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Published in: BMC Pregnancy and Childbirth 1/2015

Open Access 01-12-2015 | Research article

Peer support during pregnancy and early parenthood: a qualitative study of models and perceptions

Authors: Jenny McLeish, Maggie Redshaw

Published in: BMC Pregnancy and Childbirth | Issue 1/2015

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Abstract

Background

Peer support is a flexible concept used in healthcare across diverse areas to describe the activities of individuals acting in a non-professional capacity offering support to others with whom they have some experience in common. There is little research on peer supporters and women supported in the context of the transition to parenthood and disadvantage. This study particularly focuses on peer support for women experiencing a range of vulnerabilities during pregnancy and the postnatal period, in projects which assigned trained volunteers to individual pregnant women. There were three core elements to the volunteers’ support in these projects: active listening, providing information, and signposting to local services in the area. Many also offered practical support.

Methods

This was an descriptive qualitative study, informed by phenomenological social psychology, exploring experiences and perceptions of giving and receiving voluntary peer support during pregnancy and early parenthood in England, with a particular focus on disadvantaged women. Participants took part in semi-structured, audio-recorded interviews, the transcripts of which were analysed using thematic analysis.

Results

Forty-seven volunteers and 42 mothers were interviewed, from nine peer support projects. The overarching themes identified were (1) ‘What is peer support?’, containing two themes: ‘befriending or mentoring’, and ‘responding to the individual’; (2) ‘Who is a peer supporter?’, containing two themes: ‘someone like me’, and ‘valuing difference’; (3) ‘The peer support relationship’, containing five themes: ‘a friend or a ‘professional friend’, ‘building relationships of trust’, ‘avoiding dependency’, ‘managing endings’, and ‘how peer supporters differ from professionals’.

Conclusion

A variety of models of volunteer peer support have been offered to pregnant women and new mothers in England. All create a structure for meaningful relationships of trust to occur between volunteers and vulnerable women. In the absence of agreed definitions for the nature and boundaries of peer support during pregnancy and early parenthood, it is important that projects provide clear information to referrers and service users about what they offer, without losing the valued flexibility and individuality of their service.
Literature
2.
go back to reference Johnson Z, Howell F, Molloy B. Community Mothers Programme: Randomised controlled trial of nonprofessional intervention in parenting. Br Med J. 1993;306:1449–52.CrossRef Johnson Z, Howell F, Molloy B. Community Mothers Programme: Randomised controlled trial of nonprofessional intervention in parenting. Br Med J. 1993;306:1449–52.CrossRef
3.
go back to reference Granville G, Sugarman W. Someone in my corner: a volunteer peer support programme for pregnancy, birth and beyond. Final Evaluation Report, Parents 1st. 2012. Granville G, Sugarman W. Someone in my corner: a volunteer peer support programme for pregnancy, birth and beyond. Final Evaluation Report, Parents 1st. 2012.
4.
go back to reference Montgomery P, Mossey S, Adams S, Bailey PH. Stories of women involved in a postpartum depression peer support group. Int J Ment Health Nurs. 2012;21(6):524–32.CrossRefPubMed Montgomery P, Mossey S, Adams S, Bailey PH. Stories of women involved in a postpartum depression peer support group. Int J Ment Health Nurs. 2012;21(6):524–32.CrossRefPubMed
5.
go back to reference Dennis CL. Postpartum depression peer support: maternal perceptions from a randomized controlled trial. Int J Nurs Stud. 2010;47(5):560–8.CrossRefPubMed Dennis CL. Postpartum depression peer support: maternal perceptions from a randomized controlled trial. Int J Nurs Stud. 2010;47(5):560–8.CrossRefPubMed
6.
go back to reference Field T, Diego M, Delgado J, Medina L. Peer support and interpersonal psychotherapy groups experienced decreased prenatal depression, anxiety and cortisol. Early Hum Dev. 2013;89(9):621–4.CrossRefPubMedPubMedCentral Field T, Diego M, Delgado J, Medina L. Peer support and interpersonal psychotherapy groups experienced decreased prenatal depression, anxiety and cortisol. Early Hum Dev. 2013;89(9):621–4.CrossRefPubMedPubMedCentral
7.
go back to reference Nieuwboer CC, Fukkink RG, Hermanns JM. Peer and Professional Parenting Support on the Internet: A Systematic Review. Cyberpsychol Behav Soc Netw. 2013;16(7):518–28.CrossRefPubMed Nieuwboer CC, Fukkink RG, Hermanns JM. Peer and Professional Parenting Support on the Internet: A Systematic Review. Cyberpsychol Behav Soc Netw. 2013;16(7):518–28.CrossRefPubMed
8.
go back to reference Mead S, MacNeil C. Peer Support: What Makes It Unique? Intl J Psychosoc Rehabil. 2006;10(2):29–37. Mead S, MacNeil C. Peer Support: What Makes It Unique? Intl J Psychosoc Rehabil. 2006;10(2):29–37.
9.
go back to reference CEMACH. Perinatal Mortality 2009. London: CEMACH; 2009. CEMACH. Perinatal Mortality 2009. London: CEMACH; 2009.
10.
go back to reference National Institute for Health and Care Excellence. Pregnancy and complex social factors: A model for service provision for pregnant women with complex social factors. Nice Clinical Guideline 110. London: National Institute for Health and Care Excellence; 2010. National Institute for Health and Care Excellence. Pregnancy and complex social factors: A model for service provision for pregnant women with complex social factors. Nice Clinical Guideline 110. London: National Institute for Health and Care Excellence; 2010.
11.
go back to reference O’Hara M, McCabe J. Postpartum Depression: Current Status and Future Directions. Annu Rev Clin Psychol. 2013;9:379–407.CrossRefPubMed O’Hara M, McCabe J. Postpartum Depression: Current Status and Future Directions. Annu Rev Clin Psychol. 2013;9:379–407.CrossRefPubMed
12.
go back to reference Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ, et al., editors. Saving Lives, Improving Mothers’ Care - Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–12. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2014. Knight M, Kenyon S, Brocklehurst P, Neilson J, Shakespeare J, Kurinczuk JJ, et al., editors. Saving Lives, Improving Mothers’ Care - Lessons learned to inform future maternity care from the UK and Ireland Confidential Enquiries into Maternal Deaths and Morbidity 2009–12. Oxford: National Perinatal Epidemiology Unit, University of Oxford; 2014.
13.
go back to reference Downe S, Finlayson K, Walsh D, Lavender T. ‘Weighing up and balancing out’: a metasynthesis of barriers to antenatal care for marginalised women in high-income countries. Br J Obstet Gynaecol. 2009;116(4):518–29.CrossRef Downe S, Finlayson K, Walsh D, Lavender T. ‘Weighing up and balancing out’: a metasynthesis of barriers to antenatal care for marginalised women in high-income countries. Br J Obstet Gynaecol. 2009;116(4):518–29.CrossRef
14.
go back to reference Rowe RE, Garcia J. Social class, ethnicity and attendance for antenatal care in the United Kingdom: a systematic review. J Public Health. 2003;25(2):113–9.CrossRef Rowe RE, Garcia J. Social class, ethnicity and attendance for antenatal care in the United Kingdom: a systematic review. J Public Health. 2003;25(2):113–9.CrossRef
15.
go back to reference Kaunonen M, Hannula L, Tarkka MT. A systematic review of peer support interventions for breastfeeding. J Clin Nurs. 2012;21(13–14):1943–54.CrossRefPubMed Kaunonen M, Hannula L, Tarkka MT. A systematic review of peer support interventions for breastfeeding. J Clin Nurs. 2012;21(13–14):1943–54.CrossRefPubMed
16.
go back to reference Spiby H, Green J, Darwin Z, Willmot H, Knox D, McLeish J, et al. Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation. Southampton (UK): National Institute for Health Research Journals Library; 2015. Spiby H, Green J, Darwin Z, Willmot H, Knox D, McLeish J, et al. Multisite implementation of trained volunteer doula support for disadvantaged childbearing women: a mixed-methods evaluation. Southampton (UK): National Institute for Health Research Journals Library; 2015.
17.
go back to reference Suppiah C. A Collective Evaluation of Community Parent Programmes: What Works Well and in What Circumstances? The Health Foundation, NHS South West Essex, Parents 1st. 2008. Suppiah C. A Collective Evaluation of Community Parent Programmes: What Works Well and in What Circumstances? The Health Foundation, NHS South West Essex, Parents 1st. 2008.
18.
go back to reference Barlow J, Coe C. Family Action Perinatal Support Project, Research Findings Report, Family Action. 2012. Barlow J, Coe C. Family Action Perinatal Support Project, Research Findings Report, Family Action. 2012.
19.
go back to reference Barnes J, MacPherson K, Senior R. The impact on parenting and the home environment of early support to mothers with new babies. J Children’s Services. 2006;1:4–20.CrossRef Barnes J, MacPherson K, Senior R. The impact on parenting and the home environment of early support to mothers with new babies. J Children’s Services. 2006;1:4–20.CrossRef
20.
go back to reference Newburn M and Allez A. Birth and beyond Community Supporters – peer support for refugees and asylum seekers. Perspective; 13:8–9 Newburn M and Allez A. Birth and beyond Community Supporters – peer support for refugees and asylum seekers. Perspective; 13:8–9
21.
go back to reference James D. The Health Befrienders Network: Interim Evaluation Report. London: Charities Evaluation Service; 2013. James D. The Health Befrienders Network: Interim Evaluation Report. London: Charities Evaluation Service; 2013.
22.
go back to reference Small R, Taft AJ, Brown SJ. The power of social connection and support in improving health: lessons from social support interventions with childbearing women. BMC Public Health. 2011;11 Suppl 5:S4.CrossRefPubMedPubMedCentral Small R, Taft AJ, Brown SJ. The power of social connection and support in improving health: lessons from social support interventions with childbearing women. BMC Public Health. 2011;11 Suppl 5:S4.CrossRefPubMedPubMedCentral
23.
24.
go back to reference Landridge D. Phenomenology and Critical Social Psychology: Directions and Debatesin Theory and Research. Soc.Personal Psychol Compass. 2008;2(3):1126-42. Landridge D. Phenomenology and Critical Social Psychology: Directions and Debatesin Theory and Research. Soc.Personal Psychol Compass. 2008;2(3):1126-42.
25.
go back to reference Landridge D. Phenomenology and Critical Social Psychology: Directions and Debates in Theory and Research. Soc Personal Psychol Compass. 2008;2(3):1126–42. doi:10.1111/j.1751-9004.2008.00114.x.Madill A, Jordan A, Shirley C. Objectivity and reliability in qualitative analysis: realist, contextualist and radical constructionist epistemologies. Br J Psychol. 2000;91:1–20. Landridge D. Phenomenology and Critical Social Psychology: Directions and Debates in Theory and Research. Soc Personal Psychol Compass. 2008;2(3):1126–42. doi:10.​1111/​j.​1751-9004.​2008.​00114.​x.Madill A, Jordan A, Shirley C. Objectivity and reliability in qualitative analysis: realist, contextualist and radical constructionist epistemologies. Br J Psychol. 2000;91:1–20.
26.
go back to reference Pidgeon N, Henwood K. Using grounded theory in psychological research. In: Hayes N, editor. Doing qualitative analysis in psychology. Hove: Psychology Press; 1997. Pidgeon N, Henwood K. Using grounded theory in psychological research. In: Hayes N, editor. Doing qualitative analysis in psychology. Hove: Psychology Press; 1997.
27.
go back to reference Tindall C. Issues of evaluation. In: Banister P, Burman E, Parker I, Taylor M, Tindall C, editors. Qualitative methods in psychology: A research guide. Buckingham: Open University Press; 1994. Tindall C. Issues of evaluation. In: Banister P, Burman E, Parker I, Taylor M, Tindall C, editors. Qualitative methods in psychology: A research guide. Buckingham: Open University Press; 1994.
28.
go back to reference Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77–101.CrossRef
29.
go back to reference Glaser B, Strauss A. The Discovery of Grounded Theory. Strategies for Qualitative Research. New Jersey: Aldine Transaction; 1967. Glaser B, Strauss A. The Discovery of Grounded Theory. Strategies for Qualitative Research. New Jersey: Aldine Transaction; 1967.
31.
go back to reference Dennis C. Peer support within a health care context: a concept analysis. Int J Nurs Stud. 2003;40:321–32.CrossRefPubMed Dennis C. Peer support within a health care context: a concept analysis. Int J Nurs Stud. 2003;40:321–32.CrossRefPubMed
32.
go back to reference Davidson L, Chinman M, Sells D, Rowe M. Peer Support Among Adults With Serious Mental Illness: A Report From the Field. Schizophr Bull. 2006;32(3):443–5.CrossRefPubMedPubMedCentral Davidson L, Chinman M, Sells D, Rowe M. Peer Support Among Adults With Serious Mental Illness: A Report From the Field. Schizophr Bull. 2006;32(3):443–5.CrossRefPubMedPubMedCentral
Metadata
Title
Peer support during pregnancy and early parenthood: a qualitative study of models and perceptions
Authors
Jenny McLeish
Maggie Redshaw
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2015
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-015-0685-y

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