The limbo of motherhood: Women's experiences of major challenges to cope with the first pregnancy

Soltani, Farzaneh; Maleki, Azam; Shobeiri, Fatemeh; Shamsaei, Farshid; Ahmadi, Fazlollah; Roshanaei, Ghodratollah

doi:10.1016/j.midw.2017.08.009

Cited by 24 publications

(21 citation statements)

References 27 publications

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“…Women's expectation of spousal support during pregnancy was slightly different from received support, although both expected and received spousal support were very high in the study locations despite the predominance of patriarchal system. This contradicts existing ndings which state that socio-cultural dynamics may elicit different negative perceptions about spousal support during pregnancy [21,17,14]. This may result from the high value placed on fertility among the studied group [29].…”

Section: Discussioncontrasting

confidence: 85%

“…Previous studies have shown that socio-cultural dynamics may elicit different perceptions about spousal support during pregnancy [15,16,17]. For example, while a Fulani woman is expected to suppress pains during pregnancy in order for her to gain entry into the rite of passage [18,19], a typical Yoruba or Igbo woman is very vocal in the expressions of feelings especially during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Spousal Support during Pregnancy in the Nigerian Rural Context

Arisukwu¹,

Igbolekwu²,

Oyekola³

et al. 2020

Preprint

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BackgroundPregnancy constitutes a global health concern, thus the need for spousal support during this period cannot be overemphasised. This study examined the kinds of support pregnant women expected and received from their spouse as well as the effect of such supports during pregnancy, labour and delivery. MethodsThe study adopted both quantitative and qualitative methods of data collection. The respondents were selected using multistage and simple random sampling techniques. ResultsFindings showed that respondents expected and received maximum support from their spouses during pregnancy, labour and delivery. Spiritual support such as praying and fasting were top on the kinds of support pregnant women expected and received from their husbands during pregnancy and delivery. Others include, helping in house chores, financial provision, taking care of other children, accompanying to labour room, and sexual support. More than three-quarter of the respondents stated that maximum support from their husbands made pregnancy, labour and delivery easier. Cramer’s V showed that the association between support and husbands’ occupation was 0.233 and Pearson Chi-square showed that the association was statistically significant χ2(2) = 27.894,p< .001. ConclusionThe study concluded that spousal support during pregnancy was high among rural women in South-western Nigeria, and it impacted positively on their wife’s period of pregnancy, labour and delivery. The high level of spousal support should be sustained so as to promote family bonding and development.

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Section: Discussioncontrasting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Spousal Support during Pregnancy in the Nigerian Rural Context

Arisukwu¹,

Igbolekwu²,

Oyekola³

et al. 2020

Preprint

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“…This notwithstanding, there is limited study on disparities in maternal health services utilisation among women with varied delivery experiences. In a socio-cultural context, where pregnancy among unmarried women is stigmatized, and to some extent where pregnant teenagers disproportionately suffer emotional stress, first pregnancy is often hidden away [20][21][22], and thus reduces primigravidas' access to maternal health services. The 2016 Ugandan Demographic and Health Survey reports of a growing proportion of women under 20 years in childbearing, majority of whom have earlier start to sexual activities than age at marriage, and record the highest proportion (40%) of mistimed pregnancies.…”

Section: Introductionmentioning

confidence: 99%

Maternal health services utilisation among primigravidas in Uganda: what did the MDGs deliver?

et al. 2020

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Background: Achieving maternal health outcomes in the SDGs requires the implementation of more targeted policies and strategies. While the MDGs may have deepened our understanding in this regard, we know little about the trends in maternal health services utilisation among primigravidas, and how age and geographical regions could have influenced these trends. In this study, we examined utilisation of antenatal and skilled delivery services among primigravidas in Uganda, a country with one of the highest maternal mortality ratios, and where early childbearing and its attendant challenges are common. Methods: Guided by Andersen's Behavioural Model, we fitted multivariate regression models to a pooled dataset of the 2006, 2011 and 2016 Ugandan Demographic and Health Survey (n = 3477) to understand the dynamics in Antenatal Care (ANC) and Skilled Birth Attendance (SBAs) utilisation among primigravidas. Post-estimation margins were employed to further highlight the effect of age and geographical regions. Results: The analyses show an improvement in access to maternal health services among primigravidas from 2006 to 2016. Compared to 2006, primigravidas in 2016 were 48%, 24% and 2.98 times more likely to have early ANC, four or more ANC visits, and SBAs, respectively. Altogether, a primigravida in 2016 relative to 2006 was 42% more likely to meet all three maternal health service indicators. Post-estimation margins analyses on age and geographical disparities revealed that younger primigravidas have lower probability, while primigravidas in Eastern Region, one of the most deprived in the country, have the lowest probability of accessing maternal health services. Also, the study found education, wealth, women's household decision-making power, place of residence as important determinants of ANC visits and SBAs. Conclusions: Based on our findings, it is important to address the vulnerabilities of primigravidas, particularly younger individuals, in accessing early ANC. Uganda should scale-up decentralisation and integration of maternal health delivery in local communities as a strategy of addressing lingering geographical disparities, and ultimately improve maternal health outcomes in the SDGs period.

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“…This is particularly relevant to rst-time families where low PSE is often seen among rst-time parents [18]. Speci cally, rsttime mothers tend to experience di culties and are vulnerable to emotional distress due to the uncertainties, maladjustments and new challenges faced, including antenatal requirements/ demands, intense lifestyle changes, adaptation as a new parent, physical and nancial burden, during both pregnancy and postpartum periods [19][20][21]. The lack of experience, knowledge and skills in antenatal care, childbirth, breastfeeding, infant care and coping strategies have placed them in great needs to acquire social and professional supports [6,22,23].…”

Section: Introductionmentioning

confidence: 99%

A Community-enabled Readiness for first 1000 Days Learning Ecosystem (CRADLE) for first-time families: study protocol of a three-arm randomised controlled trial

Loy,

Teo

et al. 2020

Preprint

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Background: Enhanced parenting self-efficacy (PSE) contributes to positive parenting and future parental-child health. First-time parents, in particular, are in need of support since the pregnancy until post-delivery to strengthen their early PSE. However, there is a lack of effective and sustainable relevant programmes in the community. The Community-enabled Readiness for first 1000 Days Learning Ecosystem (CRADLE) aims to develop a self-learning eco-community throughout the pregnancy and early childhood to promote PSE among first-time parents. We apply choice architecture strategy using behavioural nudges and midwife-led continuity care during the first 1000 days, and test their effects on PSE and mother-child health for first-time families in Singapore. Methods: This three-arm randomised controlled trial will recruit up to 750 pregnant women from the KK Women’s and Children’s Hospital, Singapore. Participants will be randomly assigned to receive: (1) standard routine care; (2) behavioural nudges (text messages) along with the use of a social media platform; or (3) midwife-led continuity care involving home visits, during pregnancy and post-delivery. Using web-based questionnaires, participants will be assessed for baseline socio-demography and health status in the first trimester, with follow-up assessments in the third trimester, at birth, 6-week (primary end-point), 6-, 12-, 18- and 24-month post-delivery. The primary outcome is PSE. Secondary outcomes include health and birth experience, mental wellness, feeding practice, maternal and child nutritional status. Intention-to-treat and per-protocol analyses will be performed using linear regression mixed models to test the effects of interventions across time-point. Recruitment is projected to begin in June 2020 and end in May 2021.Discussion: This study may identify a sustainable effective strategy in the community by helping first-time parents to have a positive experience during the pregnancy, childbirth and parenthood, leading to an enhanced PSE and health outcomes for both mother and child. Findings from this study will provide insight into the implementation of early parenting and mother-child care programmes. Trial registration: ClinicalTrials.gov, NCT 04275765. Registered on 19 February 2020, https://clinicaltrials.gov/ct2/show/NCT04275765?term=NCT+04275765&draw=2&rank=1.

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The limbo of motherhood: Women's experiences of major challenges to cope with the first pregnancy

Cited by 24 publications

References 27 publications

Spousal Support during Pregnancy in the Nigerian Rural Context

Spousal Support during Pregnancy in the Nigerian Rural Context

Maternal health services utilisation among primigravidas in Uganda: what did the MDGs deliver?

A Community-enabled Readiness for first 1000 Days Learning Ecosystem (CRADLE) for first-time families: study protocol of a three-arm randomised controlled trial

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