Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support

Adama, Esther; Bayes, Sara; Sundin, Deborah

doi:10.1111/jocn.13868

Cited by 19 publications

(32 citation statements)

References 36 publications

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“…It is recommended that health care workers should capitalize on this practice to include elderly people in the predischarge education, so that they can serve as agents of positive change in the community. Similar results have been reported in previous studies in which maternal and child health care practices depended on the decisions of the heads of household (Adama et al, 2018;Aubel, 2012;Moyer et al, 2014).…”

Section: Discussionsupporting

confidence: 91%

Sociocultural Practices Affecting the Care of Preterm Infants in the Ghanaian Community

2020

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Introduction Although culture is an integral part of health, there is scarcity of evidence on the influence of culture on caregiving experiences of parents of preterm infants. The aim of this study was to explore the influence of sociocultural practices on caring for preterm infants in the Ghanaian community. Method Narrative inquiry was utilized to explore the influence of sociocultural practices on the care of preterm infants from 21 mothers, 9 fathers, and 12 household members. Data were collected through face-to-face semistructured interviews and observations at participants’ homes. Results Analysis of data resulted in three threads/themes—respect for the elderly, use of herbal medicines, and communal living. Discussion Community and extended family members have great influence on the care of preterm infants. Traditional herbal medicines are considered effective in treating traditional illnesses among preterm infants. Understanding the influence of culture on the care of vulnerable preterm infants in the community is essential in developing interventions for infant survival.

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Section: Discussionsupporting

confidence: 91%

Sociocultural Practices Affecting the Care of Preterm Infants in the Ghanaian Community

2020

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“…Very few studies have been conducted on the influence of having parents’ significant others present and involved in neonatal care. Most studies have been qualitative, describing the ambivalent feelings after having a grandchild born preterm, the confused state, the need for knowledge in order to cope and to support, and a desire to be included . Thus, grandparents, and probably friends as well, experience a stressful situation that may limit the possibilities of providing support to parents.…”

Section: Discussionmentioning

confidence: 99%

Facilities for presence and provision of support to parents and significant others in neonatal units

2019

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Aim To describe parental facilities for staying in neonatal units, visiting policies and access to emotional support during hospitalisation. Methods A cross‐sectional design was used in which a survey was presented to all neonatal units in Sweden; 34 out of 38 units participated (89%). Results The findings showed that in 50% of the units, parents could stay 24/7 for the infant's entire hospital stay. In 32% of the units, siblings could stay the night with their parents. Units had policies on restrictions for visits by siblings (80%), grandparents (59%), friends and relatives (71%). All units offered counselling to parents, and some units offered peer‐to‐peer groups (24%), diaries (35%), relaxation techniques (6%) or Internet parental forums (6%). All units enabled parents to be at home with their infant and to visit the unit for check‐ups (35%) or to have staff visits at home (65%). Conclusion Facilities for parents to stay with their infant during hospitalisation and to have significant others visit are good, but there is room for improvement. During the transitional phase to being at home, parents are facilitated in being at home before the infant is discharged and are supported by the unit, which must be considered beneficial for parents.

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“…An earlier review presented evidence of the role of senior women, collectively referred to here as grandmothers, as caregivers and advisors on child nutrition in the nonwestern world. 18 Here, research from Africa, Asia and Latin America provides evidence of the dual-faceted role of grandmothers providing newborn care and advising young mothers, for example, from Africa: Ethiopia 28 ; Ghana [29][30][31] 40 ; from Asia: India 27 41-43 ; Pakistan 44 ; Nepal 24 ; Indonesia 45 ; and from Latin America: Brazil 46 ; Mexico(Ramos, thesis, 2014); Costa Rica 47 ; Colombia. 48 Research conducted in this wide array of sociocultural contexts reveals similar gender-specific and age-specific roles of family members in newborn care with consistent recognition of grandmothers' expertise and authority.…”

Section: Grandmothers' Role As Authoritative Advisors and Caregiversmentioning

confidence: 99%

“…Brazilian researchers report that young urban mothers refer to grandmothers as their eternal guides, 'They brought security and comfort justified by the experience accumulated by these women' 23 (p.537) and breastfeeding research in urban Mexico concludes, 'grandmothers continue to play a leadership role in families as primary advisors and health promoters' (Ramos thesis, 2014, p.40). Two studies in Ghana conclude, 'parents consider grandmothers as the epitome of wisdom and knowledge BMJ Global Health regarding newborn care' 31 (p.5) and it is the husband's mother who calls the shots on newborn care. 29 In Nepal researchers concluded that advice from revered and authoritative grandmothers cannot be refused.…”

Section: Grandmothers' Role As Authoritative Advisors and Caregiversmentioning

confidence: 99%

Grandmothers — a neglected family resource for saving newborn lives

Aubel¹

2021

BMJ Glob Health

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Across the globe, the well-being of newborns is significantly influenced by the knowledge and practices of family members, yet global health policies and interventions primarily focus on strengthening health services to save newborn lives. Predominant approaches to promote newborn survival in non-western cultures across the Global South are based on a western, nuclear family model and ignore the roles of caregivers within wider family systems, whose attitudes and practices are determined by culturally prescribed strategies. In this paper, I review evidence of a neglected facet of newborn care, the role and influence of senior women or grandmothers.Based on a family systems frame, I reviewed research from numerous settings in Africa, Asia and Latin America that provides insight into family roles related to newborn care, specifically of grandmothers. I identified primarily published studies which provide evidence of grandmothers’ role as culturally designated and influential newborn advisors to young mothers and direct caregivers. Research from all three continents reveals that grandmothers play similar core roles in newborn care while their culturally specific practices vary. This review supports two main conclusions. First, future newborn research should be conceptualised within a family systems framework that reflects the structure and dynamics of non-western collectivist cultures. Second, newborn interventions should aim not only to strengthen health services but also influential family caregivers, particularly grandmothers and the indigenous social support networks of which they are a part, in order to improve family-level newborn practices and save newborn lives.

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Parents’ experiences of caring for preterm infants after discharge with grandmothers as their main support

Abstract: Grandmothers are the main support providers of parents of preterm infants after neonatal unit discharge. Nurses should identify and include grandmothers in predischarge education in order to equip them to render appropriate support to parents and preterm infants.

Cited by 19 publications

References 36 publications

Sociocultural Practices Affecting the Care of Preterm Infants in the Ghanaian Community

Sociocultural Practices Affecting the Care of Preterm Infants in the Ghanaian Community

Facilities for presence and provision of support to parents and significant others in neonatal units

Grandmothers — a neglected family resource for saving newborn lives

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