Postnatal support used by first-time mothers

Abstract

This qualitative research explores the postnatal support made available to 12 first-time mothers in the Wellington region. During individual semi-structured interviews, women identified the different sources of support (both formal and informal) used during the first six months after their babies were born. Questions about support primarily focused on the provision of practical help, social and emotional support, and information and advice. Support received during three separate periods was examined, reflecting the reality that the support needs of new mothers typically vary over time, in response to changes in both the mother and the baby as well as changes in their support network. The research has been analysed within the Aotearoa/New Zealand context, taking into account recent changes in policy affecting the provision of postnatal support. The results describe how the support the new mothers received affected their behaviours, actions, and attitudes, and outline the consequences of receiving adequate or inadequate support. Women who were well-supported typically had a more positive outlook than those who had struggled to find support. Of particular concern to many women was the contradictory advice received about breastfeeding, especially during the early postnatal period. Support providers perceived as most helpful offered women both breadth and depth of support. Partners, grandparents, midwives and Plunket nurses played particularly important roles. Not all support was beneficial; unsolicited support or advice had the potential to undermine women's confidence, and too much support was perceived as a threat to independence. Recommendations arising from the research are directed at new mothers, as well as at support providers. It is important that women's own needs be recognised, rather than support being directed solely at their babies. Support providers should also be aware that — for some women — the need for support may increase rather than decrease over time.