Perception of Preparedness among Primiparous on Self-Care and Infant Care Before Discharge in a Private Hospital in Malaysia

Kavitha Ramanathan; Shenbaga Sundaram Subramanian; Vijayamurugan Eswaramoorthi; Nalini Somasundaram; Vijaya Samundeeswari; Fadwa Alhalaiqa

doi:10.52756/ijerr.2023.v33spl.001

Kavitha Ramanathan Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education & Research (DU), Chennai, India https://orcid.org/0000-0002-5437-605X
Shenbaga Sundaram Subramanian Chettinad School of Physiotherapy (CSP), Chettinad Hospital and Research Institute (CHRI), Chettinad Academy of Research and Education (CARE), Kelambakkam, Tamil Nadu 603103, India https://orcid.org/0000-0002-6150-0928
Vijayamurugan Eswaramoorthi Department of Physiotherapy, Faculty of Pharmacy and Health Sciences, Universiti Kuala Lumpur, Royal College of Medicine Perak, Ipoh - 30450, Malaysia https://orcid.org/0000-0001-9677-6265
Nalini Somasundaram Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education & Research (DU), Chennai, India https://orcid.org/0000-0002-5736-3334
Vijaya Samundeeswari Sri Ramachandra Faculty of Nursing, Sri Ramachandra Institute of Higher Education & Research (DU), Chennai, India https://orcid.org/0000-0001-5042-634X
Fadwa Alhalaiqa Department of Clinical Affairs, College of Nursing, QU Health, Qatar University, Doha, P.O. Box 2713, Qatar https://orcid.org/0000-0002-0899-7883

DOI: https://doi.org/10.52756/ijerr.2023.v33spl.001

Keywords: Perception of preparedness, self-care, infant care, primiparous, newborn care

Abstract

Primiparous refers to a woman who has given birth for the first time to an infant or infant, alive or stillborn. These primiparous mothers have concerns pertaining to their self-care and their newborn infants' care. These expectations and concerns of Primiparous mothers are unlikely to be met due to a lack of preparedness for information about self-care and infant care. This study aimed to identify the perception of preparedness for self-care and infant care among the primiparous before discharge and the information needs, after delivery in a private hospital in which this study was conducted. This study adopted a cross-sectional and descriptive design to achieve the research objective. The target population was primiparous who had given birth to a healthy baby in a private hospital in Penang. There was a total of 72 participants in this study. Data was collected using a self-develop questionnaire with a 5-point Likert scale to generate quantitative data. Data was analyzed using SPSS version 23.0. The findings of this study revealed that the perception and understanding of primiparous towards the information provided before discharge from the hospital has not reached a satisfactory level as primiparous were not confident enough with some of the information provided and the needs to be prepared themselves before discharge. Hence, this study concludes that future studies are needed to explore new practices to enhance the quality of maternal health care and promote positive maternal experience and well-being for mother and infant.

References

Aslan, F., & Uzun, S. (2008). Analysis of postnatal education and consultancy services given by nurses. Turkish Clinics Journal of Medical Sciences, 28, 736–742

Barimani, M., Oxelmark, L., Johansson, S.E., Langius-Eklöf, A., & Hylander, I. (2014). Professional support and emergency visits during the first 2 weeks postpartum. Scand. J. Caring. Sci., 28(1), 57-65. https://doi.org/10.1111/scs.12036.

Bay, H., Erkal Aksoy, Y., & Dereli Yılmaz, S. (2022). Factors Affecting Primiparous Pregnant Women’s Prenatal Attachment Levels, Childbirth Self-Efficacy Beliefs, and Labor Worry Levels. Clinical Nursing Research, 31(5), 952–959. https://doi.org/10.1177/10547738221078900

Bravo, P., Uribe, C., & Contreras, A. (2011). Early postnatal hospital discharge: the consequences of reducing length of stay for women and newborns. Rev. Esc. Enferm. USP., 45(3), 758-63. https://doi.org/10.1590/s0080-62342011000300030.

Buchko, Barbara L., Connie H. G., & Elizabeth, T. J. (2012). Improving Quality and Efficiency of Postpartum Hospital Education. The Journal of Perinatal Education, 21(4), 238–247. https://doi.org/10.1891/1058-1243.21.4.238

Çinar, İ. Ö., & Öztürk, A. (2014). The Effect of Planned Baby Care Education Given to Primiparous Mothers on Maternal Attachment and Self-Confidence Levels. Health Care for Women International, 35(3), 320–333.

https://doi.org/10.1080/07399332.2013.842240

Citak, B.N., Ak, B., Ayhan, F., Kocyigit, F., Yorgun, S., & Topcuoglu, M. A. (2020). Effect of childbirth education on the perceptions of childbirth and breastfeeding self-efficacy and the obstetric outcomes of nulliparous women. Health Care for Women International, 41(2), 188–204. https://doi.org/10.1080/07399332.2019.1672171

Debelie, T. Z., Abdo, A. A., Anteneh, K. T., Limenih, M. A., Asaye, M. M., Lake, A.G., Ambaw, W. M., Kassie, B. A., & Abebe, S. M. (2021). Birth preparedness and complication readiness practice and associated factors among pregnant women in Northwest Ethiopia: 2018. PLOS ONE, 16(4), e0249083.

https://doi.org/10.1371/journal.pone.0249083

Ejaz, S., & Ahmad, Kh. (2013). Postpartum care utilization among primigravida: A study in Rural Punjab, Pakistan. Journal of Humanities and Socia Sciences, 3(4), 10-19.

Gautam, P., Dahal, M., Ghimire, H., Chapagain, S., Baral, K., Acharya, R., Khanal, S., & Neupane, A. (2021). Depression among Adolescents of Rural Nepal: A Community-Based Study. Depression Research and Treatment, 2021, 1–9. https://doi.org/10.1155/2021/7495141

Guintivano, J., Manuck, T., & Meltzer-Brody, S. (2018). Predictors of Postpartum Depression: A Comprehensive Review of the Last Decade of Evidence. Clinical Obstetrics & Gynecology, 61(3), 591–603.

https://doi.org/10.1097/GRF.0000000000000368

Hassanzadeh, R., Abbas‐Alizadeh, F., Meedya, S., Mohammad‐Alizadeh‐Charandabi, S., & Mirghafourvand, M. (2021). Primiparous women’s knowledge and satisfaction based on their attendance at childbirth preparation classes. Nursing Open, 8(5), 2558–2566. https://doi.org/10.1002/nop2.787

Herval, Á. M., De Oliveira, F. P. S. L., Machado, K. M., Vasconcelos, M., Ferreira, R. C., Ferreira, E. F. E., Amaral, J. H. L. D., Vargas, A. M. D., & Gomes, V. E. (2019). Mothers’ perception about health education in Brazilian primary health care: A qualitative study. International Journal of Paediatric Dentistry, 29(5), 669–676. https://doi.org/10.1111/ipd.12489

Hughes, C. S., Kamanga, M., Jenny, A., Zieman, B., Warren, C., Walker, D., & Kazembe, A. (2022). Perceptions and predictors of respectful maternity care in Malawi: A quantitative cross-sectional analysis. Midwifery, 112, 103403. https://doi.org/10.1016/j.midw.2022.103403

Imaralu, J., Ani, I., Olaleye, A., Jaiyesimi, E., Afolabi-Imaralu, A., & Odugbemi, O. (2020). Maternal and perinatal outcomes of birth preparedness and complication readiness in recently delivered women of a Southwestern Nigerian Town. Annals of African Medicine, 19(1), 60. https://doi.org/10.4103/aam.aam_29_19

Kamineni, V., Murki, A., & Kota, V. (2017). Birth preparedness and complication readiness in pregnant women attending urban tertiary care hospital. Journal of Family Medicine and Primary Care, 6(2), 297. https://doi.org/10.4103/2249-4863.220006

Ju, D., Zhang, K., Yuan, M., Li, B., & Zeng, T. (2022). Childbirth readiness mediates the effect of social support on psychological birth trauma of primiparous women: A nationwide online cross-sectional study in China [Preprint]. In Review. https://doi.org/10.21203/rs.3.rs-2314441/v1

Lindblad, V., Melgaard, D., Jensen, K., Eidhammer, A., Westmark, S., Kragholm, K., & Gommesen, D. (2022). Primiparous women differ from multiparous women after early discharge regarding breastfeeding, anxiety, and insecurity—A prospective cohort study. European Journal of Midwifery, 6, 1–11.

https://doi.org/10.18332/ejm/146897

Malouf, R., Henderson, J., & Alderdice, F. (2019). Expectations and experiences of hospital postnatal care in the UK: A systematic review of quantitative and qualitative studies. BMJ Open, 9(7), e022212. https://doi.org/10.1136/bmjopen-2018-022212

Memon, J., Holakouie-Naieni, K., Majdzadeh, R., Yekaninejad, M. S., Garmaroudi, G., Raza, O., & Nematollahi, S. (2019). Knowledge, attitude, and practice among mothers about newborn care in Sindh, Pakistan. BMC Pregnancy and Childbirth, 19(1), 329. https://doi.org/10.1186/s12884-019-2479-0

Mueller, A. N., & Grylka-Baeschlin, S. (2023). Self-management, care needs and clinical management of primiparous mothers during early labour – a qualitative content analysis. BMC Pregnancy and Childbirth, 23(1), 191.

https://doi.org/10.1186/s12884-023-05453-4

O’Brien, B., Chalmers, B., Fell, D., Heaman, M., Darling, E. K., & Herbert, P. (2011). The Experience of Pregnancy and Birth with Midwives: Results from the Canadian Maternity Experiences Survey. Birth, 38(3), 207–215.

https://doi.org/10.1111/j.1523-536X.2011.00482.x

Okhovat, F., Okhovat, S., Karimiankakolaki, Z., & Yoshany, N. (2022). The effect of educational support intervention including peer groups for infant care on the growth rates of infants, breastfeeding self-efficacy and quality of life of their mothers in Iran: Study protocol. Reproductive Health, 19(1), 214. https://doi.org/10.1186/s12978-022-01523-6

Salarvand, S., Mousavi, M.-S., Esmaeilbeigy, D., Changaee, F., & Almasian, M. (2020). The Perceived Health Needs of Primiparous Mothers Referring to Primary Health Care Centers: A Qualitative Study. International Journal of Women’s Health, Volume 12, 745–753. https://doi.org/10.2147/IJWH.S258446

Silverman, M. E., Reichenberg, A., Savitz, D. A., Cnattingius, S., Lichtenstein, P., Hultman, C. M., Larsson, H., & Sandin, S. (2017). The risk factors for postpartum depression: A population-based study: S ILVERMAN ET AL. Depression and Anxiety, 34(2), 178–187. https://doi.org/10.1002/da.22597

Sehati Shafaie, F., Mirghafourvand, M., & Bagherinia, M. (2017). The Association Between Maternal Self-confidence and Functional Status in Primiparous Women During Postpartum Period, 2015-2016. International Journal of Women’s Health and Reproduction Sciences, 5(3), 200–204. https://doi.org/10.15296/ijwhr.2017.36

Shakarami, A., Mirghafourvand, M., Abdolalipour, S., Jafarabadi, M. A., & Iravani, M. (2021). Comparison of fear, anxiety and self-efficacy of childbirth among primiparous and multiparous women. BMC Pregnancy and Childbirth, 21(1), 642. https://doi.org/10.1186/s12884-021-04114-8

Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., Tam, W. W. S., & Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of Psychiatric Research, 104, 235–248. https://doi.org/10.1016/j.jpsychires.2018.08.001

Tsakiridis, I., Zerva, C., Mamopoulos, A., Kalogiannidis, I., Athanasiadis, A., & Dagklis, T. (2022). Maternal perception of fetal movements: Onset and associated factors. Journal of Perinatal Medicine, 50(9), 1174–1179. https://doi.org/10.1515/jpm-2021-0606

Weiss, M. E., & Lokken, L. (2009). Predictors and Outcomes of Postpartum Mothers’ Perceptions of Readiness for Discharge after Birth. Journal of Obstetric, Gynecologic & Neonatal Nursing, 38(4), 406–417. https://doi.org/10.1111/j.1552-6909.2009.01040.x

Yohai, D., Alharar, D., Cohen, R., Kaltian, Z., Aricha-Tamir, B., Ben Aion, S., Yohai, Z., & Weintraub, A. Y. (2018). The effect of attending a prenatal childbirth preparedness course on labor duration and outcomes. Journal of Perinatal Medicine, 46(1), 47–52. https://doi.org/10.1515/jpm-2016-03

Perception of Preparedness among Primiparous on Self-Care and Infant Care Before Discharge in a Private Hospital in Malaysia

Abstract

References

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