Henshaw Erin J, Cooper Marie A, Jaramillo Manuela, Lamp Jane M, Jones Audrey L, Wood Teresa L
Denison University Psychology Department, 100 West College Street, Granville, OH, 43023, USA.
OhioHealth Riverside Methodist Hospital, 3535 Olentangy River Rd, Columbus, OH, 43214, USA.
Matern Child Health J. 2018 Nov;22(11):1668-1675. doi: 10.1007/s10995-018-2565-3.
Objectives The first 6 weeks postpartum represent a time of significant adjustment and learning for parents. Healthcare providers accurately understanding parents' needs and preferences regarding support, education, and services during this critical time is essential for optimizing maternal and infant health. The first objective of this study was to explore parents' experiences adjusting to the parenting role during the first 6 weeks postpartum. The second objective was to elicit from parents where and how they sought support and information during the early postpartum period, and what hindered this process. Methods Five focus groups were conducted with 33 mothers and fathers of young children, stratified by ethnicity, education, and income. An interdisciplinary team thematically coded verbatim transcripts and identified emergent themes. Results Main themes included low confidence in parenting and sifting through parenting information. Additional themes included communicating with partner about changing roles, breastfeeding, maternal mental health, and maternal postpartum recovery. Low parenting confidence was closely linked with information seeking, yet participants expressed being overwhelmed by the task of managing conflicting parenting information. Women reported that providers focused on infant needs, leaving them feeling unprepared for their own mental and physical health needs. Conclusions for Practice Parents report extensive needs for education and support in the early postpartum period, yet also report feeling overwhelmed by the quantity of parenting information available. These findings suggest parents need and desire reliable healthcare education after discharge that includes parent health and adjustment.
目标 产后的前6周对父母来说是重大调整和学习的时期。医疗保健提供者在此关键时期准确了解父母在支持、教育和服务方面的需求和偏好,对于优化母婴健康至关重要。本研究的首要目标是探索父母在产后前6周适应育儿角色的经历。第二个目标是了解父母在产后早期从何处以及如何寻求支持和信息,以及阻碍这一过程的因素。方法 对33名幼儿的父母(按种族、教育程度和收入分层)进行了5次焦点小组讨论。一个跨学科团队对逐字记录进行了主题编码,并确定了新出现的主题。结果 主要主题包括育儿信心低和筛选育儿信息。其他主题包括与伴侣就角色变化、母乳喂养、产妇心理健康和产后恢复进行沟通。育儿信心低与信息寻求密切相关,但参与者表示,管理相互矛盾的育儿信息的任务让他们不堪重负。女性报告称,提供者关注婴儿需求,使她们对自己的身心健康需求毫无准备。实践结论 父母报告在产后早期对教育和支持有广泛需求,但也报告称,可用的育儿信息量让他们不堪重负。这些发现表明,父母在出院后需要并渴望获得可靠的医疗保健教育,包括父母健康和适应情况。