Exploring the perspectives and identifying the challenges of postnatal mothers delivered at a not-for-profit tertiary care referral centre in Vellore, South India: a qualitative study
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20252334Keywords:
Postnatal women, Pain interfered, Nutrition of postnatal womenAbstract
Background: Our study aimed to explore the perspectives of postnatal women and identify the emotional, psychological and physical challenges in the post-natal period.
Methods: Women who delivered in a not-for-profit tertiary referral centre in South India and had postnatal visits in the last quarter of 2022 were contacted for an in-depth interview after verbal informed consent. Snowball sampling was used to contact postnatal women who fulfilled the eligibility criteria till data saturation was reached.
Result: Overall, 27 interviews were recorded based on the inclusion criteria of the study. After the initial coding, five themes evolved namely: Emotional challenges and response to motherhood; physical pain and self-care; cultural practices and support; financial responsibilities and support; and postnatal care beyond maternal nutrition and breastfeeding. Women who accepted their new role as mothers found ways to manage their time between self-care and care of the newborn. Choosing to stay at home for child care was difficult for women who were working earlier. Mothers were apprehensive of the next pregnancy and sexual health was affected in women who decided not to get pregnant again.
Conclusion: Pain interfered with self-care, care of the newborn and daily routine. Nutrition of postnatal women and perineal and newborn care were influenced by local beliefs that interfered with the discharge advice given by health care professionals. Postnatal women decided to go to a closer health centre for minor illnesses of the newborn or postpartum complaints. Birth spacing, Contraception, urinary and bowel symptoms were not addressed regularly at the time of discharge.
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References
WHO recommendations on maternal and newborn care for a positive postnatal experience. Available at: https://iris.who.int/bitstream. Accessed on 14 February 2025.
The United Nations Sustainable Development Goals. Available at: https://sdgs.un.org/goals. Accessed on 21 March 2025.
Wojcieszek AM, Bonet M. WHO recommendations on maternal and newborn care for a positive postnatal experience: strengthening the maternal and newborn care continuum: BMJ Global Health. 2023;8:10992. DOI: https://doi.org/10.1136/bmjgh-2022-010992
Finlayson K, Crossland N, Bonet M, Downe S. What matters to women in the postnatal period: A meta-synthesis of qualitative studies. PLoS One. 2020;15(4):231415. DOI: https://doi.org/10.1371/journal.pone.0231415
Martin A, Horowitz C, Balbierz A, Howell EA. Views of women and clinicians on postpartum preparation and recovery. Matern Child Health J. 2014;18(3):707-13. DOI: https://doi.org/10.1007/s10995-013-1297-7
Al Hadi A, Paliwoda M, Dawson J, Walker K, New K. Women's Utilisation, Experiences and Satisfaction with Postnatal Follow-up Care: Systematic literature review. Sultan Qaboos Univ Med J. 2022;22(4):455-71. DOI: https://doi.org/10.18295/squmj.10.2022.059
Newbrander W, Natiq K, Shahim S, Hamid N, Skena NB. Barriers to appropriate care for mothers and infants during the perinatal period in rural Afghanistan: a qualitative assessment. Glob Public Health. 2014;9(1):93-109. DOI: https://doi.org/10.1080/17441692.2013.827735
Meera G. Postpartum and newborn care. A qualitative study." Indian J Comm Heal. 2018;3:163-5. DOI: https://doi.org/10.47203/IJCH.2018.v30i02.012
Saxena V, Jelly P, Sharma R. An exploratory study on traditional practices of families during the perinatal period among traditional birth attendants in Uttarakhand. J Family Med Prim Care. 2020;9(1):156-61. DOI: https://doi.org/10.4103/jfmpc.jfmpc_697_19
Withers M, Kharazmi N, Lim E. Traditional beliefs and practices in pregnancy, childbirth and postpartum: A review of the evidence from Asian countries. Midwifery. 2018;56:158-70. DOI: https://doi.org/10.1016/j.midw.2017.10.019
Pallika S, Rasania S. Gender of the baby and its impact on the health-related quality of life of postpartum women. Indian J Comm Fam Med. 2021;8(1):14-7. DOI: https://doi.org/10.4103/ijcfm.ijcfm_105_21
Jayanthi TP, Suresh S, Padmanaban P. Primary health centres: preferred option for birthing care in Tamilnadu, India, from users' perspectives. J Health Popul Nutr. 2015;33(1):177-86.
Naderifar M, Goli H, Ghaljaie F. Snowball sampling: A purposeful method of sampling in qualitative research. Strides Dev Med Edu. 2017;14(3):78. DOI: https://doi.org/10.5812/sdme.67670
Finlayson K, Sacks E, Brizuela V, Crossland N, Cordey S, Ziegler D, et al. Factors that influence the uptake of postnatal care from the perspective of fathers, partners and other family members: a qualitative evidence synthesis. BMJ Glob Health. 2023;8(2):11086. DOI: https://doi.org/10.1136/bmjgh-2022-011086
Sacks E, Finlayson K, Brizuela V, Crossland N, Ziegler D, Sauvé C et al. Factors that influence the uptake of routine postnatal care: Findings on women's perspectives from a qualitative evidence synthesis. PLoS One. 2022;17(8):270264. DOI: https://doi.org/10.1371/journal.pone.0270264
Bhattacharyya S, Issac A, Rajbangshi P, Srivastava A, Avan BI. "Neither we are satisfied nor they"-users and provider's perspective: a qualitative study of maternity care in secondary level public health facilities, Uttar Pradesh, India. BMC Health Serv Res. 2015;15:421. DOI: https://doi.org/10.1186/s12913-015-1077-8
Chaurasiya SK, Singh NP, Shukla SK, Bajpai PK, Mathew DJ. Assessment of the services of ASHA workers on antenatal and postnatal care in a district of western Uttar Pradesh, India. J Family Med Prim Care. 2020;9(7):3502-7. DOI: https://doi.org/10.4103/jfmpc.jfmpc_381_20
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