Department of Psychology, Drexel University, Philadelphia, PA 19104, USA.
Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Int J Environ Res Public Health. 2020 Aug 19;17(17):6021. doi: 10.3390/ijerph17176021.
During the first twelve months postpartum, infants require intensive care and mothers are susceptible to physical and mental health concerns as they undergo a period of tremendous psychological and physiological adjustment. The mother's level of postpartum functioning not only impacts her experience as a mother but also the infant and family unit. However, efforts to bolster functioning are lacking, and previous literature has identified a gap between what experts recommend and what mothers desire during the postpartum period. To address this, we conducted structured interviews with a diverse sample of 30 postpartum mothers to identify factors that mothers report are most influential to their postpartum functioning. In total, we identified 23 clinically actionable factors, all of which are backed by existing literature. In addition to an in-depth presentation of the qualitative findings, we also present a heat map to visualize the relevance of these factors to each of seven established domains of maternal functioning. Lastly, based on our findings, we offer a taxonomy of interventional strategies that could bolster maternal functioning during this critical period.
在产后的头 12 个月里，婴儿需要精心护理，而母亲在经历巨大的心理和生理调整期时，容易出现身心健康问题。母亲的产后功能水平不仅影响她作为母亲的体验，也影响婴儿和家庭单位。然而，促进功能的努力却不足，先前的文献已经确定了专家建议和母亲在产后期间所期望的之间存在差距。为了解决这个问题，我们对 30 名不同的产后母亲进行了结构化访谈，以确定母亲报告对其产后功能最有影响的因素。总的来说，我们确定了 23 个具有临床操作性的因素，所有这些因素都有现有文献支持。除了深入介绍定性研究结果外，我们还提供了一个热图，以可视化这些因素与母亲功能的七个既定领域中的每一个的相关性。最后，根据我们的研究结果，我们提出了一个干预策略分类法，可以在这一关键时期促进母亲的功能。
