Mothering a Preterm Infant Receiving NIDCAP Care in a Level III Newborn Intensive Care Unit

Area of Science:

• Neonatal care
• Maternal-infant bonding
• Phenomenological research

Background:

• Preterm infants require specialized care in Neonatal Intensive Care Units (NICUs).
• The Newborn Individualized Developmental Care and Assessment Program (NIDCAP) is a recognized approach to developmental care.
• Understanding the maternal experience within this context is crucial for optimizing care.

Purpose of the Study:

• To explore the lived experience of mothers caring for preterm infants in a Level III NICU.
• To describe the significance of NIDCAP care elements from the maternal perspective.
• To enhance healthcare practitioners' understanding of mothers' experiences with NIDCAP.

Main Methods:

• Existential-phenomenologic research method.
• In-depth interviews with 7 mothers of preterm infants (≤30 weeks gestation at birth).
• Thematic analysis of interview transcripts.

Main Results:

• An overarching theme of 'parenting with permission' emerged.
• Key themes included choosing to participate, dealing with people (including judgment), and developing a maternal identity.
• Mothers reported gaining understanding, overcoming fear, and feeling empowered through participation.

Conclusions:

• Mothers highly value NIDCAP for education and support.
• Sensitivity and patience from professionals are essential to help mothers overcome fear and gain confidence.
• Private rooms are significant for maternal well-being.
• Ongoing staff education and team meetings are recommended to ensure consistent NIDCAP adherence and reduce maternal frustration.