Haute Ecole de Santé/Hautes Ecoles Spécialisées de Suisse Occidentale, 47 Avenue de Champel, Geneva, Switzerland.
Midwifery. 2011 Apr;27(2):237-42. doi: 10.1016/j.midw.2009.06.005. Epub 2009 Sep 23.
to identify problems and events perceived as stressful by primiparous mothers during the postpartum period, and to explore the social support and coping strategies they used to face these situations.
a qualitative study. Data were collected via semi-structured interviews and analysed using a content-analysis method.
Geneva University Hospitals, Geneva, Switzerland from October 2006 to March 2007.
60 women interviewed six weeks after the birth at term of their first child.
during the early postpartum period, interaction with caregivers was an important source of perceived stress. Upon returning home, the partner was considered as the primary source of social support, but the first need expressed was for material support. Breast feeding was perceived negatively by the new mothers, and this may be due to the difference between the actual problems encountered and the idealised expectations conveyed by prenatal information. Educational information dispensed by medical staff during the prenatal period was not put into practice during the postpartum period. Mothers expressed the need to be accompanied and counselled when problems arose and regretted the lack of long-term postpartum support.
both the prenatal education and postpartum social support seem to mismatch women's needs and expectations. Concerted efforts are required by health professionals at the maternity unit and in the community to provide mothers with more adequate postpartum assistance.
识别初产妇在产后期间感知到的问题和压力事件，并探讨她们用来应对这些情况的社会支持和应对策略。
定性研究。通过半结构化访谈收集数据，并使用内容分析法进行分析。
瑞士日内瓦大学附属医院，2006 年 10 月至 2007 年 3 月。
60 名妇女在足月分娩后六周接受访谈。
在产后早期，与护理人员的互动是感知压力的一个重要来源。回到家后，伴侣被认为是主要的社会支持来源，但首先表达的需求是物质支持。新妈妈们对母乳喂养的看法是负面的，这可能是由于实际遇到的问题与产前信息所传达的理想化期望之间存在差异。医务人员在产前阶段提供的教育信息在产后阶段没有得到实施。母亲们表示，当出现问题时需要陪伴和咨询，并对缺乏长期产后支持感到遗憾。
产前教育和产后社会支持似乎都不能满足妇女的需求和期望。产妇单位和社区的卫生专业人员需要共同努力，为母亲提供更充分的产后帮助。
