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Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study

Preterm birth is a leading cause of death in children under five and a major public concern in Ghana. Women’s lived experiences of care following preterm birth in clinical setting represents a viable adjunctive measure to improve the quality of care for premature infants. This qualitative study expl...

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Autores principales: Adu-Bonsaffoh, Kwame, Tamma, Evelyn, Nwameme, Adanna Uloaku, Mocking, Martina, Osman, Kwabena A., Browne, Joyce L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022110/
https://www.ncbi.nlm.nih.gov/pubmed/36962822
http://dx.doi.org/10.1371/journal.pgph.0001303
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author Adu-Bonsaffoh, Kwame
Tamma, Evelyn
Nwameme, Adanna Uloaku
Mocking, Martina
Osman, Kwabena A.
Browne, Joyce L.
author_facet Adu-Bonsaffoh, Kwame
Tamma, Evelyn
Nwameme, Adanna Uloaku
Mocking, Martina
Osman, Kwabena A.
Browne, Joyce L.
author_sort Adu-Bonsaffoh, Kwame
collection PubMed
description Preterm birth is a leading cause of death in children under five and a major public concern in Ghana. Women’s lived experiences of care following preterm birth in clinical setting represents a viable adjunctive measure to improve the quality of care for premature infants. This qualitative study explored the knowledge and experiences of women who have had preterm birth and the associated challenges in caring for premature infants at a tertiary hospital. A qualitative design using in-depth interviews (IDIs) was conducted among women who experienced preterm birth with surviving infants at the Korle-Bu Teaching Hospital in Accra, Ghana. A thematic content analysis using the inductive analytic framework was undertaken using Nvivo. Thirty women participated in the study. We observed substantial variation in women’s knowledge on preterm birth: some women demonstrated significant understanding of preterm delivery including its causes such as hypertension in pregnancy, and potential complications including neonatal death whilst others had limited knowledge on the condition. Women reported significant social and financial challenges associated with preterm birth that negatively impacted the quality of postnatal care they received. Admission of preterm infants at the neonatal intensive care unit (NICU) generated enormous psychological and emotional stress on the preterm mothers due to uncertainty associated with the prognosis of their babies, health system challenges and increased cost. Context-specific recommendations to improve the quality of care for prematurely born infants were provided by the affected mothers and include urgent need to expand the National Health Insurance Scheme (NHIS) coverage and more antenatal health education on preterm birth. Mothers of premature infants experienced varied unanticipated challenges during the care for their babies within the hospital setting. While knowledge of preterm birth seems adequate among women, there was a significant gap in the women’s expectations of the challenges associated with the care of premature infants of which the majority experience psychosocial, economic and emotional impact.
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spelling pubmed-100221102023-03-17 Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study Adu-Bonsaffoh, Kwame Tamma, Evelyn Nwameme, Adanna Uloaku Mocking, Martina Osman, Kwabena A. Browne, Joyce L. PLOS Glob Public Health Research Article Preterm birth is a leading cause of death in children under five and a major public concern in Ghana. Women’s lived experiences of care following preterm birth in clinical setting represents a viable adjunctive measure to improve the quality of care for premature infants. This qualitative study explored the knowledge and experiences of women who have had preterm birth and the associated challenges in caring for premature infants at a tertiary hospital. A qualitative design using in-depth interviews (IDIs) was conducted among women who experienced preterm birth with surviving infants at the Korle-Bu Teaching Hospital in Accra, Ghana. A thematic content analysis using the inductive analytic framework was undertaken using Nvivo. Thirty women participated in the study. We observed substantial variation in women’s knowledge on preterm birth: some women demonstrated significant understanding of preterm delivery including its causes such as hypertension in pregnancy, and potential complications including neonatal death whilst others had limited knowledge on the condition. Women reported significant social and financial challenges associated with preterm birth that negatively impacted the quality of postnatal care they received. Admission of preterm infants at the neonatal intensive care unit (NICU) generated enormous psychological and emotional stress on the preterm mothers due to uncertainty associated with the prognosis of their babies, health system challenges and increased cost. Context-specific recommendations to improve the quality of care for prematurely born infants were provided by the affected mothers and include urgent need to expand the National Health Insurance Scheme (NHIS) coverage and more antenatal health education on preterm birth. Mothers of premature infants experienced varied unanticipated challenges during the care for their babies within the hospital setting. While knowledge of preterm birth seems adequate among women, there was a significant gap in the women’s expectations of the challenges associated with the care of premature infants of which the majority experience psychosocial, economic and emotional impact. Public Library of Science 2022-12-01 /pmc/articles/PMC10022110/ /pubmed/36962822 http://dx.doi.org/10.1371/journal.pgph.0001303 Text en © 2022 Adu-Bonsaffoh et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Adu-Bonsaffoh, Kwame
Tamma, Evelyn
Nwameme, Adanna Uloaku
Mocking, Martina
Osman, Kwabena A.
Browne, Joyce L.
Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title_full Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title_fullStr Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title_full_unstemmed Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title_short Women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in Ghana: A qualitative study
title_sort women’s lived experiences of preterm birth and neonatal care for premature infants at a tertiary hospital in ghana: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10022110/
https://www.ncbi.nlm.nih.gov/pubmed/36962822
http://dx.doi.org/10.1371/journal.pgph.0001303
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