Preterm delivery in Ghana: challenges and implications for maternal mental health trajectories.

Journal: PloS one

Volume: 20

Issue: 3

Year of Publication: 2025

Affiliated Institutions:  Department of Family and Consumer Sciences, University of Ghana, Legon, Accra.

Abstract summary 

The present study examined mothers' experiences with preterm infants in Accra, Ghana, at a time when the COVID-19 pandemic, existing poverty, and global economic depressions severely challenged access to communal, familial, and individual resources. We argue that, in a family crisis, contextual and external institutional resources, such as access to quality healthcare resources, play crucial roles in mothers' risk exposure and adaptation.Using a qualitative approach with an immersive exploratory-descriptive design, the study interviewed twenty-five (25) mothers whose preterm infants were discharged from the Neonatal Intensive Care Unit (NICU) of Korle Bu Teaching Hospital in Accra, Ghana.The study showed that mothers of preterm infants experienced varying range of challenges, including diminished appetite, decreased productivity, and feelings of hopelessness, both during and following their infants' hospitalization. Having access to adequate income, information, medication, and experienced medical practitioners remains critical to the management of stressful situations associated with the care of preterm children.Access to funding, preterm information, quality medication, and qualified health professionals can help mothers of preterm infants' better deal with negative experiences than those who do not have adequate amounts of these resources. Access to critical resources can safeguard mothers' mental health and the survival of preterm infants within the first year of delivery. A policy on the existing national health insurance scheme can be enacted to expand coverage and absorb the cost of care for the mother and child within the first eighteen months after delivery.

Authors & Co-authors:  Kumador David Kwame DK Opoku-Mensah Alberta A Tackie-Ofosu Vivian V Mahama Sheriffa S Owusu-Bempah Justice J Osei Tutu Crossby C

Study Outcome 

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Statistics
Citations :  Weobong B, Ten Asbroek AH, Soremekun S, Danso S, Owusu-Agyei S, Prince M, et al.. Determinants of postnatal depression in rural ghana: findings from the don population based cohort study. Depress Anxiety. 2015;32(2):108–19. doi: 10.1002/da.22218
Authors :  6
Identifiers
Doi : e0317147
SSN : 1932-6203
Study Population
Mothers
Mesh Terms
Humans
Other Terms
Study Design
Study Approach
Qualitative
Country of Study
Ghana
Publication Country
United States