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He Tamariki Kokoti Tau

Families of Indigenous Infants Talk about Their Experiences of Preterm Birth and Neonatal Intensive Care

Bibliographic Data

ID15460563
AuthorsA Adcock (0000-0002-9837-3061, Victoria University of Wellington, corresponding author), F Cram (0000-0002-6047-8853, (Ngāti Pāhauwera) Katoa Ltd., Auckland 1143, New Zealand), Liza Edmonds (0000-0002-7349-449X, Dunedin Public Hospital), Beverley Lawton (0000-0003-2447-8386, Victoria University of Wellington)
Year2021
Volume18
Issue18
Pages9835-9835
Publication date2021-09-18
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18189835
PMID34574759
OpenAlexW3201635156
LanguageEN
Citations received10
References cited30

Māori (Indigenous peoples of Aotearoa New Zealand) bear an unequal burden of poor perinatal health outcomes, including preterm birth. An infant arriving preterm disrupts the birth imaginary of whānau (family collectives) and situates them in a foreign health environment that may not be culturally safe and nurturing. A cross-sectional interpretative phenomenological analysis of first interviews with 19 whānau participating in a Kaupapa Māori (by, with, for Māori) qualitative longitudinal study of preterm birth identified themes from their experiences and the meanings they attributed to them. Preterm birth was an emotional roller coaster, with the birth imaginary and anticipated roles disrupted as health practitioners took over the care of their infants. Whānau expressed the desire to be close to their infants, holding them, loving them, nurturing them, and emplacing them within whakapapa (genealogy, continual layering of foundations) networks. When health practitioners or hospital policies inhibited this intimacy by isolating, excluding, or discriminating, whānau were frustrated. Being familiar with hospital routines, staff, peers, infant cares, and being wrapped in wider whānau support were key for whānau coping. Whakawhanaungatanga (processes of establishing relationships) create safe spaces for whānau to be themselves. This quietens the 'storm' and returns whānau to a sense of calm, through the reclamation of their environment

Aotearoa · Developmental psychology · Indigenous · Interpretative phenomenological analysis · Qualitative research · Sociology · The Imaginary · Child Abuse and Trauma · Family and Disability Support Research · Gender Studies · Infant Development and Preterm Care · Medicine · Nursing · Psychology

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Unique citing works10
Citations per year3,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10

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