A qualitative study on perceptions of first time mothers about breastfeeding

Background: Breastfeeding is the easiest, cost effective and most successful intervention and the most effective life-saving interventions for the health of the newborn. In spite of profound beneficial effects of breast milk, breastfeeding rates in India are abnormally low. There is lack of qualitative data regarding breastfeeding in India. So, we have planned to assess the perceptions of first time mothers about breastfeeding at this middle part of Bengal.Methods: The study was conducted in the Pediatric department of Burdwan Medical College, Burdwan, West Bengal. The study was one of qualitative descriptive types involving in depth interviews (IDI) of 21 first time mothers. The interviews were translated into English transcripts which were then analysed to find out suitable codes and categories.Results: The results of the in-depth interviews of the 21 first time mothers could be divided into seven categories and each of which is further divided into several codes. The categories are: Reaction of mother, inadequate breast milk, breast milk causing ailments of the baby, erroneous idea about breastfeeding, lack of time, lack of privacy and breast milk is best for my baby.Conclusions: In this present study we have applied qualitative in-depth interview approach and able to find out different reasons of non-continuation of breastfeeding among the first-time mothers. Though they have to face challenges regarding continuation of breastfeeding but most of them felt that breastfeeding is best for their baby.

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First-Time Mothers’ Expectations and Experiences of Postnatal Care in England

Qualitative Health Research ◽

10.1177/1049732320944141 ◽

2020 ◽

Vol 30 (12) ◽

pp. 1876-1887

Author(s):

Jenny McLeish ◽

Merryl Harvey ◽

Maggie Redshaw ◽

Jane Henderson ◽

Reem Malouf ◽

...

Keyword(s):

Maternity Care ◽

Postnatal Care ◽

Trajectory Analysis ◽

Descriptive Study ◽

Structured Interviews ◽

First Time Mothers ◽

Qualitative Descriptive ◽

First Time ◽

In Pregnancy

Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.

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The Effectiveness and Cost-Effectiveness of Web-Based and Home-Based Postnatal Psychoeducational Interventions for First-Time Mothers: Randomized Controlled Trial Protocol (Preprint)

10.2196/preprints.9042 ◽

2017 ◽

Author(s):

Honggu He ◽

Lixia Zhu ◽

Sally Wai Chi Chan ◽

Yap-Seng Chong ◽

Nana Jiao ◽

...

Keyword(s):

Controlled Trial ◽

Cost Effective ◽

Maternal Outcomes ◽

Web Based ◽

Psychoeducational Program ◽

Randomized Controlled ◽

Home Based ◽

First Time Mothers ◽

First Time ◽

Psychoeducational Interventions

BACKGROUND In addition to recuperating from the physical and emotional demands of childbirth, first-time mothers are met with demands of adapting to their social roles while picking up new skills to take care of their newborn. Mothers may not feel adequately prepared for parenthood if they are situated in an unsupported environment. Postnatal psychoeducational interventions have been shown to be useful and can offer a cost-effective solution for improving maternal outcomes. OBJECTIVE The objective of this study was to examine the effectiveness and cost-effectiveness of Web-based and home-based postnatal psychoeducational programs for first-time mothers on maternal outcomes. METHODS A randomized controlled three-group pre- and posttests experimental design is proposed. This study plans to recruit 204 first-time mothers on their day of discharge from a public tertiary hospital in Singapore. Eligible first-time mothers will be randomly allocated to either a Web-based psychoeducation group, a home-based psychoeducation group, or a control group receiving standard care. The outcomes include maternal parental self-efficacy, social support, psychological well-being (anxiety and postnatal depression), and cost evaluation. Data will be collected at baseline, 1 month, 3 months, and 6 months post-delivery. RESULTS The recruitment (n=204) commenced in October 2016 and was completed in February 2017, with 68 mothers in each group. The 6-month follow-up data collection was completed in August 2017. CONCLUSIONS This study may identify an effective and cost-effective Web-based postnatal psychoeducational program to improve first-time mothers’ health outcomes. The provision of a widely-accessed Web-based postnatal psychoeducational program will eventually lead to more positive postnatal experiences for first-time mothers and positively influence their future birth plans. CLINICALTRIAL International Standard Randomized Controlled Trial Number (ISRCTN): 45202278; http://www.isrctn.com/ISRCTN45202278 (Archived by WebCite at http://www.webcitation.org/6whx0pQ2F).

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First time mothers’ expectations and experiences of postnatal care in England: a longitudinal qualitative descriptive study

10.21203/rs.2.14438/v1 ◽

2019 ◽

Author(s):

Jenny McLeish ◽

Merryl Harvey ◽

Maggie Redshaw ◽

Jane Henderson ◽

Reem Malouf ◽

...

Keyword(s):

Postnatal Care ◽

Trajectory Analysis ◽

Transition To Parenthood ◽

Perinatal Period ◽

Descriptive Study ◽

First Time Mothers ◽

Qualitative Descriptive ◽

Birth Centres ◽

First Time ◽

High Support

Abstract Background: Effective postnatal care can support a safe and confident transition to parenthood, but it is the aspect of maternity care with which women in England are least satisfied. Little is known about first time mothers’ expectations of postnatal care in hospitals, in birth centres and in the community, or how these expectations relate to their subsequent experiences and appraisal of care.Methods: A longitudinal qualitative descriptive study, based on semi-structured, in-depth interviews with first time mothers in England. Each mother took part in two interviews: the first in her third trimester of pregnancy, and the second when her baby was 2-3 months old. Interview transcripts were analysed using trajectory analysis to identify thematic patterns in the relationships between postnatal care expectations, needs, experiences and confidence. Individual cases were chosen to illustrate each trajectory and the variation within trajectories.Results: 32 women took part. Expectations of postnatal care did not shape their appraisal of care as actually experienced. Instead the main influence on satisfaction with care and self-described parental confidence was the extent to which their actual postnatal needs for support were met. Five trajectories were identified: (1) ‘Low needs, low support, confident’, (2) ‘High needs, high support, confident’, (3) ‘High needs, low support, not confident’, (4) ‘High needs, high support, additional risk factors, not confident’, (5) ‘High needs, low support, additional protective factors, confident’.Conclusions: Longitudinal qualitative research using trajectory analysis is a useful and feasible method of exploring expectations and subsequent experiences in the perinatal period. First time mothers’ satisfaction with postnatal care and their confidence as new mothers were primarily influenced not by the extent to which their expectations were met, but the varied extent to which their postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time. Providing tailored information on postnatal care, self-care and transition to parenthood during pregnancy may facilitate improvements in women’s experiences of care after birth in the hospital and community.

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Depuration of Polybrominated Diphenyl Ethers (PBDEs) and Polychlorinated Biphenyls (PCBs) in Breast Milk from California First-Time Mothers (Primiparae)

Environmental Health Perspectives ◽

10.1289/ehp.10166 ◽

2007 ◽

Vol 115 (9) ◽

pp. 1271-1275 ◽

Cited By ~ 68

Author(s):

Kim Hooper ◽

Jianwen She ◽

Margaret Sharp ◽

Joan Chow ◽

Nicholas Jewell ◽

...

Keyword(s):

Breast Milk ◽

Polychlorinated Biphenyls ◽

Polybrominated Diphenyl Ethers ◽

Diphenyl Ethers ◽

First Time Mothers ◽

First Time

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“Reassurance that you're doing okay, or guidance if you're not”: A qualitative descriptive study of pregnant first time mothers’ expectations and information needs about postnatal care in England

Midwifery ◽

10.1016/j.midw.2020.102813 ◽

2020 ◽

Vol 89 ◽

pp. 102813 ◽

Cited By ~ 1

Author(s):

Jenny McLeish ◽

Merryl Harvey ◽

Maggie Redshaw ◽

Fiona Alderdice

Keyword(s):

Postnatal Care ◽

Information Needs ◽

Descriptive Study ◽

First Time Mothers ◽

Qualitative Descriptive ◽

First Time

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Results From a Pilot Randomized Trial of Antenatal Breast Milk Expression Among Healthy, First-Time Mothers

Journal of Obstetric Gynecologic & Neonatal Nursing ◽

10.1016/j.jogn.2019.04.209 ◽

2019 ◽

Vol 48 (3) ◽

pp. S124

Author(s):

Jill Demirci ◽

Melissa Glasser ◽

Katherine Himes

Keyword(s):

Breast Milk ◽

Randomized Trial ◽

Breast Milk Expression ◽

First Time Mothers ◽

First Time

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A qualitative descriptive inquiry into factors influencing early weaning and breastfeeding duration among first-time mothers in Papua New Guinea’s rural eastern highlands

Women and Birth ◽

10.1016/j.wombi.2021.01.006 ◽

2021 ◽

Author(s):

McKenzie Ken Maviso ◽

Bridget Ferguson ◽

Lillian Maye Kaforau ◽

Tanya Capper

Keyword(s):

Breastfeeding Duration ◽

Early Weaning ◽

Factors Influencing ◽

First Time Mothers ◽

Qualitative Descriptive ◽

First Time ◽

Eastern Highlands

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The Association of Prenatal Attachment and Perinatal Factors with Pre-and Postpartum Depression in First-Time Mothers

Zeitschrift für Geburtshilfe und Neonatologie ◽

10.1055/s-0031-1293395 ◽

2011 ◽

Vol 215 (S 01) ◽

Author(s):

TW Goecke ◽

F Voigt ◽

M Lux ◽

G Spangler ◽

MW Beckmann ◽

...

Keyword(s):

Postpartum Depression ◽

Prenatal Attachment ◽

Perinatal Factors ◽

First Time Mothers ◽

First Time

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SEROPREVALENCE OF HIV AND HBsAg AMONGST BLOOD DONORS IN A TERTIARY CARE HOSPITAL, CHHATTISGARH.

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v3i8.495 ◽

2019 ◽

Vol 3 (8) ◽

Author(s):

Anusha P ◽

Bankar Nandkishor J ◽

Karan Jain ◽

Ramdas Brahmane ◽

Dhrubha Hari Chandi

Keyword(s):

Hepatitis B ◽

Blood Donors ◽

Hepatitis B Surface Antigen ◽

Tertiary Care ◽

Laboratory Diagnosis ◽

Blood Bank ◽

Care Hospital ◽

Medical College ◽

The World ◽

First Time

INTRODUCTION: India being the second highly populated nation in the world. HIV/AIDS has acquired pandemic proportion in the world. Estimate by WHO for current infection rate in Asia. India has the third largest HIV epidemic in the world. HIV prevalence in the age group 15-49 yrs was an estimate of 0.2%. India has been classified as an intermediate in the Hepatitis B Virus (HBV) endemic (HBsAg carriage 2-7%) zone with the second largest global pool of chronic HBV infections. Safety assessment of the blood supply, the quality of screening measures and the risk of transfusion transmitted infectious diseases (TTIs) in any country can be estimated by scrutinizing the files of blood donors. After the introduction of the blood banks and improved storage facilities, it became more extensively used. Blood is one of the major sources of TTIs like hepatitis B, hepatitis C, HIV, syphilis, and many other blood borne diseases. Disclosure of these threats brought a dramatic change in attitude of physicians and patients about blood transfusion. The objective of this study is to determine the seroprevalence of transfusion transmitted infections amidst voluntary blood donors at a rural tertiary healthcare teaching hospital in Chhattisgarh. MATERIAL AND METHODS: This retrospective study was carried out in Chandulal Chandrakar Memorial Medical College, Kachandur, Durg. Blood donors were volunteers, or and commercial donors who donated the blood and paid by patients, their families, or friends to replace blood used or expected to be used for patients from the blood bank of the hospital. After proper donation of blood routine screening of blood was carried out according to standard protocol. Laboratory diagnosis of HIV 1 and HIV 2 was carried out by ELISA test. Hepatitis B surface antigen was screened by using ELISA. RESULTS: A total of 1915 consecutive blood donors’ sera were screened at Chandulal Chandrakar Memorial Medical College, blood bank during study period. Of these 1914 were male and 1 female. The mean age of patients was found to be 29.34 years with standard deviation (SD) of 11.65 Years. Among all blood donors in present study, 759(39.63%) were first time donors and 1156(60.37%) were repeated donors. 1 patient was HIV positive in first donation group while 3 (75%) were positive in repeat donation group. 7 (38.9%) were HBsAg positive in in first donation group while 11(61.1%) were positive in repeat donation group. Two patients in first donation group had dual infection of HIV and HBsAg. CONCLUSION: Seropositivity was high in repeated donors as compared to first time donors. The incidence of HIV is observed to be 0.2% and that of HBsAg is 0.94%. Strict selection of blood donors should be done to avoid transfusion-transmissible infections during the window period.

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