Evidence map›Paper›PMID 40604504›Full record

ArticleBMC pregnancy and childbirth2025

Maternal health education and social support needs across the perinatal continuum of care: a thematic analysis of interviews with postpartum women in Punjab, India.

Preetika Sharma, Rashmi Bagga, Maliha Khan, Mona Duggal, Darshan Hosapatna Basavarajappa, Alka Ahuja, Ankita Kankaria, Nadia Diamond-Smith, Vijay Kumar, Manju Kashyap and 3 more

Abstract read
In one paragraph

Article in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Preetika Sharma *Postgraduate Institute of Medical Education & Research, Chandigarh, India. preetika.sharma43@gmail.com.
Rashmi Bagga *Postgraduate Institute of Medical Education & Research, Chandigarh, India. rashmibagga@gmail.com.
Maliha KhanUniversity of California, San Francisco, San Francisco, USA.
Mona DuggalPostgraduate Institute of Medical Education & Research, Chandigarh, India.
Darshan Hosapatna BasavarajappaPostgraduate Institute of Medical Education & Research, Chandigarh, India.
Alka AhujaPostgraduate Institute of Medical Education & Research, Chandigarh, India.
Ankita KankariaAll India Institute of Medical Sciences, Bathinda, India.
Nadia Diamond-SmithUniversity of California, San Francisco, San Francisco, USA.
Vijay KumarSurvival of Women and Children Foundation, Panchkula, India.
Manju KashyapPostgraduate Institute of Medical Education & Research, Chandigarh, India.
Pushpendra SinghIndraprastha Institute of Information Technology Delhi, New Delhi, India.
Jasmeet KaurIndraprastha Institute of Information Technology Delhi, New Delhi, India.
Alison M El AyadiUniversity of California, San Francisco, San Francisco, USA. alison.elayadi@ucsf.edu.

Funding

Development and Pilot Test of an mHealth Interactive Education and Social Support Intervention for Improving Postnatal HealthR21HD101786 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DIAMOND-SMITH, NADIA GRIFFI, EL AYADI, ALISON M · 2020 to 2021
$401k
Ministry of Education, India SPARC ID 66NICHD NIH HHS R21 HD101786
6 · The paper itself

Abstract

backgroundPerinatal social support and maternal education throughout the antenatal, childbirth, and postpartum phases contribute to the optimization of health and well-being of mothers and infants. Understanding deficits among support and educational resources can contribute to improved public health decision-making and maternal and child healthcare and wellbeing. This study aimed to explore health and social experiences and resources to characterize and unmet needs across the perinatal period.

methodsWe conducted a qualitative study among 20 primiparous postpartum women from Punjab state, North India. Potential participants were identified from antenatal care registers maintained at healthcare sub-centers and were interviewed at their homes. Data were analyzed thematically, examining social support resources and needs across perinatal phases by social support domain: emotional, tangible, and informational.

resultsStudy participants received the most social and educational support antenatally. We identified considerably low knowledge surrounding childbirth and low maternal knowledge and social support around postpartum care and practices. Notable issues reported involved lack of consent, and satisfaction and comfort with childbirth care. Participant narratives highlighted the crucial role of both formal and informal support structures, with a heavy reliance on advice from community health workers (ASHAs), midwives, and doctors. Unmet needs were identified in areas such as post-cesarean section diet and care, institutional childbirth, and ASHA support, along with discrepancies between the advice given and evidence-based practices. While many participants' support needs were met by their networks, these gaps highlight critical areas for systems improvement.

conclusionThis study-identified gaps in maternal knowledge and support, particularly in the post-cesarean and institutional childbirth contexts, are underexplored in existing research. Findings suggest critical areas for improvement in maternal healthcare support, particularly regarding the alignment of advice with evidence-based practices. Programs should focus on educating women about the institutional childbirth process and providing better postpartum care education, especially regarding post-cesarean care and infant care. Strengthening the role of community health workers (ASHAs) with evidence-based training can improve support. Additionally, programs should enhance the integration of both formal (doctors, midwives) and informal support networks to create a more comprehensive care system.

trial registrationThis research is part of the formative phase of a larger intervention trial. Trial was prospectively registered with Clinical trial registry of India. (CTRI/2020/12/029800 [Registered on: 15/12/2020].

Indexed as

Continuity of Patient CareMaternal HealthPerinatal CareSocial SupportAdultFemaleHealth Knowledge, Attitudes, PracticeHumansIndiaInterviews as TopicMaternal Health ServicesPostnatal CarePostpartum PeriodPregnancyPrenatal CareQualitative ResearchChildbirthHealth educationIndiaPostnatalPostpartumPregnancySocial support

Identifiers

PMID40604504
PMCPMC12220421

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.