A1 Refereed original research article in a scientific journal

Mothers' experiences of parenting and everyday life of children born at 23 weeks of gestation – a qualitative descriptive study




AuthorsVäliaho Anniina, Lehtonen Liisa, Axelin Anna, Korja Riikka

PublisherBioMed Central

Publication year2021

JournalBMC Pediatrics

Journal name in sourceBMC PEDIATRICS

Journal acronymBMC PEDIATR

Article numberARTN 48

Volume21

Issue1

Number of pages9

eISSN1471-2431

DOIhttps://doi.org/10.1186/s12887-020-02478-y

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/Publication/53619966


Abstract
BackgroundSurviving children born at 23 gestational weeks are a growing population. As many of these children face developmental challenges during childhood and adolescence, more knowledge is needed about the everyday life of this group. The parental perspective is important, as developmental problems often pose a challenge for the parents. The aim of this qualitative study was to explore mothers' experiences of parenting children born at 23 gestational weeks and of the children's everyday lives.MethodsThis was a qualitative descriptive study conducted with mothers of children born at 23weeks of gestation. These purposively sampled eight mothers were interviewed using a semi-structured interview. Thematic analysis was used to analyse the interviews.ResultsSeven themes were formed on the basis of the interview data and they are presented in three dimensions: 1) the child seen from maternal perspective included themes 'emphasizing strengths in the midst of challenges', 'relations with peers and siblings', and 'emotional well-being and active life'; 2) the parenting experience included themes 'intensive mothering' and 'gratitude'; 3) the support included themes 'support from the social network' and 'support from society'.ConclusionsThe mothers described how the lives of their children were active and rich. The mothers were dedicated to motherhood and they also expressed feelings of gratitude. Mothers received support from social networks and from society. This qualitative study provided an important complementary perspective to the discussion on extremely premature children's quality of life. It also highlighted the importance of parental perspectives in assessing neonatal care and its outcomes.

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