University of Hertfordshire

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The forgotten mothers of extremely preterm babies: A qualitative study

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The forgotten mothers of extremely preterm babies : A qualitative study. / Fowler, Cathrine; Green, Janet; Elliott, Doug; Whiting, Lisa; Petty, Julia.

In: Journal of clinical nursing, Vol. 28, No. 11-12, 01.06.2019, p. 2124-2134.

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Fowler, Cathrine ; Green, Janet ; Elliott, Doug ; Whiting, Lisa ; Petty, Julia. / The forgotten mothers of extremely preterm babies : A qualitative study. In: Journal of clinical nursing. 2019 ; Vol. 28, No. 11-12. pp. 2124-2134.

Bibtex

@article{ea1ac73555cc462aace29028d990c079,
title = "The forgotten mothers of extremely preterm babies: A qualitative study",
abstract = "Aims and objectives: To explore the experiences of mothers of extremely prematurebabies during their Neonatal Intensive Care Unit stay and transition home.Background: Mothers of extremely preterm infants (28 weeks’ gestation or less) experience a continuum of regular and repeated stressful and traumatic events, during the perinatal period, during the Neonatal Intensive Care Unit stay, and during transition home.Method: An interpretive description method guided this study. Ten mothers of extremely premature infants who had been at home for less than six months were recruited via a Facebook invitation to participate in semi‐structured telephone interviews exploring their experiences in the Neonatal Intensive Care Unit and the transition home. The data were examined using a six‐phase thematic analysis approach. The COREQ checklist has been used.Results: Two main themes emerged: (a) things got a bit dire; and (b) feeling a failure as a mother. Participants had a heightened risk of developing a mental disorder from exposure to multiple risk factors prior to and during birth, as well as during the postnatal period in the Neonatal Intensive Care Unit and their infant's transition to home. Mothers highlighted the minimal support for their mental health from healthcare professionals, despite their regular and repeated experience of traumatic events.Conclusion: The mothers were at high risk of developing post‐traumatic stress symptoms and/or other mental health issues. Of note, study participants relived the trauma of witnessing their infant in the Neonatal Intensive Care Unit, demonstrated hypervigilance behaviour and identified lack of relevant support needed when their infant was at home.Relevance to Clinical Practice: This study highlights the need for nurses to include a focus on the mothers’ psychosocial needs. Supporting maternal mental health both improves maternal well‐being and enables mothers to be emotionally available and responsive to their extremely preterm infant.",
keywords = "Neonatal care, mental health, preterm, psychosocial adjustment, qualitative study, women’s health",
author = "Cathrine Fowler and Janet Green and Doug Elliott and Lisa Whiting and Julia Petty",
note = "{\circledC} 2019 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd",
year = "2019",
month = "6",
day = "1",
doi = "10.1111/jocn.14820",
language = "English",
volume = "28",
pages = "2124--2134",
journal = "Journal of clinical nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "11-12",

}

RIS

TY - JOUR

T1 - The forgotten mothers of extremely preterm babies

T2 - A qualitative study

AU - Fowler, Cathrine

AU - Green, Janet

AU - Elliott, Doug

AU - Whiting, Lisa

AU - Petty, Julia

N1 - © 2019 The Authors. Journal of Clinical Nursing Published by John Wiley & Sons Ltd

PY - 2019/6/1

Y1 - 2019/6/1

N2 - Aims and objectives: To explore the experiences of mothers of extremely prematurebabies during their Neonatal Intensive Care Unit stay and transition home.Background: Mothers of extremely preterm infants (28 weeks’ gestation or less) experience a continuum of regular and repeated stressful and traumatic events, during the perinatal period, during the Neonatal Intensive Care Unit stay, and during transition home.Method: An interpretive description method guided this study. Ten mothers of extremely premature infants who had been at home for less than six months were recruited via a Facebook invitation to participate in semi‐structured telephone interviews exploring their experiences in the Neonatal Intensive Care Unit and the transition home. The data were examined using a six‐phase thematic analysis approach. The COREQ checklist has been used.Results: Two main themes emerged: (a) things got a bit dire; and (b) feeling a failure as a mother. Participants had a heightened risk of developing a mental disorder from exposure to multiple risk factors prior to and during birth, as well as during the postnatal period in the Neonatal Intensive Care Unit and their infant's transition to home. Mothers highlighted the minimal support for their mental health from healthcare professionals, despite their regular and repeated experience of traumatic events.Conclusion: The mothers were at high risk of developing post‐traumatic stress symptoms and/or other mental health issues. Of note, study participants relived the trauma of witnessing their infant in the Neonatal Intensive Care Unit, demonstrated hypervigilance behaviour and identified lack of relevant support needed when their infant was at home.Relevance to Clinical Practice: This study highlights the need for nurses to include a focus on the mothers’ psychosocial needs. Supporting maternal mental health both improves maternal well‐being and enables mothers to be emotionally available and responsive to their extremely preterm infant.

AB - Aims and objectives: To explore the experiences of mothers of extremely prematurebabies during their Neonatal Intensive Care Unit stay and transition home.Background: Mothers of extremely preterm infants (28 weeks’ gestation or less) experience a continuum of regular and repeated stressful and traumatic events, during the perinatal period, during the Neonatal Intensive Care Unit stay, and during transition home.Method: An interpretive description method guided this study. Ten mothers of extremely premature infants who had been at home for less than six months were recruited via a Facebook invitation to participate in semi‐structured telephone interviews exploring their experiences in the Neonatal Intensive Care Unit and the transition home. The data were examined using a six‐phase thematic analysis approach. The COREQ checklist has been used.Results: Two main themes emerged: (a) things got a bit dire; and (b) feeling a failure as a mother. Participants had a heightened risk of developing a mental disorder from exposure to multiple risk factors prior to and during birth, as well as during the postnatal period in the Neonatal Intensive Care Unit and their infant's transition to home. Mothers highlighted the minimal support for their mental health from healthcare professionals, despite their regular and repeated experience of traumatic events.Conclusion: The mothers were at high risk of developing post‐traumatic stress symptoms and/or other mental health issues. Of note, study participants relived the trauma of witnessing their infant in the Neonatal Intensive Care Unit, demonstrated hypervigilance behaviour and identified lack of relevant support needed when their infant was at home.Relevance to Clinical Practice: This study highlights the need for nurses to include a focus on the mothers’ psychosocial needs. Supporting maternal mental health both improves maternal well‐being and enables mothers to be emotionally available and responsive to their extremely preterm infant.

KW - Neonatal care

KW - mental health

KW - preterm

KW - psychosocial adjustment

KW - qualitative study

KW - women’s health

UR - http://www.scopus.com/inward/record.url?scp=85062700875&partnerID=8YFLogxK

U2 - 10.1111/jocn.14820

DO - 10.1111/jocn.14820

M3 - Article

VL - 28

SP - 2124

EP - 2134

JO - Journal of clinical nursing

JF - Journal of clinical nursing

SN - 0962-1067

IS - 11-12

ER -