Postpartum Care for Mothers of Preterm Infants Requiring Intensive Care: A Qualitative Study [26E]
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Postpartum Care for Mothers of Preterm Infants Requiring Intensive Care: A Qualitative Study [26E]

Abstract

INTRODUCTION:: Postpartum care can be fragmented, especially among women with premature infants in the Neonatal Intensive Care Unit (NICU). We aimed to explore women's goals for and experiences with postpartum care. METHODS:: We conducted a qualitative study using semi-structured interviews to ask women between 2 and 8 weeks after delivery of preterm infants in the NICU about their preferred topics of discussion at the postpartum visit and experiences with postpartum care. We analyzed transcripts using thematic analysis. IRB approval obtained. RESULTS:: We enrolled 16 mothers who delivered between 25 and 34 weeks gestation (11 by Cesarean). At interview time (14-55 days postpartum), 4 women had attended a postpartum visit, 2 had missed their visit, and 10 had an upcoming appointment scheduled. Reasons for not attending a visit included distance of clinic from NICU, a desire to focus on their infant's health, and insurance changes. Participants identified several topics of importance for postpartum visits: assessing physical recovery after delivery (e.g., incision care, management of ongoing medical conditions), lactation support, and implications of preterm delivery for future pregnancies. One theme women described was feeling traumatized by the delivery or NICU experience and expressing concern about postpartum depression or anxiety. Participants suggested scheduling a visit soon after delivery (e.g., within 3 weeks postpartum) to assess mood. CONCLUSION:: Women with premature infants requiring NICU hospitalization are at risk for delayed or inadequate postpartum care given concern for their infants' health. Arranging short-term follow-up after delivery allows clinicians to perform early assessments and offer anticipatory guidance for postpartum depression.

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