Exploring Adjustment and Parent–Infant Relations in Mothers of Premature Infants: Thematic Analysis Using a Multisensory Approach

Abstract

Objective The aim of the study was to explore mothers’ experiences of having an infant born prematurely (28–32 weeks gestation). In particular, the study aimed to explore the developing parent–infant relationship 12–30 months since birth and the developing parental identity during hospitalization and discharge. Methods Twelve mothers, aged between 22 and 43, participated in the semi-structured interviews. The mean age of infants was 19 months. Interviews comprised open-ended questions and visual stimuli consisting of photographs brought by participants, word selection, and card sorting techniques. Data were analyzed using Braun and Clarke’s thematic analysis (Braun & Clarke, 2013). Results Three themes arose from a clustering of 10 subthemes: (a) Emotional Impact, (b) Searching for Parent Identity, and (c) Moving Beyond Adversity. Participants expressed experiencing heightened emotional distress during the time of their infants’ birth and hospitalization and initially not feeling like parents. Their parental identity strengthened as they became more involved in the care of their infant and began to accept the situation. Participants described parenting their premature infants differently compared with parents of full-term infants, and described adjusting to this difference over time. Conclusions The findings highlight the emotional experience and adjustment of mothers of premature infants, from hospital and postdischarge. The need for psycho-educational interventions postdischarge and parent-partnered models during hospitalization is discussed. In addition, the study demonstrates the use of integrating visual stimuli in qualitative data collection procedures, to elicit further meaning and interaction from participants with the interview process.

Psychometric testing of the Chinese version of the Perceived Maternal Parenting Self‐Efficacy Scale among postpartum women

“…In addition, when women also had a baby with neonatal complications, then their ability to perform caretaking procedures or appraise the situation was found to be negatively impacted. Indeed, some studies have shown that mothers of infants with complications often face a significant care burden when they encounter excessive and complex parenting tasks (Barroso et al, 2016; Eom & Im, 2019; Pan & Gong, 2022; Sandoz et al, 2022; Suarez et al, 2022). These observations provide some new and valuable insights into the distinct aspect of parenting self‐efficacy.…”

‘Not a goal, but a given’: Neonatal care participation through parents' perspective, a cross‐sectional study

“…Not being responsible for the care of their infant on a neonatal ward can make parents 'not feel like parents'. 2 Besides the parental role alteration, factors such as physical separation, the infant's changing clinical condition and the technical environment of the ward impose an important source of parental stress. 3,4 As this stress impacts both parental and infant (short-and long-term) health, 5 optimising closeness during an infant's admission to a neonatal ward should be a priority.…”

“…However, developing this closeness is challenging during infant hospitalisation after birth. Not being responsible for the care of their infant on a neonatal ward can make parents ‘not feel like parents’ 2 . Besides the parental role alteration, factors such as physical separation, the infant's changing clinical condition and the technical environment of the ward impose an important source of parental stress 3,4 .…”