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Cradling disparities: A descriptive qualitative study of maternal experiences of mothers from low‐socioeconomic status in the first month postpartum
Journal of Advanced Nursing ( IF 3.8 ) Pub Date : 2024-05-11 , DOI: 10.1111/jan.16225
Shefaly Shorey 1 , Jamie Qiao Xin Ng 1 , Verity Chandelle Liu 1 , Cornelia Yin Ing Chee 2
Affiliation  

AimTo explore the experiences, expectations and needs of mothers from low‐socioeconomic status at 1 month postpartum.DesignDescriptive qualitative.MethodsMothers from low‐socioeconomic status and irrespective of their parity were invited to participate in one‐to‐one interviews at 1 month postpartum. Semi‐structured interviews were conducted until data saturation. Interviews were audio recorded, transcribed verbatim and analysed thematically. Written informed consent was obtained.ResultsTwenty mothers participated and six themes were identified: (1) No choice but to find meaning; (2) Father as a major pillar of support; (3) ‘Kampung’ Spirit; (4) Trials and Tribulations of Transition to Motherhood; (5) Shame, guilt and internalized stigma and (6) Reclaiming the power.ConclusionThis study reflected the unique struggles of mothers from low‐socioeconomic status with pregnancy, childbirth and early postpartum and the wider health inequities within Singapore's maternal health system. To provide much‐needed support and improved care, the stakeholders within government, healthcare providers and social organizations should consider the niche needs of this community.Implications for Patient CareNurses need to reflect on their own biases and ensure consistent care delivery regardless of socioeconomic status. When delivering patient education, patient‐centred and sincere advice rooted in personal experience can help to establish rapport.ImpactThis study is the first to explore the experiences of mothers from low‐socioeconomic status in the Singapore context. Low‐socioeconomic status mothers experienced less autonomy over their health, the care they received and their childcare options. As mothers adjusted to their new roles, they struggled to cope. However, as they were wary of the stigma surrounding poverty and their guilt of not being a ‘good mother’, they preferred to seek informal support from their family, friends and self‐help through learning from social media, as compared to formal, external help.Reporting MethodCOREQ checklist.Patient or Public ContributionNo patient or public contribution.

中文翻译:

摇篮差异:对产后第一个月社会经济地位较低的母亲的孕产经历的描述性定性研究

目的探讨低社会经济地位的母亲在产后 1 个月的经历、期望和需求。设计描述性定性。方法邀请低社会经济地位的母亲参加产后 1 个月的一对一访谈,无论其胎次如何。进行半结构化访谈直至数据饱和。采访内容均被录音、逐字转录并按主题进行分析。获得书面知情同意书。结果二十名母亲参与,确定了六个主题:(1)别无选择,只能寻找意义; (2)父亲作为主要支柱; (3)‘甘榜’精神; (4) 过渡为母亲的考验和磨难; (5) 羞耻、内疚和内在的耻辱,(6) 夺回权力。结论这项研究反映了社会经济地位较低的母亲在怀孕、分娩和产后早期所面临的独特斗争,以及新加坡孕产妇保健系统内更广泛的健康不平等。为了提供急需的支持和改进的护理,政府、医疗保健提供者和社会组织的利益相关者应考虑该社区的利基需求。对患者护理的影响护士需要反思自己的偏见,并确保无论社会经济地位如何,都能提供一致的护理服务。在提供患者教育时,以患者为中心、基于个人经历的真诚建议有助于建立融洽关系。影响力这项研究首次探讨了新加坡背景下社会经济地位较低的母亲的经历。社会经济地位低的母亲对其健康、接受的护理和育儿选择的自主权较小。当母亲们适应新角色时,她们很难应对。然而,由于她们担心贫困带来的耻辱以及自己不是一个“好母亲”的愧疚感,因此与正式的、外部的帮助相比,她们更愿意从家人、朋友那里寻求非正式的支持,并通过社交媒体学习进行自助。帮助。报告方法COREQ 检查表。患者或公众贡献没有患者或公众贡献。
更新日期:2024-05-11
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