Lived experiences on postnatal care among postpartum women in the Maldives: a phenomenological study.
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| Názov: | Lived experiences on postnatal care among postpartum women in the Maldives: a phenomenological study. |
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| Autori: | Hassan S; Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand.; School of Nursing, The Maldives National University, Male, Maldives., Viseskul N; Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand., Kulunklin A; School of Nursing, Panyapiwat Institute of Management, Nonthaburi, Thailand., Chaloumsuk N; Faculty of Nursing, Chiang Mai University, Chiang Mai, Thailand nonglak.c@cmu.ac.th. |
| Zdroj: | BMJ open [BMJ Open] 2025 Oct 17; Vol. 15 (10), pp. e096815. Date of Electronic Publication: 2025 Oct 17. |
| Spôsob vydávania: | Journal Article |
| Jazyk: | English |
| Informácie o časopise: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE |
| Imprint Name(s): | Original Publication: [London] : BMJ Publishing Group Ltd, 2011- |
| Výrazy zo slovníka MeSH: | Postnatal Care*/psychology , Postpartum Period*/psychology, Humans ; Female ; Adult ; Qualitative Research ; Interviews as Topic ; Young Adult ; Maldives |
| Abstrakt: | Competing Interests: Competing interests: None declared. Objective: Postnatal care (PNC) is crucial for maternal and child health. Improving PNC services and policy cannot be achieved unless the experiences of postpartum women in the Maldives are thoroughly understood. This study aimed to explore the lived experiences of postpartum women on PNC in the Maldives. Design: A descriptive phenomenological design. Setting: The study was conducted in a regional hospital in the northern Maldives between March and August 2023. Participants: A total of 16 postpartum women giving birth and receiving 24-hour care from the hospital, as well as postnatal follow-up care during the first 6 weeks postpartum, were interviewed. Methods: Data were collected through face-to-face, semistructured interviews and then analysed using thematic analysis. Results: Five themes and corresponding subthemes were identified. Theme 1: mismatch between expectations and actual experiences (conflicts between received information and actual practice, and conflicts between prior experience and actual practice). Theme 2: overwhelming negative emotions (feeling frustrated with unconcerned care, feeling disappointed with unfriendly behaviour and feeling frustrated with insufficient knowledge). Theme 3: need for caring rather than doing a job (wishing for more caring and support from the heart, focusing on individualised care and expecting postnatal home visits). Theme 4: enablers for postnatal follow-up care (getting family support, getting positive emotions and getting beneficial health outcomes). Theme 5: hindrances for postnatal follow-up care (lack of awareness of PNC, and lack of privacy and convenience). Conclusions: The findings revealed the gap between individual expectations and actual experiences of PNC. Healthcare providers' understanding of postpartum women's needs was recommended to provide empathetic and compassionate individualised care. In addition, postnatal home visits should be recommended as a crucial part of PNC services. (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
| References: | BMC Pregnancy Childbirth. 2021 Aug 30;21(1):591. (PMID: 34461844) Heliyon. 2023 Dec 18;10(1):e23760. (PMID: 38192871) PLoS One. 2022 Aug 12;17(8):e0270264. (PMID: 35960752) SAGE Open Nurs. 2023 Oct 11;9:23779608231206759. (PMID: 37830079) Obstet Gynecol Int. 2021 Apr 14;2021:4286803. (PMID: 33936208) BMC Pregnancy Childbirth. 2022 Apr 1;22(1):276. (PMID: 35365124) Int J Nurs Stud. 2007 Jan;44(1):131-42. (PMID: 16412442) Asia Pac J Public Health. 2019 Mar;31(2):113-120. (PMID: 30974963) BMC Pregnancy Childbirth. 2019 Dec 31;20(1):5. (PMID: 31892354) BMC Health Serv Res. 2017 Aug 7;17(1):541. (PMID: 28784169) Women Birth. 2022 Feb;35(1):e28-e40. (PMID: 33707143) Front Glob Womens Health. 2022 Aug 26;3:986662. (PMID: 36090597) Public Health. 2020 Aug;185:97-98. (PMID: 32593055) BMJ Open. 2019 Jul 17;9(7):e022212. (PMID: 31320339) Women Birth. 2024 Mar;37(2):278-287. (PMID: 38142159) Can J Nurs Res. 2022 Dec;54(4):497-507. (PMID: 34704508) Home Health Care Serv Q. 2018 Jul-Sep;37(3):247-258. (PMID: 29558322) Malawi Med J. 2019 Mar;31(1):2-11. (PMID: 31143390) Qual Health Res. 2020 Oct;30(12):1876-1887. (PMID: 32940583) |
| Contributed Indexing: | Keywords: Midwifery; Nursing Care; Postpartum Period; Postpartum Women |
| Entry Date(s): | Date Created: 20251017 Date Completed: 20251017 Latest Revision: 20251028 |
| Update Code: | 20251028 |
| PubMed Central ID: | PMC12542559 |
| DOI: | 10.1136/bmjopen-2024-096815 |
| PMID: | 41106859 |
| Databáza: | MEDLINE |
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Nájsť tento článok vo Web of Science | Abstrakt: | Competing Interests: Competing interests: None declared.<br />Objective: Postnatal care (PNC) is crucial for maternal and child health. Improving PNC services and policy cannot be achieved unless the experiences of postpartum women in the Maldives are thoroughly understood. This study aimed to explore the lived experiences of postpartum women on PNC in the Maldives.<br />Design: A descriptive phenomenological design.<br />Setting: The study was conducted in a regional hospital in the northern Maldives between March and August 2023.<br />Participants: A total of 16 postpartum women giving birth and receiving 24-hour care from the hospital, as well as postnatal follow-up care during the first 6 weeks postpartum, were interviewed.<br />Methods: Data were collected through face-to-face, semistructured interviews and then analysed using thematic analysis.<br />Results: Five themes and corresponding subthemes were identified. Theme 1: mismatch between expectations and actual experiences (conflicts between received information and actual practice, and conflicts between prior experience and actual practice). Theme 2: overwhelming negative emotions (feeling frustrated with unconcerned care, feeling disappointed with unfriendly behaviour and feeling frustrated with insufficient knowledge). Theme 3: need for caring rather than doing a job (wishing for more caring and support from the heart, focusing on individualised care and expecting postnatal home visits). Theme 4: enablers for postnatal follow-up care (getting family support, getting positive emotions and getting beneficial health outcomes). Theme 5: hindrances for postnatal follow-up care (lack of awareness of PNC, and lack of privacy and convenience).<br />Conclusions: The findings revealed the gap between individual expectations and actual experiences of PNC. Healthcare providers' understanding of postpartum women's needs was recommended to provide empathetic and compassionate individualised care. In addition, postnatal home visits should be recommended as a crucial part of PNC services.<br /> (© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.) |
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| ISSN: | 2044-6055 |
| DOI: | 10.1136/bmjopen-2024-096815 |