To explore important domains of women’s postpartum experiences as perceived by postpartum mothers and obstetricians/midwives, and to investigate how postpartum care could enhance patient preparation for the postpartum period. Qualitative research study was conducted to explore women’s and clinicians’ perceptions of the postpartum experience. Four focus groups of postpartum women (n = 45) and two focus groups of obstetric clinicians (n = 13) were held at a large urban teaching hospital in New York City. All focus groups were audio recorded, transcribed, and analyzed using grounded theory. Four main themes were identified: lack of women’s knowledge about postpartum health and lack of preparation for the postpartum experience, lack of continuity of care and absence of maternal care during the early postpartum period, disconnect between providers and postpartum mothers, and suggestions for improvement. Mothers did not expect many of the symptoms they experienced after childbirth and were disappointed with the lack of support by providers during this critical time in their recovery. Differences existed in the major postpartum concerns of mothers and clinicians. However, both mothers and clinicians agreed that preparation during the antepartum period could be beneficial for postpartum recovery. Results from this study indicate that many mothers do not feel prepared for the postpartum experience. Study findings raise the hypothesis that capturing patient-centered domains that define the postpartum experience and integrating these domains into patient care may enhance patient preparation for postpartum recovery and improve postpartum outcomes.
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Kline, C. R., Martin, D. P., & Deyo, R. A. (1998). Health consequences of pregnancy and childbirth as perceived by women and clinicians. Obstetrics and Gynecology, 92, 842–848.
Howell, E. A., Mora, P. A., Chassin, M. R., & Leventhal, H. (2010). Lack of preparation, physical health after childbirth, and early postpartum depressive symptoms. Journal of Women’s Health (Larchmt), 19, 703–708.
Howell, E. A. (2010). Lack of patient preparation for the postpartum period and patients’ satisfaction with their obstetric clinicians. Obstetrics and Gynecology, 115, 284–289.
Boyles, S. H., Li, H., Mori, T., Osterweil, P., & Guise, J. M. (2009). Effect of mode of delivery on the incidence of urinary incontinence in primiparous women. Obstetrics and Gynecology, 113, 134–141.
Hermansen, I. L., O’Connell, B. O., & Gaskin, C. J. (2010). Women’s explanations for urinary incontinence, their management strategies, and their quality of life during the postpartum period. Journal of Wound Ostomy & Continence Nursing, 37, 187–192.
Leeman, L. M., & Rogers, R. G. (2012). Sex after childbirth: Postpartum sexual function. Obstetrics and Gynecology, 119, 647–655.
Rathfisch, G., Dikencik, B. K., Kizilkaya Beji, N., Comert, N., Tekirdag, A. I., & Kadioglu, A. (2010). Effects of perineal trauma on postpartum sexual function. Journal of Advanced Nursing, 66, 2640–2649.
Lewis, A., Ilot, I., Lekka, C., & Oluboyede, Y. (2011). Improving the quality of perinatal mental health: A health visitor-led protocol. Community Practitioner, 84, 27–31.
Ogbuanu, C. A., Jones, C. A., McTigue, J. F., Baker, S. L., Heim, M., Baek, J., et al. (2009). A program evaluation of postpartum/newborn home visitation services in Aiken county, South Carolina. Public Health Nursing, 26, 39–47.
Bonuck, K. A., Freeman, K., & Trombley, M. (2006). Randomized controlled trial of a prenatal and postnatal lactation consultant intervention on infant health care use. Archives of Pediatrics and Adolescent Medicine, 160, 953–960.
McComish, J. F., Groh, C. J., & Moldenhauer, J. A. (2013). Development of a doula intervention for postpartum depressive symptoms: Participants’ recommendations. Journal of Child and Adolescent Psychiatric Nursing, 26, 3–15.
McAndrew, L. M., Musumeci-Szabo, T. J., Mora, P. A., Vileikyte, L., Burns, E., Halm, E. A., et al. (2008). Using the common sense model to design interventions for the prevention and management of chronic illness threats: From description to process. British Journal of Health Psychology, 13, 195–204.
Shi, L. (2000). Type of health insurance and the quality of primary care experience. American Journal of Public Health, 90, 1848–1855.
Merton, R. K., Fiske, M., & Kendall, P. L. (1990). The focused interview: A manual of problems and procedures (2nd ed.). London: Collier McMillan.
Corbin, J., & Strauss, A. (2008). Basics of qualitative research: Techniques and procedures for developing grounded theory. Thousand Oaks: Sage Publications, Inc.
George, L. (2005). Lack of preparedness: Experiences of first-time mothers. American Journal of Maternal Child Nursing, 30, 251–255.
Tulman, L., & Fawcett, J. (1991). Recovery from childbirth: Looking back 6 months after delivery. Health Care for Women International, 12, 341–350.
Anderberg, E., Berntorp, K., & Crang-Svalenius, E. (2009). Diabetes and pregnancy: Women’s opinions about the care provided during the childbearing year. Scandinavian Journal of Caring Sciences, 23, 161–170.
Mainous, A. G., 3rd, Baker, R., Love, M. M., Gray, D. P., & Gill, J. M. (2001). Continuity of care and trust in one’s physician: Evidence from primary care in the United States and the United Kingdom. Family Medicine, 33, 22–27.
Thom, D. H., Ribisl, K. M., Stewart, A. L., & Luke, D. A. (1999). Further validation and reliability testing of the Trust in Physician Scale. The Stanford Trust Study Physicians. Medical Care, 37, 510–517.
Aune, I., Dahlberg Msc, U., & Ingebrigtsen, O. (2012). Parents’ experiences of midwifery students providing continuity of care. Midwifery, 28, 372–378.
Homer, C. S., Foureur, M. J., Allende, T., Pekin, F., Caplice, S., & Catling-Paull, C. (2012). ‘It’s more than just having a baby’ women’s experiences of a maternity service for Australian Aboriginal and Torres Strait Islander families. Midwifery, 28, E449–E455.
Lomas, J., Pickard, L., & Mohide, A. (1987). Patient versus clinician item generation for quality-of-life measures. The case of language-disabled adults. Medical Care, 25, 764–769.
Nisenzon, A. N., Robinson, M. E., Bowers, D., Banou, E., Malaty, I., & Okun, M. S. (2011). Measurement of patient-centered outcomes in Parkinson’s disease: What do patients really want from their treatment? Parkinsonism & Related Disorders, 17, 89–94.
Newport, D. J., Brennan, P. A., Green, P., Ilardi, D., Whitfield, T. H., Morris, N., et al. (2008). Maternal depression and medication exposure during pregnancy: Comparison of maternal retrospective recall to prospective documentation. BJOG, 115, 681–688.
Tomeo, C. A., Rich-Edwards, J. W., Michels, K. B., Berkey, C. S., Hunter, D. J., Frazier, A. L., et al. (1999). Reproducibility and validity of maternal recall of pregnancy-related events. Epidemiology, 10, 774–777.
Sou, S. C., Chen, W. J., Hsieh, W. S., & Jeng, S. F. (2006). Severe obstetric complications and birth characteristics in preterm or term delivery were accurately recalled by mothers. Journal of Clinical Epidemiology, 59, 429–435.
Quigley, M. A., Hockley, C., & Davidson, L. L. (2007). Agreement between hospital records and maternal recall of mode of delivery: Evidence from 12 391 deliveries in the UK Millennium Cohort Study. BJOG, 114, 195–200.
Howell, E. A., Balbierz, A., Wang, J., Parides, M., Zlotnick, C., & Leventhal, H. (2012). Reducing postpartum depressive symptoms among black and Latina mothers: A randomized controlled trial. Obstetrics and Gynecology, 119, 942–949.
This study was supported by the Agency for Healthcare Research and Quality (R01 HS09698-03).
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Martin, A., Horowitz, C., Balbierz, A. et al. Views of Women and Clinicians on Postpartum Preparation and Recovery. Matern Child Health J 18, 707–713 (2014). https://doi.org/10.1007/s10995-013-1297-7
- Focus groups
- Postpartum women
- Obstetric clinicians