EXPLORING THE EXPERIENCE OF MOTHERS OF PREMATURE BABIES: A PHENOMENOLOGICAL STUDY

Sobia Gulshan Gulshan, Kabir Ozigi Abdullahi, Adnan Yaqoob, Afsar Ali, Sidra Gul

Abstract


Background: Premature birth is associated with many emotional crisis and stressful experience in mothers because it is associated with “early parental role” where women’s expectations for “normal” pregnancy and childbirth of healthy full-term baby are not met. Objective of this study was to explore the experience of mothers of preterm babies when their baby is admitted in a tertiary care hospital of Lahore.

Materials & Methods: This study was conducted in the Neonatology department of Children’s Hospital, Lahore, Tertiary Care Hospital, Pakistan from June 2022 to December 2022.Semi structured face-to-face individual interview was used to obtain data from the 12 participants who were purposively selected for the study. The audio recorded data collected was translated into English and transcribed verbatim. Analysis was done with the help of computer assisted software called NVIVO-12. By using the Coliazzi’s method of phenomenological analysis the codes generated from NVIVO-12 were organized into sub-categories, categories, sub-themes and themes.   

Results: Three themes emerged with sixteen subthemes. The themes are: Mixed emotional feelings of the mothers; Mother’s satisfaction about care and support from Health Care Professionals; Mother-baby interaction in NICU. Mothers were worried due to unexpected emergency premature delivery and baby’s status and had uncertainty related to delivery outcome and the baby’s life. Participants have good interaction babies while the Kangaroo Mother Care and Breast Feeding and they applaud HCPs.

Conclusion: Mothers were concerned about the survival of premature babies admitted to the NICU. They showed different emotions like fear, anger, sadness, worry, tension, lack of confidence, hope, gratefulness, courage and spiritual faith in Allah. They expressed the feelings of satisfaction about care, treatment counseling and teaching by HCPs.


Keywords


Lived experience; Prematurity; Mothering; Neonates; NICU.

Full Text:

PDF

References


Pusdekar YV, Patel AB, Kurhe KG, Bhargav SR, Thorsten V, Garces A, et al. Rates and risk factors for preterm birth and low birthweight in the global network sites in six low-and low middle-income countries. Journal RH. 2020;17(3):1-16. https://doi.org/10.1186/s12978-020-01029-z

Mousavi SS, Keramat A, Chaman R, Mohagheghi P, Mousavi SA, Khosravi A. Impact of Maternity Support Program on the Stress of Mothers in the First Encounter with the Preterm Infants. Int J Prev Med. 2021 Jun 25;12:68. doi: 10.4103/ijpvm.IJPVM_314_19. PMID: 34447510; PMCID: PMC8356949.

McCall EM, Alderdice F, Halliday HL, Vohra S, Johnston L. Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants. Cochrane Database of Sys Rev. 2018(2). https://doi.org/10.1002/14651858.CD004210.pub5

Requia WJ, Papatheodorou S, Koutrakis P, Mukherjee R, Roig HL. Increased preterm birth following maternal wildfire smoke exposure in Brazil. Int. J Hyg Environ Health. 2022;240:113901. https://doi.org/10.1016/j.ijheh.2021.113901

Lalani S, Dosani A, Forcheh N, Premji SS, Siddiqui S, Shaikh K, et al. Perceived stress may mediate the relationship between antenatal depressive symptoms and preterm birth: A pilot observational cohort study. PloS one. 2021;16(5):e0250982. https://doi.org/10.1371/journal.pone.0250982

Sabnis A, Fojo S, Nayak SS, Lopez E, Tarn DM, Zeltzer L. Reducing parental trauma and stress in neonatal intensive care: systematic review and meta-analysis of hospital interventions. J. Perinatal. 2019;39(3):375-86. https://doi.org/10.1038/s41372-018-0310-9

Geller PA, Bonacquisti A, Patterson CA. Maternal experience of neonatal intensive care unit hospitalization: Trauma exposure and psychosocial responses. Motherhood in the Face of Trauma: Springer; 2018;227-47. https://doi.org/10.1007/978-3-319-65724-0_15

Yu X, Zhang J, Yuan L. Chinese parents' lived experiences of having preterm infants in NICU: A qualitative study. J Pediatr Nurs. 2020;50: e48-e54. https://doi.org/10.1016/j.pedn.2019.11.002

Nazari R, Moradi Koosha F, Rezaie S, Akbari N, Qolizadeh A, Sabzi Z. Experiences of the mothers of infants hospitalized in the neonatal intensive care unit (NICU). J Neonatal Perinatal Med. 2020;13(4):571-9. https://doi.org/10.3233/NPM-190205

Ued FdV, Silva MPC, da Cunha ILR, Ruiz MT, Amaral JBd, Contim D. Perception of mothers when visiting their child in the neonatal unit for the first time. Escola Anna Nery. 2019;23. https://doi.org/10.1590/2177-9465-ean-2018-0249

Hanson VF, Abuijlan Mia. Lived experiences of mothers of with premature babies in a neonatal intensive care unit of a selected hospital, in united arab emirates: a qualitative content analysis. Victoria. IJNMH 2022. 6(1), 47-59. Accessed Sptember 15 2020 from https://www.researchgate.net/profile/Victoria-Hanson-5/publication/343650363.

Amorim M, Alves E, Kelly-Irving M, Silva S. Needs of parents of very preterm infants in Neonatal Intensive Care Units: A mixed methods study. Intensive Crit Care Nurs. 2019;54:88-95. https://doi.org/10.1016/j.iccn.2019.05.003

Rihan SH, Mohamadeen LM, Zayadneh SA, Hilal FM, Rashid HA, Azzam NM, et al. Parents' Experience of Having an Infant in the Neonatal Intensive Care Unit: A Qualitative Study. Cureus. 2021;13(7). https://doi.org/10.7759/cureus.16747

Abuidhail J, Al-Motlaq M, Mrayan L, Salameh T. The lived experience of Jordanian parents in a neonatal intensive care unit: A phenomenological study. J Nurs Res. 2017;25(2):156-62. https://doi.org/10.1097/JNR.0000000000000134

Jayasinghe C, Abeysena C. Maternal satisfaction on postnatal and neonatal care of babies treated for neonatal sepsis in secondary and tertiary care hospitals of a district in Sri Lanka. JCCPSL. 2020. Assessed December 02 2022 from http://repository.kln.ac.lk/handle/123456789/21317

Shrestha T, Singh A, Bhattarai SKG, Raut KS. Experience of Mothers Having Preterm Newborns in Neonatal Care Units. JKASH. 2020;3(2):47-56. https://doi.org/10.3126/jkahs.v3i2.30782

Amadu L, Twumasiwaa Boateng K-H, Fuseini A. Experiences of Mothers with hospitalized Preterm Babies in Tamale Central Hospital, Ghana. 2021. Assessed December 01 2022 from http://www.apsciencelibrary.com/handle/123456789/7749

Meyer KE. Parental Experience of Neonatal Intensive Care Unit Support and the Experience of Interventions on Emotional Distress and Infant-Parent Relationships: Alliant International University; 2021. Assessed December 01 2022 from https://www.proquest.com/openview/1c4ba3ffd7bf31595a3f54c6f523eefe/1?pq-origsite=gscholar&cbl=18750&diss=y

Alinejad-Naeini M, Peyrovi H, Shoghi M. Emotional disorganization: The prominent experience of Iranian mothers with preterm neonate: A qualitative study. Health Care Women Int. 2021;42(4-6):815-35. https://doi.org/10.1080/07399332.2020.1797040

Gallagher K, Shaw C, Aladangady N, Marlow N. Parental experience of interaction with healthcare professionals during their infant's stay in the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2018;103(4):F343-F8. https://doi.org/10.1136/archdischild-2016-312278

Lomotey AY, Bam V, Diji AKA, Asante E, Asante HB, Osei J. Experiences of mothers with preterm babies at a Mother and Baby Unit of a tertiary hospital: A descriptive phenomenological study. Nursing Open. 2020;7(1):150-9. https://doi.org/10.1002/nop2.373




DOI: https://doi.org/10.46903/gjms/21.04.1287

Refbacks

  • There are currently no refbacks.


Copyright (c) 2023. Sobia Gulshan Gulshan, Kabir Ozigi Abdullahi, Adnan Yaqoob, Afsar Ali, Sidra Gul

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067

Website: https://www.gmcdikhan.edu.pk

Phone: +92-966-747373

Scimago Journal & Country Rank