Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications

Background: Despite recent emphasis on the ?fourth trimester? and beyond, most knowledge of stressors affecting women is focused on the first 6 postpartum weeks. Our aim was to identify postpartum-specific stressors and coping over the extended postpartum period. Methods: We analyzed data from two s...

Full description

Bibliographic Details
Main Authors: Lorraine O. Walker, Nicole Murry
Format: Article
Language:English
Published: Mary Ann Liebert 2022-01-01
Series:Women's Health Reports
Subjects:
Online Access:https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0134
_version_ 1797345798273368064
author Lorraine O. Walker
Nicole Murry
author_facet Lorraine O. Walker
Nicole Murry
author_sort Lorraine O. Walker
collection DOAJ
description Background: Despite recent emphasis on the ?fourth trimester? and beyond, most knowledge of stressors affecting women is focused on the first 6 postpartum weeks. Our aim was to identify postpartum-specific stressors and coping over the extended postpartum period. Methods: We analyzed data from two surveys for a combined sample of 346 postpartum women. Principal components analysis of survey items on sources of stress was used to identify categories of postpartum-specific stressors. Content analysis was used to categorize text data on coping strategies. Results: Seven stressors were identified: Overload, Working mother concerns, Isolated motherhood, Limited supportive resources, Exhaustion, Parenting demands, and Changes in body and sexuality. Overload was the most frequent stressor (F?=?49.32, p?<?0.001) and was significantly higher at 9?12 months than at 5?8 months or at 13 months or more (F?=?6.42, p?=?0.002). Fulltime employment and having more than one child were associated with elevated scores on several stressors. Content analysis yielded seven coping strategies, such as Take time alone or with others, Manage emotions and thoughts, and Maintain a manageable workload. Five of the seven stressors were associated with at least one of the top five coping strategies; none was associated with Overload or Limited supportive resources. Conclusions: Women's predominant source of stress was from overload and was highest at 9 to 12 months postpartum. Community resources and public health policy and programming are needed to prepare and support women during the challenging first postpartum year.
first_indexed 2024-03-08T11:22:40Z
format Article
id doaj.art-9849b57a99ea4d99b7e03f359e1b3b5a
institution Directory Open Access Journal
issn 2688-4844
language English
last_indexed 2024-03-08T11:22:40Z
publishDate 2022-01-01
publisher Mary Ann Liebert
record_format Article
series Women's Health Reports
spelling doaj.art-9849b57a99ea4d99b7e03f359e1b3b5a2024-01-26T05:47:51ZengMary Ann LiebertWomen's Health Reports2688-48442022-01-013110411410.1089/WHR.2021.0134Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary ImplicationsLorraine O. WalkerNicole MurryBackground: Despite recent emphasis on the ?fourth trimester? and beyond, most knowledge of stressors affecting women is focused on the first 6 postpartum weeks. Our aim was to identify postpartum-specific stressors and coping over the extended postpartum period. Methods: We analyzed data from two surveys for a combined sample of 346 postpartum women. Principal components analysis of survey items on sources of stress was used to identify categories of postpartum-specific stressors. Content analysis was used to categorize text data on coping strategies. Results: Seven stressors were identified: Overload, Working mother concerns, Isolated motherhood, Limited supportive resources, Exhaustion, Parenting demands, and Changes in body and sexuality. Overload was the most frequent stressor (F?=?49.32, p?<?0.001) and was significantly higher at 9?12 months than at 5?8 months or at 13 months or more (F?=?6.42, p?=?0.002). Fulltime employment and having more than one child were associated with elevated scores on several stressors. Content analysis yielded seven coping strategies, such as Take time alone or with others, Manage emotions and thoughts, and Maintain a manageable workload. Five of the seven stressors were associated with at least one of the top five coping strategies; none was associated with Overload or Limited supportive resources. Conclusions: Women's predominant source of stress was from overload and was highest at 9 to 12 months postpartum. Community resources and public health policy and programming are needed to prepare and support women during the challenging first postpartum year.https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0134copingemploymentpostpartumstress
spellingShingle Lorraine O. Walker
Nicole Murry
Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
Women's Health Reports
coping
employment
postpartum
stress
title Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
title_full Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
title_fullStr Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
title_full_unstemmed Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
title_short Maternal Stressors and Coping Strategies During the Extended Postpartum Period: A Retrospective Analysis with Contemporary Implications
title_sort maternal stressors and coping strategies during the extended postpartum period a retrospective analysis with contemporary implications
topic coping
employment
postpartum
stress
url https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0134
work_keys_str_mv AT lorraineowalker maternalstressorsandcopingstrategiesduringtheextendedpostpartumperiodaretrospectiveanalysiswithcontemporaryimplications
AT nicolemurry maternalstressorsandcopingstrategiesduringtheextendedpostpartumperiodaretrospectiveanalysiswithcontemporaryimplications