Table 1.
Outcome identified | Illustrative quote | Participant details |
Absence of neonatal reflexes | She told we cannot predict when he will be fine because when the pupillary reflex is not there, when other reflexes are not there. He’s not responding to any of the treatment | Interview H, mother, (LMiC) |
Gag reflex (absent) | They did a test to see if he had a gag reflex and he had no gag reflex | Interview A, mother, (HiC) |
Swallow (absent) | I remember them saying to me that’s a really good sign he can swallow | Interview E, mother, (HiC) |
Sleep disorders | When you’re a mum and she’s sleeping four or four and a half hours between feeds you think it’s great, you don’t think or know that could be…a bad thing | Interview I, mother, (HiC) |
Ability to breathe normally and unaided | He was able to breathe on his own he was kind of fighting it straight away. That was a good sign I suppose | Interview C, father, (HiC) |
Need for neonatal resuscitation | He needed resuscitating while he was being warmed up twice while I was sitting there… that was terrifying | Interview E, mother, (HiC) |
Meconium passage | Personally, I used to observe some problems on the baby. It got to a point that when he would pass stool, it had blood so for me I used to ask such questions because I thought it was related with the problem with the problem that he had | Interview S, mother, (LMiC) |
Ability to undertake sport | Now he has no problems (motor development), he loves swimming, watching him in the water in the pool, watching him swimming around and having fun is fantastic | Interview E, mother, (HiC) |
Heightened sensory sensitivity | They also told us that she could have a sensory condition where she’d be, where she mightn’t want to be touched | Interview K, mother, (HiC) |
Suffering | He was very uncomfortable and crying shaking cause obviously they were cooling him down | Interview D, mother, (HiC) |
Parental involvement in care | She let me hold him earlier than I was meant to… my instinct was this can’t be bad for him to be held by his mother | Interview D, mother, (HiC) |
Parental attachment with their baby | I was in the post-surgery room and my son was in the Neonatal Intensive Care Unit. No-one was allowed to see my son except my husband | Interview H, mother, (LMiC) |
Uncertainty for future well-being | I missed out on so much. I kept having to hug her and if she wasn’t there or gone to Montessori or something I would have to get a pillow or something just to hug | Interview E, mother, (HiC) |
Parental psychological impact of Neonatal Intensive Care Unit experience | I went back to my room and I was in some kind of shock. I remember my mum and dad came in and there were conversations I had with doctors that had been there at his birth, a lot of them came to see me over those couple of days and I have no recollection of speaking to them | Interview F, mother, (HiC) |
Impact of child’s condition on parents’ relationship | Probably nearly caused our divorce. There were some very, very hard times | Interview E, mother, (HiC) |
Financial burden of healthcare costs of care for infant on parents | Like financially to take her to the hospital. It brings a lot of trouble | Interview P, mother, (LMiC) |
Parental ability to work | You don’t go to work, you need to stay with the baby, to look after them. So it has effect | Interview Q, mother, (LMiC) |
Impact of child’s condition and Neonatal Intensive Care Unit experience on wider family (stress, disappointment, sadness, grief etc) | As a family, we are not as before, everyone is very down. It has caused a big impact in our life | Interview H, mother, (LMiC) |
Effective communication between parents and healthcare providers | What’s this mean? Numbers. What’s a good number for this? What’s a good range for that? And I just, I went deep. Every night I’d come home at ten o’clock, until two or three in the morning I’d be, numbers, what’s that mean? HIE studies, outcomes, grading, HIE one, two, three, long-term prognosis, everything like you know, cerebral palsy, what comes with this. So it broke it down over a few weeks and I learned as much as I could | Interview J, father, (HiC) |
HiC, high-income country; LMiC, low- to middle-income country.