Perceptions of primiparas on a postnatal psychoeducation programme: the process evaluation.

Area of Science:

• Maternal and Child Health
• Nursing Research
• Psychosocial Support

Background:

• The early postpartum period presents significant challenges for primiparas, including emotional distress and difficulties with infant care.
• Existing postnatal support may be insufficient, particularly after hospital discharge, highlighting a need for effective psychoeducation programs.

Purpose of the Study:

• To explore primiparas' perceptions of the content, delivery, and personal impact of a postnatal psychoeducation program.
• To assess the program's effectiveness in enhancing maternal confidence, emotional well-being, and caregiving knowledge.

Main Methods:

• A descriptive qualitative study involving 18 primiparas in Singapore.
• Semi-structured interviews were conducted 6-9 weeks postpartum to gather perceptions of a psychoeducation program comprising home visits, telephone follow-ups, and an educational booklet.

Main Results:

• Participants reported increased confidence in newborn care, improved emotional well-being, and enhanced knowledge of infant and self-care, including breastfeeding.
• Challenges such as negative emotions and breastfeeding difficulties were common, but the program was perceived as helpful in addressing these.
• Suggestions for improvement included more home visits, telephone follow-ups, and web-based resources, with a strong recommendation for routine integration.

Conclusions:

• The postnatal psychoeducation program demonstrated significant benefits for maternal well-being and confidence in maternal roles.
• The findings support the introduction of this program for multiracial primiparas in Singapore, emphasizing its potential to ease the transition to motherhood.
• Increased resources for postpartum follow-up and self-efficacy-enhancing interventions are recommended for midwives.