Postnatal experiences and support needs of first-time mothers in Singapore: A descriptive qualitative study

Objectives: to explore first-time mothers' postnatal experiences and support needs after hospital discharge in Singapore. Design and setting: a descriptive qualitative study was adopted in this study. Participants were recruited from a public tertiary hospital in Singapore. Semi structured interviews were used for data collection and the interview transcripts were analysed using thematic analysis. Participants: a purposive sample of 13 English-speaking first time mothers of age 21 years and above were interviewed within 7-11 days after their hospital discharge. Findings: five themes emerged from the thematic analysis: (1) mixed emotions: participants experienced anxiety, labile emotions and stress over infant care; (2) breast feeding concerns: low breast milk supply and physical discomfort; (3) social support: many participants had sufficient social support from family members except their husbands; (4) cultural postnatal practice: majority of participants followed traditional postnatal practices of their culture; and (5) professional support needs: participants needed more information, access to health care services and continuity of care. Conclusions: this study highlighted the importance of providing professional postnatal care to first-time mothers after their discharge from the hospital. Future studies are needed to explore new practices that will enhance the quality of maternity health care and promote positive maternal experiences and wellbeing in Singapore. Implications for practice: there is a need for more innovative advertisement to promote antenatal classes and improve attendance rate. Health care providers should assist women in establishing proper breast feeding techniques. Alternative models of care in the postnatal period, such as midwifery-led care, could facilitate a more woman-centred approach. Postnatal home visits may be considered within the first week of the mothers' hospital discharge, which may be legislated by public health care policies. (C) 2013 Elsevier Ltd. All rights reserved.