Mother's level of confidence in caring for her late preterm infant: A mixed methods study

Premji, Shahirose; Pana, Gianella Santos; Currie, Genevieve; Dosani, Aliyah; Reilly, Sandra M.; Young, Marilyn; Hall, Marc; Williamson, Tyler; Lodha, Abhay

doi:10.1111/jocn.14190

Cited by 37 publications

(43 citation statements)

References 36 publications

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“…This has been suggested in previous studies (Bonnet et al, ; Jang et al, ), where findings suggest that mothers with infants of lower gestational age receive more support and attention from hospital staff because of their child's high‐risk health status compared with infants with higher gestational age. Furthermore, LPT infants at a maternity unit may be regarded as “term” and not acknowledged as a vulnerable group and hence not supported appropriately (Dosani et al, ; Premji et al, ; Radtke Demirci et al, ). Our study suggests that further efforts are needed to explain why these differences exist, as our results did not show a difference in infants' feeding behaviours or maternal feeding difficulties according to the place of admission and highlight the need for universal LPT breastfeeding guidelines/protocols regardless of the place of admission.…”

Section: Discussionmentioning

confidence: 99%

“…Can the differences in trends we found also be explained by the organisation of care after discharge from hospital? Qualitative studies have reported that LPT MU mothers experience a lack of support at home and care aimed at term infants (Dosani et al, ; Premji et al, ; Radtke Demirci et al, ). Potentially, the care during the hospital stay may have a long‐term impact, and a NICU stay is protective in the long term.…”

Section: Discussionmentioning

confidence: 99%

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Breastfeeding progression in late preterm infants from birth to one month

Jónsdóttir

Skuladottir

et al. 2019

Maternal & Child Nutrition

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This study aimed to describe and compare breastfeeding progression, infants' feeding behaviours, maternal feeding difficulties, and mothers' usage of breastfeeding interventions for singleton late preterm (LPT) and term infants. A further aim was to identify associated factors for exclusive breastfeeding at breast at 1 month in LPT infants.This was a cohort study where mothers of LPT infants from a neonatal unit (n = 60), LPT infants from a maternity unit (n = 62), and term infants from a maternity unit (n = 269) answered a questionnaire approximately 1 month after delivery. Findings showed no significant differences in exclusive breastfeeding at breasts between LPT infants admitted to the neonatal unit compared with the maternity unit, during the first week at home (38% vs. 48%), or at 1 month of age (52% vs. 50%). Term infants were more likely to be exclusively breastfed at the breast (86% and 74%, p < 0.05) compared with LPT infants. Multiple regression analysis showed that usage of a nipple shield, not feeding breast milk exclusively during the first week at home, or feeding less than 10 times per day at 1 month were statistically significant for not exclusively breastfeed at the breast. A protective factor was the mothers' experience of having an abundance of milk during the first week at home. In conclusion, LPT infants are less likely to be exclusively breastfed at the breast than term infants, highlighting the need for further research to guide interventions aimed at optimising exclusive breastfeeding rates.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breastfeeding progression in late preterm infants from birth to one month

Jónsdóttir

Skuladottir

et al. 2019

Maternal & Child Nutrition

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“…Premji et al [12] observed that mothers of late-preterm infants displayed low parenting confidence until 6~8 weeks after delivery. Parenting confidence is essential for parents to successfully perform their roles [13].…”

Section: Introductionmentioning

confidence: 99%

Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates

Jang¹,

Ju²

2020

Child Health Nurs Res

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Purpose: The purpose of this study was to evaluate the effects of an education program for mothers of late-preterm infants on parenting confidence, breastfeeding rate, and infants’ growth and readmission rate.Methods: The participants were 53 mothers of late-preterm infants (26 in the experimental group and 27 in the control group). The experimental group was administered the late-preterm care education program while the control group received standard care. The program consisted of two sessions during hospitalization after birth, one session at the time of discharge, and telephone and social networking service consultations at weekly intervals for the month following discharge. The collected data were analyzed using the t-test, x<sup>2</sup> test, and repeated-measures analysis of variance.Results: Parenting confidence and the breastfeeding rate were significantly higher in the experimental group than in the control group. However, there was no significant difference in the late-preterm infants’ growth and readmission rates between the experimental and control groups.Conclusion: A care education program for mothers of late-preterm infants can be a useful nursing intervention in clinical practice.

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“…The parents views on the neonatal environment as having a significant impact on their experience were consistent with various authors (Cleveland, ; Hall & Brinchmann, ; Williams et al, ); certainly, providing an environment that encourages proximity and avoids physical barriers was seen to be a source of comfort, in line with the term “emotional closeness” stated by Flacking, Thomson, and Axelin (). For transitions within neonatal care, parents voiced mixed emotions commonplace through the trajectory of neonatal care (Ballantyne et al, ), and regarding going home, persistent accounts of emotional stress have been reported in relation to both the very premature (Petty, Whiting, Green, & Fowler, ) and the late premature baby (Premji et al, ).…”

Section: Discussionmentioning

confidence: 99%

Understanding parents’ emotional experiences for neonatal education: A narrative, interpretive approach

Petty

Jarvis

2019

Journal of Clinical Nursing

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Aims and objectives To explore the emotional experiences of parents who have had premature babies to inform and educate neonatal nurses and health professionals in this field. Background Parents find the neonatal unit a daunting and unfamiliar place leading to anxiety, uncertainty and fear about the future of their baby. Parents have significant emotional needs in relation to assisting them to cope with their neonatal experience. In line with a family‐centred approach to neonatal education, it is essential to teach health professionals about the emotional impact of neonatal care based on an appreciation of the parent experience. Design A narrative‐based, interpretive approach was undertaken in line with constructivist learning theory. Methods Twenty narrative interviews took place, with a total of 23 parents of premature babies. Following core story creation to create coherent stories from the raw transcripts, thematic analysis of the narrative constructs using the principles of Braun and Clarke's, International Journal of Qualitative Studies on Health and Well‐Being, 2014, 9, 1, framework was undertaken. The study methods were compliant with the consolidated criteria for reporting qualitative research (COREQ). Findings Thematic analysis revealed key themes relating to the following: parents’ emotions through the whole neonatal experience, feelings towards the baby, the environment, the staff and the transitions through the different phases of neonatal care. Both negative and positive experiences were reported. Conclusion Understanding the emotional experience from the parent's perspective, following birth of their premature baby, informs empathic, family‐centred teaching and learning within the neonatal education arena. Relevance to clinical practice Students and health professionals alike can learn what is important in the delivery of care that addresses the emotional needs of parents and families. Educators can use narratives and key messages from parents, both negative and positive, to teach family‐centred principles to nurses and health professionals as a core component of a narrative curricula and potentially to enhance empathy.

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Mother's level of confidence in caring for her late preterm infant: A mixed methods study

Cited by 37 publications

References 36 publications

Breastfeeding progression in late preterm infants from birth to one month

Breastfeeding progression in late preterm infants from birth to one month

Effects of an Infant Care Education Program for Mothers of Late-preterm Infants on Parenting Confidence, Breastfeeding Rates, and Infants' Growth and Readmission Rates

Understanding parents’ emotional experiences for neonatal education: A narrative, interpretive approach

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