Research Article

Nonmedical Determinants of Congenital Heart Diseases in Children from the Perspective of Mothers: A Qualitative Study in Iran

Table 2

Themes (categories), subcategories, and codes related to nonmedical determinants associated with CHD in children based on mothers’ perspectives.

ThemeSubthemeCodes

Social contextsSocial harmsFather’s seasonal unemployment
Poverty of the mother’s family since childhood
Family poverty
Father alcohol consumption
Drug in parent families
Father’s tobacco consumption
Father’s smoking
Gender discrimination
Working mother since childhood
Social interactionsMaternal social isolation
Poor social networks
Social exclusion due to migration
Social necessitiesLack of access to appropriate educational facilities
Lack of proper health, treatment, and medical facilities
Lack of proper nutrition facilities

Psychological contextsMood disordersMother’s distress
Feeling of agitation
Dysthymia and frustration
Mental well-beingLack of mental peace of the mother since childhood
Deprivation of emotional support in mother

Cultural contextsUnhealthy lifestyleNonuse of contraception which leads to unwanted pregnancy
Improper use of drugs
Disregard to medical measures
Childbearing without background knowledge
Indifference to the existence of congenital disorders in families
Family cultureForced childbearing
Mother’s second marriage
Parental consanguineous marriage
Kinship marriage of relatives
Prevent of education
Crowded family
Humiliation of woman in the family
Improper parental health behaviorsMaternal pregnancy after abortion
Lack of timely information about the child’s illness
Lack of following up and treatment of former congenital anomalies

Environmental contextsLiving areaVery hot weather in the living area
Crowded neighborhood
Polluted airLack of safe drinking water
The presence of dust in the air
Dusty air