Mothers' views of health problems in the twelve months after childbirth: A concept mapping study.

M. Rouhi,C. Stirling,E. Crisp

Published 2019 in Journal of Advanced Nursing

ABSTRACT

AIMS To identify the health problems that women feel require help and subsequent help-seeking behaviour during the twelve months period after childbirth. BACKGROUND Many women experience physical and mental health problems after childbirth, but there is a gap in understanding how they perceive their health after childbirth. Studies suggested they are inhibited in expressing their needs and so seek informal rather than professional help for their health problems. DESIGN Mixed-method study. METHOD Australian women were recruited by an online platform and purposive sampling (N=81) in 2017-2018, based on an established concept mapping methodology. A first group created 83 brainstorm statements and a second group sorted and rated the statements on women's perception of the prevalence of the issues and their help-seeking advice to others. Bradshaw's Taxonomy of Needs theoretically underpins the explanation of the results of women's felt need after childbirth. RESULTS Multidimensional scaling resulted in six clusters which categorised into three domains: 'health issues and care', 'support' and 'fitness'. Despite being directly asked, about two-thirds of the women did not report experiencing any health problems. CONCLUSION Concept maps uniquely depict women's views on seeking help. This study suggests a need to reconsider the approach to care for women in the twelve months after childbirth. IMPACT Among our participants who declared health problems most of them had professional help to resolve it. Family and friends were a key source of help-seeking. Post-childbirth routine care was focused on infant care and limited to the first six weeks after childbirth. The content of current post-childbirth care must be reviewed. This article is protected by copyright. All rights reserved.

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