Mothers' sense of security in the first postnatal week: interview study.
OBJECTIVE
This paper is a report of a study of factors which influence mothers' sense of security during the first postnatal week.


BACKGROUND
Mothers' sense of security the first postnatal week is not thoroughly elucidated in the literature.


METHODS
An interview study with a qualitative descriptive design was carried out, using thematic content analysis. Fourteen mothers from three hospital uptake areas in Southern Sweden were interviewed using focus group discussions and individual interviews between May 2008 and March 2009.


RESULTS
Postnatal sense of security was dependent on support from staff, support from family and the capacity and health of the woman and the baby, and these themes had categories and sub-categories, including: Being met as an individual, being given relevant information, being prepared for the time after birth and having someone to turn to--knowing who to ask, having partner and/or significant others close at hand, mother's and the baby's own resources, being assured that her own physical health was good, and having planned follow-up regarding the baby's health after discharge.


CONCLUSIONS
Staff attitudes should be continually discussed at all units providing maternity care. These discussions should include attitudes towards the father and the significance of his presence for the wellbeing of the family. Continued postbasic staff education in, for example, counselling and communication is necessary if services are to be improved so that parents' individual needs can be met. Preparation for the early postpartum period is important and all information given must be consistent, in particular information about breastfeeding.
Persson
Eva K
EK
Division of Nursing, Department of Health Sciences, Lund University, Sweden. eva-kristina.persson@med.lu.se
Fridlund
Bengt
B
Kvist
Linda J
LJ
Dykes
Anna-Karin
AK
D000328:Adult; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D001942:Breast Feeding / Q000523:psychology; D004509:Education, Nursing, Continuing; D004644:Emotions; D005220:Fathers / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008880:Midwifery; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D009723:Nurse-Patient Relations; D010353:Patient Education as Topic / Q000458:organization & administration; D011181:Postnatal Care / Q000379:methods / Q000458:organization & administration* / Q000523:psychology; D049590:Postpartum Period / Q000523:psychology*; D011247:Pregnancy; D036301:Qualitative Research; D012449:Safety; D012944:Social Support; D013548:Sweden; D055815:Young Adult