RNCohortInternational journal of community based nursing and midwifery2017

Perceived Social Support and Maternal Competence in Primipara Women during Pregnancy and After Childbirth.

Sara Esmaelzadeh Saeieh, Mitra Rahimzadeh, Mansooreh Yazdkhasti and 1 others

PMID 29043286

WHAT IT FOUND

First-time mothers' competence scores fell from pregnancy to 16 weeks after birth.

Perceived social support did not change over that time, and higher support was linked to higher competence at 6 and 16 weeks postpartum.

Key findings

01Maternal competence scores decreased from pregnancy through sixteen weeks after childbirth, with no difference between six and sixteen weeks.

02Perceived social support did not change significantly from pregnancy through sixteen weeks after childbirth.

03Perceived social support was significantly related to maternal competence at six and sixteen weeks after childbirth.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The authors state the sample size was small and generalisation may be limited because participants were only Iranian first-time mothers with a single normal pregnancy and no psychiatric history. The study used convenience sampling from two health centres, so the women may not represent other settings. The study excluded mothers with postpartum depression at six weeks, so it does not describe mothers with that condition. The paper reports associations over time but does not test whether social support causes higher maternal competence. The paper does not report how many of the 100 allocated were followed at each time point.

Declared interests

The supplied text does not report funding or conflicts of interest.

The easy way to misread this

Do not conclude that increasing social support will raise maternal competence. The study observed associations and did not test a support intervention. Social support scores did not change clearly over time.

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