Broken expectations of early motherhood

Mothers’ experiences of early discharge after birth and readmission of their infants

Maria M. Feenstra*, Ingrid Nilsson, Dorthe B. Danbjørg

*Corresponding author for this work

Research output: Contribution to journalJournal articleResearchpeer-review

33 Downloads (Pure)

Abstract

Background and aim: Today, mothers are discharged early after birth, and national monitoring shows an increase in readmission of infants. Readmission of the infant might diminish the possibility of bonding and weaken maternal confidence in taking care of the infant. The aim was to explore how new mothers experience the time from birth to being discharged after readmission with their infants. Design: A phenomenological and hermeneutic study. Data were collected through telephone interviews. The study followed the COREQ requirements and was conducted in the Region of Southern Denmark in a University Hospital setting. Convenience sampling was applied, and eight mothers were included from November 2015–February 2016. Seven were interviewed. Results: The data analysis revealed the following six themes: “Early discharge,” “Being at home,” “Readmission—shock or relief,” “Problems with breastfeeding in early motherhood,” “Empowering or disempowering guidance” and “Back home with broken expectations.” These six themes were all covered by the overall theme: “Broken expectations of a tranquil beginning of early motherhood.”. Conclusions: Our study points out that mothers wish for a tranquil beginning with their infants at home. Some already experienced problems at home, while others first were confronted at the check-up at the outpatient clinic. Yet the common denominator was that the mothers experienced broken expectations regarding early motherhood when facing readmission. Readmission may influence the initial process either positively or negatively, depending on how the mothers experience their challenges and how the healthcare professionals support them. This highlights the importance of the way in which healthcare professionals support new mothers when they are readmitted. The study emphasises the importance of maternal feelings of security and confidence in their maternal role, as they are closely connected to the process of becoming a mother.

Original languageEnglish
JournalJournal of Clinical Nursing
Volume28
Issue number5-6
Pages (from-to)870-881
ISSN0962-1067
DOIs
Publication statusPublished - Mar 2019

Fingerprint

Mothers
Delivery of Health Care
Denmark
Ambulatory Care Facilities
Interviews

Keywords

  • breastfeeding
  • discharge
  • infant
  • postpartum
  • unplanned readmission
  • women

Cite this

@article{26d0dc7af2cb4738a133c4ad155bb1a0,
title = "Broken expectations of early motherhood: Mothers’ experiences of early discharge after birth and readmission of their infants",
abstract = "Background and aim: Today, mothers are discharged early after birth, and national monitoring shows an increase in readmission of infants. Readmission of the infant might diminish the possibility of bonding and weaken maternal confidence in taking care of the infant. The aim was to explore how new mothers experience the time from birth to being discharged after readmission with their infants. Design: A phenomenological and hermeneutic study. Data were collected through telephone interviews. The study followed the COREQ requirements and was conducted in the Region of Southern Denmark in a University Hospital setting. Convenience sampling was applied, and eight mothers were included from November 2015–February 2016. Seven were interviewed. Results: The data analysis revealed the following six themes: “Early discharge,” “Being at home,” “Readmission—shock or relief,” “Problems with breastfeeding in early motherhood,” “Empowering or disempowering guidance” and “Back home with broken expectations.” These six themes were all covered by the overall theme: “Broken expectations of a tranquil beginning of early motherhood.”. Conclusions: Our study points out that mothers wish for a tranquil beginning with their infants at home. Some already experienced problems at home, while others first were confronted at the check-up at the outpatient clinic. Yet the common denominator was that the mothers experienced broken expectations regarding early motherhood when facing readmission. Readmission may influence the initial process either positively or negatively, depending on how the mothers experience their challenges and how the healthcare professionals support them. This highlights the importance of the way in which healthcare professionals support new mothers when they are readmitted. The study emphasises the importance of maternal feelings of security and confidence in their maternal role, as they are closely connected to the process of becoming a mother.",
keywords = "breastfeeding, discharge, infant, postpartum, unplanned readmission, women",
author = "Feenstra, {Maria M.} and Ingrid Nilsson and Danbj{\o}rg, {Dorthe B.}",
year = "2019",
month = "3",
doi = "10.1111/jocn.14687",
language = "English",
volume = "28",
pages = "870--881",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "5-6",

}

Broken expectations of early motherhood : Mothers’ experiences of early discharge after birth and readmission of their infants. / Feenstra, Maria M.; Nilsson, Ingrid; Danbjørg, Dorthe B.

In: Journal of Clinical Nursing, Vol. 28, No. 5-6, 03.2019, p. 870-881.

Research output: Contribution to journalJournal articleResearchpeer-review

TY - JOUR

T1 - Broken expectations of early motherhood

T2 - Mothers’ experiences of early discharge after birth and readmission of their infants

AU - Feenstra, Maria M.

AU - Nilsson, Ingrid

AU - Danbjørg, Dorthe B.

PY - 2019/3

Y1 - 2019/3

N2 - Background and aim: Today, mothers are discharged early after birth, and national monitoring shows an increase in readmission of infants. Readmission of the infant might diminish the possibility of bonding and weaken maternal confidence in taking care of the infant. The aim was to explore how new mothers experience the time from birth to being discharged after readmission with their infants. Design: A phenomenological and hermeneutic study. Data were collected through telephone interviews. The study followed the COREQ requirements and was conducted in the Region of Southern Denmark in a University Hospital setting. Convenience sampling was applied, and eight mothers were included from November 2015–February 2016. Seven were interviewed. Results: The data analysis revealed the following six themes: “Early discharge,” “Being at home,” “Readmission—shock or relief,” “Problems with breastfeeding in early motherhood,” “Empowering or disempowering guidance” and “Back home with broken expectations.” These six themes were all covered by the overall theme: “Broken expectations of a tranquil beginning of early motherhood.”. Conclusions: Our study points out that mothers wish for a tranquil beginning with their infants at home. Some already experienced problems at home, while others first were confronted at the check-up at the outpatient clinic. Yet the common denominator was that the mothers experienced broken expectations regarding early motherhood when facing readmission. Readmission may influence the initial process either positively or negatively, depending on how the mothers experience their challenges and how the healthcare professionals support them. This highlights the importance of the way in which healthcare professionals support new mothers when they are readmitted. The study emphasises the importance of maternal feelings of security and confidence in their maternal role, as they are closely connected to the process of becoming a mother.

AB - Background and aim: Today, mothers are discharged early after birth, and national monitoring shows an increase in readmission of infants. Readmission of the infant might diminish the possibility of bonding and weaken maternal confidence in taking care of the infant. The aim was to explore how new mothers experience the time from birth to being discharged after readmission with their infants. Design: A phenomenological and hermeneutic study. Data were collected through telephone interviews. The study followed the COREQ requirements and was conducted in the Region of Southern Denmark in a University Hospital setting. Convenience sampling was applied, and eight mothers were included from November 2015–February 2016. Seven were interviewed. Results: The data analysis revealed the following six themes: “Early discharge,” “Being at home,” “Readmission—shock or relief,” “Problems with breastfeeding in early motherhood,” “Empowering or disempowering guidance” and “Back home with broken expectations.” These six themes were all covered by the overall theme: “Broken expectations of a tranquil beginning of early motherhood.”. Conclusions: Our study points out that mothers wish for a tranquil beginning with their infants at home. Some already experienced problems at home, while others first were confronted at the check-up at the outpatient clinic. Yet the common denominator was that the mothers experienced broken expectations regarding early motherhood when facing readmission. Readmission may influence the initial process either positively or negatively, depending on how the mothers experience their challenges and how the healthcare professionals support them. This highlights the importance of the way in which healthcare professionals support new mothers when they are readmitted. The study emphasises the importance of maternal feelings of security and confidence in their maternal role, as they are closely connected to the process of becoming a mother.

KW - breastfeeding

KW - discharge

KW - infant

KW - postpartum

KW - unplanned readmission

KW - women

U2 - 10.1111/jocn.14687

DO - 10.1111/jocn.14687

M3 - Journal article

VL - 28

SP - 870

EP - 881

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 5-6

ER -