Experiences and perceptions on paid maternity leave policies among working mothers of preterm babies in three selected hospitals in Botswana

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.