scholarly journals Professional support during the postpartum period: Primiparous women’s views on professional services, their expectations, and barriers to mobilizing professional help

2019 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Nisar Anum ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  

Abstract Background: Mothers of young infants, especially primiparous women who lack experience and knowledge, are usually overwhelmed with a multitude of stressors and challenges. Although support from professionals is needed for new mothers, there is indeed a gap between the necessary high-quality service and the currently provided poor services. This study aimed to explore primiparous women’s views on professional services, identify barriers to mobilizing professional support, and further understand women’s expectations of and preferences for the delivery of professional services. Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous women who were selected from two community health centres and who had given birth within one year before the interview. Each conversation lasted between 20-86 minutes. Colaizzi’s seven-step phenomenological approach was used for data analysis. Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum women, (b) barriers to mobilizing professional support, and (c) primiparous women’s expectations of professional support. Seven related subthemes included primiparous women’s disappointment with clinical services and their low confidence in services provided by communities, social health centres and online platforms; internal personal reasons and external socio-cultural factors that contributed to barriers in obtaining professional help; and primiparas’ new expectations of baby-care-related services, their personal needs for recovery, and their expectations of methods of services delivery. The necessity of professional support in the first month of confinement was emphasized by primiparas. Online methods were perceived by the majority of participants to be the best way to receive services. Conclusion: The results of this descriptive phenomenological study suggested that the professional services currently provided by medical facilities were insufficient and could not meet the requirements of primiparous women. The identified barriers should be analysed and overcome by enhancing education and eliminating stigma. The results also suggested that providing service focused on women’s requirements may be an effective strategy to enhance primiparous women’s well-being and suggested that women believed that the most acceptable and convenient methods should be considered during the delivery of interventions.

2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  

Abstract Background: Primiparous mothers who lack experience and knowledge of child caring, are usually overwhelmed with multifarious stressors and challenges. Although support from professionals is needed for new mothers, there is indeed a gap between the necessary high-quality service and the currently provided poor services. This study aimed to explore Chinese primiparous mothers' views on professional services, identify barriers to mobilizing professional support, and further understand mothers' expectations of and preferences for the delivery of professional services. Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers selected from two community health centres in Xi' an city, Shannxi province, northwest part of China and who had given birth within one year before the interview. Each conversation lasted between 20-86 minutes. Colaizzi' s seven-step phenomenological approach was used for data analysis. Results: Three major themes were identified: (a) dissatisfying with current professional services for postpartum mothers, (b) likelihood of health care professional help- seeking behaviour, (c) highlighting demands for new health care services. Seven related subthemes including disappointment with hospital services, distrusting services provided by community health centres, private institutes and online platforms; seeking help from professional was not the first choice, hesitating to express their inner discourse to professionals, and considering practical factors prohibited mothers from seeking professional help; urgent needs for new baby-care-related services, and importance of mothers' self-needs. The necessity of professional support in the first month of confinement was highly emphasized by participants. Online professional guidance and support were perceived to be the best way to receive services in this study. Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet the needs of primiparous mothers. The identified barriers should be analysed and highlighted by enhancing education and eliminating stigma. The results also indicated that providing service focused on mothers' needs may be an effective strategy to enhance primiparous mothers' well-being, and also suggested that feasibility, convenience, and the cultural adaptability of health care service should be considered during the delivery of postpartum interventions.


2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  

Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.


2020 ◽  
Author(s):  
Yiping Nan ◽  
Jingjun Zhang ◽  
Anum Nisar ◽  
Lanting Huo ◽  
Lei Yang ◽  
...  

Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.


2020 ◽  
pp. 088626052094373
Author(s):  
Jalal K. Damra ◽  
Sanaa Abujilban

This study aimed to gain insight into factors that have an impact on Syrian abused refugee women’s decision for seeking professional help regarding intimate partner violence (IPV) against them. This study attempted to answer the following question; what are the reasons for not seeking professional help by victims of IPV among refugee women? The qualitative method was used with semi-structured interviews in an accessible sample of 30 abused refugee women, who were identified by cooperated local community organizations working with the refugee. Five reasons emerged from the interviews affecting seeking help behaviors for refugee women: misconceptions about IPV problem; difficulties to access and approach different care centers; lack of awareness about the negative consequences of IPV; unaware, negative expectations, negative experiences, and incorrect thoughts about IPV’s services; and psychological and physical health difficulties. The authors suggested some recommendations in light of this study results. Raising awareness activities toward the negative impact of violence on women’s and children well-being, improving service availability, building professional capacities to work with abused women, and providing professional services for depressed and amputee’s refugee women.


BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039953
Author(s):  
Beth Aitchison ◽  
Andrew Soundy ◽  
Paul Martin ◽  
Alison Rushton ◽  
Nicola R Heneghan

IntroductionOver the past decade, there has been an increase in awareness of and investment into disability sport as a result of the ‘Paralympic Movement’. The provision of personal and professional support to elite athletes is important for the well-being and success of the athlete, with various studies advocating a holistic approach to performance enhancement. However, little is known about social support experiences in elite para-swimming. Swimming is a popular Paralympic sport and the British para swimmers have been very successful in recent years, most recently winning 47 medals at Rio 2016. This study will be the first to explore the lived experiences of British Paralympic swimmers with respect to the personal and professional support available, perceived use of the support network and the influence it has on well-being and performance.Methods and analysisA hermeneutic phenomenological study will be undertaken using a subtle-realist paradigmatic view. A purposive sample of British Paralympic swimmers will be recruited to enable exploration of social support experiences. In-depth semistructured interviews will explore participants’ experiences of being an elite para-athlete, their support network, the social support available and how they perceive it relates to their well-being and performance. Strategies including reflexivity and member checking will be used to ensure trustworthiness. Data will be analysed following the Framework Method; a seven-stage process used for qualitative data analysis.Ethics and disseminationThis study has ethical approval (ERN_20–0344) granted by the University of Birmingham in April 2020. The findings of this study will be published in a peer-reviewed journal and disseminated to key stakeholders in elite para-sport to inform support services and improve athlete well-being and performance.


2017 ◽  
Vol 33 (3) ◽  
pp. 588-594 ◽  
Author(s):  
Rocío Rodriguez Vazquez ◽  
Marta Elena Losa-Iglesias ◽  
Inmaculada Corral-Liria ◽  
Raquel Jiménez-Fernández ◽  
Ricardo Becerro-de-Bengoa-Vallejo

Background: The socially constructed meanings of breastfeeding that have been passed from generation to generation by grandmothers produce continuities and discontinuities in the practices of breastfeeding. Research aim: The aim of this study is to explore the objectives and positioning of women today with respect to their role as future grandmothers, based on their experiences with breastfeeding. That is, what role do future grandmothers wish to have in the lives of their breastfeeding daughters and grandchildren? Methods: A qualitative study with interpretative phenomenological analysis was conducted based on the philosophy of Martin Heidegger, using a sample of unstructured interviews from 20 women in Madrid. The data were analyzed using the steps of interpretative phenomenological analysis. Results: Among the women who desired to have a supportive role for their future breastfeeding daughters and daughters-in-law, three emergent themes were identified that aimed at being supportive but remaining flexible and respecting their autonomy: “I’ll give you what I didn’t have,” “the well-being of my daughter/daughter-in-law,” and “seeking professional help.” Two additional themes were identified that show the desire of these women to be present during this stage of family development and the lifecycle: “my role in the family” and “continuing to share.” Conclusion: Future grandmothers desire to be involved in their daughters and daughters-in-law breastfeeding experience through flexibility and support and with the use of specialized and personalized professional help. In addition, future grandmothers desire to be valued and included in the vital process of breastfeeding.


2020 ◽  
Vol 5 (Special) ◽  

Dubai Health Authority (DHA) is the entity regulating the healthcare sector in the Emirate of Dubai, ensuring high quality and safe healthcare services delivery to the population. The World Health Organization (WHO) declared COVID-19 a pandemic on the 11th of March 2020, indicating to the world that further infection spread is very likely, and alerting countries that they should be ready for possible widespread community transmission. The first case of COVID-19 in the United Arab Emirates was confirmed on 29th of January 2020; since then, the number of cases has continued to grow exponentially. As of 8th of July 2020 (end of the day), 53,045 cases of coronavirus have been confirmed with a death toll of 327 cases. The UAE has conducted over 3,720,000 COVID-19 tests among UAE citizens and residents over the past four months, in line with the government’s plans to strengthen virus screening to contain the spread of COVID-19. There were vital UAE policies, laws, regulations, and decrees that have been announced for immediate implementation to limit the spread of COVID- 19, to prevent panic and to ensure the overall food, nutrition, and well-being are provided. The UAE is amongst the World’s Top 10 for COVID-19 Treatment Efficiency and in the World’s Top 20 for the implementation of COVID-19 Safety measures. The UAE’s mission is to work towards resuming life after COVID-19 and enter into the recovery phases. This policy research paper will discuss the Dubai Health Authority’s rapid response initiatives towards combating the control and spread of COVID-19 and future policy implications and recommendations. The underlying factors and policy options will be discussed in terms of governance, finance, and delivery.


2021 ◽  
pp. 088626052110219
Author(s):  
Aiala Szyfer Lipinsky ◽  
Limor Goldner

Studies dealing with the experiences of non-offending mothers from the general population and minority groups after their child’s disclosure of sexual abuse are scarce, and studies on mothers from the Jewish ultra-Orthodox community are non-existent. This study takes an initial step in filling this gap by exploring how the normalization of sexual abuse shapes these mothers’ experiences. A qualitative phenomenological study was conducted on a sample of 21 mothers from the ultra-Orthodox sector whose children had been sexually abused. It consisted of in-depth, semi-structured interviews of the mothers followed by a drawing task on their experience. The analysis of the interviews yielded four central themes: the role of social stigmatization and religion on the mother’s ability to share her child’s abuse; the effect of the disclosure on the mothers’ mental state and maternal competency; the mothers’ ongoing experience in the shadow of this unprocessed/unresolved trauma; and the mothers’ coping strategies, including acceptance, faith, and meaning making. The findings highlight the influence of the tension between the need to adhere to religious norms and preserve the social fabric and the need to enhance mothers’ and children’s well-being.


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