Lack of Preparedness

George, Lynn E.

doi:10.1097/00005721-200507000-00009

Cited by 59 publications

(34 citation statements)

References 7 publications

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“…Our results are consistent with other studies that have found that postpartum women feel inadequately prepared for the postpartum period [3, 16–18]. Women in our maternal focus groups also expressed dissatisfaction with the communication and preparation they had received for discharge.…”

Section: Discussionsupporting

confidence: 91%

Views of Women and Clinicians on Postpartum Preparation and Recovery

Martin

Horowitz

Balbierz

et al. 2013

Matern Child Health J

125

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To explore important domains of women’s postpartum experiences as perceived by postpartum mothers and obstetricians/midwives, and to investigate how postpartum care could enhance patient preparation for the postpartum period. Qualitative research study was conducted to explore women’s and clinicians’ perceptions of the postpartum experience. Four focus groups of postpartum women (n = 45) and two focus groups of obstetric clinicians (n = 13) were held at a large urban teaching hospital in New York City. All focus groups were audio recorded, transcribed, and analyzed using grounded theory. Four main themes were identified: lack of women’s knowledge about postpartum health and lack of preparation for the postpartum experience, lack of continuity of care and absence of maternal care during the early postpartum period, disconnect between providers and postpartum mothers, and suggestions for improvement. Mothers did not expect many of the symptoms they experienced after childbirth and were disappointed with the lack of support by providers during this critical time in their recovery. Differences existed in the major postpartum concerns of mothers and clinicians. However, both mothers and clinicians agreed that preparation during the antepartum period could be beneficial for postpartum recovery. Results from this study indicate that many mothers do not feel prepared for the postpartum experience. Study findings raise the hypothesis that capturing patient-centered domains that define the postpartum experience and integrating these domains into patient care may enhance patient preparation for postpartum recovery and improve postpartum outcomes.

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Section: Discussionsupporting

confidence: 91%

Views of Women and Clinicians on Postpartum Preparation and Recovery

Martin

Horowitz

Balbierz

et al. 2013

Matern Child Health J

125

View full text Add to dashboard Cite

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“…Individuals asked to make multiple behavior changes report feeling confused and overwhelmed [ 39 ] and this may push them to quit and return to their unhealthy lifestyles. Particularly, because new mothers are facing a variety of stressors, including sleep deprivation, hormonal changes, and the demands of caring for a newborn [ 40 ]. In addition, body dissatisfaction and depression increases significantly during postpartum periods [ 41 , 42 ].…”

Section: Discussionmentioning

confidence: 99%

Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy

et al. 2017

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BackgroundAn understanding of the dietary behaviors linked to substantial postpartum weight retention, particularly in women diagnosed with gestational diabetes (GDM), is warranted to focus intervention efforts to prevent future type 2 diabetes. This study evaluates the relationship between dietary food intake at 6–9 weeks postpartum (baseline) and odds of substantial postpartum weight retention (≥ 5 kg) at 1-year in women with GDM.MethodsThe Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT) is a prospective multi-ethnic cohort (75% minority) of 1035 women (aged 20–45 years) with recent GDM who delivered a singleton, live birth (≥35 weeks gestation) and underwent 2-h 75 g OGTTs, anthropometric measurements and other assessments at 6–9 weeks postpartum (baseline) and annually thereafter. Eight hundred and eighty-eight women without diabetes at baseline completed the 18-item PrimeScreen to assess dietary intake and the 13-item Caffeine Survey to assess beverage intake, and completed 1-year follow-up. Average postpartum weight retention was calculated (1-year postpartum weight minus pre-pregnancy weight). Multivariable logistic regression models that estimated baseline dietary intake and odds of substantial postpartum weight retention (SPPWR ≥5 kg above pre-pregnancy weight) versus not SPPWR adjusted for numerous clinical, sociodemographic and behavioral covariates.ResultsCompared to eating no fried foods, women who reported eating fried foods ≥5 servings/wk. (n = 32) and 2–4 serv/wk. (n = 208), respectively, had a three-fold and two-fold higher odds of SPPWR (OR = 3.38, 95% CI:1.36–8.38, P = 0.009; OR = 1.99, 95% CI:1.30–3.03, P = 0.02), after adjustment for covariates and other foods and soda intake. Soda intake ≥2 serv/wk. versus none was associated with higher odds of SPPWR (OR = 1.95, 95% CI:1.22–3.11, P = 0.005) adjusted for fried foods and covariates, but was attenuated (OR = 1.61,95% CI:0.98–2.66, p = 0.06) after addition of whole eggs and processed meats.ConclusionsThese findings indicate that interventions should focus on reducing fried foods and soda intake during early postpartum periods to reduce substantial postpartum weight retention in high-risk women with GDM.Trial registration NCT01967030; October 2013, Eunice Kennedy Shriver National Institute of Health and Human Development (NICHD).

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“…Informational support, particularly from health care providers, has long been thought to be important to new mothers to link them to broad and diverse information or to community resources. In addition, the provision of informational support, particularly through the educational and hands-on skills training sessions provided by nurses, has been considered an important component of the nurses’ role to facilitate the women’s transition to motherhood (George, 2005). There is some evidence that this type of support is associated with depressive symptoms during this transitional period.…”

Section: Introductionmentioning

confidence: 99%

Low-Income, African American, Adolescent Mothers’ Depressive Symptoms, Perceived Stress, and Social Support

et al. 2016

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The purpose of this descriptive repeated-measures study was to describe depressive symptom patterns and report changes over time in levels of perceived stress and social support depending on patterns of depressive symptoms in single, low-income, African American, adolescent mothers during the initial, 6-month postpartum period. Thirty-five adolescent subjects between the ages of 16 and 22 years old were recruited at health care clinics in two Midwestern cities. Data collections by advanced practice nurses were completed at 1 week, 6 weeks, 3 months, and 6 months postpartum at mothers’ homes. Established instruments were used to measure depressive symptoms, perceived stress and social support. Results indicated 63% of adolescent mothers’ experienced depressive symptoms sometime during this transition period and 11.4% of these subjects had depressive symptoms at all 4 time points. Depressive symptoms were associated with perceived stress at each time point. Emotional support was inversely associated with depressive symptoms at 2 of the 4 time points. Depressive symptoms and problematic support were significantly related at 3 months and 6 months. Although single, low-income, African American, adolescent mothers are considered a high risk group, some are at even greater risk. This extremely high risk group have depressive symptoms throughout the first 6 months postpartum with the highest level of perceived stress and the most variability in social support relative to groups that were never depressed or were in and out of depression. More studies are needed to understand how to best help these high risk adolescents successfully transition to motherhood.

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Lack of Preparedness

Abstract: Insight into the experiences of first-time mothers provides a framework for additional research and the development of programs and resources that will address their unique needs.

Cited by 59 publications

References 7 publications

Views of Women and Clinicians on Postpartum Preparation and Recovery

Views of Women and Clinicians on Postpartum Preparation and Recovery

Dietary variables associated with substantial postpartum weight retention at 1-year among women with GDM pregnancy

Low-Income, African American, Adolescent Mothers’ Depressive Symptoms, Perceived Stress, and Social Support

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