Perspectives and challenges of mothers in the care of newborns delivered in a non-profit tertiary care institution in South India: a qualitative study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20262694Keywords:
Breastfeeding, Family support, Mothers and family prospective, Postnatal newborn care, Qualitative researchAbstract
Background: Postnatal care is highly influenced by cultural and societal beliefs on maternal nutrition, breastfeeding and child rearing. This qualitative study was undertaken to explore the perspectives and challenges of mothers and caregivers of neonates, who presented to a hospital for an unscheduled postnatal visit, mothers who did not come for a scheduled neonatal visit, either for a special or routine visit after discharge and of mothers who came for a scheduled neonatal visit.
Methods: A hospital-based qualitative study was conducted in the obstetrics and gynecology department of a large tertiary centre, with in-depth telephonic interviews of purposively selected postnatal mothers who delivered in the last quarter of 2022. A structured questionnaire with open-ended questions on neonatal care, breastfeeding, knowledge, attitude, practices and challenges of mothers during the neonatal period was pretested using pilot interviews. A total of 27 interviews were conducted to cover all the specified groups till the saturation of the content of the interviews was reached. There was representation of mothers who came for unscheduled visits, scheduled visits and those who did not come for postnatal care.
Results: The major themes that emerged from the data were related to feeding of the newborn, handling illness in the baby, health and recovery of the mother during the postpartum period, support system, financial challenges, and health education at discharge.
Conclusions: Implementing exclusive breastfeeding needs non-judgmental support from the mother's family and health care professionals. Healthcare teams should plan culturally sensitive communication to ensure holistic, family-centred newborn care.
References
World Health Organization. WHO recommendations on postnatal care of the mother and newborn. 2014. Available at https://www.who.int/publications/i/item/9789241506649. Accessed on 2 December 2025.
Gadhavi K, Pandit N, Pankaj N, Gadhavi KR. Barriers and enablers of postnatal care by accredited social health activist (ASHA) workers: a community-based qualitative study from tribal Gujarat. Cureus. 2024;16(3).
Tully KP, Stuebe AM, Verbiest SB. The fourth trimester: a critical transition period with unmet maternal health needs. Am J Obstet Gynecol. 2017;217(1):37-41.
Lawn JE, Blencowe H, Oza S, You D, Lee AC, Waiswa P, et al. Every Newborn: progress, priorities, and potential beyond survival. Lancet. 2014;384(9938):189-205.
Global Strategy for Women’s, Children’s and Adolescents Health Data Portal for India. Available at: https://platform.who.int/data/maternal-newborn-child-adolescent-ageing/global-strategy-data. Accessed on 2 December 2025.
National Health Mission. Child health programmes. Available at: https://nhm.gov.in/index4.php? lang=1&level=0&linkid=513&lid=817. Accessed on 2 December 2025.
Pricilla RA, Kurian S, Benjamin SJ, Rathore S, Yenuberi H, dani Minz S, et al. Study protocol: ‘A large cohort study of postnatal events in a not-for-profit referral centre in Vellore, South India’. BMJ Open. 2022;12(12):e063497.
Naeem M, Ozuem W, Howell K, Ranfagni S. A step-by-step process of thematic analysis to develop a conceptual model in qualitative research. Int J Qual Methods. 2023;22:16094069231205789.
Tan GP, Topothai C, van der Eijk Y. Encouraging breastfeeding without guilt: A qualitative study of breastfeeding promotion in the Singapore healthcare setting. Int J Women’s Health. 2024:1437-50.
Maria A, Agrawal D. Family-centered care for newborns: from pilot implementation to national scale-up in India. Indian Pediatr. 2021;58(Suppl 1):60-3.
Siva N, Phagdol T, Nayak SB, Mathias GE, Edward S. Lewis L, et al. Stress and stressors experienced by the parents of high‐risk neonates admitted in neonatal intensive care unit: Systematic review and meta‐analysis evidence available from India. Stress Health. 2024;40(2).