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Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh

Research output: Contribution to Journal/Magazine › Journal article › peer-review

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Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh. / Salam, Shumona Sharmin; Rahman, Ahmed Ehsanur; Mhajabin, Shema et al.
In: BMC Pregnancy and Childbirth, Vol. 24, No. 1, 145, 17.02.2024.

Research output: Contribution to Journal/Magazine › Journal article › peer-review

Harvard

Salam, SS, Rahman, AE, Mhajabin, S, Mazumder, T, Majid, T, Samad Talha, MTU, Haider, R, Chowdhury, AT, Islam, S, Ameen, S, Jabeen, S, Balen, J, Arifeen, SE, Nahar, Q & Anumba, DO 2024, 'Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh', BMC Pregnancy and Childbirth, vol. 24, no. 1, 145. https://doi.org/10.1186/s12884-024-06345-x

APA

Salam, S. S., Rahman, A. E., Mhajabin, S., Mazumder, T., Majid, T., Samad Talha, M. T. U., Haider, R., Chowdhury, A. T., Islam, S., Ameen, S., Jabeen, S., Balen, J., Arifeen, S. E., Nahar, Q., & Anumba, D. O. (2024). Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh. BMC Pregnancy and Childbirth, 24(1), Article 145. https://doi.org/10.1186/s12884-024-06345-x

Vancouver

Salam SS, Rahman AE, Mhajabin S, Mazumder T, Majid T, Samad Talha MTU et al. Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh. BMC Pregnancy and Childbirth. 2024 Feb 17;24(1):145. doi: 10.1186/s12884-024-06345-x

Author

Salam, Shumona Sharmin ; Rahman, Ahmed Ehsanur ; Mhajabin, Shema et al. / Perception and experiences of adolescent mothers and communities in caring for their preterm babies : findings from an in-depth study in rural Bangladesh. In: BMC Pregnancy and Childbirth. 2024 ; Vol. 24, No. 1.

Bibtex

@article{b33cc65152514d5e95a3f9b9cc774e55,
title = "Perception and experiences of adolescent mothers and communities in caring for their preterm babies: findings from an in-depth study in rural Bangladesh",
abstract = "BACKGROUND: A significant concern for Bangladesh is the high prevalence of adolescent pregnancy and the associated negative consequences for mother and baby, including a teen-related increased risk of preterm birth (PTB). Bangladesh also has one of the highest incidences of PTB (19%). Despite these high numbers of adolescent pregnancies and PTB, little is reported about the experiences of adolescent mothers in caring for their preterm babies, and the interventions needed to support them. The aim of this study was to explore gaps and opportunities for improved care for preterm babies among adolescent mothers and communities in rural Bangladesh.METHODS: We conducted a qualitative study in rural villages of Baliakandi sub-district of Bangladesh. Data collection involved in-depth interviews with adolescent mothers of premature and term babies, adult mothers with premature babies, and family members (n = 36); focus groups with community members (n = 5); and key informant interviews with healthcare providers (n = 13). Adolescent mothers with term and adult mothers with PTBs were included to elicit similarities and differences in understanding and care practices of PTB. A thematic approach was used for data analysis.RESULTS: We explored two major themes- perceptions and understanding of PTB; care practices and care-seeking for illnesses. We observed gaps and variations in understanding of preterm birth (length of gestation, appearance, causes, problems faced) and care practices (thermal management, feeding, weight monitoring) among all, but particularly among adolescents. Immediate natal and marital-kins were prominent in the narratives of adolescents as sources of informational and instrumental support. The use of multiple providers and delays in care-seeking from trained providers for sick preterm babies was noted, often modulated by the perception of severity of illness, cost, convenience, and quality of services. Health systems challenges included lack of equipment and trained staff in facilities to provide special care to preterm babies.CONCLUSION: A combination of factors including local knowledge, socio-cultural practices and health systems challenges influenced knowledge of, and care for, preterm babies among adolescent and adult mothers. Strategies to improve birth outcomes will require increased awareness among adolescents, women, and families about PTB and improvement in quality of PTB services at health facilities.",
keywords = "Pregnancy, Infant, Adult, Adolescent, Infant, Newborn, Female, Humans, Premature Birth/epidemiology, Adolescent Mothers, Bangladesh/epidemiology, Infant, Premature, Mothers, Perception",
author = "Salam, {Shumona Sharmin} and Rahman, {Ahmed Ehsanur} and Shema Mhajabin and Tapas Mazumder and Tamanna Majid and {Samad Talha}, {Md Taqbir Us} and Rajib Haider and Chowdhury, {Anika Tasneem} and Sharmin Islam and Shafiqul Ameen and Sabrina Jabeen and Julie Balen and Arifeen, {Shams El} and Quamrun Nahar and Anumba, {Dilly Oc}",
note = "{\textcopyright} 2024. The Author(s).",
year = "2024",
month = feb,
day = "17",
doi = "10.1186/s12884-024-06345-x",
language = "English",
volume = "24",
journal = "BMC Pregnancy and Childbirth",
issn = "1471-2393",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - Perception and experiences of adolescent mothers and communities in caring for their preterm babies

T2 - findings from an in-depth study in rural Bangladesh

AU - Salam, Shumona Sharmin

AU - Rahman, Ahmed Ehsanur

AU - Mhajabin, Shema

AU - Mazumder, Tapas

AU - Majid, Tamanna

AU - Samad Talha, Md Taqbir Us

AU - Haider, Rajib

AU - Chowdhury, Anika Tasneem

AU - Islam, Sharmin

AU - Ameen, Shafiqul

AU - Jabeen, Sabrina

AU - Balen, Julie

AU - Arifeen, Shams El

AU - Nahar, Quamrun

AU - Anumba, Dilly Oc

N1 - © 2024. The Author(s).

PY - 2024/2/17

Y1 - 2024/2/17

N2 - BACKGROUND: A significant concern for Bangladesh is the high prevalence of adolescent pregnancy and the associated negative consequences for mother and baby, including a teen-related increased risk of preterm birth (PTB). Bangladesh also has one of the highest incidences of PTB (19%). Despite these high numbers of adolescent pregnancies and PTB, little is reported about the experiences of adolescent mothers in caring for their preterm babies, and the interventions needed to support them. The aim of this study was to explore gaps and opportunities for improved care for preterm babies among adolescent mothers and communities in rural Bangladesh.METHODS: We conducted a qualitative study in rural villages of Baliakandi sub-district of Bangladesh. Data collection involved in-depth interviews with adolescent mothers of premature and term babies, adult mothers with premature babies, and family members (n = 36); focus groups with community members (n = 5); and key informant interviews with healthcare providers (n = 13). Adolescent mothers with term and adult mothers with PTBs were included to elicit similarities and differences in understanding and care practices of PTB. A thematic approach was used for data analysis.RESULTS: We explored two major themes- perceptions and understanding of PTB; care practices and care-seeking for illnesses. We observed gaps and variations in understanding of preterm birth (length of gestation, appearance, causes, problems faced) and care practices (thermal management, feeding, weight monitoring) among all, but particularly among adolescents. Immediate natal and marital-kins were prominent in the narratives of adolescents as sources of informational and instrumental support. The use of multiple providers and delays in care-seeking from trained providers for sick preterm babies was noted, often modulated by the perception of severity of illness, cost, convenience, and quality of services. Health systems challenges included lack of equipment and trained staff in facilities to provide special care to preterm babies.CONCLUSION: A combination of factors including local knowledge, socio-cultural practices and health systems challenges influenced knowledge of, and care for, preterm babies among adolescent and adult mothers. Strategies to improve birth outcomes will require increased awareness among adolescents, women, and families about PTB and improvement in quality of PTB services at health facilities.

AB - BACKGROUND: A significant concern for Bangladesh is the high prevalence of adolescent pregnancy and the associated negative consequences for mother and baby, including a teen-related increased risk of preterm birth (PTB). Bangladesh also has one of the highest incidences of PTB (19%). Despite these high numbers of adolescent pregnancies and PTB, little is reported about the experiences of adolescent mothers in caring for their preterm babies, and the interventions needed to support them. The aim of this study was to explore gaps and opportunities for improved care for preterm babies among adolescent mothers and communities in rural Bangladesh.METHODS: We conducted a qualitative study in rural villages of Baliakandi sub-district of Bangladesh. Data collection involved in-depth interviews with adolescent mothers of premature and term babies, adult mothers with premature babies, and family members (n = 36); focus groups with community members (n = 5); and key informant interviews with healthcare providers (n = 13). Adolescent mothers with term and adult mothers with PTBs were included to elicit similarities and differences in understanding and care practices of PTB. A thematic approach was used for data analysis.RESULTS: We explored two major themes- perceptions and understanding of PTB; care practices and care-seeking for illnesses. We observed gaps and variations in understanding of preterm birth (length of gestation, appearance, causes, problems faced) and care practices (thermal management, feeding, weight monitoring) among all, but particularly among adolescents. Immediate natal and marital-kins were prominent in the narratives of adolescents as sources of informational and instrumental support. The use of multiple providers and delays in care-seeking from trained providers for sick preterm babies was noted, often modulated by the perception of severity of illness, cost, convenience, and quality of services. Health systems challenges included lack of equipment and trained staff in facilities to provide special care to preterm babies.CONCLUSION: A combination of factors including local knowledge, socio-cultural practices and health systems challenges influenced knowledge of, and care for, preterm babies among adolescent and adult mothers. Strategies to improve birth outcomes will require increased awareness among adolescents, women, and families about PTB and improvement in quality of PTB services at health facilities.

KW - Pregnancy

KW - Infant

KW - Adult

KW - Adolescent

KW - Infant, Newborn

KW - Female

KW - Humans

KW - Premature Birth/epidemiology

KW - Adolescent Mothers

KW - Bangladesh/epidemiology

KW - Infant, Premature

KW - Mothers

KW - Perception

U2 - 10.1186/s12884-024-06345-x

DO - 10.1186/s12884-024-06345-x

M3 - Journal article

C2 - 38368364

VL - 24

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

SN - 1471-2393

IS - 1

M1 - 145

ER -