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Cited by 15Maternal and Neonatal HealthcareMaternal Mental Health During Pregnancy and PostpartumGlobal Maternal and Child Health

Young women’s social support networks during pregnancy in soweto, South Africa

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Mabetha, Khuthala, Soepnel, Larske M., Klingberg, Sonja, Mabena, Gugulethu, Motlhatlhedi, Molebogeng, Norris, Shane A, Draper, Catherine E.·2024·African Journal of Primary Health Care & Family Medicine
DOI 10.4102/phcfm.v16i1.4146PMC PMC11079395
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Abstract

Background: Although studies from high-income countries have examined social support during pregnancy, it remains unclear what type of support is received by expectant mothers from low- and middle-income country settings. Aim: To explore young women’s social support networks during pregnancy in Soweto, South Africa. Setting: This study was undertaken in an academic hospital based in the Southwestern Townships (Soweto), Johannesburg, in Gauteng province, South Africa. Methods: An exploratory descriptive qualitative approach was employed. Eighteen (18) young pregnant women were recruited using a purposive sampling approach. In-depth interviews were conducted, and data were analysed using inductive thematic analysis. Results: Analysis of the data resulted in the development of two superordinate themes namely; (1) relationships during pregnancy and (2) network involvement. Involvement of the various social networks contributed greatly to the young women having a greater sense of potential parental efficacy and increased acceptance of their pregnancies. Pregnant women who receive sufficient social support from immediate networks have increased potential to embrace and give attention to pregnancy-related changes. Conclusion: Focusing on less-examined characteristics that could enhance pregnant women’s health could help in the reduction of deaths that arise because of pregnancy complications and contribute in globally accelerating increased accessibility to adequate reproductive health. Contribution: This study’s findings emphasise the necessity for policymakers and healthcare providers to educate the broader community about the importance of partner, family and peer support to minimise risks that may affect pregnancy care and wellbeing of mothers.

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  • Significant empirical research from Soweto cohorts has expanded the literature on adolescent pregnancy risk factors, perinatal social support, pregnancy termination decision-making, and postpartum mental health among Soweto mothers.

    “While significant empirical research from Soweto cohorts has expanded the literature on a range of topics, including adolescent pregnancy risk factors, perinatal social support, pregnancy termination decision-making, and postpartum mental health among Soweto mothers (38–41).”

    From “Motherhood is a work in progress”: a qualitative longitudinal study of maternal subjectivity and well-being of women in the Bukhali trial in Soweto, South Africa (2026) · cites this paper as [39]

  • The South African National Mental Health Policy Framework and Strategic Plan 2023-2030 states that action is required to develop mental health promotion/mental illness prevention programs, particularly at key developmental life stages including pregnancy, early childhood, adolescence, and old age.

    “For example, the South African National Mental Health Policy Framework and Strategic Plan 2023–2030 states that action is required to develop mental health promotion/mental illness prevention programs, particularly at key developmental life stages including pregnancy, early childhood, adolescence, and old age [55].”

    From Exploring the effects of mental health on bonding and caregiving among pregnant and postpartum persons with likely depression and/or PTSD in South Africa: a qualitative analysis (2026) · cites this paper as [55]

    The Introduction discusses mental health risks during pregnancy, and the Discussion recommends support for expectant mothers, but neither passage describes the South African National Mental Health Policy Framework and Strategic Plan 2023–2030. Searches for the policy title and for its claimed life-stage priorities found no passage addressing what the policy states. (LLM, conf=0.77)

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Cited by

Sorted by citations

Authors
Mabetha, K., Soepnel, L. M., Klingberg, S., Mabena, G., Motlhatlhedi, M., Norris, S. A., & Draper, C. E.
Affiliations
South African Medical Research Council (ZA)
Corresponding author
Mabetha, Khuthala
ORCID
Venue
African Journal of Primary Health Care & Family Medicine
Publisher
AOSIS
Published
2024-04-29
Volume
16
Issue
1
Pages
e1-e11
ISSN
  • 2071-2928 (ISSN-L)
  • 2071-2936
DOI
10.4102/phcfm.v16i1.4146
PMC
PMC11079395
OpenAlex
W4396214657
Cited by
15
References
2
Citations by year
2026: 7 · 2025: 5 · 2024: 2 · 2023: 1
FWCI
8.22
Type
journal article
Language
en
Open access
Licence
Locations
  • African Journal of Primary Health Care & Family Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • ePrints Soton (University of Southampton) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Utrecht University Repository (Utrecht University) (submittedVersion, cc-by)
Funders
  • South African Medical Research Council
  • Canadian Institutes of Health Research
  • Medical Research Council
Topics
  • 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
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
social support networks, pregnancy, young women, pregnant women, peer support, family support, partner support, parental efficacy, pregnancy acceptance, reproductive health, Soweto, South Africa
MeSH terms
Adolescent, Adult, Female, Humans, Interviews as Topic, Pregnancy, Social Support, South Africa, Qualitative Research, Pregnant People, Pregnant Women, Young Adult

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