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Mother's level of confidence in caring for her late preterm infant: A mixed methods study

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  • Shahirose S. Premji
  • Gianella Pana
  • Genevieve Currie
  • Aliyah Dosani
  • Sandra Reilly
  • Marilyn Young
  • Marc Hall
  • Tyler Williamson
  • Abhay K Lodha

Abstract

Aim and objectives To examine what it means to be a mother of a late preterm infant including a mother's level of confidence in caring for her late preterm infant over time and the effect of maternal depression of this experience. Background Little is known about mothers' experiences of caring for their late preterm infants in the community, including their level of confidence and parenting stress within the context of a supported care environment by public health nurses. Design A mixed methods study, sequential explanatory quantitative and qualitative study. Methods A convenience sample of mothers with LPIs (n = 71) completed questionnaires on maternal confidence (3–4 weeks and 6–8 weeks), parenting stress (6–8 weeks), social support (6–8 weeks) and postpartum depression (6–8 weeks). A purposive sample of mothers (n = 11) underwent in‐depth, semi‐structured interviews. Results Maternal confidence decreased from 3–4 weeks–6–8 weeks after delivery, and similar results were found for mothers who reported depressive symptoms. Narratives of the mothers suggested the decrease in maternal confidence over time was influenced by the demanding characteristics of the late preterm infant, the prospect of their rehospitalisation and the mother's reported interactions with public health nurses. Depression had an effect on maternal confidence; that is, the depressed mothers demonstrated less confidence about their caretaking role than the nondepressed mothers at 6–8 weeks. Mothers did not discuss mental health issues, which may reflect the protective effects of social support on emotional instability or an inability to recognise postpartum depression. Conclusion The confidence of mothers with LPIs decreased over the first 2 months following delivery and being home with their infants. Assisting mothers to meet their personal needs and the needs of their infant should promote maternal skills, which will likely increase maternal confidence related to the care of their late preterm infant. Relevance for Clinical Practice Characteristics of LPIs contributed more to parenting stress score than parent characteristics; mothers however attempted to normalise the late preterm infant in order to minimise the parenting stress. Evidence‐informed brief interventions tailored based on late preterm infant and parent characteristics may improve maternal confidence over time. Healthcare professional should provide education and anticipatory guidance prior to discharge, consistent care in hospital and postdischarge as this may impact maternal level of confidence. Future research needs to examine standards of care for discharge of LPIs and adherence to these standards.

Suggested Citation

  • Shahirose S. Premji & Gianella Pana & Genevieve Currie & Aliyah Dosani & Sandra Reilly & Marilyn Young & Marc Hall & Tyler Williamson & Abhay K Lodha, 2018. "Mother's level of confidence in caring for her late preterm infant: A mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1120-1133, March.
  • Handle: RePEc:wly:jocnur:v:27:y:2018:i:5-6:p:e1120-e1133
    DOI: 10.1111/jocn.14190
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    References listed on IDEAS

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    1. Shwu‐Jiuan Shieh & Hsiu‐Lin Chen & Fen‐Chen Liu & Chuen‐Ching Liou & Y‐in‐Hui Lin & Hsing‐I Tseng & Ruey‐Hsia Wang, 2010. "The effectiveness of structured discharge education on maternal confidence, caring knowledge and growth of premature newborns," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(23‐24), pages 3307-3313, December.
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    Cited by:

    1. Concetta Polizzi & Giovanna Perricone & Maria Regina Morales & Sofia Burgio, 2021. "A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program’s Proposal," IJERPH, MDPI, vol. 18(16), pages 1-24, August.
    2. Charlotte Sahlén Helmer & Ulrika Birberg Thornberg & Evalotte Mörelius, 2021. "An Early Collaborative Intervention Focusing on Parent-Infant Interaction in the Neonatal Period. A Descriptive Study of the Developmental Framework," IJERPH, MDPI, vol. 18(12), pages 1-12, June.
    3. Julia Petty & Joy Jarvis & Rebecca Thomas, 2019. "Understanding parents’ emotional experiences for neonatal education: A narrative, interpretive approach," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1911-1924, May.

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