Voices From the NICU: Exploring Lived Maternal Experiences and Challenges in Caring for Preterm Newborns in Central Ethiopia: A Phenomenological Study.

Background and Aims: Neonatal intensive care units are important to save the lives of premature babies. However, the mothers face several stressful situations during the period of admission. The aim of this study was therefore to explore the experience of mothers with premature babies in the neonatal intensive care unit of the Nigist Elleni Mohammed Memorial Comprehensive Specialized Hospital in Hossana, Central Ethiopia. Methods: A phenomenological-descriptive study was conducted among thirteen mothers who were purposefully selected. Data were coded and transcribed verbatim, translated, and inductive thematic analysis was employed. ATLAS.ti8 software was used to manage data. The findings were presented systematically by stating each major theme and category with the support of the evidence of direct quotes. Results: This study explored the experiences of mothers with preterm newborns in a neonatal intensive care unit. Five major themes and related categories included mothers' emotional experiences, maternal expectations, healthcare professionals' needs, factors related to healthcare facilities, and perceived incompetence in the care of premature infants. The study found that mothers experienced negative emotions due to medication shortages, inadequate laboratory tests, a lack of toilets, inadequate water supplies, and a lack of confidence in caring for their infants, despite a range of support from nursing staff, as an important public health issue. Conclusion: This study revealed that mothers of preterm infants in NICUs face significant emotional and practical challenges. Key issues include inadequate medical resources, poor facility conditions, and low maternal confidence. Addressing these gaps is crucial for improving neonatal and maternal care.