Impact of the diagnosis of down syndrome in the maternal perspective

Authors

DOI:

https://doi.org/10.35699/2316-9389.2023.37077

Keywords:

Down Syndrome, Pediatric Nursing, Family Health, Health Communication, Qualitative Research

Abstract

Objective: to understand maternal perceptions about the diagnosis of Down Syndrome (DS) of their children as children. Method: exploratory-descriptive study with a qualitative approach carried out with 9 mothers of children with DS in a tertiary public hospital in the city of São Paulo. Data collection took place through individual and semi-structured interviews, guided by a script of topics. Data were analyzed using thematic content analysis and considering the principles of anchoring and objectification of the Theory of Social Representations. Results: data were analyzed, and two main categories emerged: 1) maternal perceptions regarding communication of the child's DS diagnosis; and 2) maternal perceptions about the impact of the child's DS diagnosis, with interconnected subcategories. Conclusion: There was predominantly inadequate management by professionals when communicating the diagnosis of DS, which potentiated the emotional reactions of suffering, which were not restricted to the moment of the news. Reactions can be mitigated or enhanced with the experience of motherhood and with family and social interactions and with health professionals.

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References

Zani AV, Merino MFGL, Marcon SS. The feelings and experience of a mother facing Down syndrome. Acta Scientiarium [Internet]. 2013[cited 2021 May 9];35(1):67-75. Available from: https://www.redalyc.org/pdf/3072/307226203010.pdf

Bermudez BEBV, Medeiros SL, Bermudez MB, Novadzki IM, Magdalena NIR. Down syndrome: prevalence and distribution of congenital heart disease in Brazil. São Paulo Med J [Internet]. 2015[cited 2021 May 9];133(6):521-4. Available from: https://doi.org/10.1590/1516-3180.2015.00710108

Chan GK, Lim KA, Ling HK. Care demands on mothers caring for a child with Down Syndrome: Malaysian (Sarawak) mothers' perspectives. Inter J Nurs Practice [Internet]. 2015[cited 2021 May 9];21:522-31. Available from: https://doi.org/10.1111/ijn.12275

Aldecoa TV, Conty JLM, Serrano RSC, Pérez CF. Communication of the diagnosis of Down Syndrome: Mother's stories. Cuad Bioét [Internet]. 2018[cited 2021 May 9];29(96):147-58. Available from: https://pubmed.ncbi.nlm.nih.gov/29777603/

Crombag NM, Christiaens GCP, Skotko BG, Graaf G. Receiving the news of Down Syndrome in the era of prenatal testing. Am J Med Genet [Internet]. 2019[cited 2021 May 9];182(2):1-12. Available from: https://doi.org/10.1002/ajmg.a.61438

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Ações Programáticas Estratégicas. Diretrizes de atenção à pessoa com Síndrome de Down. Brasília: Ministério da Saúde; 2013[cited 2021 Oct 9]. Available from: https://www.portaldaenfermagem.com.br/downloads/diretrizes_atencao_pessoa_sindrome_down.pdf

Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care [Internet]. 2007[cited 2021 May 9];19(6):349-57. Available from: https://doi.org/10.1093/intqhc/mzm042

Fontanella BJB, Ricas J, Turato ER. Saturation sampling in qualitative health research: theoretical contributions. Cad Saúde Pública [Internet]. 2008[cited 2021 May 9];24(1):17-27. Available from: https://doi.org/10.1590/S0102-311X2008000100003

Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 10ª ed. São Paulo: HUCITEC; 2007[cited 2021 Oct 9]. 406p.

Aldecoa TV. Ethics in the Communication of Down Syndrome diagnosis. Cuad Bioét [Internet]. 2019[cited 2021 May 9];30(100):315-29. Available from: https://www.researchgate.net/publication/336614552_Ethics_in_the_communication_of_down_syndrome_diagnosis

Paul MA, Cerda J, Correa C, Lizama M. Receiving the diagnosis of Down Syndrome: what do the parents think? Rev Med Chile [Internet]. 2013[cited 2021 May 9];141:879-86. Available from: http://dx.doi.org/10.4067/S0034-98872013000700007

Buyukavci MA, Dogan DG, Canaloglu SK, Kivilcim M. Experience of mothers with Down syndrome children at the time of diagnosis. Arch Argent Pediatr [Internet]. 2019[cited 2021 May 9];117(2):114-9. Available from: https://www.sap.org.ar/docs/publicaciones/archivosarg/2019/v117n2a09e.pdf

Camargo MM, Silva MFF, Cunha MC. Impact of Down Syndrome diagnosis on mothers and its repercussions on the language development on children. Distúrb Comun [Internet]. 2012[cited 2021 Oct 9];24(2):165-72. Available from: https://revistas.pucsp.br/index.php/dic/article/download/11984/8667/28740

Pillay D, Girdler S, Collins M, Leonard H. "It's not what expecting, but it's still a beautiful jorney": The experience of mothers of children with Down Syndrome. Disabi Rehabil [Internet]. 2012[cited 2021 May 9];34(18):1501-10. Available from: https://doi.org/10.3109/09638288.2011.650313

Rodriguez FT, Carneiro TF. Babies with Down syndrome and their parents: new proposals for intervention. [Internet] Estud Psicol. 2012[cited 2021 Oct 9];29(Supl.):831s-841s. Available from: https://www.scielo.br/pdf/estpsi/v29s1/19.pdf

Almeida BR, Pereira-Silva NL. Living with a sibling with Down’s syndrome. Psicol Pesq [Internet]. 2015[cited 2021 Oct 9];9(1):10-9. Available from: http://pepsic.bvsalud.org/pdf/psipesq/v9n1/v9n1a03.pdf

Dinc GS, Cop E, Tos T, Sari E, Senel S. Mothers of 0-3 years old children with Down Syndrome: effects on quality of life. Pediatr Int [Internet]. 2019[cited 2021 May 9];61:865-71. Available from: https://doi.org/10.1111/ped.13936

Lou S, Lanther MR, Hagenstjerne N, Petersen OB, Vogel I. “This is the child we were given": a qualitative study of Danish parents' experiences of a prenatal Down Syndrome diagnosis and their decision to continue the pregnancy. Sexual Reproductive Healthcare [Internet]. 2020[cited 2021 Oct 9];23:1-6. Available from: https://doi.org/10.1016/j.srhc.2019.100480

Miranda ACRL, Barreto MS. Children with Down Syndrome: quotidian experiences of the families. Rev Par Enferm [Internet]. 2019[cited 2021 Oct 9];2(1):13-22. Available from: https://www.researchgate.net/publication/347948260_CRIANCAS_COM_SINDROME_DE_DOWN_EXPERIENCIAS_QUOTIDIANAS_VIVENCIADAS_PELAS_FAMILIAS

Takataya K, Yamazaki Y, Mizuno E. Perceptions and Feelings of fathers of children with Down Syndrome. Arch Psychiatr Nurs. 2016[cited 2021 Oct 9];30(5):544-51. Available from: http://dx.doi.org/10.1016/j.apnu.2016.04.006

Goffman E. Estigma- Notas sobre a manipulação da identidade deteriorada. 4ª ed. Rio de Janeiro: LTC; 1981[cited 2021 Oct 9]. 124p.

Badinter E. Um amor conquistado: o mito do amor materno. 2ª ed. São Paulo: Nova Fronteira; 1985[cited 2021 Oct 9]. 293 p.

Published

2023-07-24

Issue

Section

Research

How to Cite

1.
Impact of the diagnosis of down syndrome in the maternal perspective. REME Rev Min Enferm. [Internet]. 2023 Jul. 24 [cited 2025 Dec. 24];27. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/37077