title: Experiences and understandings of social and emotional distress in the postnatal period among Bangladeshi women living in Tower Hamlets.
abstract: OBJECTIVE
  The purpose of this study was to explore first-generation Bangladeshi women's understandings and experiences of postnatal distress, and to describe coping strategies during the postnatal period.
  
  
  METHODS
  This was a qualitative study using focus groups. Subjects were drawn from three existing community groups in Tower Hamlets, a multiethnic, socially deprived borough in east London. Thematic content analysis was used to explore and present the data.
  
  
  RESULTS
  Many women received little practical or emotional support once home from hospital with a new baby, because of the lack of extended family networks; this contrasts with the 40 day rest period common in Bangladesh. These women understood emotional distress as separate from physical symptoms or illness, and recognized that one may influence or cause the other. Distinctive language was used to describe these thoughts and feelings. The roles of health visitors, midwives and GPs were understood solely in terms of physical care. Accordingly, they did not access professionals for emotional or psychological problems. Lack of language support services contributed to the women not seeking help.
  
  
  CONCLUSIONS
  Information about services, and professional roles in the postnatal period should be extended to include key family members such as husbands and mothers-in-law. Dialogue with Bangladeshi women may ensure that women understand the extended roles of GPs, health visitors and midwives in providing help for emotional distress, alongside their role in physical health care. More language support and advocacy is needed if women are to access the full range of health services.
authors.affiliation: Tower Hamlets Primary Care Trust and Department of General Practice and Primary Care, Queen Mary's School of Medicine and Dentistry, London, UK.
authors.forename: Alia
authors.initials: A
authors.lastname: Parvin
authors.forename: Coral E
authors.initials: CE
authors.lastname: Jones
authors.forename: Sally A
authors.initials: SA
authors.lastname: Hull
mesh_terms: D000328:Adult; D001459:Bangladesh / Q000208:ethnology; D019052:Depression, Postpartum / Q000209:etiology* / Q000523:psychology; D005194:Family Practice; D005260:Female; D017144:Focus Groups; D006801:Humans; D008131:London; D008875:Middle Aged; D011610:Psychosocial Deprivation; D013315:Stress, Psychological / Q000208:ethnology / Q000209:etiology