{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:51:58Z","timestamp":1772232718594,"version":"3.50.1"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Bras. Saude Mater. Infant."],"abstract":"<jats:p>Abstract  Objectives: to identify the factors and variables that interfere with the maternal perception of security at postpartum.  Methods: a cross-sectional study, carried out in three Portuguese hospital units, with a non-probabilistic sample of 352 puerperal women, recruited from the postpartum units on the day of hospital discharge after delivery. Maternal sociodemographic and obstetric characteristics, as well as data on monitored pregnancy, childbirth and infant feeding, were collected through the application of a questionnaire developed by the researchers. For the analysis of maternal perception of security, the instrument \u201cParents\u2019 postnatal sense of security\u201d (PPSS) was used. Descriptive and inferential statistics were used for data analysis.  Results: women who lived with their partner (t (349) = - 2.34, p=0.020), were multiparous (t (349) = - 2.26, p=0.025), had pregnancy monitored (t (349) = -3.25, p=0.001), had a positive childbirth experience (F (1, 351) = 7.07, p=0.008) and those who exclusively breastfed during hospitalization (F (2, 351) = 11,43, p&lt;0.001), presented greater perception of security at postpartum.  Conclusions: the factors that affect the maternal perception of security at postpartum are cohabitation with a partner, parity, monitored pregnancy, childbirth experience and infant feeding. Defining which factors interfere with maternal security at postpartum may contribute to the construction of intervention programs that promote the maternal perception of security at the time of hospital discharge after delivery.<\/jats:p>","DOI":"10.1590\/1806-9304202400000130-en","type":"journal-article","created":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T06:22:19Z","timestamp":1712557339000},"source":"Crossref","is-referenced-by-count":2,"title":["Factors that interfere in maternal perception of security at postpartum"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1098-0092","authenticated-orcid":false,"given":"Catarina Sousa","family":"Silva","sequence":"first","affiliation":[{"name":"Universidade do Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8765-8240","authenticated-orcid":false,"given":"S\u00f3nia","family":"Brand\u00e3o","sequence":"additional","affiliation":[{"name":"Nursing School of Porto,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4526-4758","authenticated-orcid":false,"given":"Ana Rita","family":"Azevedo","sequence":"additional","affiliation":[{"name":"Hospital Santa Luzia,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7552-9716","authenticated-orcid":false,"given":"Ana Paula","family":"Prata","sequence":"additional","affiliation":[{"name":"Nursing School of Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2024]]},"reference":[{"issue":"1","key":"ref1","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1186\/s12884-018-2096-3","article-title":"Mothers\u2019 and fathers\u2019 sense of security in the context of pregnancy, childbirth and the postnatal period: an integrative literature review","volume":"18","author":"Werner-Bierwisch T","year":"2018","journal-title":"BMC Pregnancy Childbirth"},{"issue":"4","key":"ref2","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/j.midw.2007.08.001","article-title":"Important variables for parents\u2019 postnatal sense of security: evaluating a new Swedish instrument (the PPSS instrument)","volume":"25","author":"Persson EK","year":"2009","journal-title":"Midwifery"},{"key":"ref3","series-title":"Transitions Theory Middle-Range and Situation-Specific Theories in Nursing Research and Practice","author":"Meleis AI.","year":"2010"},{"issue":"3","key":"ref4","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1111\/scs.12367","article-title":"Facilitating and inhibiting factors in transition to parenthood - ways in which health professionals can support parents","volume":"31","author":"Barimani M","year":"2017","journal-title":"Scand J Caring Sci"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1590\/1982-0194201800052","article-title":"Pais pela primeira vez: aquisi\u00e7\u00e3o de compet\u00eancias parentais","volume":"31","author":"Silva C","year":"2018","journal-title":"Acta Paul Enferm"},{"key":"ref6","first-page":"32","article-title":"Tradu\u00e7\u00e3o e adapta\u00e7\u00e3o cultural do Parents\u2019 postnatal sense of security (PPSS) - Vers\u00e3o materna e vers\u00e3o paterna","volume":"14","author":"Pinto C","year":"2014","journal-title":"Rev Assoc Port Enf Obst"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/j.1471-6712.2007.00442.x","article-title":"Parents\u2019 postnatal sense of security (PPSS): development of the PPSS instrument","volume":"21","author":"Persson EK","year":"2007","journal-title":"Scand J Caring Sci"},{"key":"ref8","series-title":"First-time motherhood: experiences from teens to forties","author":"Mercer RT.","year":"1986"},{"issue":"1","key":"ref9","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1054\/midw.2002.0291","article-title":"Parents\u2019 experience of early discharge from hospital after birth in Sweden","volume":"18","author":"Persson EK","year":"2002","journal-title":"Midwifery"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"e20193365","DOI":"10.1542\/peds.2019-3365","article-title":"Early postnatal discharge for infants: a meta-analysis","volume":"146","author":"Jones E","year":"2020","journal-title":"Pediatrics"},{"key":"ref11","series-title":"WHO recommendations on maternal and newborn care for a positive postnatal experience","year":"2022"},{"key":"ref12","first-page":"CD002958","article-title":"Early postnatal discharge from hospital for healthy mothers and term infants","volume":"6","author":"Jones E","year":"2021","journal-title":"Cochrane Database Syst Rev"},{"issue":"5","key":"ref13","first-page":"41","article-title":"Assessment of postnatal sense of security of primipara mothers and associated factors in Turkey","volume":"27","author":"Sirli B","year":"2023","journal-title":"Afr J Reprod Health"},{"issue":"4","key":"ref14","doi-asserted-by":"crossref","first-page":"277","DOI":"10.5455\/msm.2019.31.277-281","article-title":"Development of Mother\u2019s Postnatal Sense of Security","volume":"31","author":"Velagic M","year":"2019","journal-title":"Mater Sociomed"},{"issue":"1","key":"ref15","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1186\/s12884-020-03043-2","article-title":"Supporting women who develop poor postnatal mental health: what support do fathers receive to support their partner and their own mental health?","volume":"20","author":"Mayers A","year":"2020","journal-title":"BMC Pregnancy Childbirth"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12905-023-02270-x","article-title":"Evaluation of the effectiveness of a postnatal support education program for husbands in promotion of their primiparous wives\u2019 perceived social support: a randomized controlled trial","volume":"23","author":"Abbaspoor Z","year":"2023","journal-title":"BMC Womens Health"},{"key":"ref17","article-title":"Factors Associated with Parents\u2019 Postnatal Sense of Security in China: A Cross-sectional Study","author":"Tu A","year":"2021","journal-title":"Vers\u00e3o 1 [Preprint]. Res Square"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"38","DOI":"10.18332\/ejm\/140139","article-title":"What are the factors affecting parents\u2019 postnatal sense of security?","volume":"5","author":"Ko\u00e7ak V","year":"2021","journal-title":"Eur J Midwifery"},{"key":"ref19","series-title":"Equidade na transi\u00e7\u00e3o para a maternidade e a paternidade","volume-title":"Cursos de Prepara\u00e7\u00e3o para o Parto e a Parentalidade (CPPP) e Cursos de Recupera\u00e7\u00e3o P\u00f3s-Parto (CRPP)","year":"2020"},{"issue":"1","key":"ref20","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1111\/j.1365-2648.2010.05485.x","article-title":"Mothers\u2019 sense of security in the first postnatal week: interview study","volume":"67","author":"Persson EK","year":"2011","journal-title":"J Adv Nurs"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1159\/000505725","article-title":"Unique Case of a Tenth Cesarean Section in an Emirati Woman","volume":"3","author":"Hassan IAS","year":"2020","journal-title":"Dubai Med J"},{"issue":"1","key":"ref22","doi-asserted-by":"crossref","first-page":"86","DOI":"10.3390\/medicina60010086","article-title":"Factors Affecting Women\u2019s Assessment and Satisfaction with Their Childbirth","volume":"60","author":"Konieczka J","year":"2024","journal-title":"Medicina (Kaunas)"},{"issue":"Suppl. 2","key":"ref23","doi-asserted-by":"crossref","first-page":"e011766","DOI":"10.1136\/bmjgh-2023-011766","article-title":"Stakeholder\u2019s perspectives of postnatal discharge: a qualitative evidence synthesis","volume":"8","author":"Harvey CM","year":"2023","journal-title":"BMJ Glob Health"},{"issue":"10375","key":"ref24","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1016\/S0140-6736(22)01932-8","article-title":"Breastfeeding: crucially important, but increasingly challenged in a market-driven world","volume":"401","author":"P\u00e9rez-Escamilla R","year":"2023","journal-title":"Lancet"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1186\/s12884-022-04881-y","article-title":"Parenting sense of competence and its predictors among primiparous women: a longitudinal study in China","volume":"22","author":"Zhu Y","year":"2022","journal-title":"BMC Pregnancy Childbirth"}],"container-title":["Revista Brasileira de Sa\u00fade Materno Infantil"],"original-title":["Fatores que interferem na percep\u00e7\u00e3o de seguran\u00e7a materna no p\u00f3s-parto"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1519-38292024000100409&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,8]],"date-time":"2024-04-08T06:22:35Z","timestamp":1712557355000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1519-38292024000100409&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":25,"alternative-id":["S1519-38292024000100409"],"URL":"https:\/\/doi.org\/10.1590\/1806-9304202400000130-en","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1806-9304202400000130","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1806-9304202400000130","asserted-by":"object"}]},"ISSN":["1806-9304","1519-3829"],"issn-type":[{"value":"1806-9304","type":"electronic"},{"value":"1519-3829","type":"print"}],"subject":[],"published":{"date-parts":[[2024]]},"article-number":"e20230130"}}