The early postnatal period: Exploring women's views, expectations and experiences of care using focus groups in Victoria, Australia
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BACKGROUND: There is growing evidence from Australia and overseas that the care provided in hospital in the early postnatal period is less than ideal for both women and care providers. Many health services face increasing pressure on hospital beds and have limited physical space available to care for mothers and their babies. We aimed to gain a more in-depth understanding of women's views, expectations and experiences of early postnatal care. METHODS: We conducted focus groups in rural and metropolitan Victoria, Australia in 2006. Fifty-two people participated in eight focus groups and four interviews. Participants included eight pregnant women, of whom seven were pregnant with their first baby; 42 women who were in the postpartum period (some up to twelve months after the birth of their baby); and two partners. All participants were fluent in English. Focus group guides were developed specifically for the study and explored participants' experiences and/or expectations of early postnatal care in hospital and at home, with an emphasis on length of hospital stay, professional and social support, continuity of care, and rest. Discussions were audio-taped and transcribed verbatim. A thematic network was constructed to describe and connect categories with emerging basic, organizing, and global themes. RESULTS: Global themes that emerged were: anxiety and/or fear; and the transition to motherhood and parenting. The needs of first time mothers were considered to be different to the needs of women who had already experienced motherhood. The women in this study were generally concerned about the safety of their new baby, and lacked confidence in themselves as new mothers regarding their ability to care for their baby. There was a consistent view that the physical presence and availability of professional support helped alleviate these concerns, and this was especially the case for women having a first baby. CONCLUSION: Women have anxieties and fears around early parenting and their changing role, and may consider that the physical availability of professional care providers will help during this time. Care providers should be cognisant of these potential issues. It is crucial that women's concerns and needs be considered when service delivery changes are planned. If anxiety around new parenting is a predominant view then care providers need to recognise this and ensure care is individualised to address each woman's/families particular concerns.
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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 [160]
The Results section, “First time mothers compared with those who had experience” (page unavailable), identifies physical health, anxiety, and adjustment to parenting as concerns in the early postnatal period. The paper supports physical and emotional needs after childbirth, but its focus on early care does not establish that those needs persist throughout the year after childbirth. (LLM, conf=0.88)
Experimental — accuracy not yet measuredA shorter hospital stay asks for individualised care that takes into account stressors and challenges that mothers are confronted with in the postpartum period.
“A shorter hospital stay askes for individualised care (Forster, et al., 2008) that takes into account stressors and challenges that mothers are confronted with in the postpartum period (Christie, et al., 2008; Forster, et al., 2008; Hjälmhult & Lomborg, 2010; KCE, 2014).”
From A systematic approach towards the development of quality indicators for postnatal care after discharge in Flanders, Belgium (2017) · cites this paper as Forster, et al., 2008
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- Authors
- Forster, D. A., McLachlan, H. L., Rayner, J., Yelland, J., Gold, L., & Rayner, S.
- Affiliations
- La Trobe University (AU)
- Murdoch Children's Research Institute (AU)
- Deakin University (AU)
- Corresponding author
- Forster, Della A
- Venue
- BMC Pregnancy and Childbirth
- Published
- 2008-07-22
- Volume
- 8
- Issue
- 1
- Pages
- 27-27
- ISSN
- 1471-2393 (ISSN-L)
- PMC
- PMC2503951
- OpenAlex
- W2048314731
- Cited by
- 193
- References
- 21
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 10 · 2023: 7 · 2022: 8 · 2021: 6 · 2020: 23 · 2019: 11 · 2018: 11 · 2017: 14 · 2016: 13 · 2015: 13 · 2014: 20 · 2013: 11 · 2012: 14
- FWCI
- 9.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- BMC Pregnancy and Childbirth (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Minerva Access (University of Melbourne) (submittedVersion, cc-by)
- La Trobe University (cc-by)
- Funders
- La Trobe University
- Barwon Health Foundation
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Maternal and Perinatal Health Interventions
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Keywords
- early postnatal care, postpartum period, women's experiences of care, postpartum anxiety, transition to motherhood, parental confidence, professional support, continuity of care, length of hospital stay, primiparous women, partner perspectives, Victoria, Australia
- MeSH terms
- Anxiety, Attitude to Health, Breast Feeding, Fear, Female, Patient Care, Humans, Infant Care, Infant, Newborn, Interviews as Topic, Length of Stay, Population Surveillance, Postnatal Care, Victoria, Parenting, Focus Groups, Qualitative Research, Postpartum Period
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