Professional support during the postpartum period: Primiparous women’s views on professional services, their expectations, and barriers to mobilizing professional help

Abstract Background: Mothers of young infants, especially primiparous women who lack experience and knowledge, are usually overwhelmed with a multitude of stressors and challenges. Although support from professionals is needed for new mothers, there is indeed a gap between the necessary high-quality service and the currently provided poor services. This study aimed to explore primiparous women’s views on professional services, identify barriers to mobilizing professional support, and further understand women’s expectations of and preferences for the delivery of professional services. Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous women who were selected from two community health centres and who had given birth within one year before the interview. Each conversation lasted between 20-86 minutes. Colaizzi’s seven-step phenomenological approach was used for data analysis. Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum women, (b) barriers to mobilizing professional support, and (c) primiparous women’s expectations of professional support. Seven related subthemes included primiparous women’s disappointment with clinical services and their low confidence in services provided by communities, social health centres and online platforms; internal personal reasons and external socio-cultural factors that contributed to barriers in obtaining professional help; and primiparas’ new expectations of baby-care-related services, their personal needs for recovery, and their expectations of methods of services delivery. The necessity of professional support in the first month of confinement was emphasized by primiparas. Online methods were perceived by the majority of participants to be the best way to receive services. Conclusion: The results of this descriptive phenomenological study suggested that the professional services currently provided by medical facilities were insufficient and could not meet the requirements of primiparous women. The identified barriers should be analysed and overcome by enhancing education and eliminating stigma. The results also suggested that providing service focused on women’s requirements may be an effective strategy to enhance primiparous women’s well-being and suggested that women believed that the most acceptable and convenient methods should be considered during the delivery of interventions.