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Regina Rasteiro

Eduardo Santos

Emília Coutinho

Abstract

In postpartum period, mothers are confronted with needs and concerns that influence the way they experience this phase while adapting to their new role. Objective: to identify maternal needs and concerns, in the first postpartum year, contributing to sustained nursing practices. Methods: Systematic literature review. The research, carried out at ESBCOhost, Web of Science, Scopus, PubMed, OAIster and RCAAP, between 2016-2020, full text, in Portuguese/English/Spanish, included 20 articles whose methodological quality was assessed through the Critical Apraisal Skills Program or Mixed Methods Appraisal Tool. Results: Six categories of maternal needs emerged, namely the need for physical and psychological recovery, to develop skills and confidence to care for the newborn, the need for information, for a satisfactory conjugal and sexual life, for family and social support and health professionals’ support. Conclusions: Midwives must diagnose maternal concerns and build a personalized care plan, centered on woman/couple/family, to respond to them, reinforcing maternal competence. It is suggested the development of postpartum recovery programs and home visits to meet maternal needs.

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Section
Empirical Studies with Methodological Reflection

How to Cite

Regina Rasteiro, Eduardo Santos, & Emília Coutinho. (2021). Maternal Needs and Concerns in Postpartum Period: Systematic Review. New Trends in Qualitative Research, 8, 817–827. https://doi.org/10.36367/ntqr.8.2021.817-827
References

Albanese, A. M., Geller, P. A., Steinkamp, J. M., & Barkin, J. L. (2020). In their own words: A qualitative investigation of the factors influencing maternal postpartum functioning in the united states. International Journal of Environmental Research and Public Health, 17(17), 1–28. https://doi.org/10.3390/ijerph17176021

Almalik, M. (2017). Understanding maternal postpartum needs : A descriptive survey of current maternal health services. Journal of Clinical Nursing, 26(23–24), 4654–4663. https://doi.org/10.1111/jocn.13812

American College of Obstetricians and Gynecologists. (2018). Committee Opinion No. 736: Optimizing postpartum care. Obstetrics and Gynecology, 131(5), e140–e150. https://doi.org/10.1097/AOG.0000000000002633

Aromataris, E., & Munn, Z. (ed) (2020). JBI Manual for Evidence Synthesis. JBI Manual for Evidence Synthesis. https://doi.org/10.46658/jbimes-20-01

Caetano, A., Mendes, I., & Rebelo, Z. (2018). Maternal concerns in the postpartum period: an integrative review. Revista de Enfermagem Referência, IV Série(17), 149–160. https://doi.org/10.12707/riv17074

Cantarino, S., Matas, M., Velasco, Abellan;Campos, S., Santos, A., & Fernandez, I. (2016). Vivencias, experiencias y diferencias sexuales: mujer puérpera Española e inmigrante. Área sanitaria Palma de Mallorca (España). Enfermagem, IV(9), 115–123. http://www.scielo.mec.pt/pdf/ref/vserIVn9/serIVn9a13.pdf

Carvalho, J., Gaspar, M., & Cardoso, A. (2017). Challenges of motherhood in the voice of primiparous mothers: Initial difficulties. Investigacion y Educacion En Enfermeria, 35(3), 285–294. https://doi.org/10.17533/udea.iee.v35n3a05

Corrêa, M., Feliciano, K., Pedrosa, E. N., & Souza, A. (2017). Acolhimento no cuidado à saúde da mulher no puerpério. Cadernos de Saude Publica, 33(3), 1–12. https://doi.org/10.1590/0102-311X00136215

Farewell, C. V., Jewell, J., Walls, J., & Leiferman, J. A. (2020). A mixed-methods pilot study of perinatal risk and resilience during COVID-19. Journal of Primary Care and Community Health, 11, 1–8. https://doi.org/10.1177/2150132720944074

Faria-Schützer, D. B., Surita, F. G., Rodrigues, L., Paulino, D. S. D. M., & Turato, E. R. (2020). Self-care and health care in postpartum women with obesity: a qualitative study. Revista Brasileira de Ginecologia e Obstetricia, 42(1), 19–25. https://doi.org/10.1055/s-0039-3400456

Finlayson, K., Crossland, N., Bonet, M., & Downe, S. (2020). What matters to women in the postnatal period: A meta-synthesis of qualitative studies. PLoS ONE, 15(4), 1–24. https://doi.org/10.1371/journal.pone.0231415

Graça, L., Figueiredo, M., & Carreira, M. (2011). Contributos da intervenção de enfermagem de Cuidados de Saúde Primários para a transição para a maternidade. Revista de Enfermagem Referência, III Série(no 4), 27–35. https://doi.org/10.12707/riii1012

Hannan, J., Brooten, D., Youngblut, J. A. M., & Galindo, A. M. (2016). Comparing mothers’ postpartum concerns in two clinical trials 18 years apart. Journal of the American Association of Nurse Practitioners, 28(11), 604–611. https://doi.org/10.1002/2327-6924.12384

Henshaw, E. J., Cooper, M. A., Jaramillo, M., Lamp, J. M., Jones, A. L., & Wood, T. L. (2018). “Trying to figure out ff you’re doing things right, and where to get the info”: parents recall information and support needed during the first 6 weeks postpartum. Maternal and Child Health Journal, 22(11), 1668–1675. https://doi.org/10.1007/s10995-018-2565-3

Iwata, H., & Tamakoshi, K. (2018). Course of maternal fatigue and its associated factors during the first 6 months postpartum : a prospective cohort study. January, 186–196. https://doi.org/10.1002/nop2.130

Kurth, E., Krähenbühl, K., Eicher, M., Rodmann, S., Fölmli, L., Conzelmann, C., & Zemp, E. (2016). Safe start at home: What parents of newborns need after early discharge from hospital - A focus group study. BMC Health Services Research, 16(1), 1–14. https://doi.org/10.1186/s12913-016-1300-2

Lévesque, S., Bisson, V., Charton, L., & Fernet, M. (2020). Parenting and relational well-being during the transition to parenthood: challenges for first-time parents. Journal of Child and Family Studies, 29(7), 1938–1956. https://doi.org/10.1007/s10826-020-01727-z

Marambaia, C. G., Vieira, B. D. G., Alves, V. H., Rodrigues, D. P., Almeida, V. L. M., & Calvão, T. F. (2020). Sexuality of women in the postpartum period: Reflexes of episiotomy. Cogitare Enfermagem, 25, 1–10. https://doi.org/10.5380/ce.v25i0.67195

Masala-Chokwe, M. E. T., & Ramukumba, T. S. (2017). The lived experiences and social support needs of first-time mothers at health care facilities in the City of Tshwane, South Africa. Curationis, 40(1), 1–8. https://doi.org/10.4102/curationis.v40i1.1680

Mercer, R. T. (2004). Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship, 36(3), 226–232. https://doi.org/10.1111/j.1547-5069.2004.04042.x

Nan, Y., Zhang, J., Nisar, A., Huo, L., Yang, L., Yin, J., Wang, D., Rahman, A., Gao, Y., & Li, X. (2020). Professional support during the postpartum period: Primiparous mothers’ views on professional services and their expectations, and barriers to utilizing professional help. BMC Pregnancy and Childbirth, 20(1), 1–13. https://doi.org/10.1186/s12884-020-03087-4

Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E. A. (2013). Social support during the postpartum period: Mothers’ views on needs, expectations, and mobilization of support. Maternal and Child Health Journal, 17(4), 616–623. https://doi.org/10.1007/s10995-012-1037-4

Olander, E. K., Aquino, M. R. J. (Ryc), Chhoa, C., Harris, E., Lee, S., & Bryar, R. M. (2019). Women’s views of continuity of information provided during and after pregnancy: A qualitative interview study. Health and Social Care in the Community, 27(5), 1214–1223. https://doi.org/10.1111/hsc.12764

Ordem dos Enfermeiros. (2019). Regulamento das competências específicas do enfermeiro especialista em enfermagem de saúde materna e obstétrica. Diário Da República, 2.a Série — N.o 85 — 3 de Maio de 2019. https://dre.pt/application/conteudo/122216892

Pissolato, L., Alves, C., Prates, L., Wilhelm, L., & Ressel, L. (2016). Breastfeeding and sexuality: an interface in the experience of puerperium. 4674–4680. https://doi.org/10.9789/21755361

Ribeiro, J., Lima, F., Soares, T., Oliveira, B., Klemtz, F., Lopes, K., & Hartmann, M. (2019). Necessidades sentidas pelas mulheres no período puerperal. Revista de Enfermagem UFPE on Line, 13(1), 61–69. https://doi.org/10.5205/1981-8963-v13i1a235022p61-69-2019

Rouhi, M., Stirling, C. M., & Crisp, E. P. (2019). Mothers’ views of health problems in the 12 months after childbirth: A concept mapping study. Journal of Advanced Nursing, 75(12), 3702–3714. https://doi.org/10.1111/jan.14187

Shorey, S., & Ng, E. D. (2019). Evaluation of a technology-based peer-support intervention program for preventing postnatal depression (Part 2): Qualitative study. Journal of Medical Internet Research, 21(8), 1–8. https://doi.org/10.2196/12915

Slomian, J., Emonts, P., Vigneron, L., Acconcia, A., Glowacz, F., Reginster, J. Y., Oumourgh, M., & Bruyère, O. (2017). Identifying maternal needs following childbirth: A qualitative study among mothers, fathers and professionals. BMC Pregnancy and Childbirth, 17(1), 1–13. https://doi.org/10.1186/s12884-017-1398-1

Xiao, X., Loke, A., Zhu, S., Gong, L., Shi, H., & Ngai, F. (2020). “The sweet and the bitter”: Mothers’ experiences of breastfeeding in the early postpartum period: A qualitative exploratory study in China. International Breastfeeding Journal, 15(1), 1–11. https://doi.org/10.1186/s13006-020-00256-1

Xiao, X., Ngai, F., Zhu, S., & Loke, A. (2020). The experiences of early postpartum Shenzhen mothers and their need for home visit services : a qualitative exploratory study. BMC Pregnancy and Childbirth, 20, 1–13. https://doi.org/10.1186/s12884-019-2686-8

Yamada, R., Rasmussen, K. M., & Felice, J. P. (2019). “What is ‘enough,’ and how do i Make It?”: a qualitative examination of questions mothers ask on social media about pumping and providing an adequate amount of milk for their infants. Breastfeeding Medicine, 14(1), 17–21. https://doi.org/10.1089/bfm.2018.0154

Zhang, Y., Jin, Y., Vereijken, C., Stahl, B., & Jiang, H. (2018). Breastfeeding experience, challenges and service demands among Chinese mothers: A qualitative study in two cities. Appetite, 128(138), 263–270. https://doi.org/10.1016/j.appet.2018.06.027