Introduction/Rationale: Mothering is a significant occupational role for women, and occupational therapists have an emerging role in supporting women during transition to motherhood (matrescence). With rapid medical advancements, more women with cystic fibrosis (CF) are becoming mothers. Literature on pregnancy in CF generally focusses on medical management and often takes a risk and deficit perspective. Little is known about the matrescence experiences of women with CF , particularly in motherhood where medical risks are diminished.
Objective: To describe the impact of CF on the matrescence journey using a narrative approach from a strengths-based perspective.
Methods/Approach: A researcher with lived experience of motherhood and CF collected the matrescence and mothering experiences of ten mothers with CF using narrative interviews. Transcripts were arranged chronologically, and narrative blocks identified. Narrative blocks were grouped thematically using categorical content analysis with attention to strengths women displayed. Grouped themes created a cross-case synthesis of the women’s experiences of matrescence with CF .
Results/Practice implications: Three strengths-based themes emerged: optimism, overcoming, and responsibility. Optimism highlighted women’s positivity and determination despite foreknown challenges. In overcoming women surmounted practical and medical challenges, alongside negativity from healthcare teams. In responsibility, women showed maturity by initiating discussions, intensifying healthcare, seeking information and support, directing their care, making informed decisions and embracing motherhood roles.
Conclusion/Contribution to the occupational therapy profession: Findings expand the understanding of women’s experiences with CF during matrescence and motherhood. This knowledge can inspire occupational therapists to broaden their role within peri- and post-natal practice to include supporting women with chronic illnesses to utilise their intrinsic strengths throughout matrescence and mothering.