{"title":"Experiences of adults born extremely preterm –The impact of prematurity throughout their lives into adulthood","authors":"Bente Johanne Vederhus , Merete R. Benestad , Jorunn Drageset , Beate-Christin Hope Kolltveit","doi":"10.1016/j.earlhumdev.2025.106228","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Neonatal medicine has advanced significantly over the past few decades, leading to improved survival rates for infants born extremely preterm (EP). Being born extremely preterm increases the risk of various long-term health issues and impairments that may affect an individual's well-being and success in life. As these individuals now reach adulthood, we have limited knowledge of outcomes based on their personal experiences.</div></div><div><h3>Aims</h3><div>To explore how adults born EP perceive the impact of prematurity throughout their lives into adulthood.</div></div><div><h3>Study design</h3><div>A qualitative study design within an interpretive paradigm.</div></div><div><h3>Methods</h3><div>We conducted 11 in-depth interviews with individuals who were born EP (gestational age ≤ 28 weeks) in 1989 to 1990, when they were 33 years old. A semi-structured interview guide was applied asking about if and how being born EP had affected their life and how they had experienced the transition to adulthood. The data were analysed by using reflexive thematic analyse by Braun & Clarke.</div></div><div><h3>Results</h3><div>Five themes were generated through the analysis: gratitude for life, general vulnerability, adaptability, strong bonding to significant others and nurturance.</div></div><div><h3>Conclusions</h3><div>The overall impression of the stories shared by adults born EP is that, despite having faced significant physical, mental, social and educational challenges, they seem to have managed well. Through personal resilience and the support of key figures in their lives, they have been able to navigate these difficulties. However, these challenges warrant attention.</div></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":"203 ","pages":"Article 106228"},"PeriodicalIF":2.2000,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early human development","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0378378225000386","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Neonatal medicine has advanced significantly over the past few decades, leading to improved survival rates for infants born extremely preterm (EP). Being born extremely preterm increases the risk of various long-term health issues and impairments that may affect an individual's well-being and success in life. As these individuals now reach adulthood, we have limited knowledge of outcomes based on their personal experiences.
Aims
To explore how adults born EP perceive the impact of prematurity throughout their lives into adulthood.
Study design
A qualitative study design within an interpretive paradigm.
Methods
We conducted 11 in-depth interviews with individuals who were born EP (gestational age ≤ 28 weeks) in 1989 to 1990, when they were 33 years old. A semi-structured interview guide was applied asking about if and how being born EP had affected their life and how they had experienced the transition to adulthood. The data were analysed by using reflexive thematic analyse by Braun & Clarke.
Results
Five themes were generated through the analysis: gratitude for life, general vulnerability, adaptability, strong bonding to significant others and nurturance.
Conclusions
The overall impression of the stories shared by adults born EP is that, despite having faced significant physical, mental, social and educational challenges, they seem to have managed well. Through personal resilience and the support of key figures in their lives, they have been able to navigate these difficulties. However, these challenges warrant attention.
期刊介绍:
Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival.
The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas:
Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.