindo-se os procedimentos que se relatam no atual documento. No diagnóstico de situação recolheu-se o estado dos indicadores. A vertente de investigação considerou como amostras profissionais e utentes do Centro Hospitalar Barreiro-Montijo e recolheu dados. A intervenção realizada produziu evolução positiva nos indicadores. O bonding em período sensível é reconhecido pelos profissionais como um elemento relevante nos cuidados. Com a implementação deste projeto contribuiu-se para a melhoria da qualidade dos cuidados na área de saúde materna; Mother-Child early relationship. Evaluating postpartum indicators from the Project Maternity with Quality at CHBM-EPE ABSTRACT: Exclusive breastfeeding is a universal recommendation and skin-to-skin mother / newborn is a development factor for the dyad. The academic work focuses on the measurement indicators and evidence - breastfeeding within the 1st hour of life & skin-to-skin between the dyad. This is rooted in the Maternity design with quality, of the Portuguese Nurses and ongoing in-Hospital Center Barreiro Montijo EPE. The project began in September 2015, following the procedures that are reported in the current document. In the situation analysis was collected status indicators. The research strand considers sample practitioners and users Barreiro-Montijo Hospital Center and collects data. The intervention performed produced positive results for these indicators. The bonding in the sensitive period is recognized by professionals as an important element in the care. With the implementation of this project contributed to improving the quality of care in maternal health.

Tornar-se pai/mãe de uma criança com transtornos graves do desenvolvimento

The interest in research on parents of children with severe developmental disorders has known different focuses of interest over time, from a more psychopathological approach, interested in describing the negative aspects of the impact of having a child with disabilities, to the study of coping strategies used to deal with the situation, and the study of the strength and resilience mobilized by these parents. The big change, however, is that the concern about parents is not only because of the child, but also for what happens in their own development processes. This developmental perspective is addressed here to the construction of the fundamental attachment between mother/father and the baby, how this bond is broken, and how it can be reconstructed when the child has a severe disability diagnosis. Only the resumption of parents’ developmental process will enable them to perform their parenting in an emotionally appropriate and consistent manner, based on adequate responsiveness in everyday life situations. This view allows to open new interdisciplinary challenges about how to work on early intervention in child development and to a comprehensive understanding of the family centered intervention.