Recovery after childbirth: A qualitative study of postpartum women

Baghirzada, Leyla; Ibrahimov, Fuad; Macarthur, AJ

doi:10.15761/cogrm.1000210

Cited by 3 publications

(3 citation statements)

References 14 publications

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“…23 One study conducted in Canada among 32 patients postpartum from vaginal and cesarean birth identified similar themes as presented in this study. 23 Consistent themes included the impact of pain on activities of daily life, hesitancy regarding pharmacologic methods of pain management, and concerns regarding opioid use. In our analysis, although there was high variability in the physical experience of postpartum pain, themes related to pain as a meaningful aspect of birth were consistently identified.…”

Section: Discussionsupporting

confidence: 73%

“…Few studies have explored this with regard to the postpartum pain experience. 23 One study conducted in Canada among 32 patients postpartum from vaginal and cesarean birth identified similar themes as presented in this study. 23 Consistent themes included the impact of pain on activities of daily life, hesitancy regarding pharmacologic methods of pain management, and concerns regarding opioid use.…”

Section: Discussionsupporting

confidence: 73%

“…Few studies have explored this with regard to the postpartum pain experience 23 . One study conducted in Canada among 32 patients postpartum from vaginal and cesarean birth identified similar themes as presented in this study 23 .…”

Section: Discussionsupporting

confidence: 60%

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Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Badreldin

DiTosto

Leziak

et al. 2023

J Midwife Womens Health

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IntroductionPain is the most common postpartum concern and has been associated with adverse outcomes, such as difficulty with neonatal bonding, postpartum depression, and persistent pain. Furthermore, racial and ethnic disparities in the management of postpartum pain are well described. Despite this, less is known regarding patients’ lived experiences regrading postpartum pain. The purpose of this study was to assess patient experiences related to postpartum pain management after cesarean birth.MethodsThis is a prospective qualitative study of patients’ experiences with postpartum pain management after cesarean birth at a single large tertiary care center. Individuals were eligible if they had publicly funded prenatal care, were English or Spanish speaking, and underwent a cesarean birth. Purposive sampling was used to ensure a racially and ethnically diverse cohort. Participants underwent in‐depth interviews using a semistructured interview guide at 2 time points: postpartum day 2 to 3 and 2 to 4 weeks after discharge. Interviews addressed perceptions and experiences of postpartum pain management and recovery. Data were analyzed using the constant comparative method.ResultsOf 49 participants, 40.8% identified as non‐Hispanic Black and 40.8% as Hispanic. The majority (59.2%) had experienced a cesarean birth with a prior pregnancy. Thematic analysis yielded 2 overarching domains: (1) experience of pain after cesarean birth and (2) pain management and opioid use after cesarean birth. Themes related to the experience of pain included pain as a meaningful experience, pain not aligned with expectations, and limitations caused by pain. All participants discussed limitations caused by their pain, voicing frustration with pursuing activities of daily living, caring for home and family, caring for neonate, and impact on mood. Themes related to pain management and opioid use addressed a desire for nonpharmacologic pain management, positive and negative experiences using opioids, and hesitancy and perceived judgement regarding opioid use. Several participants described experiences of judgement regarding the request for opioids and needing stronger pain medications, such as oxycodone.DiscussionUnderstanding experiences regarding postpartum cesarean pain management and recovery is essential to improving patient‐centered care. The experiences identified by this analysis highlight the need for individualized postpartum pain management, improved expectation counseling, and the expansion of multimodal pain management options.

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Section: Discussionsupporting

confidence: 73%

Section: Discussionsupporting

confidence: 73%

See 1 more Smart Citation

Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Badreldin

DiTosto

Leziak

et al. 2023

J Midwife Womens Health

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Design and Psychometrics Properties of Postpartum Sexual and Reproductive Health Questionnaire: An Exploratory Mixed Methods Study Protocol (Preprint)

Behboodi Moghadam Jr

2024

Preprint

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BACKGROUND The researchers decided to develop a questionnaire to investigate mothers’ sexual and reproductive health during this period by investigating the understanding of women of the concept of sexual and reproductive health. OBJECTIVE Explaining the concept of sexual and reproductive health in women in the postpartum period METHODS This research will be conducted using a sequential exploratory combination design with the aim of classical instrument design. The study will be done in 2 stages. The first stage will include the evaluation and investigation of women's understanding of the concept of sexual health and fertility in the postpartum period. To this end, a qualitative study will be performed using a conventional content analysis approach and in-depth, semi-structured face-to-face interviews. The target population will include women in the first 6 weeks to 12 months after giving birth who refer to health centers in Ilam City (if necessary, some of these women's spouses or nurses can also be interviewed). In the second stage, using the results of the qualitative section and literature review, the evaluation of the criteria will be done to complete the items, and finally, the items of the new questionnaire will be determined. RESULTS Most of the existing questionnaires are either general tools for examining sexual and reproductive health or questionnaires for investigating sexual performance. As a result, sexual and reproductive health during the postpartum period has been neglected. So far, no study has been dedicated to specifically explaining women’s understanding of the concept of sexual and reproductive health in the postpartum period or to developing a tool to evaluate this aspect of women’s health based on the obtained results. CONCLUSIONS It is expected that by using the findings obtained from the first stage of this study, it would be possible to design a tool that can specifically examine sexual and reproductive health in the postpartum period.

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Postpartum care promotion based on maternal education needs

Nazari

Hajian

Abbasi

et al. 2021

Journal of Education and Health Promotion

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BACKGROUND: The postpartum period can be considered as one of the most sensitive stages of life in different countries; however, it is inadequate in many developed and developing countries. We aimed to determine the educational needs of mothers in the postpartum period in Bojnourd. MATERIALS AND METHODS: This study was conducted in Bojnourd 2019 with two parts: a qualitative part using the content analysis method and a quantitative part using the descriptive cross-sectional method. Data were collected 45 interviews with women, spouses, and key informants. All content was recorded and fully transcribed on paper. MaxQda10software was used for the data management. A simultaneous descriptive cross-sectional study was done including 250 pregnant in the third trimester (25.6%), in the first 48 h after delivery (24.4%), in the first 6 months after delivery (24.4%), and in the second 6 months after childbirth (25.6%) who referred to five health centers in Bojnourd to receive midwifery care. Quota sampling was performed for each center according to the population covered, and convenient sampling was done in each center. RESULTS: In the qualitative study, educational needs were classified into four main categories, including “maintaining and restoring physical health,” “sexual health needs,” “mental health needs,” and “educational barriers.” In the quantitative study, according to the findings, the most educational needs among mothers were self-care and breastfeeding and the best time for teaching was during the pregnancy, and the best method was face-to-face training and the best source of information was midwives and gynecologists. CONCLUSION: Attention to the educational needs of each region can be done through various training courses and continuous retraining to promote health provider and should be considered in the planning officials.

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Recovery after childbirth: A qualitative study of postpartum women

Cited by 3 publications

References 14 publications

Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Understanding the Postpartum Cesarean Pain Experience Among Individuals With Publicly Funded Insurance: A Qualitative Investigation

Design and Psychometrics Properties of Postpartum Sexual and Reproductive Health Questionnaire: An Exploratory Mixed Methods Study Protocol (Preprint)

Postpartum care promotion based on maternal education needs

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