Postnatal concerns of mothers: an update.

The purpose of this study was to determine the major concerns of primiparae and multiparae 1 month post-delivery and the resources used in meeting identified concerns. A mail-back questionnaire developed by Gruis (1977) was used. The sample was composed of 19 primiparae and 22 multiparae from Vancouver BC, Canada. The most frequently identified concerns of primiparae (N greater than 6) were baby feeding, fatigue, breast soreness, baby behaviour, return of the figure, limiting visitors, regulating demands, growth and development, interpreting behaviour, physical care of the baby, and labour and delivery. The most frequently identified major concerns of multiparae (N greater than 6) were fatigue, regulating demands, emotional tension, jealousy of other children, and the labour and delivery experience. The vast majority of major concerns were dealt with effectively. The women used a variety of resources, and their partners were particularly helpful. However, for 14 (64%) of the multiparae in this study, the hospital stay did not provide preparation for the first weeks at home with their new baby. It is suggested that community caregivers should see their postnatal clients as soon as possible after discharge from hospital. Teaching sessions can occur in the home, and in accordance with individual concerns.