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Transition to motherhood.

Antonia M Nelson1

  • 1Nursing Department, Saint Joseph College, West Hartford, CT 06117-2791, USA. amnelson@sjc.edu

Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN
|August 9, 2003
PubMed
Summary

This meta-synthesis reveals two key processes in the transition to motherhood: engagement and growth. Understanding these and areas of disruption can help support new mothers during this critical period.

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Area of Science:

  • Maternal Health
  • Qualitative Research Synthesis
  • Psychosocial Adaptation

Background:

  • The transition to motherhood is a critical developmental period involving significant psychosocial adaptation.
  • Qualitative studies offer rich insights into the lived experiences of new mothers.
  • Synthesizing existing qualitative research is essential for a comprehensive understanding of maternal transition.

Purpose of the Study:

  • To synthesize findings from nine qualitative studies on the transition to motherhood.
  • To develop a meta-synthesis using Noblit and Hare's methodology.
  • To identify key processes and themes within the maternal transition experience.

Main Methods:

  • A systematic meta-synthesis approach was employed, following Noblit and Hare's framework.
  • Literature searches were conducted across multiple databases (CINAHL, MEDLINE, PsycINFO, Sociological Abstracts, Dissertation Abstracts).
  • Nine qualitative studies (four grounded theory, five phenomenological/hermeneutic) were selected and analyzed through reciprocal translations.

Main Results:

  • Two core processes of maternal transition were identified: engagement and growth/transformation.
  • Five thematic categories representing areas of disruption during maternal transition were revealed.
  • Thirteen underlying themes contributing to the complexity of maternal transition were elucidated.

Conclusions:

  • Nurses should address maternal insecurity in primiparae and promote maternal engagement, especially during infant intensive care.
  • Postpartum support programs should include prenatal discussions of realistic expectations and ongoing support for the first six months.
  • Integrating role models into support programs can help mothers navigate common transitional disruptions.

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