关键词: community child health postpartum period pregnant women primary care qualitative research

Mesh : Humans Female United Kingdom Qualitative Research Infant, Premature Mothers / psychology Infant, Newborn Adult Pregnancy Infant Interviews as Topic Premature Birth Gestational Age Child, Preschool

来  源:   DOI:10.1136/bmjopen-2023-076057   PDF(Pubmed)

Abstract:
BACKGROUND: Preterm birth (<37 gestational weeks) accounts for an increasing proportion of global births each year, with moderately or late preterm birth (MLPT) (32+0/7-36+6/7 gestational weeks) comprising over 80% of all preterm births. Despite the frequency, MLPT births represent only a small fraction of prematurity research, with research exploring the parental experiences of having a child born MLPT particularly neglected. It is vital this perspective is considered to provide appropriate grounding for future research and service provision.
METHODS: Six mothers from the UK of infants (aged between 18 and 36 months) born MLPT were invited to take part in a semistructured qualitative interview study. Reflexive thematic analysis was employed to explore the data and codes were then conceptualised through a process of inductive reasoning to identify patterns of meaning.
RESULTS: Five themes are presented that are conceptualised from the data: (1) the moderate or later preterm \'label-does it matter?, (2) vulnerability within a new role, (3) coming home and wanting to start \'normal\' life, (4) comparisons to provide a reference to experiences and (5) experience of professionals throughout the pregnancy, newborn and early years journey.
CONCLUSIONS: Findings offer in-depth evidence surrounding mothers\' experiences of healthcare throughout pregnancy and immediately after birth, perceptions of the \'preterm\' label and thoughts on how mothers reflect on their experiences. Future research should show an awareness of the broader family context when interpreting findings and providing suggestions for future research avenues or service provision.
摘要:
背景:每年早产(<37孕周)占全球出生的比例越来越高,中度或晚期早产(MLPT)(320/7-366/7孕周)占所有早产的80%以上。尽管频率,MLPT出生仅占早产研究的一小部分,随着研究探索父母出生孩子的经历,MLPT尤其被忽视。至关重要的是,这种观点被认为是为未来的研究和服务提供提供适当的基础。
方法:六位来自英国的母亲(年龄在18至36个月之间)出生的MLPT被邀请参加半结构化的定性访谈研究。采用自反性主题分析来探索数据,然后通过归纳推理过程对代码进行概念化,以识别含义模式。
结果:从数据中概念化提出了五个主题:(1)中度或后期早产标签-重要吗?,(2)新角色中的脆弱性,(3)回家,想要开始“正常”的生活,(4)比较提供经验参考和(5)专业人员在整个怀孕期间的经验,新生和早年的旅程。
结论:研究结果提供了有关母亲在整个怀孕期间和出生后立即进行医疗保健的深入证据,对“早产”标签的看法和对母亲如何反思自己经历的想法。在解释研究结果并为未来的研究途径或服务提供建议时,未来的研究应显示出对更广泛的家庭环境的认识。
公众号