Abstract

BackgroundPregnancy and childbirth are two critical stages in a woman’s life. Various studies have suggested that psychological distress is common during the year after childbirth. The objectives of this exploratory study were (1) to explore the needs of mothers in the year following childbirth; (2) to compare these needs between mothers who did not have the feeling of living a psychological disorder or a depression and mothers who lived a psychological disorder or had the impression of living a depression; and (3) to compare the needs expressed by mothers with the perception of professionals and fathers about the mothers’ needs.MethodsFirst, we proceeded to 22 individual qualitative interviews followed by one focus group, with mothers, with and without experience of psychological distress. Then, we conducted 2 focus groups: one with professionals and one with fathers.ResultsNeeds of mothers after childbirth have been indexed in four categories: need of information, need of psychological support, need to share experience, and need of practical and material support. Women do not feel sufficiently informed about this difficult period of life. They do not feel sufficiently supported, not only from a psychological point of view but also from a more practical point of view, for example with household chores. They need to share their experience of life, they need to be reassured and they need to feel understood. It seems that some differences exist between mothers’ and professionals’ experiences but also between mothers’ and fathers’ experiences.ConclusionYoung mothers apparently feel a lack of support at different levels in the year following childbirth. This study provides ways to meet women’s needs and to try to prevent the risk of postpartum psychological distress during this period of time.

Highlights

  • Pregnancy and childbirth are two critical stages in a woman’s life

  • Our research question is : “To what extent having experienced an episode of psychological distress in the year following childbirth could influence the needs of mothers during this period?”. The objectives of this exploratory study were (1) to explore the needs of mothers in the year following childbirth; (2) to compare these needs between mothers who did not have the feeling of living a psychological disorder or a depression and mothers who lived a psychological disorder or had the impression of living a depression; and (3) to compare the needs expressed by mothers with the perception of professionals and fathers about the mothers’ needs

  • When we presented the needs of mothers, identified following the interviews and the focus group with mothers, to the fathers, they were quite amazed by the number and the nature of all these needs after childbirth

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Summary

Introduction

Various studies have suggested that psychological distress is common during the year after childbirth. Psychological distress appears to be common after childbirth. Women can experience a range of psychological problems after birth, including anxiety, post-traumatic syndrome, adjustment disorders or depression [1, 7, 8]. Over a third of mothers are at risk of developing early postpartum affective disorders [9]. Characterized disorders such as phobic disorders affect 10 to 16% of women after childbirth [2]. The prevalence of postpartum depression, evaluated by selfreported questionnaires, in developed countries varies from 1.9 to 82.1%, with the lowest reported in Germany and the highest in the United States [3, 10]. The prevalence varies from 5.2 to 74.0%, with the lowest prevalence reported in Pakistan and the highest in Turkey [3]

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