Experiences of Pacific parents of infants born at risk of neonatal hypoglycaemia in New Zealand

Neonatal hypoglycaemia is the primary metabolic disorder affecting newborns. It has severe implications including cerebral injury when left untreated. Pacific newborns have the second-highest prevalence of risk factors for hypoglycaemia amongst all ethnic groups in New Zealand, and therefore disproportionately suffer its effects. However, Pacific voices remain largely unheard regarding experiences with at-risk infants. This qualitative study aims to amplify Pacific families' stories. Nine interviews involving ten participants were transcribed and analyzed. Seven central themes were revealed: Teu Le Vā: Nurturing relationships by healthcare professionals, Complex circumstances, Family decision-making, Talanoa: Culturally congruent information sharing, Cultural beliefs related to medical care in pregnancy, Relevance of faith and spirituality, and Continued follow-up. The findings of this study highlight the pivotal role of healthcare professionals in nurturing Vā or relational space and underscore the necessity of culturally responsive practices to improve Pacific families' experience of neonatal hypoglycaemia care.