uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Joy, struggle and support: postpartum experiences of first-time mothers in a Tanzanian suburb
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). (Essén)
Karolinska Institute, Stockholm, Sweden. (Department of Women's and Children's health)
Weill Bugando University College of Health Sciences, Mwanza, Tanzania. (Archbishop Anthony Mayala School of Nursing)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). (Essén)
2011 (English)In: Women and Birth, ISSN 1871-5192, E-ISSN 1878-1799, Vol. 24, no 1, 24-31 p.Article in journal (Refereed) Published
Abstract [en]

The first-time mothers enjoyed motherhood and the respectful status it implied. To understand and handle the infant's needs and own bodily changes were important during postpartum. The tradition of abstaining from sex up to 4 years during breastfeeding was a concern as male's faithfulness was questioned and with HIV a threat to family health. Partner relationship changed towards shared parental and household work and the man's active participation was appreciated. Support from family members and others in the neighbourhood were utilised as a resource by the mothers. In instances of uncertainties on how to handle things, their advice was typically followed. The new mothers generally had good experiences of health care during the childbearing period. However, they also experienced insufficiencies in knowledge transfer, disrespectful behaviour, and unofficial fees. KEY CONCLUSIONS AND IMPLICATION FOR PRACTICE: The mothers' perspective of postpartum revealed that they actively searched for ways to attain infants' and own health needs, and family health in general. Prolonged sexual abstinence was considered a risk for the partner having other sexual partners and contracting HIV. The mothers relied heavily on the informal support network, which sometimes meant risking family health due to misinformation and harmful practices. Health care and informal support systems should complement each other to attain adequate support for the families postpartum.

Place, publisher, year, edition, pages
2011. Vol. 24, no 1, 24-31 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-150899DOI: 10.1016/j.wombi.2010.06.004ISI: 000208666500005PubMedID: 20674528OAI: oai:DiVA.org:uu-150899DiVA: diva2:409271
Available from: 2011-04-07 Created: 2011-04-07 Last updated: 2017-12-11Bibliographically approved
In thesis
1. Striving to Promote Family Health after Childbirth: Studies in Low-Income Suburbs of Dar es Salaam, Tanzania
Open this publication in new window or tab >>Striving to Promote Family Health after Childbirth: Studies in Low-Income Suburbs of Dar es Salaam, Tanzania
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Deeper understanding of family health and support after childbirth from the perspective of first-time parents and their informal support network is needed. Postpartum experiences and health concerns of first-time mothers and fathers and, discourses on sexuality and informal support after childbirth were explored in low-income, suburban areas in Ilala, Dar es Salaam, Tanzania. Individual qualitative interviews with first-time mothers (n=10) and fathers (n=10), and 14 focus group discussions with first-time parents (n=40) and informal support persons (n=42) provided the data, which were analyzed through qualitative content and discourse analysis.

First-time parents’ areas of concern were newborn care and hygiene, infant feeding, handling crying infant, maternal nutrition and hygiene, uncertain body changes for the mother and, sexuality. The mothers were burdened with caring responsibilities and fathers felt neglected and excluded from the care of the mother and infant after childbirth, both by the families and the health care system. Sexuality after childbirth created tension between new parents due to the understanding that abstinence would protect child health during the breastfeeding period, which could be several years. Women’s adherence to sexual abstinence was more emphasized compared to men’s. Men’s engagement with other sex partners and the risk of contraction HIV was a threat to family health.

First-time parents drew on support from both informal and formal sources. Informal support networks played a major role in providing information, materials, guidance and supervision while conveying stereotypic gender norms. Contradictions in the messages to parents within and between the support systems created uncertainties that might have negative implications for family health. Poor parents and those who did not adherence to the social norms were less likely to get informal support than others were.

There is a need for information and practical guidance on basic aspects of care for the mother and infant, male involvement, and the importance of social support to first-time parents, as new parents face physical, social and relational challenges after childbirth. The link between the health care system and informal networks need to be strengthened to enable them to complement each other in promoting family health after child health.

Place, publisher, year, edition, pages
Uppsala: Uppsala University, 2011. 54 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, ISSN 1651-6206 ; 668
Keyword
First-time parents, postpartum, Health promotion, sexuality, informal support, qualitative, suburban Tanzania
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-150924 (URN)978-91-554-8065-3 (ISBN)
Public defence
2011-05-24, Rosénsalen, Akademiska sjukhuset, ing 95/96, Uppsala, 09:15 (English)
Opponent
Supervisors
Available from: 2011-05-03 Created: 2011-04-07 Last updated: 2011-07-01Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Authority records BETA

Mbekenga, Columba KLugina, HelenOlsson, Pia

Search in DiVA

By author/editor
Mbekenga, Columba KLugina, HelenOlsson, Pia
By organisation
International Maternal and Child Health (IMCH)
In the same journal
Women and Birth
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 470 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf