Search Results (300)

Background/Objectives: Within Paediatric Palliative Care (PPC), motherhood in the context of severe cognitive impairment is shaped by unique emotional, relational, and identity-related challenges. Traditional understandings of maternal identity are strained when verbal communication and typical developmental milestones are absent. Although caregiving in PPC has been widely studied, the subjective and symbolic dimensions of motherhood in this setting have received far less attention. This study sought to explore how mothers construct, interpret, and make sense of their maternal identity while caring for a child with severe cognitive impairment in a PPC context, and to underscore the clinical relevance of these identity-related processes. Methods: A qualitative study was conducted involving nine mothers of children receiving paediatric palliative care services at a regional centre in Italy. Participants engaged in three online focus groups, totalling 270 min. Reflexive thematic analysis was employed to interpret the transcribed data, using ATLAS.ti software, version 25.0.1 ATLAS.ti Scientific Software Development GmbH, Berlin, Germany, for support. Member reflections were incorporated to validate the findings. Results: Three interconnected themes emerged from the reflexive thematic analysis. First, mothers described the development of a fusion-like, enmeshed mother–child relationship, characterised by embodied attunement, specialised interpretive expertise, and lifelong care dependency. Second, mothers detailed the construction of their maternal role, shaped by emotional labour, identity negotiation, sacrifice, loneliness, and peer support, alongside the construction of the child’s role, in which children were perceived as unique, symbolically meaningful beings whose social presence and limited reciprocity shaped maternal identity. Third, mothers articulated a search for meaning that sustained them throughout the caregiving journey, reframing their experience within a broader existential and relational perspective. Conclusions: Maternal caregiving in PPC encompasses distinct emotional, relational, and symbolic dimensions that extend beyond conventional understandings of motherhood. Grasping these identity-related dynamics has direct clinical relevance: it enables more attuned communication, strengthens the therapeutic alliance, and supports personalised, meaning-oriented care. These insights highlight the need for tailored interventions and further qualitative research to inform health care professionals and interdisciplinary practice. Full article

Background: Hypertensive disorders of pregnancy (HDP) have significant implications for women’s long-term health, including at least a twofold increased lifetime risk of cardiovascular disease (CVD). The Blood Pressure Postpartum (BP²) Study was a three-arm randomised trial evaluating follow-up and lifestyle behaviour change strategies during the first year after HDP. Methods: This qualitative sub-study, embedded within the BP² Study, explored women’s experiences of life in the first year following HDP. Semi-structured telephone interviews were conducted with 34 women, approximately 10–12 months postpartum. Interviews were transcribed verbatim and a thematic analysis was undertaken. Results: Participants reflected on their experiences post-HDP; three major themes were identified: Navigating life with a newborn, The value of support, and Processing and Moving forward. Some women felt informed and empowered to make positive lifestyle changes; others were still processing their HDP experience and/or feeling overwhelmed by the demands of early motherhood. Responses were influenced by their HDP experience, available support, prior experience with healthy behaviours, and financial stability. Conclusions: The findings highlight that postpartum women who experienced HDP face unique challenges, including physical recovery, emotional processing, and intensive infant care. It often takes time for these women to begin prioritising their own health, as they navigate these challenges. The insights generated from women’s experiences suggest that flexible, accessible, and individually tailored support may facilitate postpartum health, promote lifestyle change, and help reduce long-term CVD risk. Full article

This article explores how female entrepreneurs construct and negotiate entrepreneurial identities across socialist, transition, and post-socialist periods in Slovenia. Drawing on feminist, post-structuralist, and identity-theory perspectives, we ask what determines women’s entrepreneurial identities and how multiple roles and changing institutions shape them. Using a qualitative multiple-case design, we analyze 15 information-rich cases selected through purposive sampling and based on in-depth semi-structured interviews and supporting documents. Qualitative content analysis and cross-case comparison identified patterns within and across the three periods. Results show that women’s motives combine economic, autonomy, and mission-driven goals; that entrepreneurial identity is closely intertwined with motherhood, partnership, and community roles; and that evolving ecosystems offer increasing but still fragmented support. Identity work intensifies at transitions between employment and entrepreneurship and when growth ambitions confront care responsibilities. We conclude that female entrepreneurial identities in Slovenia are historically and institutionally embedded and that gender-integrative, context-sensitive ecosystem measures are needed to support diverse entrepreneurial pathways and long-term, socially responsible growth. Full article

Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome encompasses a range of Müllerian duct anomalies characterized by congenital absence of the uterus and the upper two-thirds of the vagina in young women who otherwise exhibit normal endocrine function and a 46,XX karyotype. MRKH syndrome can occur in an isolated form (type I) or in association with other congenital anomalies (type II or MURCS association), which may include renal, vertebral, auditory, and cardiac defects. It represents one of the most frequent causes of primary amenorrhea, affecting approximately 1 in every 4000–5000 women. MRKH syndrome often remains undiagnosed until a patient presents with primary amenorrhea, despite normal development of secondary sexual characteristics. Both genetic and non-genetic factors have been proposed as contributing to abnormal embryonic development, although the exact etiopathogenesis remains unclear. Imaging plays a key role in the evaluation of genital tract anomalies, allowing non-invasive and comprehensive assessment. Alongside physical examination and pelvic ultrasound, pelvic MRI is essential for identifying the presence of rudimentary uterine tissue. MRKH syndrome can have profound and lasting psychological impacts, making it essential for patients and their families to receive counseling both before and throughout treatment. A range of therapeutic options—both surgical and non-surgical—have been proposed for managing MRKH syndrome. Vaginal dilation remains the first-line treatment, as it offers high success rates with minimal risk of complications. Vaginoplasty is considered a second-line option for patients who do not respond to dilation therapy. Additionally, uterine transplantation and gestational surrogacy provide opportunities for women with MRKH syndrome to achieve biological motherhood. This review provides an updated overview of Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome, encompassing its etiological, clinical, diagnostic, psychological, therapeutic, and reproductive aspects. We also present a case involving a 19-year-old woman with MRKH syndrome who presented with primary amenorrhea, highlighting the crucial role and advantages of MRI in diagnosis, differential assessment, and treatment planning. Full article

Background/Objectives: Early motherhood is a risk factor for the mother-child relationship during the perinatal period, implying that intrusive or withdrawn maternal behavior and possibly abusive behavior can have short- and long-term consequences for child development. Methods: This study aimed to evaluate the preliminary effectiveness of a short mentalization community video feedback intervention designed to improve maternal mentalization, maternal communication, and behavior quality of adolescent and young mothers. Twenty-six young and adolescent mother-infant dyads were recruited at an Italian outpatient hospital service for adolescent and young parents with a one-group pre-test/post-test design. The participants (n = 15) received four video feedback sessions focused on mentalization and affective communication. At 3 infant months, risk factors associated with young motherhood were assessed. At 3 infant months (pre-intervention) and 9 months (post-intervention), the quality of maternal communication and behavior has been evaluated with Atypical Maternal Behavior Instrument for Assessment and Classification (AMBIANCE), and maternal mind-mindedness was assessed. Results: At the end of the intervention, the results showed significant improvements in maternal communication quality and mind-mindedness, especially in decreasing disrupted maternal affective communication (p = 0.005) and non-attuned mind-mindedness comments (p = 0.005). Conclusions: This study highlighted good acceptance of the intervention in a public health context and the effectiveness of a short mentalization community video feedback intervention to improve maternal mind-mindedness and communication quality between young mothers and their infants. The preliminary findings of this pilot study could be useful for implementing similar interventions aimed at young parents in community contexts. Full article

Background/Objectives: Mothers expecting a second child experience the parenting of multiple children for the first time, differing from first-time motherhood. This highlights the need for childbirth preparation education tailored to families expecting a second child. Parental self-efficacy influences maternal mental health, child development, and parent–child interactions. This non-randomized pilot exploratory study aimed to examine the association between childbirth preparation education for families expecting a second child and maternal parental self-efficacy at 1-month postpartum, focusing on a family-based, single-session program actively involving firstborn children. Methods: The intervention group (n = 18) received childbirth preparation education during pregnancy and completed questionnaires and semi-structured interviews at 1-month postpartum. The control group (n = 34) completed questionnaires only at 1-month postpartum. Questionnaires included the Parenting Sense of Competence Scale, Rosenberg Self-Esteem Scale, Maternal Attachment Inventory, Edinburgh Postnatal Depression Scale, and demographic information. Semi-structured interviews explored participants’ experiences and feelings after attending the childbirth preparation class. Results: Compared to the control group, the intervention group had higher Parenting Sense of Competence Scale scores; mothers in the intervention group reported smoother family-wide adaptation to life with a second child, greater confidence in child-rearing, recognition of the firstborn’s growth into an older sibling, and effective use of hands-on experiences from the class. Conclusions: Childbirth preparation education for families expecting a second child may be associated with higher maternal parental self-efficacy at 1-month postpartum. This association may reflect collective family preparation and adjustment supporting adaptation to life with a second child. Full article

This article examines the maternal healthcare experiences of ten Brazilian women during Portugal’s obstetric crisis, focusing on access, use, and quality of care throughout the perinatal and childbirth periods. Using a qualitative approach based on semi-structured interviews, this study explores women’s perceptions of the adequacy and quality of maternal healthcare, contributing to a deeper understanding of their experiences within the Portuguese health system. Thematic analysis revealed persistent barriers to accessing services, linked to limited knowledge of the healthcare system, lack of awareness of legal rights, discrimination, and other structural obstacles. Participants expressed dissatisfaction with the clarity and quality of information provided by healthcare professionals, their communication skills, and the limited access to specialized care. They also described feeling undervalued by healthcare providers and reported an absence of emotional and psychosocial support during pregnancy, childbirth, and the postpartum period. Accounts of disrespectful and abusive practices highlight the vulnerability of migrant women. This study underscores the urgent need to recognize and address migrant women’s needs. Beyond access, policies should promote equity, cultural responsiveness, and intercultural dialogue to ensure respectful, person-centered maternal care. Full article

Raising a child with autism spectrum disorder (ASD) presents severe difficulties that adversely affect the mother’s quality of life (QoL). However, very limited research has examined the impacts of support programs on the QoL of mothers of children with ASD in the Palestinian context. This study assesses the effectiveness of Mindful Motherhood, a comprehensive intervention, in improving QoL in this population. A quasi-experimental design was employed, with 56 mothers assigned to experimental or control groups. Quality of Life (QoL) was measured using the WHOQOL-BREF at baseline, post-intervention, and at a six-month follow-up. The 12-week group-based program led to significant improvements in all QoL domains for the experimental group compared to the controls, with the highest effect sizes in psychological (|δ| = 0.70) and overall QoL (|δ| = 0.68) domains; furthermore, these gains were largely sustained at the six-month follow-up assessment. The results are expected to inform policymakers in developing sustainable support systems for mothers and promoting inclusive, family-centered approaches to ASD care in the Palestinian context. Full article

This study aimed to understand the contributing factors to cohesion in women’s refugee resettlement networks in Northern Ireland and the Republic of Ireland. In 2022, forty women across four networks participated in semi-structured, in-depth interviews in an exploratory study into a social phenomenon of community-building with refugee women resettling on the island of Ireland. We identified four themes through reflexive thematic analysis. Motherhood and Strength of Relationships related to the networks’ interactions and effect on members’ lives, whereas Leadership Dynamics and Goal Setting and Problem Solving related to the networks’ structure and practices. This study offers evidence of how members viewed their networks as having a transformative power in the process of resettling their lives in Ireland for themselves and their families. Full article

China’s rapid urbanization has created the world’s largest internal migration, increasingly shaped by women’s participation. Co-migrant mothers—rural women who bring their children to cities—occupy complex roles as workers, wives, and caregivers. Existing studies focus on left-behind mothers or individual coping, but little is known about how co-migrant mothers collectively reshape motherhood through urban spatial and social change. Based on fieldwork in a Guangzhou migrant community, this study develops the “disembedding–re-embedding–reconstruction” framework to show how mobility reconfigures motherhood. Moving from villages to cities disembeds mothers from the moral surveillance that enforces self-sacrificing norms. Community-based organizations (CBOs) then serve as re-embedding sites where women form new maternal subjectivities through mutual support and reflection, producing a locally rooted idea of self-caring motherhood. This idea reframes care as reciprocal rather than self-depleting and affirms mothers’ emotional and bodily well-being as part of family life. Finally, these values are reconstructed in households through subtle temporal and spatial negotiations that adjust gendered divisions of labor without open conflict. Highlighting collective empowerment and spatial transformation, this study moves motherhood research beyond individualized lenses and reveals grounded, pragmatic forms of gendered agency in China’s rural–urban migration. Full article

Most studies of medically assisted reproduction (MAR) primarily focus on its negative consequences for women’s mental health. However, there are indications that women experience well-being and personal growth during this period as well. This study focuses on personal and social resources that contribute to women’s well-being and personal growth during MAR, based on Schaefer and Moos’s personal growth model. We examined the contributions of socio-demographic and fertility-related characteristics, self-mastery, emotional regulation, and the tendency for social sharing. Women (n = 175) undergoing MAR completed self-report questionnaires. The study’s variables accounted for 36.6% of the variance in well-being and 34.4% in personal growth, indicating that higher self-mastery was associated with both higher well-being and personal growth. A lower tendency to suppress emotions was related to higher well-being, and a greater inclination for reappraisal and more sharing of the situation with others were associated with greater personal growth. Additionally, women undergoing in vitro fertilization (IVF) experienced more growth compared to other MAR procedures. The findings highlight the importance of self-mastery, reappraisal, and social sharing for well-being and personal growth during MAR. They indicate that these positive consequences are distinct constructs, that deserve different intervention strategies to empower women’s mental health in such circumstances. Full article

Background/Objectives: Delayed motherhood is becoming increasingly common, yet limited evidence exists on birth satisfaction and breastfeeding attitudes among women aged ≥35. In this study, the hypothesis was tested whether higher birth satisfaction and stronger social support are associated with more positive breastfeeding attitudes and if previous childbirth experience moderates these relationships. Methods: A cross-sectional online survey was conducted among 148 Polish women up to 12 months postpartum. Participants were recruited via social media and parenting-related online communities; the survey was disseminated across multiple online channels to enhance representativeness and reduce potential sampling bias. Eligibility included age ≥35 at childbirth and informed consent. The sample size was considered adequate based on recommendations for regression models with the number of included predictors. Validated tools were used (MSPSS, IIFAS-Pol, BSS-R PL). Assumptions for Pearson’s correlation coefficients and linear regression (normality, homoscedasticity, absence of multicollinearity) were checked prior to analyses. The analysis was performed using IBM SPSS Statistics 29 (IBM Corp., Armonk, New York, NY, USA). Results: Women aged ≥35 reported high birth satisfaction and generally positive breastfeeding attitudes. Among multiparous women, birth satisfaction was moderately positively associated with breastfeeding attitudes (BSS-R PL; r = 0.396, p < 0.01), and perceived social support showed a small but significant association (MSPSS; r = 0.249, p < 0.05). Hierarchical regression analyses indicated that, in women over 35 with a subsequent child, psychosocial variables significantly predicted breastfeeding attitudes, whereas the control model—including education, socioeconomic status, and delivery mode—was not significant. Adding birth satisfaction and perceived social support improved model fit (R² = 0.194), with birth satisfaction emerging as the only significant predictor (β = 0.31). The corresponding effect size (f² = 0.143) indicated a near-medium effect. In contrast, neither the control nor the extended model was significant among primiparous women, suggesting no meaningful associations in this group. Conclusions: Higher birth satisfaction and perceived social support may promote more favorable breastfeeding attitudes in women becoming mothers at ≥35, with stronger effects among multiparous mothers. These findings highlight the need for individualized prenatal education, enhanced psychosocial support, partner involvement and efforts to improve childbirth experiences. Interventions tailored to women entering motherhood at an advanced maternal age are warranted. Full article

The first objective of this study is to review and synthesize research from the past fifteen years on variables associated with personal growth (or post-traumatic growth, PTG) during the transition to motherhood, and to revisit key questions using a uniquely large dataset; the second objective of the study is to compare findings across different PTG scoring methods, to determine whether the long and short forms of the Post-Traumatic Growth Inventory (PTGI) produce equivalent data and whether the five growth domain scores provide additional insights beyond the total scores. Data were aggregated from multiple previous studies, resulting in a large sample (n = 4641) of first-time mothers with infants up to 24 months old (M = 6.82 months, SD = 4.42). Analysis of the associations between demographic and childbirth characteristics and PTG scores revealed that in most cases, the original PTGI and the short version (PTGI-SF) exhibited similar associations with the background variables. The five PTGI domain scores of personal strengths, spirituality, new opportunities, and appreciation of life showed associations consistent with those observed for the two total scores. The findings reinforce and validate previous research, while also offering new insights. Notably, the results suggest that the PTGI-SF is highly useful, as it yields results comparable to those of the original, longer inventory. Full article

Recent advances in reproductive science have prompted a profound reexamination of some of the most fundamental anthropological aspects of human life: the value of nascent human life, the meanings of motherhood and fatherhood, and the concept of family. Abrahamic religious traditions in particular offer a rich moral heritage, developed over centuries, that can significantly contribute to ethical reflection on assisted reproductive technologies. This article examines the Judeo-Christian and Islamic traditions, which are predominant in the Western cultural context and greatly influence the lives and moral frameworks of more than half of the world’s population. The study underscores the strength of the ethical foundations shared across these religious traditions and common values, principles, and moral concerns, while also seeking to understand and integrate the distinctive nuances that differentiate them. Full article

Background: Polycystic ovary syndrome (PCOS) commonly causes fertility difficulties and is associated with substantial psychological distress, particularly in collectivist societies where motherhood is central to female identity and social status. This cross-sectional study examined the association between specific cultural perceptions of fertility difficulties and emotional well-being among married women with PCOS in rural Southern Punjab, Pakistan. Methodology: From July to September 2025, we recruited 583 married women aged 18–48 years with confirmed PCOS using systematic random sampling from the Gynecology Outpatient Department of DHQ Hospital Muzaffargarh. Data were collected using a structured questionnaire comprising validated scales for cultural perceptions of fertility difficulties (10 items, Cronbach’s α = 0.87) and emotional well-being (Urdu DASS-21 Depression and Anxiety subscales plus selected Fertility Problem Inventory items, Cronbach’s α = 0.84–0.91). Multiple linear regression models with robust standard errors were used in this study. Results: A higher perceived cultural importance of childbearing (β = 0.39, 95% CI 0.30–0.48, p < 0.001) and societal pressure to conceive soon after marriage (β = 0.36, 95% CI 0.27–0.45, p < 0.001) were significantly associated with increased depression and anxiety. Perceived stigma showed an unexpected negative association with depression (β = −0.15, 95% CI −0.24 to −0.06, p = 0.001), possibly reflecting resilience or the mobilization of social support. Conclusions: Cultural perceptions of fertility difficulties are strongly associated with emotional distress in rural populations. Therefore, culturally sensitive psychological screening and support integrated into reproductive health services are recommended. Full article