Puerperium Online: interactions of a virtual support group

Brito, Renatha Celiana da Silva; Almeida Junior, José Jailson de; Medeiros, Anna Cecília Queiroz de

doi:10.1590/1806-9304202200030014

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Revista Brasileira de Saúde Materno Infantil

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ORIGINAL ARTICLES • Rev. Bras. Saude Mater. Infant. 22 (3) • Jul-Sep 2022 • https://doi.org/10.1590/1806-9304202200030014 copy

Puerperium Online: interactions of a virtual support group

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objectives:

due to the accessibility, online support groups have been used as an alternative in the constitution of a support network for women in the puerperium period. Thus, this resource is given relatively a short time of use, the present work sought to present an overview of the virtual group of puerperal women’s interactions.

Methods:

qualitative and exploratory study that analyzed a virtual group composed of 9 pregnant women’s interactions, predominantly during the puerperium period, users of basic health services in the city of Currais Novos/RN, during the period of January to June 2020. The corpus, duly previously prepared, was submitted to Análise da Classificação Hierárquica Descendente (ACHD) (Analysis of Descending Hierarchical Classification) via IRAMUTEQ software, followed by content analysis, according to Bardin.

Results:

the ACHD resulted in convergence around three themes, with class 1 - “Puerperium Itinerary”, which represented 56.1% of the elementary context units (ECUs) of the total corpus, being the object of interest in the present study. The main dimensions extracted from this class dealt with difficulties inherent to daily life and demands for support and care during the puerperium period, as well as the limitations inherent to this moment.

Conclusions:

it was noticed that virtual groups can strengthen the support network necessities to face the difficulties of the puerperium by exchanging experiences.

Key words:
Puerperal; Social support; Online social support

Dimension	Interactions
Feel/Want	“At first when I found out I was pregnant, the feeling was of fear, but then it was wonderful to know that there was a little being growing inside of me” (participant 8) “I was desperate because I have a 2-year-old baby, but as the days went by, things started to fall into place and today I thank God for the grace of being a mother once again” (participant 7) “When I found out I was pregnant I was desperate, I cried a lot because it wasn’t planned. It took me a long time to get used to the idea of being a mother again.” (participant 9) “I was very surprised when I found out I was pregnant (...), but thank God it was the best news” (participant 6) “I always think like this: everything passes, it’s not easy (...) each one with its particularities, but soon they will grow and we will miss them. I spent six years trying to get pregnant.” (participant 7) “Thank you for the opportunity to learn more from you, it is a pity that we cannot meet right now” (participant 5) “I don’t know about you, but I’m really enjoying this group of ours because I have a lot of doubts. I’ll ask you guys and we’ll learn with each other, right?!” (participant 1)
Sleep	“I have a lot of sleepiness, plenty of it, but I can’t find a comfortable position to sleep peacefully” (participant 1) “I wish I could sleep well, but my back hurts a lot” (participant 8) “I haven’t slept well in a long time (...) behind a sleeping baby there is a very tired mother” (participant 5) “When my baby sleeps well through the night I can sleep too, I have never had trouble with sleeping but I have been feeling very tired lately” (participant 4) “When the baby finally sleeps and you don’t know what to do first... shower, wash the dishes or sleep together” (participant 7) “My baby sleeps most of the day, it’s the time I have to do the daily activities of the house, because I don’t have anyone to help me during the day, while my husband works (...) I’m feeling tired, it seems like a tractor has ran over me” (participant 5)
Support	“When someone in my family does something for me I feel more loved, it feels so good” (participant 8) “The best part is getting pampered, I feel loved” (participant 7) “My husband helps me a lot” (participant 1) “Today I managed to wash my hair, because the father was at home and he stayed with the baby” (participant 8) “I’m tired, really tired (...) I’ve been at home alone with her since she was born, I don’t have anyone here helping me, my husband helps as he can, because he needs to work” (participant 5)
Domestic activities	“I’m also trying to handle all the daily activities in the house, with a little skill I think it’s working, I managed to put her to sleep in her crib” (participant 5) “I’m feeling very worn out with so much pressure, it’s a lot of responsibility for me and I can’t handle it” (participant 4) “I want to stay on exclusive breastfeeding until at least six months, while I’m producing milk, that’s the only thing I’ll give him, God willing” (participant 5) “Has any of you ever felt guilty for not being able to exclusively breastfeed? I would very much like to breastfeed exclusively, but today I had no other option, I had to give formula in the bottle. I think that due to the stress of everyday life my breast is no longer producing breast milk (...) I’m feeling tired, it’s very exhausting” (participant 4) “Stay calm, don’t feel guilty, the important thing is that your baby is fine” (practitioner 5) “Don’t feel sad, our babies’ well-being must come first. You are super moms, regardless of whether you are on exclusive breastfeeding or not.” (participant 7)
Breastfeeding	“I feel like giving the formula just to see if she sleeps earlier, because of my tiredness (...) It is necessary to have patience to wait for this phase to pass, my eyes are burning from not sleeping” (participant 5) “My chest is hurting a lot, so I bought food formula” (participant 4) “I have already started feeding the baby formula because I have noticed that my breasts are not producing enough breast milk” (participant 2) “I didn’t want to give formula either, but I’m going back to work, so I’ll have to start, I’m already imagining it with a heavy heart” (participant 3) “They’re so small and so dependent on us, aren’t they? Being able to breastfeed is the best feeling in the world, I will miss that feeling” (participant 5) “It’s a feeling we’re going to miss until we have another baby, isn’t it?” (participant 1)
Say/Guidance	“I was taught to pass the baby’s comb from the areola of the breast towards the nipple to relieve the pain” (participant 7) “I am eating a lot of sweets, some family members taught me that, for those who are breastfeeding, eating a lot of sweets is very good to increase breast milk production” (participant 1) “My breast hurt at the beginning of breastfeeding, I was not able to breastfeed, but I started passing the breast milk through the nipple, wetting it, and I started sunbathing” (participant 4) “The nurse advised me to massage the breasts and keep squeezing until a significant amount of breast milk comes out before putting the baby on the breast, because she said that when the breast is very full, it becomes very hard” (participant 8)

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