Experiences of caregivers of twins with bronchopulmonary dysplasia and retinopathy of prematurity: a phenomenological study
DOI:
https://doi.org/10.15649/cuidarte.5386Keywords:
Twins, Premature Birth, Retinopathy of Prematurity, Bronchopulmonary Dysplasia, CaregiversAbstract
Highlights
- Caring for premature twins with chronic conditions reshapes family dynamics, requiring the reorganization of roles, time, and financial resources to ensure continuity of care at home.
- The Kangaroo Mother Care program is a key resource for strengthening parent–infant bonding and caregiving competence; however, it requires specific adaptations for premature twin cases.
- The emotional impact on caregivers of premature twins is characterized by fear, uncertainty, and guilt, shaped by the quality of professional and family support received.
- Barriers to accessing specialized services, along with the cost of care, increase the social and economic vulnerability of these families, underscoring the need for inclusive and responsive public policies.
Introduction: The premature birth of twins with bronchopulmonary dysplasia and/or retinopathy of prematurity represents an emotional, social, and financial challenge for families. Objective: To understand the lived experiences of caregivers of premature twins diagnosed with bronchopulmonary dysplasia and retinopathy of prematurity in a Kangaroo Mother Care program in Bogotá, Colombia. Materials and Methods: A phenomenological study was conducted with seven caregivers of premature twins enrolled in a Kangaroo Mother Care program between 2020 and 2022. Virtual semi-structured interviews were transcribed and analyzed using content analysis, identifying thematic categories such as emotional experiences, access to health services, and family reorganization. Ethical considerations and confidentiality were ensured. Results: Three main categories emerged: emotional experience, caregiving challenges, and socioeconomic impact. The latter included reconfiguring family roles, financial burden, and coping strategies such as community support. Discussion: The experience of caregivers of premature twins with chronic conditions reveals a multidimensional burden that calls for comprehensive, family-centered care models with ongoing interdisciplinary support and public policies that strengthen the resilience and sustainability of caregiving. Conclusion: The importance of an interdisciplinary, family-centered, and humanized approach to neonatal care is emphasized. Future research should expand the sample and explore targeted interventions for this population.
How to cite this article: Guevara Suta Sonia Esperanza, Casallas Hernández Nathalya, Monroy Garzón Adriana Marcela, Narváez-Rumié Olivia Margarita, Caraballo-Martínez Gilma Jeannette, López-Cruz Ruth Liliana. Experiences of caregivers of twins with bronchopulmonary dysplasia and retinopathy of prematurity: a phenomenological study. Revista Cuidarte. 2026;17(2):e5386. https://doi.org/10.15649/cuidarte.5386
References
World Health Organization. Preterm birth. 2023. Cited: 2025 March 9. Available from: https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth
Srivatsa B, Malcolm K, Clark RH, Kupke KG. Effect of a Novel Oxygen Saturation Targeting Strategy on Mortality, Retinopathy of Prematurity, and Bronchopulmonary Dysplasia in Neonates Born Extremely Preterm. J Pediatr. 2021;234:33-37.e3. https://doi.org/10.1016/j.jpeds.2021.03.007
Singh JK, Wymore EM, Wagner BD, Thevarajah TS, Jung JL, Kinsella JP, et al. Relationship between severe bronchopulmonary dysplasia and severe retinopathy of prematurity in premature newborns. J AAPOS. 2019;23(4):209.e1-209.e4. https://doi.org/10.1016/j.jaapos.2019.02.008
Pérez Pérez G, Navarro Merino M. Displasia broncopulmonar y prematuridad. Evolución respiratoria a corto y a largo plazo. An Pediatr. 2010;72(1). https://doi.org/10.1016/j.anpedi.2009.09.010
Osorio Galeano SP, Salazar Maya AM. El empoderamiento de los padres para el cuidado del hijo prematuro. Rev Cuid. 2022;13(2) http://dx.doi.org/10.15649/cuidarte.2104
Nyaloko MJ, Lubbe W, Moloko-Phiri SS, Shopo KD.Parental experiences of caring for preterm infants in the neonatal intensive care unit, Limpopo Province: a descriptive qualitative study exploring the cultural determinants. BMC Health Serv Res. 2024;24:669. https://doi.org/10.1186/s12913-024-11117-6
Furtak SL, Gay CL, Kriz RM, Bisgaard R, Bolick SC, Lothe B, et al. What parents want to know about caring for their preterm infant: A longitudinal descriptive study. Patient Educ Couns. 2021;104(11):2732-2739. https://doi.org/10.1016/j.pec.2021.04.011
Vigod SN, Villegas L, Dennis CL, Ross LE. Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: a systematic review. An International Journal of Obstetrics & Gynaecology. 2010;117(5):540-550. https://doi.org/10.1111/j.1471-0528.2009.02493.x
Shaw RJ, Deblois T, Ikuta L, Ginzburg K, Fleisher B, Koopman C. Acute stress disorder among parents of infants in the neonatal intensive care nursery. Psychosomatics. 2006;47(3):206-212. https://doi.org/10.1176/appi.psy.47.3.206
Freitas MJ, Maneta Travanca IS, García-Fernández R. Parents’ Needs When Experiencing the Transition to Twin Parenthood. Healthcare. 2024;12(12). https://doi.org/10.3390/healthcare12121173
Lizarazo-Medina JP, Ospina-Diaz JM, Ariza-Riaño NE. Programa madre canguro: una alternativa sencilla y costo eficaz para la protección de los recién nacidos prematuros o con bajo peso al nacer. Rev Salud Publica. 2013;14(2):32–45. https://www.scielosp.org/pdf/rsap/2012.v14suppl2/32-45/es
Beer C, Israel C, Johnson S, Marlow N, Whitelaw A, Glazebrook C. Twin birth: an additional risk factor for poorer quality maternal interactions with very preterm infants?. Early Hum Dev. 2013;89(8):555-559. https://doi.org/10.1016/j.earlhumdev.2013.02.006
Fuster Guillen DE. Investigación cualitativa: Método fenomenológico hermenéutico. Propósitos y Representacioned. 2019;7(1):201-229. http://dx.doi.org/10.20511/pyr2019.v7n1.267
Simister R, Black GB, Melnychuk M, Ramsay AIG, Baim-Lance A, Cohen DL, et al. Temporal variations in quality of acute stroke care and outcomes in London hyperacute stroke units: a mixed-methods study. Health Soc Deliv Res. 2020;8(34). https://doi.org/10.3310/hsdr08340
Bardin L. Análise de conteúdo. 1 Ed. Edições 70, editor. São Paulo; 2016. 279 p.
Soratto J, Pires DEP, Friese S. Thematic content analysis using ATLAS.ti software: Potentialities for researchs in health. Rev Bras Enferm. 2020;73(3):e20190250 https://doi.org/10.1590/0034-7167-2019-0250
Guevara-Suta S, Hernández Casallas N. “Experiencias de familiares de gemelos con displasia broncopulmonar y retinopatía: estudio fenomenológico”, Mendeley Data, V1. 2025. https://doi.org/10.17632/gnppjxd2rn.1
Ministerio de Salud y Protección Social. Resolución 8430 de 1993: Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. p. 471–3. Bogotá: 1993.
Ishida S, Nakanishi H, Sekiya R, Kawada K, Kosaka Y, Yamaguchi A, et al. Impact of lateonset circulatory collapse and bronchopulmonary dysplasia on short-term outcomes in preterm infants: A Japanese retrospective cohort study. Pediatr Neonatol. 2025;66(5):462-466. https://doi.org/10.1016/j.pedneo.2024.08.006
Barra CL, Marín P, Coo S. Developmental care of premature newborns: Fundamentals and main characteristics. Andes Pediatr. 2021;92(1):131-137. https://pubmed.ncbi.nlm.https://pubmed.ncbi.nlm.nih.gov/34106194/nih.gov/34106194/
Tung YL, Chu SM, Lien R, Fu RH, Hsu KH, Chiang MC, et al. PA comprehensive analysis of clinical variables for severe bronchopulmonary dysplasia in extremely preterm infants. Pediatr Neonatol. 2025;66(5):478-483. https://doi.org/10.1016/j.pedneo.2025.01.006
Bolivar Montes LA, Montalvo Prieto A. Uncertainty associated to parents of preterm infants hospitalized in neonatal intensive care units. Investig y Educ en Enferm. 2016;34(2). https://doi.org/10.17533/udea.iee.v34n2a16
Querido D, Lourenço M, Charepe Z, Caldeira S, Nunes E. Nursing interventions concerning the bonding of hospitalized newborns – scoping review. Enferm Glob. 2022;21(2):594-637. https://dx.doi.org/10.6018/eglobal.479291
Heinonen K. Listening to the Fathers of Twins—Being Sensitive to Fathers’ Needs in Maternity and Child Healthcare. Int J Environ Res Public Health. 2022;19(17):10639. https://doi.org/10.3390/ijerph191710639
Bolch CE, Davis PG, Umstad MP, Fisher JRW. Multiple birth families with children with special needs: A qualitative investigation of mothers’ experiences. Twin Res Hum Genet. 2012;15(4):503-515. https://doi.org/10.1017/thg.2012.24
Wenze SJ, Battle CL, Tezanos KM. Raising multiples: mental health of mothers and fathers in early parenthood. Arch Womens Ment Health. 2014;18:163-176. https://doi.org/10.1007/s00737-014-0484-x
González MA, Alfie J. Una revisión acerca del cuidado de la salud mental en las familias de la Unidad de Cuidados Intensivos Neonatales. Rev del Hosp Ital B.Aires. 2023;43(3):134-138. https://doi.org/10.51987/revhospitalbaires.v43i3.270
Peña Silva B, García Araya A, Miranda Iglesias M, Caviedes Fernández J, Ulloa Ramírez V, Rementería Rementería Y. Estrés parental y sus dimensiones en Unidades de Cuidado Intensivo Neonatal – Pediátrica: Revisión Narrativa. ACC CIETNA. Rev la Esc Enfermería. 2021;8(2):67-84. https://doi.org/10.35383/cietna.v8i2.611
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