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Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country
BACKGROUND: Preterm delivery is the birth of a baby before 37 weeks of gestation. This global phenomenon is a critical issue of concern especially in developing countries that are resource-constrained when it comes to the management of preterm babies. Complications associated with prematurity contri...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136128/ https://www.ncbi.nlm.nih.gov/pubmed/34016064 http://dx.doi.org/10.1186/s12884-021-03872-9 |
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author | Garti, Isabella Donkor, Elorm Musah, Nafisatu Appiah, Evans Osei Gyekye, Sandra Menlah, Awube Akuoko, Cynthia Pomaa |
author_facet | Garti, Isabella Donkor, Elorm Musah, Nafisatu Appiah, Evans Osei Gyekye, Sandra Menlah, Awube Akuoko, Cynthia Pomaa |
author_sort | Garti, Isabella |
collection | PubMed |
description | BACKGROUND: Preterm delivery is the birth of a baby before 37 weeks of gestation. This global phenomenon is a critical issue of concern especially in developing countries that are resource-constrained when it comes to the management of preterm babies. Complications associated with prematurity contribute significantly to under-five mortality and are linked with feelings of despair, grief, and anxiety among mothers. METHODS: This was a qualitative descriptive study in an urban setting in the Greater Accra region of Ghana. Eleven mothers whose babies had been discharged from the neonatal intensive care unit in a major hospital and resided in Accra were interviewed in their homes using a semi-structured interview guide. Data were audiotaped, transcribed verbatim, and analyzed inductively by content analysis. RESULTS: All the mothers had formal education and the mean maternal age was 27.9 years. The majority of the mothers were multiparous. The gestational age at birth ranged from 32 to 34 weeks and the average birth weight of their babies was 1.61 kg. Four major themes emerged which included: Around the clock care; mothers’ self-perceptions and attitudes of significant others; mothers’ health and wellbeing; and support. Most of the mothers experienced physical exhaustion from the extra demands involved with care, had negative emotions, and unmet social needs. CONCLUSIONS: The findings indicate that home management of preterm babies poses multiple stressors and is associated with poor psychological and physical wellbeing among mothers. Hence, the need for extensive education and identification of other social support systems to augment facility-based care for mothers and their preterm babies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03872-9. |
format | Online Article Text |
id | pubmed-8136128 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-81361282021-05-21 Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country Garti, Isabella Donkor, Elorm Musah, Nafisatu Appiah, Evans Osei Gyekye, Sandra Menlah, Awube Akuoko, Cynthia Pomaa BMC Pregnancy Childbirth Research BACKGROUND: Preterm delivery is the birth of a baby before 37 weeks of gestation. This global phenomenon is a critical issue of concern especially in developing countries that are resource-constrained when it comes to the management of preterm babies. Complications associated with prematurity contribute significantly to under-five mortality and are linked with feelings of despair, grief, and anxiety among mothers. METHODS: This was a qualitative descriptive study in an urban setting in the Greater Accra region of Ghana. Eleven mothers whose babies had been discharged from the neonatal intensive care unit in a major hospital and resided in Accra were interviewed in their homes using a semi-structured interview guide. Data were audiotaped, transcribed verbatim, and analyzed inductively by content analysis. RESULTS: All the mothers had formal education and the mean maternal age was 27.9 years. The majority of the mothers were multiparous. The gestational age at birth ranged from 32 to 34 weeks and the average birth weight of their babies was 1.61 kg. Four major themes emerged which included: Around the clock care; mothers’ self-perceptions and attitudes of significant others; mothers’ health and wellbeing; and support. Most of the mothers experienced physical exhaustion from the extra demands involved with care, had negative emotions, and unmet social needs. CONCLUSIONS: The findings indicate that home management of preterm babies poses multiple stressors and is associated with poor psychological and physical wellbeing among mothers. Hence, the need for extensive education and identification of other social support systems to augment facility-based care for mothers and their preterm babies. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12884-021-03872-9. BioMed Central 2021-05-20 /pmc/articles/PMC8136128/ /pubmed/34016064 http://dx.doi.org/10.1186/s12884-021-03872-9 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Garti, Isabella Donkor, Elorm Musah, Nafisatu Appiah, Evans Osei Gyekye, Sandra Menlah, Awube Akuoko, Cynthia Pomaa Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title | Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title_full | Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title_fullStr | Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title_full_unstemmed | Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title_short | Mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
title_sort | mothers’ experiences of caring for preterm babies at home: qualitative insights from an urban setting in a middle-income country |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8136128/ https://www.ncbi.nlm.nih.gov/pubmed/34016064 http://dx.doi.org/10.1186/s12884-021-03872-9 |
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