scholarly journals Identifying maternal needs following childbirth: comparison between pregnant women and recent mothers

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Justine Slomian ◽  
Jean-Yves Reginster ◽  
Patrick Emonts ◽  
Olivier Bruyère

Abstract Background The postnatal period is associated with new needs for mothers. Four categories of needs were highlighted in a previous study: for information, for psychological support, for the sharing of experiences and for practical and material support. To ensure that these four needs are inherent to the postpartum period, the aims of this study is to examine these needs by comparing recent mothers’ needs with the needs of pregnant women. Methods The 4 needs previously identified were cross-sectionally investigated by online self-reported questionnaires completed by women in their last trimester of pregnancy and by mothers who had a child between 0 and 6 months of age. Results The 4 needs were largely present during the postpartum period. The need for information seemed to be more present during pregnancy (92.4 %) than during the postpartum period (84.6 %, p = 0.03), but women used the Internet significantly more often to search for information after childbirth (54.8 %) than during pregnancy (41.2 %, p < 0.0001). The needs for psychological support and to share experiences seemed to be closely linked. Even if the global satisfaction with psychological support was fairly high, it weakened after childbirth (p < 0.05). Feelings of loneliness (p < 0.0001) and depression scores (p = 0.01) were also higher during the postpartum period than during pregnancy. Finally, the need for practical support was also more pronounced during the postpartum period than during pregnancy (p = 0.01). Conclusions All mothers seem to meet the 4 identified needs during the postpartum period but at different levels of intensity. Trying to meet these needs could offer an opportunity to improve mothers’ quality of life.

2020 ◽  
Author(s):  
Justine Slomian ◽  
Jean-Yves Reginster ◽  
Patrick Emonts ◽  
Olivier Bruyère

Abstract Background The postnatal period is associated with new needs for mothers. Four categories of needs were highlighted in our previous study: for information, for psychological support, for the sharing of experiences and for practical and material support. The aims of this study were as follows: (1) to validate these 4 needs by comparing recent mothers’ needs with the needs of pregnant women and (2) to compare these needs between primiparous and multiparous women. Methods The 4 needs previously identified were investigated by online self-report questionnaires completed by women in their last trimester of pregnancy and by mothers who had a child between 0 and 6 months of age. Results The 4 needs were largely present during the postpartum period. The need for information seemed to be more present during pregnancy (92.4%) than during the postpartum period (84.6%, p = 0.03), but women used the Internet significantly more often to search for information after childbirth (54.8%) than during pregnancy (41.2%, p < 0.0001). The needs for psychological support and to share experiences seemed to be closely linked. Even if the global satisfaction with psychological support was fairly high, it weakened after childbirth (p < 0.05). Feelings of loneliness (p < 0.0001) and depression scores (p = 0.01) were also higher during the postpartum period than during pregnancy. Not surprisingly, primiparous women felt less reassured in their roles as mothers and more stressed during the postpartum period than multiparous women (p < 0.0001). Finally, the need for practical support was also more pronounced during the postpartum period than during pregnancy (p = 0.01). Conclusion All mothers seem to meet the 4 identified needs during the postpartum period but at different levels of intensity. Trying to meet these needs could offer an opportunity to improve mothers’ quality of life.


2020 ◽  
Vol 34 (4) ◽  
pp. 12-18
Author(s):  
S.O. Rykov ◽  
I.V. Shargorodska ◽  
Yu.V. Barinov

Objective ‒ to analyze the tactics of flattening in women with varying degrees of myopia and to assess the incidence of complications in the postpartum period and the birth of children with congenital refractive errors in this category of patients. Materials and methods. The conclusions about absence of a causal relationship between pregnancy, delivery and retinal detachment on an example of 442 patients with myopia a various degrees have been developing. Results. To modern requirements the estimation of the methods applied to inspection by pregnant women with myopia is resulted in quality of rendering of the specialized ophthalmologic and obstetric help to the population. The basic stages of conducting pregnancy, delivery and the postnatal period at women with myopia according to last scientific achievements in the field of ophthalmology and obstetrics are certain. It is shown, delivery patients with myopia an average and high degree are expedient for conducting through natural patrimonial ways on a background long epidural the anesthesia allowing medical to switch off an attempt and to prevent occurrence of ophthalmologic complications. Conclusions. It is noted an urgency of a problem and necessity of the further perfection of tactics of conducting pregnancy, delivery and the postnatal period at women with myopia. The tactics of pregnancy, childbirth and the postpartum period in women with myopia need to be improved. The coefficients of the cornea and sclera rigidity measurement have to be included in to the standard examination of pregnant women with myopia different degrees. It’s allows to identify possible risk factors for reducing the strength properties of the eye fibrous capsule in these patients. It helps to calculate the possible risks of progression of myopia, ruptures, rhegmatogenous retinal detachment during prenatal and postpartum periods. These techniques using in routine practice would reduce the number of postpartum infectious and inflammatory complications in both mothers and newborns, as well as the number of cases of hypoxic lesions of the central nervous system in the early neonatal period.


Author(s):  
Taiara Maestro Calderon ◽  
Maria Elisa Wotzasek Cestari ◽  
Alyni Cristiny Dobkowski ◽  
Mariana Digieri Cavalheiro

Introduction: Pregnancy is a period of doubts and anxiety for most pregnant women. Objective: To evaluate the use of the Internet as a support tool to clarify doubts raised by women during pregnancy. Methods: An exploratory and descriptive study. Sample based on accidentalness, for 241 users who responded to the on-line form, built with Google Docs and made available in  one Blog. Results: 98% of pregnant women were between 19 and 39 years, 97% with schooling above 9 years, 99% had follow up with healthcare providers. Regarding the use of the Internet, 99% said they usually search for the pregnancy questions. The doubts consisted mostly in the search for information about the development of the baby, then how to deal with the discomforts of pregnancy, the changes in the woman’s body and feeding care. The choice of the sites, according to the interviewees, occurred mainly through the indication of social networks, friends and acquaintances. Regarding to the resolution of doubts, 97% reported that after the Internet search doubts were resolved. Conclusion: The Internet has been a tool of support for pregnant women who seek effective support on the World Wide Web to clarify their doubts. The significant standard for clarification and education reflected a customer that will search and possibly question the procedures and practices that are performed during prenatal care. However, the search for sites has been based on independent research guidance by health professionals, something which does not ensure the credibility of the sites surveyed by users.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kadri Ojaperv ◽  
Sirje Virkus

Purpose This study aims to increase the understanding of the pregnancy-related information behavior (IB) of pregnant women in Estonia. Design/methodology/approach The research involved a quantitative research methodology consisting of a semi-structured questionnaire. Data was collected from pregnant Estonian women through a self-administered Web-based questionnaire using a convenience sampling during the period from January to February 2019. A total of 300 pregnant women answered the questionnaire. The data were analysed using statistical analysis and the results of the study were compared with the results of previous studies. Findings The three topics on which information was most frequently sought were: fetal development, use of medicines during pregnancy and symptoms of pregnancy. The main sources of information were the internet and the midwife. The most reliable and valuable source of information was a midwife. Health-related information was sought mainly because it helped women make decisions related to pregnancy and childbirth. A number of factors facilitate the information seeking process. In addition, widespread access to the internet and technological skills facilitated IB. The following factors hindered the search for information: the controversy and/or ambiguity of information published on the internet and the time spent searching for information. Most women used wearable technologies during pregnancy. Research limitations/implications This study has several limitations. First, the weakness of online surveys is the potential lack of representativeness, as it excludes from the survey those who do not have access to or ability to use the internet for various reasons (Evans and Mathur, 2005; Limbu et al., 2021). Second, as most recruitment for the study took place online, there was a risk that those who did not use the internet could be excluded from the survey. Third, as the questionnaire was also shared in the Facebook news feed by the Women’s Clinic and Maternity Hospital of the East Tallinn Central Hospital, it may be that the respondents recruited through it more often used the support provided by medical professionals. Fourth, due to the volume limits of the study, it is not possible to present all the results of the study on the basis of socio-demographic characteristics and stage of pregnancy. Therefore, the findings cannot be generalized to the broader population and future studies should explore a larger and more representative populations. Practical implications This study will give some useful information to help to improve the services offered for pregnant women in Estonia. Social implications The findings of this study may inform how to better support this target group. Originality/value There is a lack of research in Estonia that focuses on the IB of pregnant women and this research fills this gap.


2019 ◽  
Vol 2 (1) ◽  
pp. 73-76
Author(s):  
Saraswoti Kumari Gautam Bhattarai ◽  
Kanchan Gautam

Health service provided to pregnant women during antenatal, childbirth and postnatal period is essential for maternal and child health. Proper care during pregnancy, childbirth and postnatal period are important for the health of mother and baby. High maternal, infant and child morbidity and mortality demand improved healthcare which does not concern to coverage of health services alone. The health issues of pregnant women, mothers, infants and children need to be addressed with the attention to the quality of care (QoC).  The Nepal Health Sector Strategy (NHSS) also identifies equity and quality of care gaps as areas of concern for achieving the maternal health sustainable development goal (SDG) target. So this review aims to sensitize and draw attention to the quality of maternity care and client satisfaction to improve maternal and child health. For this article, different studies related to the quality of maternity care and satisfaction from care service received on maternity care are reviewed.


2019 ◽  
Author(s):  
Fabiana Coglianese ◽  
Giulia Beltrame Vriz ◽  
Nicola Soriani ◽  
Gianluca Niccolò Piras ◽  
Rosanna Irene Comoretto ◽  
...  

BACKGROUND There are approximately 1,000,000 pregnant women at high risk for obstetric complications per year, more than half of whom require hospitalization. OBJECTIVE The aim of this study was to determine the relation between online health information seeking and anxiety levels in a sample of hospitalized woman with pregnancy-related complications. METHODS A sample of 105 pregnant women hospitalized in northern Italy, all with an obstetric complication diagnosis, completed different questionnaires: Use of Internet Health-information (UIH) questionnaire about use of the internet, EuroQOL 5 dimensions (EQ-5D) questionnaire on quality of life, State-Trait Anxiety Inventory (STAI) questionnaire measuring general anxiety levels, and a questionnaire about critical events occurring during hospitalization. RESULTS Overall, 98/105 (93.3%) of the women used the internet at home to obtain nonspecific information about health in general and 95/105 (90.5%) of the women used the internet to specifically search for information related to their obstetric disease. Online health information-seeking behavior substantially decreased the self-reported anxiety levels (<i>P</i>=.008). CONCLUSIONS Web browsing for health information was associated with anxiety reduction, suggesting that the internet can be a useful instrument in supporting professional intervention to control and possibly reduce discomfort and anxiety for women during complicated pregnancies.


10.2196/18444 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e18444 ◽  
Author(s):  
Jose Yunam Cuan-Baltazar ◽  
Maria José Muñoz-Perez ◽  
Carolina Robledo-Vega ◽  
Maria Fernanda Pérez-Zepeda ◽  
Elena Soto-Vega

Background The internet has become an important source of health information for users worldwide. The novel coronavirus caused a pandemic search for information with broad dissemination of false or misleading health information. Objective The aim of this study was to evaluate the quality and readability of online information about the coronavirus disease (COVID-19), which was a trending topic on the internet, using validated instruments and relating the quality of information to its readability. Methods The search was based on the term “Wuhan Coronavirus” on the Google website (February 6, 2020). At the search time, the terms “COVID-19” or “SARS-CoV-2” (severe acute respiratory syndrome coronavirus 2) did not exist. Critical analysis was performed on the first 110 hits using the Health on the Net Foundation Code of Conduct (HONcode), the Journal of the American Medical Association (JAMA) benchmark, the DISCERN instrument, and Google ranking. Results The first 110 websites were critically analyzed, and only 1.8% (n=2) of the websites had the HONcode seal. The JAMA benchmark showed that 39.1% (n=43) of the websites did not have any of the categories required by this tool, and only 10.0% (11/110) of the websites had the four quality criteria required by JAMA. The DISCERN score showed that 70.0% (n=77) of the websites were evaluated as having a low score and none were rated as having a high score. Conclusions Nonhealth personnel and the scientific community need to be aware about the quality of the information they read and produce, respectively. The Wuhan coronavirus health crisis misinformation was produced by the media, and the misinformation was obtained by users from the internet. The use of the internet has a risk to public health, and, in cases like this, the governments should be developing strategies to regulate health information on the internet without censuring the population. By February 6, 2020, no quality information was available on the internet about COVID-19.


10.2196/16793 ◽  
2020 ◽  
Vol 8 (5) ◽  
pp. e16793
Author(s):  
Fabiana Coglianese ◽  
Giulia Beltrame Vriz ◽  
Nicola Soriani ◽  
Gianluca Niccolò Piras ◽  
Rosanna Irene Comoretto ◽  
...  

Background There are approximately 1,000,000 pregnant women at high risk for obstetric complications per year, more than half of whom require hospitalization. Objective The aim of this study was to determine the relation between online health information seeking and anxiety levels in a sample of hospitalized woman with pregnancy-related complications. Methods A sample of 105 pregnant women hospitalized in northern Italy, all with an obstetric complication diagnosis, completed different questionnaires: Use of Internet Health-information (UIH) questionnaire about use of the internet, EuroQOL 5 dimensions (EQ-5D) questionnaire on quality of life, State-Trait Anxiety Inventory (STAI) questionnaire measuring general anxiety levels, and a questionnaire about critical events occurring during hospitalization. Results Overall, 98/105 (93.3%) of the women used the internet at home to obtain nonspecific information about health in general and 95/105 (90.5%) of the women used the internet to specifically search for information related to their obstetric disease. Online health information-seeking behavior substantially decreased the self-reported anxiety levels (P=.008). Conclusions Web browsing for health information was associated with anxiety reduction, suggesting that the internet can be a useful instrument in supporting professional intervention to control and possibly reduce discomfort and anxiety for women during complicated pregnancies.


Author(s):  
Jose Yunam Cuan-Baltazar ◽  
Maria José Muñoz-Perez ◽  
Carolina Robledo-Vega ◽  
Maria Fernanda Pérez-Zepeda ◽  
Elena Soto-Vega

BACKGROUND The internet has become an important source of health information for users worldwide. The novel coronavirus caused a pandemic search for information with broad dissemination of false or misleading health information. OBJECTIVE The aim of this study was to evaluate the quality and readability of online information about the coronavirus disease (COVID-19), which was a trending topic on the internet, using validated instruments and relating the quality of information to its readability. METHODS The search was based on the term “Wuhan Coronavirus” on the Google website (February 6, 2020). At the search time, the terms “COVID-19” or “SARS-CoV-2” (severe acute respiratory syndrome coronavirus 2) did not exist. Critical analysis was performed on the first 110 hits using the Health on the Net Foundation Code of Conduct (HONcode), the Journal of the American Medical Association (JAMA) benchmark, the DISCERN instrument, and Google ranking. RESULTS The first 110 websites were critically analyzed, and only 1.8% (n=2) of the websites had the HONcode seal. The JAMA benchmark showed that 39.1% (n=43) of the websites did not have any of the categories required by this tool, and only 10.0% (11/110) of the websites had the four quality criteria required by JAMA. The DISCERN score showed that 70.0% (n=77) of the websites were evaluated as having a low score and none were rated as having a high score. CONCLUSIONS Nonhealth personnel and the scientific community need to be aware about the quality of the information they read and produce, respectively. The Wuhan coronavirus health crisis misinformation was produced by the media, and the misinformation was obtained by users from the internet. The use of the internet has a risk to public health, and, in cases like this, the governments should be developing strategies to regulate health information on the internet without censuring the population. By February 6, 2020, no quality information was available on the internet about COVID-19.


2016 ◽  
pp. 13-17
Author(s):  
S. V. Vasiliev ◽  
D. E. Popov ◽  
A. I. Nedozimovany ◽  
O. S. Sokolova

AIM. To work up the optimal approach to the prevention and treatment of hemorrhoids in pregnant women in antenatal and postpartum women in the immediate postpartum period. MATERIAL AND METHODS. Based on the comparative results of treatment of hemorrhoids using topical and systemic medicinal drugs in 113 pregnant women determined the effectiveness of preventive and therapeutic tactics in respect of haemorrhoidal disease in pregnancy and the early postpartum period.. Treatment schemes designed for optimum efficiency and safety of treatment of acute hemorrhoids in this patient's category. RESULTS. The use of investigated schemes for treatment and prevention can significantly reduce the risk of exacerbation of the hemorrhoids and reduce the terms of relief of symptoms in pregnant and postpartum women. The experience of the Detralex (Daflon 500) demonstrates the effectiveness and good tolerability of this product when used in pregnant women for treatment and prevention of postpartum exacerbation of hemorrhoids.


Sign in / Sign up

Export Citation Format

Share Document