Date of this Version
To determine if US women's postpartum concerns have changed overtime.
Mothers' postpartum concerns were compared in 2 clinical trials: 1997 (High Risk Pregnancy); 2015 (First Time Mothers). Advanced Practice Nurses (APNs) provided care through 8 weeks postpartum and recorded interactions in clinical logs. Content analysis of logs was used to identify concerns.
95% of 58 1997 mothers were African American; 64% of 62 2015 mothers were Hispanic. Number of infant concerns (129 vs 144) was similar as were 4 of top 5; infant feeding was the top concern for both. 1997 mothers were concerned with body changes, birth control, breastfeeding, maternal health problems and had more concerns about their health (142 vs. 43); 2015 mothers were concerned with not having help, fatigue, finding things hard. Both groups had postpartum pain concerns and problems accessing mother/infant governmental programs.
Mother's concerns regarding infant care were essentially the same over the 2 time periods with infant feeding as the top concern. Maternal concerns in common were postpartum pain and needing help accessing government programs. Women who had high risk pregnancies had more health concerns.
Implications for Practice
Results provide guidance for helping minority mothers in the postpartum period.
Hannan, Jean; Brooten, Dorothy; Youngblut, JoAnne M.; and Galindo, Ali Marie, "Comparing Mothers' Postpartum Concerns in 2 Clinical Trials 18 Years Apart" (2017). Nicole Wertheim College of Nursing and Health Sciences. 41.
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