Māori (Indigenous peoples of Aotearoa New Zealand) bear an unequal burden of poor perinatal health outcomes, including preterm birth. An infant arriving preterm disrupts the birth imaginary of whānau (family collectives) and situates them in a foreign health environment that may not be culturally safe and nurturing. A cross-sectional interpretative phenomenological analysis of first interviews with 19 whānau participating in a Kaupapa Māori (by, with, for Māori) qualitative longitudinal study of preterm birth identified themes from their experiences and the meanings they attributed to them. Preterm birth was an emotional roller coaster, with the birth imaginary and anticipated roles disrupted as health practitioners took over the care of their infants. Whānau expressed the desire to be close to their infants, holding them, loving them, nurturing them, and emplacing them within whakapapa (genealogy, continual layering of foundations) networks. When health practitioners or hospital policies inhibited this intimacy by isolating, excluding, or discriminating, whānau were frustrated. Being familiar with hospital routines, staff, peers, infant cares, and being wrapped in wider whānau support were key for whānau coping. Whakawhanaungatanga (processes of establishing relationships) create safe spaces for whānau to be themselves. This quietens the ‘storm’ and returns whānau to a sense of calm, through the reclamation of their environment.

中文翻译：

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He Tamariki Kokoti Tau：土著婴儿家庭讲述他们的早产和新生儿重症监护经历

毛利人（新西兰 Aotearoa 土著人民）承受着不平等的围产期健康状况不佳的负担，包括早产。一个早产婴儿破坏了 whānau（家庭集体）的出生想象，并将他们置于一个可能在文化上不安全和缺乏养育的外国健康环境中。对参与 Kaupapa Māori（by, with, for Māori）早产定性纵向研究的 19 名 whānau 的首次访谈的横断面解释性现象学分析从他们的经历和他们赋予他们的意义中确定了主题。早产是一个情绪过山车，随着健康从业者接管婴儿的护理，出生想象和预期的角色被打乱了。Whānau 表达了想亲近他们的婴儿、拥抱他们、爱护他们的愿望，培育他们，并将他们安置在 whakapapa（家谱，基础的持续分层）网络中。当健康从业者或医院政策通过隔离、排斥或歧视来抑制这种亲密关系时，whānau 会感到沮丧。熟悉医院的日常工作、工作人员、同龄人、婴儿护理，并接受更广泛的家庭支持是家庭应对的关键。Whakawhanaungatanga（建立关系的过程）为 whānau 创造安全空间，让他们做自己。这使“风暴”平静下来，并通过恢复环境使 whānau 恢复平静。熟悉医院的日常工作、工作人员、同龄人、婴儿护理，并接受更广泛的家庭支持是家庭应对的关键。Whakawhanaungatanga（建立关系的过程）为 whānau 创造安全空间，让他们做自己。这使“风暴”平静下来，并通过恢复环境使 whānau 恢复平静。熟悉医院的日常工作、工作人员、同龄人、婴儿护理，并接受更广泛的家庭支持是家庭应对的关键。Whakawhanaungatanga（建立关系的过程）为 whānau 创造安全空间，让他们做自己。这使“风暴”平静下来，并通过恢复环境使 whānau 恢复平静。