Case Report: the Influence of Socio-Cultural Factors and Family Support on Decision-Making of Secondary old Primi Post-Term Mothers in Fulfilling Their Health Needs
Keywords:
postpartum period, social factors culture, taking decision, primi tua secondary, Continuity of Midwifery CareAbstract
Secondary old primi postpartum mothers are mothers who have just given birth again after a previous birth gap of more than 10 years. During the postpartum period, socio-cultural factors such as family support, community norms, and traditional belief practices play an important role and can affect the health status of mothers and babies. Limited knowledge and beliefs that conflict with health principles are challenges in providing care. This study is a case report with a descriptive method using a case study approach to a postpartum mother who was accompanied by a team. midwife from one of the Community Health Centers in Surabaya through the Continuity of Midwifery Care (CoMC) model. This article aims to describe and analyze in depth one case of a postpartum mother with a complex social, economic, and cultural background. Case Report : A 39 - year-old secondary primi mother ( P2A0) who experienced psychological stress due to traditional care practices culture implemented by family members, such as prohibitions on consuming animal protein, prohibitions on leaving the house, and the obligation to wear a strict corset. This condition has a negative impact on the recovery of surgical wounds and breast milk production. Support from husbands and health workers plays an important role in reducing these negative impacts. Direct assistance or through telehealth services has been shown to help mothers understand postpartum care that is in accordance with health principles. Conclusion: Continuous mentoring through the CoMC model, including the use of telehealth, can be an effective strategy in overcoming socio-cultural barriers during the postpartum period.
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