title: First-time mothers: social support, maternal parental self-efficacy and postnatal depression.
abstract: OBJECTIVE
  To examine the relationships between social support, maternal parental self-efficacy and postnatal depression in first-time mothers at 6 weeks post delivery.
  
  
  BACKGROUND
  Social support conceptualised and measured in different ways has been found to positively influence the mothering experience as has maternal parental self-efficacy. No research exists which has measured the relationships between social support, underpinned by social exchange theory and maternal parental self-efficacy using a domain-specific instrument, underpinned by self-efficacy theory and postnatal depression, with first-time mothers at 6 weeks post delivery.
  
  
  METHODS
  A quantitative correlational descriptive design was used.
  
  
  METHODS
  Data were collected using a five-part questionnaire package containing a researcher developed social support questionnaire, the Perceived Maternal Parental Self-Efficacy Scale and the Edinburgh Postnatal Depression Scale. Four hundred and ten mothers completed questionnaires at 6 weeks post delivery.
  
  
  RESULTS
  Significant relationships were found between functional social support and postnatal depression; informal social support and postnatal depression; maternal parental self-efficacy and postnatal depression and informal social support and maternal parental self-efficacy at 6 weeks post delivery.
  
  
  CONCLUSIONS
  Nurses and midwives need to be aware of and acknowledge the significant contribution of social support, particularly from family and friends in positively influencing first-time mothers' mental health and well-being in the postpartum period. The development of health care policy and clinical guidelines needs to define and operationalise social support to enhance maternal parental self-efficacy.
  
  
  CONCLUSIONS
  These findings suggest that nurses and midwives need to be cognisant of the importance of social support for first-time mothers in both enhancing maternal parental self-efficacy and reducing postnatal depressive symptomatology in the early postpartum period.
authors: Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College,Cork, Ireland. patricia.leahy@ucc.ie
authors: Patricia
authors: P
authors: Leahy-Warren
authors: Geraldine
authors: G
authors: McCarthy
authors: Paul
authors: P
authors: Corcoran
mesh_terms: D019052:Depression, Postpartum / Q000523:psychology*; D005260:Female; D006801:Humans; D009035:Mothers / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support