First-time mothers' perspectives on relationships with and between midwives and doctors: Insights from a qualitative study of giving birth in New Zealand

Midwifery ◽  
2012 ◽  
Vol 28 (4) ◽  
pp. 489-494 ◽  
Author(s):  
Anne M. Howarth ◽  
Nicola R. Swain ◽  
Gareth J. Treharne
Keyword(s):  
New Zealand ◽  
Qualitative Study ◽  
First Time Mothers ◽  
First Time

scholarly journals A qualitative study on the breastfeeding experiences of first-time mothers in Vientiane, Lao PDR

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Hope Mei Hong Lee ◽  
Jo Durham ◽  
Jenny Booth ◽  
Vanphanom Sychareun
Keyword(s):  
Qualitative Study ◽  
Lao Pdr ◽  
First Time Mothers ◽  
First Time

scholarly journals The Maternity Experience of New Zealand Samoan First-time Mothers

2021 ◽  
Author(s):  
◽  
Marianna Churchward
Keyword(s):  
New Zealand ◽  
Interpersonal Relationships ◽  
Intergenerational Relationships ◽  
Embodied Experience ◽  
Theoretical Frameworks ◽  
Pregnancy And Childbirth ◽  
Early Motherhood ◽  
First Time Mothers ◽  
Before And After ◽  
First Time

<p>Motherhood is a life-changing event. It is a significant milestone for a woman. This thesis explores the concept of motherhood from the perspectives of Samoan first-time mothers living in New Zealand. The thesis traces their experiences from conception, pregnancy and childbirth through to early motherhood. Their narratives are the focus of the research and are complemented by the viewpoints from some of their own mothers, and maternity health professionals.  The overarching question, ‘What are the experiences of a group of first-time New Zealand-born Samoan mothers before and after birth?’ was framed from a strengths-based approach and draws on work which defines a strength-based approach to resilience as research that changed traditional deficit perspectives. Rather than focusing on how individuals or families have failed or struggled, emphasis is directed to how they can succeed or how they can manage (Walsh, 2006).  Interviews were conducted in Wellington and Auckland with 11 first-time Samoan mothers prior to childbirth and follow-up interviews with nine of these women within 12 months of the birth of their child. Five Samoan grandmothers, i.e. mothers of these first-time mothers, five midwives and five Plunket nurses were also interviewed.  Four sites of analysis were examined – the embodied experience of conception and pregnancy; the process of labour and childbirth; the new norm of early motherhood, and interpersonal relationships and encounters. Analysis was conducted through the overarching lens of the Samoan concept of the vā (Wendt, 1999), the theoretical frameworks of ‘negotiated spaces’ (Mila-Schaaf and Hudson, 2009) and sophisticated mediation (Churchward, 2011).  It was found that the first-time New Zealand-born Samoan mothers engaged in a complex and, at times, contradictory process of seeking support during their transition to motherhood. They demonstrated resilience and their skill as sophisticated mediators. The women depended on relationships, some biological and some not, that were reliable and sustainable and the interaction and care that the relationship offered. Intergenerational relationships were important to these first-time New Zealand-born Samoan mothers, particularly ones they had with their own mother, or someone close to them, as it was pivotal in the way in which they constructed their maternity experience.</p>

scholarly journals First Birth at Home or in Hospital in Aotearoa/New Zealand: Intrapartum Midwifery Care and Related Outcomes

2021 ◽  
Author(s):  
◽  
Suzanne Claire Miller
Keyword(s):  
New Zealand ◽  
Focus Group ◽  
Emotional Health ◽  
Care Provision ◽  
First Birth ◽  
Aotearoa New Zealand ◽  
Foetal Monitoring ◽  
First Time Mothers ◽  
First Time ◽  
At Home

<p>A woman's first birth experience can be a powerfully transformative event in her life, or can be so traumatic it affects her sense of 'self' for years. It can influence her maternity future, her physical and emotional health, and her ability to mother her baby. It matters greatly how her first birth unfolds. Women in Aotearoa/New Zealand enjoy a range of options for provision of maternity care, including, for most, their choice of birth setting. Midwives who practice in a range of settings perceive that birth outcomes for first-time mothers appear to be 'better' at home. An exploration of this perception seems warranted in light of the mainstream view that hospital is the optimal birth setting. The research question was: "Do midwives offer the same intrapartum care at home and in hospital, and if differences exist, how might they be made manifest in the labour and birth events of first-time mothers?" This mixed-methods study compared labour and birth events for two groups of first-time mothers who were cared for by the same midwives in a continuity of care context. One group of mothers planned to give birth at home and the other group planned to give birth in a hospital where anaesthetic and surgical services were available. Labour and birth event data were collected by a survey which was generated following a focus group discussion with a small group of midwives. This discussion centred around whether these midwives believed their practice differed in each setting, and what influenced care provision in each place. Content analysis of the focus group data saw the emergence of four themes relating to differences in practice: midwives' use of space, their use of time, the 'being' and 'doing' of midwifery and aspects relating to safety. Survey data were analysed using SPSS. Despite being cared for by the same midwives, women in the hospital-birth group were more likely to use pharmacological methods of pain management, experienced more interventions (ARM, vaginal examinations, IV hydration, active third stage management and electronic foetal monitoring) and achieved spontaneous vaginal birth less often than the women in the homebirth group. These findings strengthen the evidence that for low risk first-time mothers a choice to give birth at home can result in a greater likelihood of achieving a normal birth. The study offers some insights into how the woman's choice of birth place affects the care provided by midwives, and how differences in care provision can relate to differences in labour and birth event outcomes.</p>

First-time mothers’ perceptions of workplace social support: An exploratory qualitative study

2020 ◽  
Vol 30 (2) ◽  
pp. 151-156
Author(s):  
Zamandlovu Sizile Makola ◽  
Elizabeth Cornelia Rudolph ◽  
Yvonne Trijntje Joubert
Keyword(s):  
Social Support ◽  
Qualitative Study ◽  
First Time Mothers ◽  
Workplace Social Support ◽  
First Time

scholarly journals Experiences of First-Time Mothers With Persistent Pelvic Girdle Pain After Childbirth: Descriptive Qualitative Study

2015 ◽  
Vol 95 (10) ◽  
pp. 1354-1364 ◽  
Author(s):  
Francesca Wuytack ◽  
Elizabeth Curtis ◽  
Cecily Begley
Keyword(s):  
Qualitative Study ◽  
Pelvic Girdle ◽  
Pelvic Girdle Pain ◽  
Care Providers ◽  
Women’S Experiences ◽  
Women's Experiences ◽  
First Time Mothers ◽  
Women's Lives ◽  
First Time ◽  
Descriptive Qualitative

BackgroundPelvic girdle pain (PGP) is common during pregnancy and negatively affects women's lives. When PGP persists after the birth, the way it affects women's lives may change, particularly for first-time mothers as they adjust to motherhood, yet the experiences of women with persistent PGP remain largely unexplored.ObjectivesThe objective of this study was to explore primiparous women's experiences of persistent PGP and its impact on their lives postpartum, including caring for their infant and their parental role.DesignThis was a descriptive qualitative study.MethodsFollowing institution ethical approval, 23 consenting primiparous women with PGP that had started during pregnancy and persisted for at least 3 months postpartum participated in individual interviews. These interviews were recorded, transcribed, and analyzed using thematic analysis.ResultsFour themes emerged: (1) “Putting up with the pain: coping with everyday life,” in which women put up with the pain but had to balance activities and were grateful for support from family and friends to face everyday challenges; (2) “I don't feel back to normal,” in which women's feelings of physical limitations, frustration, and a negative impact on their mood were described; (3) “Unexpected,” in which persistent symptoms were unexpected for women due to a lack of information given about PGP; and (4) “What next?,” in which the future of women's symptoms was met with great uncertainty, and they expressed worry about having another baby.ConclusionFor first-time mothers, having persistent PGP postpartum affects their daily lives in many ways. These findings provide important information for health care providers, which will improve their understanding of these women's experiences, will enhance rapport, and can be used to provide information and address concerns to optimize maternity care during pregnancy and beyond.

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