ArticleBMC psychology2025
Psychological dilemmas and distress among Chinese primiparas during the postpartum transition underlying implicit cultural norms: a phenomenological inquiry.
Article in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- A randomized controlled trial of a health literacy-based digital intervention to promote postpartum recovery and self-care.Scientific reports · 2026Trial
- Cross-cultural adaptation and validation of the Chinese version of the Maternal Adaptation Scale: a methodological study.Women's health nursing (Seoul, Korea) · 2026Article
- From expectation to strain: how pregnancy time perspective shapes postpartum stress in Poland and Italy.Scientific reports · 2026Article
- Women's experiences and perceptions of postpartum care in Saudi Arabia: a qualitative study.BMC pregnancy and childbirth · 2026Article
- Reconstruction of Identity and Meaning in the Postpartum Period: Women's Experiences of Social Vulnerability and Existential Transition-A Phenomenological Study.Healthcare (Basel, Switzerland) · 2026Article
- Analysis of the mediating effect of occupational burnout on the relationship between emotional labor and turnover intention among obstetric nurses.Frontiers in public health · 2025Article
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Authors and funding
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Funding
Abstract
backgroundPrevious research has overlooked the formative influence of cultural beliefs in shaping postpartum postpartum challenges and psychological symptoms. This study aims to examine the challenges faced by primiparous women within the sociocultural context of China. It will enhance understanding of the specific mechanisms through which sociocultural factors impact maternal mental health during the postpartum period.
methodsA descriptive phenomenological study design was used. Semi-structured interviews were conducted with 25 primiparas within one year of delivery during July and September 2022. Each conversation lasted between 32 and 56 min. Colaizzi's seven-step phenomenological approach was utilized for data analysis.
findingsSix themes were identified, including (a) body weakness, pain, and sleep deprivation are highly prevalent during the "zuo yuezi" period; (b) struggling with considerable effort, sacrifice, and obstacles in breastfeeding; (c) helplessness in childcare due to insufficient or unreliable social support; (d) confusion and difficulty in accessing scientific maternal and child health knowledge; (e) frustrating and increasing family conflicts centered on mother and mother-in-law relations; and (f) sticking to work or not can bring significant entanglement to primiparas.
conclusionPostpartum distress among first-time mothers in China is not solely an individual psychological experience, but rather a complex phenomenon shaped by the interplay between traditional cultural customs and contemporary social transformations. Specifically, within the unique sociocultural context of China, primiparas develop distinct cultural understandings and postpartum behaviors that significantly influence their physical and mental health. This highlights the sociocultural factors contributing to postpartum emotional distress and underscores the need for culturally sensitive interventions tailored to the Chinese context.
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