Views of Women and Clinicians on Postpartum Preparation and Recovery

Martin, Anika; Horowitz, Carol R.; Balbierz, Amy; Howell, Elizabeth A.

doi:10.1007/s10995-013-1297-7

Cited by 122 publications

(111 citation statements)

References 27 publications

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“…The current system provides frequent maternal care prenatally, but less so to the new dyad postnatally when breastfeeding support may be essential. Our study confirmed and built on the findings of Martin et al 8 that the postpartum gap in care is problematic and that few HPs are providing care or know what care is provided during this time. Also consistent with prior research, 9 there was general consensus among our participants that better prenatal breastfeeding care is needed to prepare women before labor and delivery.…”

Section: Discussionsupporting

confidence: 87%

“…8,30,31 In our study, physicians noted that time providing breastfeeding care may not be reimbursable, which may be an important barrier, particularly for those who care for a high proportion of women of low socioeconomic status and work in busy clinics. Furthermore, one physician reported that he primarily provides breastfeeding care for his private patients.…”

Section: Discussionmentioning

confidence: 86%

“…8 This research did not specifically investigate breastfeeding care. Other research has indicated inadequacies in breastfeeding care at prenatal visits providing breastfeeding care.…”

mentioning

confidence: 99%

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Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Garner

Ratcliff

Thornburg

et al. 2016

Breastfeeding Medicine

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Background: Breastfeeding rates in the United States are suboptimal. Health professionals (HPs) have a unique opportunity to support breastfeeding because of the frequency and timing of their visits with mothers and infants as well as their call by professional organizations to do so. The objective of this study was to understand HPs' perceived roles and experiences with providing breastfeeding-related care. Materials and Methods: In-depth qualitative interviews were conducted with 34 HPs (obstetricians, midwives, pediatricians, nurses, and lactation consultants) who care for pregnant or lactating women. Interviews were audio-recorded, transcribed, and verified for accuracy; content analysis was used to identify themes using a grounded theory approach. Results: The overarching theme was discontinuity in breastfeeding care across the continuum. Most HPs relied on other HPs to provide breastfeeding care, which resulted from and contributed to problematic gaps in care that were reported. A minority of HPs attempted to bridge gaps in breastfeeding care or improve continuity. Contributing to the discontinuity were a lack of time, lack of skills, inconsistent messages, and low communication across stages of care. HPs were unsure whether their help was effective and whether required follow-up was completed. Conclusions: Despite HPs' recognition of breastfeeding as the best choice for infant feeding, breastfeeding care may be disjointed and a barrier to achieving breastfeeding recommendations. These problems should be investigated and systemically addressed in future research so that maternal-infant dyad breastfeeding care can be improved.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 86%

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Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Garner

Ratcliff

Thornburg

et al. 2016

Breastfeeding Medicine

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“…Empirical literature has consistently demonstrated that poor relationships with husbands or family members (i.e., relationships with mothers and/or mothers-in-law) are linked to a greater likelihood of women experiencing postpartum depressive symptoms post-delivery (Leung et al, 2005; Saligheh et al, 2014; Martini et al, 2015). Furthermore, studies have shown that a lack of psychological preparedness for pregnancy and insecure attachment styles to partners (i.e., avoidance and anxiety) are associated with a higher risk of postpartum depression (Sabuncuoǧlu and Berkem, 2006; Martin et al, 2014). Moreover, there is a preference for giving birth to a boy in some Asian societies, and the association between infant’s sex and postpartum depression has attracted scholars’ interest.…”

Section: Introductionmentioning

confidence: 99%

Screening for Postpartum Depression and Associated Factors Among Women in China: A Cross-Sectional Study

Chi

Zhang

Wu³

et al. 2016

Front. Psychol.

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Objectives: This study examined what percentage of Chinese mothers during a three-year postpartum period were screened for postpartum depression and explored the correlation between postpartum depression and various socio-demographic, psychological, and cultural factors.Study design: Cross-sectional survey.Methods: A total of 506 mothers 23 years of age and older who were within three years postpartum completed the online survey. The survey collected information such as family economic status, a history of depression, preparation for pregnancy, relationships with husbands, and family members, adult attachment types (Adult Attachment Scale, AAS), and depression (The Center for Epidemiologic Studies Depression Scale, CESD).Results: Approximately 30% of mothers 1–3 years postpartum reported symptoms above the CESD cut-off score (≥16 scores) associated with the risk for depression (28.0% in the first year, 30.8% in the second year, and 31.8% in the third year). Factors significantly associated with depression in participants in the correlation analysis were education level; family income; preparation for pregnancy; a history of depression; amount of time spent with their husbands; relationships with husbands, parents, and parents-in-law; and a close, dependent, and/or anxious attachment style. Multiple regression analyses revealed that a history of depression; less preparation for pregnancy; poorer relationships with husbands, parents, and parents-in-law; and a more anxious attachment style were strongly related to a higher risk of postpartum depression.Conclusion: The overall percentage of mothers after delivery who were vulnerable to depression in China remains high. Various factors were significant predictors of postpartum depression. The research findings have several valuable implications for intervention practices. For example, attachment styles and depression history in the assessments of perinatal depression could improve screenings and the design of interventions. Additionally, improving the family relationships and family environments of women post-delivery may be promising approach for postpartum depression prevention or intervention.

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“…Determining the effectiveness of antenatal education in promoting breastfeeding duration and exclusivity is important as many new mothers report that they are largely unprepared for their early breastfeeding experiences. [22][23][24][25] Furthermore, even among mothers intending to exclusively breastfeed, newborns are frequently supplemented with infant formula early in the postnatal period, and supplements have a substantial negative effect on breastfeeding duration. [26][27][28] Thus, antenatal breastfeeding education, if effective, offers an opportunity to intervene early, increase rates of exclusive breastfeeding, and extend overall breastfeeding duration.…”

mentioning

confidence: 99%

Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

2015

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Although breastfeeding initiation rates have increased substantially in many developed countries over the past several decades, breastfeeding duration and exclusivity remain suboptimal. In the antenatal period, both group and individual education interventions have been implemented to improve breastfeeding. The purpose of this review was to compare the effectiveness of group and individual antenatal professional education on breastfeeding exclusivity and duration. A systematic search of the literature was conducted using Medline (1946-June 2014), PubMed (1883-June 2014), the Cumulative Index to Nursing and Allied Health Literature (1947-June 2014), EMBASE (1947-June 2014), British Nursing Index (1994-June 2014), Google Scholar, and the Cochrane Library. Included studies were limited to health care professional-conducted education delivered to pregnant women only. Only studies reporting breastfeeding duration or exclusivity were included. Nineteen studies were included, of which 13 evaluated antenatal group education, 5 evaluated individual antenatal education, and 1 evaluated both a group and an individual antenatal education. When compared with standard care, 4 out of 12 studies supported the effectiveness of antenatal group education on breastfeeding duration or exclusivity, whereas 4 out of 6 studies supported the effectiveness of antenatal individual education. Two studies compared antenatal group education with peer-led education and neither study showed a significant difference in breastfeeding outcomes. The methodological heterogeneity and the small number of high quality studies limited our ability to draw firm conclusions about the effectiveness of either mode of antenatal education.

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Views of Women and Clinicians on Postpartum Preparation and Recovery

Cited by 122 publications

References 27 publications

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Discontinuity of Breastfeeding Care: “There's No Captain of the Ship”

Screening for Postpartum Depression and Associated Factors Among Women in China: A Cross-Sectional Study

Group versus Individual Professional Antenatal Breastfeeding Education for Extending Breastfeeding Duration and Exclusivity

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