Evidence map›Paper›PMID 40664258›Full record

Trial reportJournal of advanced nursing2026

Early Postpartum Symptoms Differ Between Older and Younger First-Time Mothers.

Kathleen R Beebe, Melanie Hall Morris, Andrea Kuster, Caryl L Gay, Kathryn A Lee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kathleen R BeebeDepartment of Nursing, College of Marin, Kentfield, California, USA.ORCID https://orcid.org/0000-0002-5875-4302
Melanie Hall MorrisDepartment of Nursing, Vanderbilt University, Nashville, Tennessee, USA.
Andrea KusterDepartment of Family Health Care Nursing, University of California, San Francisco, California, USA.
Caryl L GayDepartment of Family Health Care Nursing, University of California, San Francisco, California, USA.
Kathryn A LeeDepartment of Family Health Care Nursing, University of California, San Francisco, California, USA.

Funding

NURSING RESEARCH TRAINING IN SYMPTOM MANAGEMENTT32NR007088 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, KATHRYN · 1996 to 2015
$7.5M
SLEEP DISRUPTION IN NEW PARENTS: AN INTERVENTION TRIALR01NR005345 · NINR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, KATHRYN · 2001 to 2006
$2.3M
NIH HHS R01NR45345NINR NIH HHS R01 NR005345NINR NIH HHS T32 NR007088
6 · The paper itself

Abstract

aimTo describe symptom patterns in first-time mothers through 3 months postpartum.

designLongitudinal, descriptive correlational.

methodsSecondary analysis of data from a randomised clinical trial of first-time mothers. Symptoms were assessed at 1, 2 and 3 months postpartum using the Memorial Symptom Assessment Scale for dimensions of 32 symptoms.

resultsNew mothers (n = 114) reported an average of 7.0 (SD 4.7) symptoms at 1 month, decreasing to 5.3 (SD 4.3) at 3 months. Physical symptoms decreased to the greatest degree. Symptoms reported by over 33% of participants included lack of energy, worrying, pain, difficulty sleeping or concentrating and feeling irritable, sad or drowsy. The most distressing were lack of energy, feeling irritable, pain, nervousness and hair loss. Symptoms did not differ by type of birth or infant feeding. Older mothers (≥ 35 years) had significantly more symptoms and distress than younger mothers.

conclusionMost symptoms improved over time, yet some were still prevalent at 3 months. Symptoms not appraised as particularly distressing may still be of clinical concern for safety reasons. Frequent postpartum assessments and interventions are important, particularly for older mothers. IMPACT AND IMPLICATIONS FOR PATIENT CARE: In the first 3 months, postpartum symptoms not perceived as distressing may lead to adverse health outcomes. These symptoms may threaten maternal-infant welfare beyond the first 3 months postpartum. Older first-time mothers merit particular attention by clinicians. REPORTING

methodThe authors complied with STROBE reporting guidelines. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.

Indexed as

Maternal AgeMothersPostpartum PeriodAdultAge FactorsFemaleHumansLongitudinal StudiesYoung Adultfatiguelack of energymaternal agepostpartumprimiparasleepsymptom distresssymptoms

Identifiers

PMID40664258
PMCPMC12303087

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Registered trials

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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.