scholarly journals Women’s Experiences with Postpartum Anxiety: Expectations, Relationships, and Sociocultural Influences

Author(s):  
Andrea Wardrop ◽  
Natalee Popadiuk

Evidence about anxiety in the postpartum is sparse and contradictory. Our research expands this knowledge by using a qualitative methodology, the Feminist Biographical Method, to explore first time mothers’ experiences of postpartum anxiety. Data collection included 1.5 to 2.0 hour interviews with six women about their experiences of anxiety in their transition to motherhood. We transcribed the interviews and used an iterative hermeneutic coding process to develop themes and subthemes over the course of four coding cycles. The findings include five major themes: (a) experiences of anxiety, (b) expectations of a new mother, (c) issues of support, (d) societal scripts of motherhood, and (e) the transition. One conclusion that we draw is the need for healthcare professionals to provide improved support and validation to new mothers facing postpartum anxiety, by expanding the definition of postpartum distress, especially anxiety, and by better understanding women’s anxiety through culturally - embedded contextual and relational lenses.

2021 ◽  
Vol 4 (1) ◽  
pp. 62
Author(s):  
Denis Mulanita Pratiwi ◽  
Sri Rejeki ◽  
Achmad Zulfa Juniarto

Postpartum stress mostly experienced by first-time mothers. This stressful condition indicates that some new mothers experience emotional changes, sometimes feeling happy and at times almost feeling sad for no reason. This study aims to understand a deeper understanding of interventions for postpartum anxiety. A literature review was conducted by looking for literature related to the theme taken. The articles obtained were 9 quantitative studies, 7 articles from Indonesia and 2 articles from other countries. Most interventions are massage therapy and various types of relaxation (aromatherapy, hypnotherapy, yoga) to reduce the level of anxiety of postpartum mothers. This review helps provide several interventions that can be carried out on postpartum mothers in a nonpharmacological, simple and effective interventions that can be carried out in postpartum mothers in reducing the level of anxiety of postpartum mothers, besides that it can improve sleep quality, reduce levels of depression, reduce stress, can increase breast milk production and increase comfort in postpartum mothers.


2020 ◽  
Vol 6 (4) ◽  
pp. 86-91
Author(s):  
Romina Withanage ◽  
Margaret Hay ◽  
Samuel Menahem

Background:All women deserve a “dwelling space” during their postnatal period after the birth of their infant. This “space” provides her an opportunity to be cared for, to be replenished, to rest and to reflect on herself being a new mother before returning home. We explored a volunteer community residential service set up to help new mothers to document their experiences and determine if the outcomes matched their expectations. Methods: Semi-structured interviews were offered to all women who had utilised this service since its inception. The questionnaire explored their motivations to seek such as service and to learn of their experiences. The interviews were audio recorded, transcribed and a thematic analysis employed. Results: Over the last 8 years, 12 women, 4 twice, availed themselves of this service, two being first-time mothers. Reasons given by mothers for utilising this service included recovery from the trauma of childbirth both past and present, physical and emotional, and delaying assuming responsibilities at home. All the women had welcomed the “dwelling space”, being mothered, feeling replenished and having time to meaningfully relate to their newborn infant.The ambience of the accommodation and the care they received were above their expectations. All would recommend other new mothers to avail themselves of this service


2014 ◽  
Vol 7 (2) ◽  
pp. 54-60
Author(s):  
Yati Afiyanti

AbstrakSuatu studi hermeneutik fenomenologi telah dilakukan untuk mengeksplorasi suatu pengalaman pertama para wanita Indonesia di daerah pedesaan tentang persepsi mereka menjadi seorang ibu yang baik. Tujuan dari studi ini memberikan informasi, wawasan, dan pemahaman kepada para praktisi kesehatan untuk lebih memahami kebutuhan-kebutuhan seorang ibu baru (ibu yang baru pertama kali memiliki anak) dan lebih memahami bagaimana seorang ibu baru menjalani peran barunya menjadi ibu untuk pertama kali dalam kehidupan mereka. Tiga belas partisipan yang berpartisipasi dalam studi ini telah mengungkapkan pengalaman pertama dan berbagai usaha yang mereka untuk menjadi seorang ibu yang baik. Data dikumpulkan melalui wawancara semi struktur. Tema utama dari hasil studi ini adalah mencoba menjadi seorang ibu yang baik. Dalam penelitian ini, diketahui bahwa ibu yang baik dipersepsikan sebagai ibu yang: (1) sabar dalam merawat anak (2) memiliki tanggung jawab untuk merawat anaknya sendiri, (3) mampu membagi waktu dengan baik, dan (4) memprioritaskan kebutuhan anaknya dari kebutuhan dirinya sendiri. Dengan hasil studi ini diharapkan para praktisi kesehatan akan lebih memahami harapan-harapan seorang ibu baru untuk dapat menjadi seorang ibu yang baik. AbstractA hermeneutic phenomenological study was carried out to explore the experience of first-time motherhood in rural Indonesia particurly their perception to be a good mother. The purposes of the study were to provide information, insights and a greater understanding for health care practicians to have a better understanding of the needs of new mothers and the ways in which the ferform new roles as a new mother. Thirteen Indonesian women were participated in this study and described their experiences of the first-time motherhood and the ways in which they conduct their role as a good mother. Data were collected through semi structured conversational interviews. The major theme of this study was trying to be a good mother. With sub themes of: (1) to be a good mother must be patient, (2) a good mother has responsibilities to care for the baby, (3) a good mother should be able to manage her time wisely, and (4) a good mother prioritize the baby’s needs ahead of their own needs. The result of will provide health care practicians deeper understanding about expectances of new mothers in becoming a good mother.


2021 ◽  
Author(s):  
Carolina de Alcântara Maneschy ◽  
Katarine Antonia Barile ◽  
Jairo Augusto de Castro ◽  
Maurício Palmeira ◽  
Renata de Castro ◽  
...  

Abstract Background: The Human T Cell Lymphotropic Virus (HTLV) is a retrovirus of the genus Deltaretrovirus, which belongs to the family Retroviridae, and has tropism for T lymphocytes. This virus has four types, of which the most important in terms of pathogenesis and epidemiology are HTLV-1 and HTLV -2. It is estimated that between five and 10 million individuals are infected with HTLV-1, worldwide, of which, approximately 2.5 million live in Brazil. Studies in the state of Pará indicate that it has the third highest prevalence of HTLV infections of any Brazilian state. The virus can betransmitted through sexual, vertical, and parenteral route. The present study describes the epidemiological, serological, and molecular profile of blood donors from the state of Pará, that were classified as unfit due to infection by HTLV-1 and 2. Results: A total of 632 samples were analyzed. The HTLV proviral DNA was detected primarily in females (69.1%), with a mean age of 40 years, with the highest frequencies of detection being recorded in single individuals (66.2%), first-time donors (74.3%), and individuals that had graduated high school (44.1%). The molecular confirmation of HTLV showed that threequarters (78%) of the serologically reactive individuals were negative for either types I or II, so the epidemiological profile of these individuals was significantly different from their detectable profile. Conclusions: The HTLV is a neglected etiological agent in Brazil, and although there have been many advances since its discovery, infection patterns are still relatively poorly understood by both healthcare professionals and the general population. There is thus a clear need for further research in the area of regional hemotherapy and hematology services, in order to contribute to the definition of regional infection profiles, that will be fundamental to the development of effective prophylactic practises for the prevention of the infection and the dissemination of knowledge on the dangers of HTLV in the community.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e041869
Author(s):  
Annabel Jones ◽  
Philippa Morgan-Jones ◽  
Monica Busse ◽  
Victoria Shepherd ◽  
Fiona Wood

BackgroundInvolvement of vulnerable populations in research is critical to inform the generalisability of evidence-based medicine to all groups of the population.ObjectiveIn this communication, we reflect on our previous research, and that of other authors, to identify and explore key ethical and methodological considerations.DiscussionFocus groups are a widely implemented qualitative methodology, but their use, particularly in vulnerable neurodegenerative disease populations, is not straightforward. Although the risk of harm is generally low in focus group research, neurodegenerative disease populations are particularly vulnerable to issues relating to comprehension and their capacity to consent. Physical and cognitive impairments may also affect social interactions among participants and therefore impact data collection and analyses.ConclusionWe offer a number of ethical and methodological recommendations to facilitate the processes of recruitment and data collection when conducting focus groups with neurodegenerative disease populations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Nakimuli Esther ◽  
Ssentongo Julius ◽  
Mwaka Amos Deogratius

Abstract Background In the low- and middle-income countries, most patients with esophageal cancer present with advanced stage disease and experience poor survival. There is inadequate understanding of the factors that influence decisions to and actual health-seeking, and adherence to treatment regimens among esophageal cancer patients in Uganda, yet this knowledge is critical in informing interventions to promote prompt health-seeking, diagnosis at early stage and access to appropriate cancer therapy to improve survival. We explored health-seeking experiences and adherence to treatment among esophageal cancer patients attending the Uganda Cancer Institute. Methods We conducted an interview based qualitative study at the Uganda Cancer Institute (UCI). Participants included patients with established histology diagnosis of esophageal cancer and healthcare professionals involved in the care of these patients. We used purposive sampling approach to select study participants. In-depth and key informant interviews were used in data collection. Data collection was conducted till point of data saturation was reached. Thematic content analysis approach was used in data analyses and interpretations. Themes and subthemes were identified deductively. Results Sixteen patients and 17 healthcare professionals were included in the study. Delayed health-seeking and poor adherence to treatment were related to (i) emotional and psychosocial factors including stress of cancer diagnosis, stigma related to esophageal cancer symptoms, and fear of loss of jobs and livelihood, (ii) limited knowledge and recognition of esophageal cancer symptoms by both patients and primary healthcare professionals, and (iii) limited access to specialized cancer care, mainly because of long distance to the facility and associated high transport cost. Patients were generally enthused with patient – provider relationships at the UCI. While inadequate communication and some degree of incivility were reported, majority of patients thought the healthcare professionals were empathetic and supportive. Conclusion Health system and individual patient factors influence health-seeking for symptoms of esophageal cancer and adherence to treatment schedule for the disease. Interventions to improve access to and acceptability of esophageal cancer services, as well as increase public awareness of esophageal cancer risk factors and symptoms could lead to earlier diagnosis and potentially better survival from the disease in Uganda.


BioTech ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. 13
Author(s):  
Pasquale De Blasio ◽  
Ida Biunno

Background: The emergence of “multi-omics” and “multi-parametric” types of analysis based on a high number of biospecimens enforces the use of a great number of high-quality “Biological Materials and Associated Data” (BMaD). To meet the demands of biomedical research, several Biological Resource Centers (BRCs) or Biobanks world-wide have implemented a specific Quality Management System (QMS) certified ISO 9001:2015 or accredited by CAP9 ISO 20387:2018. For the first time, ISO, with the support of several Biobanking experts, issued the ISO 20387:2018 which is the first ISO norm specific for Biobanks. The fundamental difference with present certification/accreditation standards is that the ISO 20387:2018 focuses not only on the operational aspects of the Biobank, but also on the “competence of the Biobank to carry our specific Biobanking tasks”. Methods: The accreditation process for ISO 20387:2018 required the definition of: (1) objectives, goals and organizational structure of the Biobank, including procedures for governance, confidentiality and impartiality policies; (2) standard operating procedures (SOPs) of all activities performed, including acquisition, analysis, collection, data management, distribution, preparation, preservation, testing facility and equipment maintenance, calibration, and monitoring; (3) procedures for control of documents and records, the identification of risks and opportunities, improvements, corrective actions, nonconforming records and evaluation of external providers (4) an internal audit and management reviews, verification of QMS performance, monitoring of quality objectives and personnel qualification and competency in carrying out specific Biobanking tasks. Results: The accreditation process is performed by an independent authorized organization which certifies that all processes are performed according to the QMS, and that the infrastructure is engineered and managed according to the GDP and/or GMP guidelines. Conclusion: Accreditation is given by an accreditation body, which recognizes formally that the Biobank is “competent to carry out specific Biobanking tasks”.


2012 ◽  
Vol 134 (11) ◽  
Author(s):  
Shu Wang

The volumetric efficiency is one of the most important aspects of system performance in the design of axial piston pumps. From the standpoint of engineering practices, the geometric complexities of the valve plate (VP) and its multiple interactions with pump dynamics pose difficult obstacles for optimization of the design. This research uses the significant concept of pressure carryover to develop the mathematical relationship between the geometry of the valve plate and the volumetric efficiency of the piston pump. For the first time, the resulting expression presents the theoretical considerations of the fluid operating conditions, the efficiency of axial piston pumps, and the valve plate designs. New terminology, such as discrepancy of pressure carryover (DPC) and carryover cross-porting (CoCp), is introduced to explain the fundamental principles. The important results derived from this study can provide clear recommendations for the definition of the geometries required to achieve an efficient design, especially for the valve plate timings. The theoretical results are validated by simulations and experiments conducted by testing multiple valve plates under various operating conditions.


2021 ◽  
Vol 28 (7) ◽  
pp. 1-24
Author(s):  
Jenny Ceolta-Smith ◽  
Christine Kenney

Background/aims Healthcare professionals play an important role in vocational rehabilitation for people receiving welfare support. The research questions for this study were: how do qualified healthcare professionals operate in UK welfare-to-work settings? What factors influence healthcare professionals' practice within a UK welfare-to-work setting? Methods A qualitative methodology was adopted. Four semi-structured interviews were conducted and additional documents (the awarded Work and Health Programme bids and job descriptions) about the healthcare professionals' roles were reviewed. Inductive thematic analysis was undertaken. Results Five themes were generated from the interview data: supporting frontline staff to understand clients' health needs; moving clients with complex needs closer to work; getting it right for the client by individualising support; gaining consent and maintaining confidentiality; and seeking and organising clinical supervision. These themes were corroborated with the document data. Conclusions Healthcare professionals have a key role within welfare-to-work provision. Further research is needed to determine if the proposed healthcare professional roles have come to fruition, to identify their prevalence, and to explore their effectiveness.


Sign in / Sign up

Export Citation Format

Share Document