Abstract:
Introduction: Paid maternity leave policies can have negative and positive effects on the
maternal and infant well-being depending on the length of the maternity leave. These effects
are also observed in working mothers of the preterm babies who spend most of the maternity
leave period in hospitalization of the babies. The aim of the study was to explore experiences
and perceptions on paid maternity leave policies among working mothers of the preterm
babies in three selected hospitals in Botswana.
Methods: The study utilized a qualitative phenomenological study design. Working mothers
of the preterm babies were purposefully selected and interviews were conducted with each
participant.
Results: Interviews were conducted with ten mothers of preterm babies, exploring their
experiences and perceptions on paid maternity leave policies. The study revealed that the
trauma of their babies' births was compounded by the uncertainty and insufficiency of these
policies, exacerbating their anxiety and depression. Additionally, the level of support they
either lacked or received played a significant role in shaping their views and experiences
regarding paid maternity leave.
Discussions: The mothers had various challenges related to paid maternity leave which
hindered their recovery physically and mentally, and bonding time with the babies. Revision
of paid maternity leave policies in Botswana, tailormade support to mothers of preterm
babies were expressed as necessities to enhance maternal and infant health outcomes.
Conclusion: The findings emphasize the necessity of revising paid maternity leave policies
in Botswana to better support mothers of preterm babies. Future studies should explore the
perspectives of a wider demographic of mothers across different regions and include broader
gestational age categories.
