{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T18:59:29Z","timestamp":1773773969905,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01NR45345"],"award-info":[{"award-number":["R01NR45345"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe symptom patterns in first\u2010time mothers through 3\u2009months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Longitudinal, descriptive correlational.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Secondary analysis of data from a randomised clinical trial of first\u2010time mothers. Symptoms were assessed at 1, 2 and 3\u2009months postpartum using the Memorial Symptom Assessment Scale for dimensions of 32 symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      New mothers (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009114) reported an average of 7.0 (SD 4.7) symptoms at 1\u2009month, decreasing to 5.3 (SD 4.3) at 3\u2009months. 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 (\u2265\u200935\u2009years) had significantly more symptoms and distress than younger mothers.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Most 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact and Implications for Patient Care<\/jats:title>\n                    <jats:p>In the first 3\u2009months, postpartum symptoms not perceived as distressing may lead to adverse health outcomes. These symptoms may threaten maternal\u2013infant welfare beyond the first 3\u2009months postpartum. Older first\u2010time mothers merit particular attention by clinicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Method<\/jats:title>\n                    <jats:p>The authors complied with STROBE reporting guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70045","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T23:14:48Z","timestamp":1752621288000},"page":"3091-3105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Early Postpartum Symptoms Differ Between Older and Younger First\u2010Time Mothers"],"prefix":"10.1111","volume":"82","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5875-4302","authenticated-orcid":false,"given":"Kathleen R.","family":"Beebe","sequence":"first","affiliation":[{"name":"Department of Nursing College of Marin  Kentfield California USA"},{"name":"Department of Nursing Dominican University of California  San Rafael California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie Hall","family":"Morris","sequence":"additional","affiliation":[{"name":"Department of Nursing Vanderbilt University  Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Kuster","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caryl L.","family":"Gay","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn A.","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Family Health Care Nursing University of California  San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471\u20100528.2012.03411.x"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010023\u201005813\u20100"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17176021"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11102748"},{"key":"e_1_2_14_6_1","unstructured":"American Heart Association.2024.\u201cPostpartum Systems of Care Recommendations.\u201dhttps:\/\/www.heart.org\/\u2010\/media\/files\/professional\/quality\u2010improvement\/maternal\u2010health\/recommendationsformatted."},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogn.2017.03.007"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1891\/9780826159922.0008"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17103350"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.12149"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2013.21.5.323"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2019.07.002"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/jmwh.12129"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/14767058.2019.1630818"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010018\u20102565\u20103"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2016.06.002"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000001619"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2019.12.037"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjom.2015.23.3.171"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0029\u20107844(99)00486\u2010X"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010017\u20101320\u2010x"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1038\/jid.1960.127"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002849"},{"issue":"3","key":"e_1_2_14_25_1","first-page":"104","article-title":"Cognitive Dysfunction and Associated Behaviour Problems in Postpartum Women: A Study From North India","volume":"26","author":"Meena P. 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