Feeding and swallowing difficulties in previously hospitalised premature infants in the neonatal intensive care unit: Perspectives from South African caregivers

South African Journal of Communication Disorders

 
 
Field Value
 
Title Feeding and swallowing difficulties in previously hospitalised premature infants in the neonatal intensive care unit: Perspectives from South African caregivers
 
Creator Sawasawa, Cynthia Naidoo, Lavanya Sheik Hoosen, Salma
 
Subject Speech-Language Pathology; Paediatric Dysphagia premature infants; NICU; attachment and bonding; South Africa; emotional distress; information giving practices; feeding and swallowing difficulties
Description Background: Premature birth is associated with many medical conditions including feeding and swallowing difficulties. Despite the existing knowledge on caregivers’ experiences, there is a dearth of literature that has explored experiences of caregivers whose infants have feeding difficulties in the neonatal intensive care unit (NICU) in South Africa.Objectives: This study explored experiences of caregivers of premature infants diagnosed with feeding difficulties in the NICU within the South African context.Method: This study was conducted using an explorative qualitative design. Data were collected using an anonymous qualitative survey distributed through caregiver social media support groups. Purposive sampling was used to recruit 9 participants. Data were analysed using inductive thematic analysis.Results: Three main themes emerged, namely: (1) Emotional distress associated with infants’ feeding and swallowing difficulties and prematurity, (2) infants’ inability to feed orally and NICU restrictions: barriers to caregiver-infant attachment and bonding, and (3) caregiver informational needs regarding oral feeding and general child care.Conclusion: This study indicates the need for holistic family-centred healthcare practices within the NICU. Therefore, in addition to providing oral-sensorimotor intervention to infants with feeding and/or swallowing difficulties, speech-language therapists (SLTs) need to ensure that caregiver needs and concerns related to their child are addressed. Moreover, SLT interventions need to consider caregiver-infant attachment and bonding strategies in the absence of oral feeding.Contribution: This study highlights the need for family-centred care practices within the NICU, which considers informational needs, inclusion in oral-sensorimotor intervention, and the psychosocial needs of caregivers.
 
Publisher AOSIS
 
Contributor Carnegie Diversifying the Academy (CTDA) program at the University of the Witwatersrand, Johannesburg, in the Republic of South Africa.
Date 2025-11-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/sajcd.v72i2.1119
 
Source South African Journal of Communication Disorders; Vol 72, No 2 (2025); 9 pages 2225-4765 0379-8046
 
Language eng
 
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https://sajcd.org.za/index.php/sajcd/article/view/1119/2628 https://sajcd.org.za/index.php/sajcd/article/view/1119/2629 https://sajcd.org.za/index.php/sajcd/article/view/1119/2630 https://sajcd.org.za/index.php/sajcd/article/view/1119/2632 https://sajcd.org.za/index.php/sajcd/article/view/1119/2631
 
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Rights Copyright (c) 2025 Cynthia Sawasawa, Lavanya Naidoo, Salma Sheik Hoosen https://creativecommons.org/licenses/by/4.0
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