Joy, struggle, and support; postpartum experiences of mothers in a Tanzanian suburb. A qualitative study.
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Date
2011
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Women and Birth
Abstract
Objectives
To explore and describe postpartum experiences of first-time mothers in a Tanzanian, multiethnic, low-income suburb.
Methods
Individual qualitative interviews with 10 first-time mothers, 4–10 weeks postpartum in Ilala suburb, Dar es Salaam, Tanzania.
Results
The first-time mothers enjoyed motherhood and the respectful status it implied. To understand and handle the infant's needs and own bodily changes were important during postpartum. The tradition of abstaining from sex up to 4 years during breastfeeding was a concern as male's faithfulness was questioned and with HIV a threat to family health. Partner relationship changed towards shared parental and household work and the man's active participation was appreciated. Support from family members and others in the neighbourhood were utilised as a resource by the mothers. In instances of uncertainties on how to handle things, their advice was typically followed. The new mothers generally had good experiences of health care during the childbearing period. However, they also experienced insufficiencies in knowledge transfer, disrespectful behaviour, and unofficial fees.
Key conclusions and implication for practice
The mothers’ perspective of postpartum revealed that they actively searched for ways to attain infants’ and own health needs, and family health in general. Prolonged sexual abstinence was considered a risk for the partner having other sexual partners and contracting HIV. The mothers relied heavily on the informal support network, which sometimes meant risking family health due to misinformation and harmful practices. Health care and informal support systems should complement each other to attain adequate support for the families postpartum.
Description
Keywords
Postpartum, Mothers experiences, Infant care
Citation
Mbekenga, C.K., Christensson, K., Lugina, H.I. and Olsson, P., 2011. Joy, struggle and support: postpartum experiences of first-time mothers in a Tanzanian suburb. Women and Birth, 24(1), pp.24-31.