Teenage maternal adjustment during the transition from hospital to home with a pre-term or low birth weight infant: One year post discharge
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Rowe, Jen
Sheeran, Nicola
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This study was conducted by Dr Liz Jones, a psychologist, Dr Jennifer Rowe, a social scientist/nurse academic, and Nicola Sheeran, a clinical psychology PhD candidate, from Griffith University. Assistance was also provided by Ms Lisa Farnell who worked as a research assistant on the project. This study was made possible by the collaboration and assistance of the Nurse Unit Managers for each facility and staff involved in the antenatal care programs. The research was supported by funding from the Department of Communities Priority Research Program Grant. This report presents the findings from the final phase of the project entitled “Teenage maternal adjustment during the transition from hospital to home with a pre-term or low birth weight infant: The role of community services”. The initial phase of the project gathered information about the support services (government and non-government organisations (NGO’s)) available to young mothers of preterm or low-birth-weight (LBW) infants in metropolitan and regional areas. This information was reported to the Department of Communities in September 2008 and allowed researchers to generate site-specific measures to ascertain whether young mothers are aware of the formal support services available to them and whether they used the services. Phase two of the project involved interviewing young mothers of both term and preterm infants prior to discharge from the hospital about their experiences during their pregnancy and at the hospital (Jones, Rowe, & Sheeran, 2009). Factors such as stress, coping and psychological adjustment, as well as their expectations of parenting and current sense of self-efficacy regarding parenting were assessed both during the interview and via questionnaires. Mothers also provided in-depth information about their support networks and knowledge and/or use of formal support services in their areas. Phase 3 involved re-interviewing the young mothers at between 3 and 4 months post discharge of their infant from hospital. At this time, mothers provided information on their experiences of parenting, psychological adjustment, current sense of parental self-efficacy, and methods of coping. In addition, mothers provided information on the amount of social support available to them, satisfaction with this support, use of formal support services, and reasons for and against accessing support services. 5 The final phase, involved re-interviewing the young mothers approximately 12 months after their infants were discharged from hospital. Again, mothers provided information on their current functioning in the areas of psychological adjustment, sense of parental self-efficacy, methods of coping, social support, relationship status and more generally their experiences of parenting. In addition, mothers reflected on the process of becoming a mother and the impact of hospital experiences (in the case of preterm, the SCN) on this process. A final sample of 40 young mothers (aged 15-19, M= 17.35) were recruited into the research program at time of discharge from hospital. Of this number, 20 gave birth to preterm or LBW babies and 20 gave birth to full term babies. Young mothers were recruited from the special care nurseries (SCN) of four hospitals: Logan, Royal Brisbane Women’s Hospital (RBWH), Ipswich, and Caboolture and via antenatal appointments at Ipswich and Caboolture hospital. The current report provides information from 21 of mothers. Of these 11 gave birth to a preterm or LBW infant and 10 gave birth to a preterm infant. Overall, retention of mothers over time was good with 19 being lost to follow up from time 1 to time 3. Reasons for this included moving interstate or overseas or changing all contact details between contacts. No mothers declined participation at time 3.
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© Griffith University 2010.
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young mothers
preterm or low-birth-weight (LBW) infants
community services
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Jones, L., Rowe, J., & Sheeran, N. (2010). Teenage maternal adjustment during the transition from hospital to home with a pre-term or low birth weight infant: One year post discharge. Griffith University and Department of Communities. https://doi.org/10.25904/1912/4552