Iranian Journal of Psychiatry and Behavioral Sciences

Published by: Kowsar

The Need for Support and Not Distress Evoking: A Meta-Synthesis of Experiences of Iranian Parents with Premature Infants

Seyedeh Saeedeh Mousavi 1 , Afsaneh Keramat 2 , Parisa Mohagheghi 3 , Seyed Abbas Mousavi 2 , Zahra Motaghi 4 , Ahmad Khosravi 2 and Reza Chaman 5 , *
Authors Information
1 Student Research Committee, Shahroud University of Medical Sciences, Shahroud, Iran
2 Reproductive Studies and Women’s Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran
3 Iran University of Medical Sciences, Tehran, Iran
4 School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran
5 Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
Article information
  • Iranian Journal of Psychiatry and Behavioral Sciences: December 2017, 11 (4); e5916
  • Published Online: December 2, 2017
  • Article Type: Review Article
  • Received: March 7, 2016
  • Revised: October 5, 2016
  • Accepted: May 7, 2017
  • DOI: 10.5812/ijpbs.5916

To Cite: Mousavi S S, Keramat A, Mohagheghi P, Mousavi S A, Motaghi Z, et al. The Need for Support and Not Distress Evoking: A Meta-Synthesis of Experiences of Iranian Parents with Premature Infants, Iran J Psychiatry Behav Sci. 2017 ; 11(4):e5916. doi: 10.5812/ijpbs.5916.

Copyright © 2017, Iranian Journal of Psychiatry and Behavioral Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Context
2. Objective
3. Data Sources
4. Study Selection
5. Data Extraction
6. Results
7. Discussion
8. Conclusion
  • 1. Brazy JE, Anderson BM, Becker PT, Becker M. How parents of premature infants gather information and obtain support. Neonatal Netw. 2001;20(2):41-8. doi: 10.1891/0730-0832.20.2.41. [PubMed: 12144111].
  • 2. Tran C, Medhurst A, O'Connell B. Support needs of parents of sick and/or preterm infants admitted to a neonatal unit. Neonatal Paediatr Child Health Nurs. 2009;12(2):12-7.
  • 3. Mok E, Leung SF. Nurses as providers of support for mothers of premature infants. J Clin Nurs. 2006;15(6):726-34. doi: 10.1111/j.1365-2702.2006.01359.x. [PubMed: 16684168].
  • 4. Broedsgaard A, Wagner L. How to facilitate parents and their premature infant for the transition home. Int Nurs Rev. 2005;52(3):196-203. doi: 10.1111/j.1466-7657.2005.00414.x. [PubMed: 16033446].
  • 5. Miles MS, Burchinal P, Holditch-Davis D, Brunssen S, Wilson SM. Perceptions of stress, worry, and support in Black and White mothers of hospitalized, medically fragile infants. J Pediatr Nurs. 2002;17(2):82-8. doi: 10.1053/jpdn.2002.124125. [PubMed: 12029601].
  • 6. Wigert H, Berg M, Hellstrom AL. Parental presence when their child is in neonatal intensive care. Scand J Caring Sci. 2010;24(1):139-46. doi: 10.1111/j.1471-6712.2009.00697.x. [PubMed: 19508328].
  • 7. Bialoskurski MM, Cox CL, Wiggins RD. The relationship between maternal needs and priorities in a neonatal intensive care environment. J Adv Nurs. 2002;37(1):62-9. doi: 10.1046/j.1365-2648.2002.02057.x. [PubMed: 11784399].
  • 8. Lee SN, Long A, Boore J. Taiwanese women's experiences of becoming a mother to a very-low-birth-weight preterm infant: a grounded theory study. Int J Nurs Stud. 2009;46(3):326-36. doi: 10.1016/j.ijnurstu.2008.10.004. [PubMed: 19091313].
  • 9. Aliabadi F, Kamali M, Borimnejad L, Rassafiani M, Rasti M, Shafaroodi N, et al. Supporting-emotional needs of Iranian parents with premature infants admitted to Neonatal Intensive Care Units. Med J Islam Repub Iran. 2014;28:53. [PubMed: 25405119].
  • 10. Heidari H, Hasanpour M, Fooladi M. The Iranian parents of premature infants in NICU experience stigma of shame. Med Arh. 2012;66(1):35-40. doi: 10.5455/medarh.2012.66.35-40. [PubMed: 22482341].
  • 11. Malakouti J, Jabraeeli M, Valizade S, Babapour J. Mothers' experience of having a preterm infant in the neonatal intensive care unit, a phenomenological study. Iran J Crit Care Nurs. 2013;5(4):172-81.
  • 12. Zamanzadeh V, Namnabati M, Valizadeh L, Badiee Z. Mothers' experiences of infants discharge in Iranian NICU culture: a qualitative study. Adv Neonatal Care. 2013;13(4):E1-7. doi: 10.1097/ANC.0b013e318281e06a. [PubMed: 23912023].
  • 13. Zamanzadeh V, Valizadeh L, Mohammadi E, Zahed Pasha Y, Arzani A. Experience of mothers with premature infants from separation. J Babol Univ Med Sci. 2014;16(6):16-25. (Persian).
  • 14. Heidari H, Hasanpour M, Fooladi M. The experiences of parents with infants in Neonatal Intensive Care Unit. Iran J Nurs Midwifery Res. 2013;18(3):208-13. [PubMed: 23983756].
  • 15. Rasti M, Aliabadi F, Shafarodi N, Rafiee F, Kalani M. Specification of the educational needs of parents with premature infants admitted to neonatal intensive care unit. J Modern Rehab. 2014;8(4):21-9. (Persian).
  • 16. Arzani A, Valizadeh L, Zamanzadeh V, Mohammadi E. Mothers' experiences of caring for prematurely born infants: Growth sparks in the face of caregiver burden. J Qual Res Health Sci. 2014;3(3):217-29. (Persian).
  • 17. Aliabadi F, Kamali M, Borimnejad L, Rassafiani M, Rasti M, Shafaroodi N, et al. Parental self-support: A study of parents' confront strategy when giving birth to premature infants. Med J Islam Repub Iran. 2014;28:82. [PubMed: 25664283].
  • 18. Arzani A, Valizadeh L, Zamanzadeh V, Mohammadi E. Mothers' strategies in handling the prematurely born infant: a qualitative study. J Caring Sci. 2015;4(1):13-24. doi: 10.5681/jcs.2015.002. [PubMed: 25821755].
  • 19. Heidari H, Hasanpour M, Fooladi M. Assessment of parental support system in the neonatal intensive care unit: a qualitative study. J Pediatr Nurse. 2015;1(2):1-9. (Persian).
  • 20. Radfar M, Mogadam Tabrizi F. Barriers of parenting in mothers with a very-low-birth-weight preterm infant, and their coping strategies. J Urmia Nurs Midwifery Fac. 2014;12(8):751-60. (Persian).
  • 21. Hadian Shirazi Z, Sabet Sarvestani R, Rambod M. Experience of holy Quran recitation in mothers of premature neonates in neonatal intensive care unit. Sadra Med Sci J. 2015;3(2):131-8. (Persian).
  • 22. Salimi T, Khodayarian M, Bokaie M, Antikchi M, Javadi S. Mothers' experiences with premature neonates about Kangaroo care: Qualitative approaches. Int J Pediatr Otorhinolaryngol. 2014;2(1):75-82. doi: 10.22038/ijp.2014.2124.
  • 23. Kohan M, Borhani F, Abbaszadeh A, Sultan Ahmadi J, Khajehpoor M. Experience of mothers with premature infants in neonatal. J Qual Res Health Sci. 2012;1(1):41-51. (Persian).
  • 24. Valizadeh L.Hassani. The experience of preterm babies' mothers: A phenomenology. J Tabriz Nurse Midwifery. 2007;2(6):38-48. (Persian).
  • 25. Noblit G, Hare R. Meta-ethnography: Synthesizing qualitative studies. Sage. 1988. doi: 10.4135/9781412985000.
  • 26. Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349-57. doi: 10.1093/intqhc/mzm042. [PubMed: 17872937].
  • 27. Sandelowski M, Barroso J. Handbook for synthesizing qualitative research. Springer Publishing Company; 2006.
  • 28. Bondas T, Hall EOC. A decade of metasynthesis research in health sciences: A meta-method study. Int J Qual Stud Health Well-being. 2009;2(2):101-13. doi: 10.1080/17482620701251684.
  • 29. Bondas T, Hall EO. Challenges in approaching metasynthesis research. Qual Health Res. 2007;17(1):113-21. doi: 10.1177/1049732306295879. [PubMed: 17170249].
  • 30. Miles MS, Carlson J, Brunssen S. The nurse parent support tool. J Pediatr Nurs. 1999;14(1):44-50. doi: 10.1016/S0882-5963(99)80059-1. [PubMed: 10063248].
  • 31. Lindberg B, Ohrling K. Experiences of having a prematurely born infant from the perspective of mothers in northern Sweden. Int J Circumpolar Health. 2008;67(5):461-71. doi: 10.3402/ijch.v67i5.18353. [PubMed: 19186767].
  • 32. Flacking R, Ewald U, Nyqvist KH, Starrin B. Trustful bonds: a key to "becoming a mother" and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit. Soc Sci Med. 2006;62(1):70-80. doi: 10.1016/j.socscimed.2005.05.026. [PubMed: 15992983].
  • 33. Frisman GH, Eriksson C, Pernehed S, Morelius E. The experience of becoming a grandmother to a premature infant - a balancing act, influenced by ambivalent feelings. J Clin Nurs. 2012;21(21-22):3297-305. doi: 10.1111/j.1365-2702.2012.04204.x. [PubMed: 22861154].
  • 34. Fegran L, Fagermoen MS, Helseth S. Development of parent-nurse relationships in neonatal intensive care units--from closeness to detachment. J Adv Nurs. 2008;64(4):363-71. doi: 10.1111/j.1365-2648.2008.04777.x. [PubMed: 18783472].
  • 35. Tuoni C, Scaramuzzo RT, Ghirri P, Boldrini A, Bartalena L. Kangaroo Mother Care: four years of experience in very low birth weight and preterm infants. Minerva Pediatr. 2012;64(4):377-83. [PubMed: 22728609].
  • 36. de Macedo EC, Cruvinel F, Lukasova K, D'Antino ME. The mood variation in mothers of preterm infants in Kangaroo mother care and conventional incubator care. J Trop Pediatr. 2007;53(5):344-6. doi: 10.1093/tropej/fmm076. [PubMed: 17881409].
  • 37. Obeidat H, Callister LC. The lived experience of Jordanian mothers with a preterm infant in the neonatal intensive care unit. J Neonatal Perinatal Med. 2011;4(2):137-45. doi: 10.3233/NPM-2011-2735.
  • 38. Shields L, Zhou H, Pratt J, Taylor M, Hunter J, Pascoe E. Family-centred care for hospitalised children aged 0-12 years. Cochrane Database Syst Rev. 2012;10. CD004811. doi: 10.1002/14651858.CD004811.pub3. [PubMed: 23076908].
  • 39. Wilson SM, Miles MS. Spirituality in African-American mothers coping with a seriously ill infant. J Soc Pediatr Nurs. 2001;6(3):116-22. doi: 10.1111/j.1744-6155.2001.tb00133.x. [PubMed: 11529600].
  • 40. Khorami Markani A, Yaghmaei F, Khodayari Fard M. Spirituality as experienced by Muslim oncology nurses in Iran. Br J Nurs. 2013;22(4):S22-4. S26-8. [PubMed: 23448951].
  • 41. Reihani T, Sekhavat Poor Z, Heidarzadeh M, Mosavi SM, Mazlom SR. The effect of spiritual self-care training on feeling of comfort in mothers of hospitalized preterm infants. JMRH. 2014;2(2):112-9. doi: 10.22038/jmrh.2014.2261.
  • 42. Hamid N, Wasy S. Effectiveness of logotherapy together with Quran recitation and prayers on treatment of depression and T helper Cell (CD4+). Interdiscipl Quranic Stud. 2013;3(2):27-38. (Persian).
  • 43. Catlin EA, Guillemin JH, Thiel MM, Hammond S, Wang ML, O'Donnell J. Spiritual and religious components of patient care in the neonatal intensive care unit: sacred themes in a secular setting. J Perinatol. 2001;21(7):426-30. doi: 10.1038/ [PubMed: 11894509].
  • 44. Wigert H, Johansson R, Berg M, Hellstrom AL. Mothers' experiences of having their newborn child in a neonatal intensive care unit. Scand J Caring Sci. 2006;20(1):35-41. doi: 10.1111/j.1471-6712.2006.00377.x. [PubMed: 16489958].
  • 45. Reis MD, Rempel GR, Scott SD, Brady-Fryer BA, Van Aerde J. Developing nurse/parent relationships in the NICU through negotiated partnership. J Obstet Gynecol Neonatal Nurs. 2010;39(6):675-83. doi: 10.1111/j.1552-6909.2010.01189.x. [PubMed: 21039850].
  • 46. Perlman NB, Freedman JL, Abramovitch R, Whyte H, Kirpalani H, Perlman M. Informational needs of parents of sick neonates. Pediatrics. 1991;88(3):512-8. [PubMed: 1881731].
  • 47. Ichijima E, Kirk R, Hornblow A. Parental support in neonatal intensive care units: a cross-cultural comparison between New Zealand and Japan. J Pediatr Nurs. 2011;26(3):206-15. doi: 10.1016/j.pedn.2009.10.003. [PubMed: 21601144].
  • 48. Hurst I. Mothers' strategies to meet their needs in the newborn intensive care nursery. J Perinat Neonatal Nurs. 2001;15(2):65-82. doi: 10.1097/00005237-200109000-00006. [PubMed: 12095029].
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments