Women's experience of preterm birth in an East African context: a qualitative study.


Journal

African health sciences
ISSN: 1729-0503
Titre abrégé: Afr Health Sci
Pays: Uganda
ID NLM: 101149451

Informations de publication

Date de publication:
Mar 2024
Historique:
medline: 4 7 2024
pubmed: 4 7 2024
entrez: 4 7 2024
Statut: ppublish

Résumé

Approximately 15 million children are born each year prematurely, representing more than 10 percent of all childbirths worldwide. Prematurity is an acute event and the leading cause of death among newborns and children under five. Sixty percent of these premature deaths occur in Sub-Saharan Africa and Southeast Asia. The current study aimed to explore and understand women's experiences and perceptions regarding giving birth prematurely at the National Hospital of Muhimbili in Dar es Salaam, Tanzania. A qualitative method, using Interpretive Phenomenological Analysis approach was chosen to understand and describe the women's experiences. A semi-structured guide was used during the interviews. All interviews were audio-recorded and transcribed verbatim. Eight in-depth interviews were conducted. The analysis revealed three superordinate themes: (a) Emotional turmoil: unmet expectations shattering maternal identity, emotional distress, and loss of hope; (b) Adapting to preterm birth and challenges: the unexpected situation, lack of proper care, strenuous breastfeeding routines, and socioeconomic challenges; (c) Significance of proper care and emotional support: good maternal care, mother-to-mother and family support. This study provided a deeper understanding of women's experiences and perceptions of premature childbirth. The current study indicated the importance of caregivers' awareness of the women's emotional distress, their need to adapt to a sudden unexpected situation, and the necessity of emotional support.

Sections du résumé

Background UNASSIGNED
Approximately 15 million children are born each year prematurely, representing more than 10 percent of all childbirths worldwide. Prematurity is an acute event and the leading cause of death among newborns and children under five. Sixty percent of these premature deaths occur in Sub-Saharan Africa and Southeast Asia.
Objective UNASSIGNED
The current study aimed to explore and understand women's experiences and perceptions regarding giving birth prematurely at the National Hospital of Muhimbili in Dar es Salaam, Tanzania.
Method UNASSIGNED
A qualitative method, using Interpretive Phenomenological Analysis approach was chosen to understand and describe the women's experiences. A semi-structured guide was used during the interviews. All interviews were audio-recorded and transcribed verbatim.
Findings UNASSIGNED
Eight in-depth interviews were conducted. The analysis revealed three superordinate themes: (a) Emotional turmoil: unmet expectations shattering maternal identity, emotional distress, and loss of hope; (b) Adapting to preterm birth and challenges: the unexpected situation, lack of proper care, strenuous breastfeeding routines, and socioeconomic challenges; (c) Significance of proper care and emotional support: good maternal care, mother-to-mother and family support.
Conclusion UNASSIGNED
This study provided a deeper understanding of women's experiences and perceptions of premature childbirth. The current study indicated the importance of caregivers' awareness of the women's emotional distress, their need to adapt to a sudden unexpected situation, and the necessity of emotional support.

Identifiants

pubmed: 38962353
doi: 10.4314/ahs.v24i1.19
pii: jAFHS.v24.i1.pg151
pmc: PMC11217843
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

151-162

Informations de copyright

© 2024 Habtu TA et al.

Auteurs

Thomas Asmelash Habtu (TA)

Department of Public Health and Nursing, Norwegian University of Science and Technology, NTNU, Trondheim, Norway.

Andrea Barnabas Pembe (AB)

Department of Obstetrics and Gynaecology, Muhimbili University of Health, and Allied Science, MUHAS, Dar es Salaam, Tanzania.

Faraja Chiwanga (F)

Teaching, Research, and Consultancy Unit, TRCU, Muhimbili National Hospital, MNH, Dar es Salaam, Tanzania.

Jon Øyvind Odland (JØ)

Department of Public Health and Nursing, Norwegian University of Science and Technology, NTNU, Trondheim, Norway.
Department of Community Medicine, University of Tromsø, Tromsø, Norway.
School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Elisabeth Darj (E)

Department of Public Health and Nursing, Norwegian University of Science and Technology, NTNU, Trondheim, Norway.
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.

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Classifications MeSH