Social Support During the Postpartum Period: Mothers’ Views on Needs, Expectations, and Mobilization of Support
Open accessAbstract
Research has indicated that social support is a major buffer of postpartum depression. Yet little is known concerning women's perceptions on social support during the postpartum period. The objective of this study was to explore postpartum women's views and experiences with social support following childbirth. Four focus groups were conducted with an ethnically diverse sample of women (n = 33) in a large urban teaching hospital in New York City. Participants had completed participation in a postpartum depression randomized trial and were 6-12 months postpartum. Data transcripts were reviewed and analyzed for themes. The main themes identified in the focus group discussions were mother's major needs and challenges postpartum, social support expectations and providers of support, how mothers mobilize support, and barriers to mobilizing support. Women across all groups identified receipt of instrumental support as essential to their physical and emotional recovery. Support from partners and families was expected and many women believed this support should be provided without asking. Racial/ethnic differences existed in the way women from different groups mobilized support from their support networks. Instrumental support plays a significant role in meeting women's basic needs during the postpartum period. In addition, women's expectations surrounding support can have an impact on their ability to mobilize support among their social networks. The results of this study suggest that identifying support needs and expectations of new mothers is important for mothers' recovery after childbirth. Future postpartum depression prevention efforts should integrate a strong focus on social support.
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Many studies have shown that mothers have important physical and emotional needs during the year after childbirth.
“However, many studies have shown that mothers have important physical and emotional needs during the year after childbirth.155,158,160,162–179”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [155]
Social support seems to have a protective effect against postnatal depression.
“Social support seems to have a protective effect against postnatal depression.8,155,156”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [155]
High levels of perceived PSE and social support help to facilitate smoother transition to parenthood, leading to increased parental bonding, parenting satisfaction, and parenting competence, and lowered risks of PND and postnatal anxiety (PNA).
“On the contrary, high levels of perceived PSE [23] and social support help to facilitate smoother transition to parenthood [24], leading to increased parental bonding, parenting satisfaction, and parenting competence [25], and lowered risks of PND [23] and postnatal anxiety (PNA) [26].”
From Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes (Part 1): Randomized Controlled Trial (2019) · cites this paper as [24]
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Cites
Health Behavior and Health Education: Theory, Research, and Practice
(1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-116-4-350_1 · Cited by 13,211 · see citing works
Qualitative research. Introducing focus groups.
Kitzinger, J. (1995) · BMJ · doi:10.1136/bmj.311.7000.299 · Cited by 6,939 · see citing works
Rates and risk of postpartum depression – a meta-analysis
O'hara, M. W., & Swain, A. M. (1996) · International Review of Psychiatry · doi:10.3109/09540269609037816 · Cited by 3,116 · see citing works
Predictors of Postpartum Depression
Beck, C. T. (2001) · Nursing Research · doi:10.1097/00006199-200109000-00004 · Cited by 1,960 · see citing works
The Focused Interview: A Manual of Problems and Procedures
Merton, R. Κ., Lowenthal, M. F., & Kendall, P. L. (1990) · Cited by 1,048 · see citing works
SOCIAL NETWORKS AND SOCIAL SUPPORT
(2016) · The Gerontologist · doi:10.1093/geront/gnw162.1463 · Cited by 1,004 · see citing works
Dennis, C., & Chung‐Lee, L. (2006) · Birth · doi:10.1111/j.1523-536x.2006.00130.x · Cited by 881 · see citing works
Cutrona, C. E., & Troutman, B. (1986) · Child Development · doi:10.1111/j.1467-8624.1986.tb00475.x · Cited by 794 · see citing works
Cutrona, C. E., & Troutman, B. (1986) · Child Development · doi:10.2307/1130428 · Cited by 674 · see citing works
Women’s Attitudes, Preferences, and Perceived Barriers to Treatment for Perinatal Depression
Goodman, J. H. (2009) · Birth · doi:10.1111/j.1523-536x.2008.00296.x · Cited by 526 · see citing works
A Meta-Analysis of Predictors of Postpartum Depression
Beck, C. T. (1996) · Nursing Research · doi:10.1097/00006199-199609000-00008 · Cited by 440 · see citing works
Nadeem, E., Lange, J. M., Edge, D., Fongwa, M. N., Belin, T., & Miranda, J. M. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.12.1547 · Cited by 407 · see citing works
Postpartum Depression: A Metasynthesis
Beck, C. T. (2002) · Qualitative Health Research · doi:10.1177/104973202129120016 · Cited by 400 · see citing works
Review of screening instruments for postpartum depression
Boyd, R. C., Le, H. N., & Somberg, R. (2005) · Archives of Women’s Mental Health · doi:10.1007/s00737-005-0096-6 · Cited by 390 · see citing works
Dennis, C.-L., Hodnett, E., Kenton, L., Weston, J., Zupancic, J., Stewart, D. E., & Kiss, A. (2009) · BMJ · doi:10.1136/bmj.a3064 · Cited by 386 · see citing works
Preferences and perceived barriers to treatment for depression during the perinatal period
O'Mahen, H. A., & Flynn, H. A. (2008) · Journal of Women s Health · doi:10.1089/jwh.2007.0631 · Cited by 277 · see citing works
Postpartum depression. A role for social network and life stress variables.
O'Hara, M. W., Rehm, L., & Campbell, S. B. (1983) · Journal of Nervous and Mental Disease · doi:10.1097/00005053-198306000-00002 · Cited by 175 · see citing works
Norbeck, J. S., DeJoseph, J., & Smith, R. T. (1996) · Social Science & Medicine · doi:10.1016/0277-9536(96)00003-2 · Cited by 169 · see citing works
Enhancing Recovery in Coronary Heart Disease (ENRICHD) study intervention: rationale and design.
(2001) · PubMed · Cited by 162 · see citing works
Postpartum depression: women's help‐seeking behaviour and perceptions of cause
McIntosh, J. (1993) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1993.18020178.x · Cited by 162 · see citing works
Correlates of Early Postpartum Depressive Symptoms
Howell, E. A., Mora, P. A., & Leventhal, H. (2005) · Maternal and Child Health Journal · doi:10.1007/s10995-005-0048-9 · Cited by 161 · see citing works
Self-citationSocial support and postpartum depression
Logsdon, M. C., & McBride, A. B. (1994) · Research in Nursing & Health · doi:10.1002/nur.4770170608 · Cited by 142 · see citing works
Screening for Depression in the Postpartum Period: A Comparison of Three Instruments
Hanusa, B. H., Scholle, S. H., Haskett, R. F., Spadaro, K. C., & Wisner, K. L. (2008) · Journal of Women s Health · doi:10.1089/jwh.2006.0248 · Cited by 136 · see citing works
Gjerdingen, D. K., Froberg, D. G., & Fontaine, P. (1991) · PubMed · Cited by 127 · see citing works
Prenatal and Postpartum Smoking Abstinence
McBride, C. M., Baucom, D. H., Peterson, B. L., Pollak, K. I., Palmer, C. A., Westman, E. C., & Lyna, P. R. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.06.005 · Cited by 126 · see citing works
Perceived Barriers to Social Support from Family and Friends among Older Adults with HIV/AIDS
Schrimshaw, E. W., & Siegel, K. (2003) · Journal of Health Psychology · doi:10.1177/13591053030086007 · Cited by 122 · see citing works
Psychosocial Predictors of Postpartum Depression in Diverse Groups of Women
Logsdon, M. C., & Usui, W. M. (2001) · Western Journal of Nursing Research · doi:10.1177/019394590102300603 · Cited by 121 · see citing works
Edge, D., & MacKian, S. C. (2010) · Ethnicity and Health · doi:10.1080/13557850903418836 · Cited by 87 · see citing works
Howell, E. A., Balbierz, A., Wang, J., Parides, M., Zlotnick, C., & Leventhal, H. (2012) · Obstetrics & Gynecology · doi:10.1097/aog.0b013e318250ba48 · Cited by 78 · see citing works
Self-citationEffects of stress and social support on postpartum health of Chinese mothers in the United States
Cheng, C., & Pickler, R. H. (2009) · Research in Nursing & Health · doi:10.1002/nur.20356 · Cited by 71 · see citing works
Grice, M. M., Feda, D. M., McGovern, P., Alexander, B. H., McCaffrey, D., & Ukestad, L. K. (2007) · Annals of Epidemiology · doi:10.1016/j.annepidem.2007.05.002 · Cited by 62 · see citing works
Factors Related to Postpartum Depressive Symptoms in Low-Income Women
Boury, J. M., Larkin, K. T., & Krummel, D. A. (2004) · Women & Health · doi:10.1300/j013v39n03_02 · Cited by 58 · see citing works
The Postpartum Support Questionnaire: Reliability and Validity
Logsdon, M. C., Usui, W. M., Birkimer, J. C., & McBride, A. B. (1996) · Journal of Nursing Measurement · doi:10.1891/1061-3749.4.2.129 · Cited by 55 · see citing works
Psychosocial predictors of postpartum depressed mood in socioeconomically disadvantaged women.
Neter, E., Nl, C., Lobel, M., & Dunkel‐Schetter, C. (1995) · PubMed · Cited by 54 · see citing works
American Journal Of Preventive Medicine
Berg, R. L. (1986) · American Journal of Preventive Medicine · doi:10.1016/s0749-3797(18)31324-2 · Cited by 46 · see citing works
A comparison of adult and teenage mother's self-esteem and satisfaction with social support
McVeigh, C. A., & Smith, M. S. (2000) · Midwifery · doi:10.1054/midw.2000.0226 · Cited by 45 · see citing works
Women in transition: access and barriers to social support
Harrison, M. J., Neufeld, A., & Kushner, K. E. (1995) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.1995.21050858.x · Cited by 44 · see citing works
Effects of Clarification of Support Expectations in Prenatal Couples
Coffman, S. P., Levitt, M. J., & BROWN, L. (1994) · Nursing Research · doi:10.1097/00006199-199403000-00010 · Cited by 42 · see citing works
Lack of Preparation, Physical Health After Childbirth, and Early Postpartum Depressive Symptoms
Howell, E. A., Mora, P. A., Chassin, M. R., & Leventhal, H. (2010) · Journal of Women's Health · doi:10.1089/jwh.2008.1338 · Cited by 39 · see citing works
Self-citationEnhancing Social Support at the Workplace: Assessing the Effects of the Caregiver Support Program
Heaney, C. A. (1991) · Health Education Quarterly · doi:10.1177/109019819101800406 · Cited by 35 · see citing works
Postpartum depression, culture and African-American women.
Amankwaa, L. C. (2003) · PubMed · Cited by 34 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
Slomian, J., Honvo, G., Emonts, P., Reginster, J.-Y., & Bruyère, O. (2019) · Women's Health · doi:10.1177/1745506519844044 · Cited by 1,496 · see citing works
What matters to women in the postnatal period: A meta-synthesis of qualitative studies
Finlayson, K., Crossland, N., Bonet, M., & Downe, S. (2020) · PLOS ONE · doi:10.1371/journal.pone.0231415 · Cited by 307 · see citing works
Fahey, J. O., & Shenassa, E. (2013) · Journal of Midwifery & Women's Health · doi:10.1111/jmwh.12139 · Cited by 232 · see citing works
Pilkington, P. D., Milne, L. C., Cairns, K. E., Lewis, J., & Whelan, T. A. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.02.023 · Cited by 198 · see citing works
Morrell, C. J., Sutcliffe, P., Booth, A., Stevens, J., Scope, A., Stevenson, M., Harvey, R., Bessey, A., Cantrell, A., Dennis, C.-L., et al. (2016) · Health Technology Assessment · doi:10.3310/hta20370 · Cited by 155 · see citing works
Shorey, S., Chee, C. Y. I., Ng, E. D., Lau, Y., Dennis, C.-L., & Chan, Y. H. (2019) · Journal of Medical Internet Research · doi:10.2196/12410 · Cited by 125 · see citing works
Shorey, S., Lau, Y., Dennis, C., Chan, Y. S., Tam, W. W. S., & Chan, Y. H. (2017) · Journal of Advanced Nursing · doi:10.1111/jan.13293 · Cited by 110 · see citing works
First-time mothers’ perceptions of social support: Recommendations for best practice
De Sousa Machado, T., Chur-Hansen, A., & Due, C. (2020) · Health Psychology Open · doi:10.1177/2055102919898611 · Cited by 118 · see citing works
Shorey, S., Ng, Y. P. M., Ng, E. D., Siew, A. L., Mörelius, E., Yoong, J., & Gandhi, M. (2019) · Journal of Medical Internet Research · doi:10.2196/10816 · Cited by 97 · see citing works
“On the contrary, high levels of perceived PSE [23] and social support help to facilitate smoother transition to parenthood [24], leading to increased parental bonding, parenting satisfaction, and parenting competence [25], and lowered risks of PND [23] and postnatal anxiety (PNA) [26].”
BackgroundDol, J., Richardson, B., Murphy, G. T., Aston, M., McMillan, D., & Campbell-Yeo, M. (2020) · JBI Evidence Synthesis · doi:10.11124/jbisrir-d-19-00191 · Cited by 77 · see citing works
Kurth, E., Krähenbühl, K., Eicher, M., Rodmann, S., Fölmli, L., Conzelmann, C., & Zemp, E. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1300-2 · Cited by 68 · see citing works
Understanding maternal postpartum needs: A descriptive survey of current maternal health services
Almalik, M. M. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13812 · Cited by 59 · see citing works
Seeking social support and postpartum depression: A pilot retrospective study of perceived changes
O'Neill, P., Cycon, A., & Friedman, L. (2019) · Midwifery · doi:10.1016/j.midw.2019.01.003 · Cited by 38 · see citing works
Brown, S. G., Hudson, D. B., Campbell-Grossman, C., Kupzyk, K. A., Yates, B. C., & Hanna, K. M. (2018) · Western Journal of Nursing Research · doi:10.1177/0193945916682724 · Cited by 39 · see citing works
Intention to Seek Depression Treatment in Latina Immigrant Mothers
Logsdon, M. C., Morrison, D., Myers, J. A., Capps, J., & Masterson, K. M. (2018) · Issues in Mental Health Nursing · doi:10.1080/01612840.2018.1479905 · Cited by 13 · see citing works
- Authors
- Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E. A.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- City University of New York (US)
- Corresponding author
- Negron, Rennie
- ORCID
- Howell, Elizabeth A.
- Venue
- Maternal and Child Health Journal
- Published
- 2012-05-12
- Volume
- 17
- Issue
- 4
- Pages
- 616-623
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- PMC
- PMC3518627
- OpenAlex
- W1994519694
- Cited by
- 405
- References
- 41
- Citations by year
- 2026: 25 · 2025: 32 · 2024: 38 · 2023: 44 · 2022: 42 · 2021: 49 · 2020: 34 · 2019: 54 · 2018: 24 · 2017: 17 · 2016: 16 · 2015: 16 · 2014: 8 · 2013: 3 · 2012: 1
- FWCI
- 8.65
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Maternal and Child Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH077683, 5R01MH77683)
- National Institute on Minority Health and Health Disparities (P60MD000270)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Keywords
- social support, postpartum period, postpartum depression, mothers' needs, instrumental support, family and partner support, racial and ethnic differences, postpartum recovery, postpartum depression prevention
- MeSH terms
- Adolescent, Adult, Attitude to Health, Female, Health Services Needs and Demand, Humans, Mothers, New York City, Postnatal Care, Pregnancy, Social Support, Focus Groups, Depression, Postpartum, Postpartum Period
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