scholarly journals Perceived norms, personal agency, and postpartum family planning intentions among first-time mothers age 15–24 years in Kinshasa: A cross-sectional analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254085
Author(s):  
Anastasia J. Gage ◽  
Francine E. Wood ◽  
Pierre Z. Akilimali
Keyword(s):  
Family Planning ◽  
Postpartum Period ◽  
Self Efficacy ◽  
Male Partner ◽  
Personal Agency ◽  
Perceived Norms ◽  
Postpartum Family Planning ◽  
First Time Mothers ◽  
Normative Expectations ◽  
First Time

Unintended pregnancy is an important global health problem and frequently occurs during the immediate postpartum period. However, few studies have examined postpartum family planning (PPFP) intentions among adolescent girls and young women. This study assessed whether perceived norms and personal agency predicted PPFP intentions among first-time mothers age 15–24 in Kinshasa, the Democratic Republic of Congo. Data were derived from the 2018 Momentum Project baseline survey. Analysis was based on 2,418 nulliparous pregnant women age 15–24 who were approximately six months pregnant with their first child in six health zones of Kinshasa. Overall PPFP intentions were low and ten to thirteen percent of women stated they were very likely to discuss PPFP next month with (a) their husband/male partner and (b) a health worker, and to (c) obtain and (d) use a contraceptive method during the first six weeks following childbirth. The results of multivariable linear regression models indicated that the PPFP intention index was predicted by description norms, perceptions of the larger community’s approval of PPFP, normative expectations, perceived behavioral control, self-efficacy, and autonomy. Rejection of family planning myths and misconceptions was also a significant predictor. Interaction terms suggested that the association of normative expectations with PPFP intentions varied across ethnic groups and that the positive association of injunctive norms with PPFP intentions was significantly increased when the larger community was perceived to disapprove of PPFP use. Normative expectations and PPFP-related self-efficacy accounted for two-thirds of the variance in PPFP intentions. The results suggested that understanding different normative influences may be important to motivate women to use contraception in the immediate postpartum period. In addition to addressing institutional, individual, and social determinants of PPFP, programs should consider integrating norm-based and empowerment strategies.

First-time mothers: social support, maternal parental self-efficacy and postnatal depression

2011 ◽  
Vol 21 (3-4) ◽  
pp. 388-397 ◽  
Author(s):  
Patricia Leahy-Warren ◽  
Geraldine McCarthy ◽  
Paul Corcoran
Keyword(s):  
Social Support ◽  
Self Efficacy ◽  
Postnatal Depression ◽  
First Time Mothers ◽  
First Time

Delivering a fetus in a breech presentation

1927 ◽  
Vol 23 (4) ◽  
pp. 470-470
Author(s):  
F. Basmussen
Keyword(s):  
Postpartum Period ◽  
Breech Presentation ◽  
Older Age ◽  
Premature Rupture ◽  
First Time Mothers ◽  
Rupture Of The Bladder ◽  
First Time

The author reports results obtained in Copenhagen from 1910 to 1921 on a material of 465 cases. The duration of labor and premature rupture of the bladder, which occurs frequently, play an important role for prognosis. Mortality in the postpartum period is higher than the average mortality for other births. The prognosis is less favorable for first-time mothers, especially those of older age.

scholarly journals First-time mothers’ perceptions of social support: Recommendations for best practice

2020 ◽  
Vol 7 (1) ◽  
pp. 205510291989861
Author(s):  
Tiffany De Sousa Machado ◽  
Anna Chur-Hansen ◽  
Clemence Due
Keyword(s):  
Social Support ◽  
Postpartum Period ◽  
Best Practice ◽  
Social Supports ◽  
Well Being ◽  
Perceived Barriers ◽  
First Time Mothers ◽  
First Time

Research indicates social support is imperative for postpartum well-being. The types of social support and access to preferred supports are less understood. This article considers first-time mothers’ perceptions of the effectiveness of social supports and perceived barriers to accessing support and provides recommendations for best practice. A search of the literature for terms related to postpartum social support was conducted. Major themes were identified and synthesised. A critique and analysis of the literature is presented with recommendations for best practice. Much of the research around postnatal support fails to distinguish the specific type of support, meaning creating support solutions for the postpartum period may not be effectively targeted. Recommendations for individualised support are made.

scholarly journals Marital Adjustment and Prenatal Breastfeeding Efficacy of First Time Mothers in A Low-Income Community in The Philippines

Jurnal NERS ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 7
Author(s):  
Artemio Jr Morado Gonzales
Keyword(s):  
Low Income ◽  
Self Efficacy ◽  
Marital Adjustment ◽  
Short Form ◽  
Data Gathering ◽  
The Philippines ◽  
P Value ◽  
First Time Mothers ◽  
High Level ◽  
First Time

Introduction: All women should be offered support to breastfeed their babies to increase the duration and exclusivity of breastfeeding. This study aims to assess the level of marital satisfaction and its influence to prenatal breastfeeding self-efficacy in   first time mothers during late pregnancy.Methods: A descriptive correlational was conducted among 128 simple randomized prim gravid women who agreed to participate and had prenatal care check-up in the health center at the time of data gathering. The instruments used were 15-item Marital Adjustment Test (MAT) to measure marital adjustment and 14-item Breastfeeding Self efficacy Scale-Short Form (BSES-SF) as a measure of breastfeeding self-efficacy. Pearson’s correlation coefficient was utilized to test the relationships between the sample’s marital adjustment scores to correlate with BFSE of the respondents. Fisher’s t test was utilized to determine the significance of correlations. A p-value of equal to or less than .05 was considered statistically significant.Results: The study revealed that the sampled mothers have a high level of marital adjustment score (112.05± 21.83). Prenatal mothers responded in the study were highly confident and have high self-efficacy in breastfeeding first child currently bearing (4.55±.51). Lastly, it was found that there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy (β=-.052, p-value=.280).Conclusion: It was found  that there is a high level of marital adjustment and breastfeeding self-efficacy among sampled mothers. However, there is no significant correlation between marital adjustment and prenatal breastfeeding self-efficacy. The study suggests incorporating co-parenting intervention involving father’s involvement and assistance with breastfeeding when creating interventions in breastfeeding.

scholarly journals Primiparous Adaptation with Postpartum Health Issues in Jeddah City, Kingdom of Saudi Arabia: A Quantitative Study

2021 ◽  
Vol 11 (4) ◽  
pp. 775-786
Author(s):  
Ahlam Al-Zahrani ◽  
Wedad Almutairi ◽  
Howaida Elsaba ◽  
Sanaa Alzahrani ◽  
Shouq Alzahrani ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Postpartum Period ◽  
Health Issues ◽  
New Mothers ◽  
Postpartum Health ◽  
Kingdom Of Saudi Arabia ◽  
Jeddah City ◽  
Physical Wellbeing ◽  
First Time Mothers ◽  
First Time

Background: The postpartum or puerperium period is the first 6 weeks after giving birth to an infant. The postpartum period can have negative implications, especially in first-time mothers. With their transition into motherhood, new mothers adopt new lifestyles, which can affect their physical wellbeing. Childbirth has physical, psychological, and emotional effects on women as they try to adapt to their new roles in order to get through this period with no or minimal health issues. Study Aim: The current study aims to explore primiparous adaptations with postpartum health issues in Jeddah City at Kingdom of Saudi Arabia. Methods: The research design is quantitative cross-sectional. A structured questionnaire was developed to collect data in relation to depression and weight gain, which consider the most common postpartum health issues. The inclusion criteria of the participants are: primipara, 2 to 6 months postpartum, and living in Jeddah. Results: 140 participants were included in the study. Mothers gained approximately 9.2 kg within the fifth to ninth month after giving birth. Discussion: Postpartum weight retention is a primary challenge in the majority of primiparous mothers and results in reduced quality of life. Nurses were always available to answer questions related to the postpartum health issues and explained the expectations to the family members. Conclusions: Childbirth and the postpartum period for first-time mothers are crucial in their lives as they try to adapt to a new way of life. The postpartum period can have negative implications, especially in first-time mothers. With their transition into motherhood, new mothers adopt new lifestyles, which can affect their physical wellbeing. More research is needed to explore the impact of postpartum health issues in Saudi Arabia.

scholarly journals Postpartum implanon/nexplanon uptake in a tertiary hospital in West Africa

2019 ◽  
Vol 8 (5) ◽  
pp. 1816
Author(s):  
Kwaku Asah-Opoku ◽  
Kareem Mumuni ◽  
Vincent J. Ganu ◽  
Ali Samba
Keyword(s):  
Retrospective Study ◽  
Family Planning ◽  
Reproductive Health ◽  
Postpartum Period ◽  
Post Partum ◽  
Unmet Need ◽  
Tertiary Hospital ◽  
Age Group ◽  
High Uptake ◽  
First Time

Background: The postpartum period is viewed as an opportune period for uptake of contraception. Ghana has an unmet need for family planning of 30%. This study sought to determine the postpartum Implanon/Nexplanon uptake among women at a tertiary hospital.Methods: This was a retrospective study that analysed 391 Implanon/Nexplanon insertions between 2012 and 2015 at the reproductive health and family planning unit at the Korle-Bu teaching hospital.Results: Almost 69% (391/565) of all Implanon/Nexplanon insertions conducted between 2012 and 2015 were conducted in the postpartum period. Out of these postpartum insertions, 2.3% were done in the immediate postpartum period, 27.6% were done during the interval postpartum period and 70.1% were in the delayed postpartum period. Age and implant insertion status (first time ever or continuing) were significant determinants of postpartum Implanon/Nexplanon insertions. Compared to women less than 20 years of age, women in the age group 20-29 and 30-39 were 76% (AOR=0.24, CI=0.62-0.97) and 80% (AOR=0.20, CI=0.05-0.86) respectively less likely to have postpartum Implanon/Nexplanon  insertions done. Continuing users of implant insertions were 45% (AOR=0.55, CI=0.37-0.82) less likely to have post-partum Implanon/Nexplanon insertions done compared to first ever users.Conclusions: There is a high uptake of postpartum Implanon/Nexplanon use among patients who receive implant insertions at the Korle-Bu Teaching Hospital. However immediate postpartum Implanon/Nexplanon insertions are low. There is the need to educate women and couples on the benefits of immediate postpartum implant insertion to avoid rapid repeat pregnancies.

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