"Reassurance that you're doing okay, or guidance if you're not": A qualitative descriptive study of pregnant first time mothers' expectations and information needs about postnatal care in England.
Jenny McLeish, Merryl Harvey, Maggie Redshaw and 1 others
PMID 32798075WHAT IT FOUND
First-time mothers in England lacked clear antenatal information about postnatal care, relied on other mothers, and feared being judged.
Most wanted proactive, non-judgmental reassurance and a clear schedule of contacts.
Key findings
01None of the interviewed women reported receiving comprehensive information about postnatal care.
02Most wanted more official antenatal information about postnatal care, while about a quarter did not want detailed information in advance.
03The strongest theme was fear of being judged and a desire for non-judgmental reassurance and advice.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Findings are from a small purposive sample of first-time mothers in England, so they may not apply to other mothers, settings, or countries. It is a qualitative study of expectations during pregnancy, not evidence that any information or care change works. Some young women may have given socially desirable answers about wanting to comply with professionals. Interview depth varied, and participants with unformed expectations gave shorter, less detailed accounts. The study did not capture what happened after birth or how well women's expectations were met. No differences were identified by ethnicity, urban/rural location, relationship status, or deprivation, but the study was not designed to prove equality across groups.
The easy way to misread this
Do not read this as evidence that giving more antenatal postnatal information reduces anxiety or improves care. The study describes what first-time mothers expected and wanted, not what happened after birth or whether any change worked.