Vulnerable mothers' experience of feeding their preterm infant in neonatal care.

IF 1 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Elanie A Van Schalkwyk, Berna Gerber
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引用次数: 1

Abstract

Background: Worldwide, preterm birth is a rising threat to maternal and child health. The universal challenges of being the mother of a preterm infant, combined with context-specific challenges such as poverty and poor linguistic and cultural representation, bring about risks for both mother and infant. This includes poor maternal mental health; poor mother-infant bonding and attachment and potential suboptimal developmental outcomes for the infant.

Objective: This article describes how Afrikaans-speaking mothers living in poverty experienced feeding their preterm infants in neonatal care.

Method: The study implemented a cross-sectional, qualitative design. Mothers of preterm infants (chronological ages between 3 and 6 months) were selected through a purposive sampling method and participated in individual semi-structured interviews. Nine interviews were thematically analysed. The participants were a vulnerable group, about whom little research literature was available.

Results: Feeding was perceived as a progressive task that worked towards the goal of discharge from the hospital. It was stressful because of various factors, but insufficient breastmilk supply was a significant contributor. The hospital setting was perceived as something that added to the participants' anxiety surrounding feeding, but at the same time, it had the potential to decrease their anxiety. When the mother-infant dyad was able to breastfeed successfully, it made the participants feel like mothers at last after an extended period of anticipation.

Conclusion: Feeding their preterm infant was a prominent experience for the mothers, especially whilst in neonatal care. Increased feeding support is required from the healthcare team providing neonatal care in order to optimally use the neonatal period.

弱势母亲在新生儿护理中喂养早产儿的经验。
背景:在世界范围内,早产是对孕产妇和儿童健康日益严重的威胁。作为早产儿母亲的普遍挑战,加上贫困、语言和文化代表性差等具体情况的挑战,给母亲和婴儿都带来了风险。这包括产妇心理健康状况不佳;不良的母婴关系和依恋以及婴儿潜在的次优发展结果。目的:本文描述了生活在贫困中的讲南非荷兰语的母亲如何在新生儿护理中喂养早产儿。方法:采用横断面定性设计。通过有目的的抽样方法选择早产儿(3至6个月)的母亲,并参加个人半结构化访谈。对9个访谈进行了主题分析。参与者是一个弱势群体,关于他们的研究文献很少。结果:喂养被认为是一个渐进的任务,朝着出院的目标工作。由于各种因素,压力很大,但母乳供应不足是一个重要因素。医院环境被认为增加了参与者对喂养的焦虑,但与此同时,它有可能减少他们的焦虑。当母亲和婴儿能够成功地进行母乳喂养时,这让参与者在长时间的期待之后终于感觉自己是母亲了。结论:喂养早产儿对母亲来说是一个重要的经历,尤其是在新生儿护理中。提供新生儿护理的保健团队需要增加喂养支持,以便最佳地利用新生儿期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS
SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-
CiteScore
2.10
自引率
36.40%
发文量
37
审稿时长
30 weeks
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