How can Social Support Make Maternity Healthier?
The transition to parenthood is a significant life event that brings both joy and challenges. For many new parents, navigating the demands of caring for an infant while also adjusting to changes in relationships, identity, and daily life can be overwhelming. Social support, which refers to the emotional, informational, and practical assistance provided by others, plays a critical role in promoting well-being and resilience during the perinatal period. In this article, we will explore the various types and sources of social support, the benefits of strong support networks, and strategies for building and maintaining positive social connections during pregnancy and the postpartum period.
Types and Sources of Social Support
Social support can take many forms, including emotional support (e.g., listening, validating feelings), informational support (e.g., providing advice or guidance), and instrumental support (e.g., helping with childcare or household tasks). Support can come from a variety of sources, including partners, family members, friends, healthcare providers, and community organizations (1).
For many women, their partner is a primary source of support during the perinatal period. Research has shown that the quality of the partner relationship is a strong predictor of maternal well-being, with women who report higher levels of emotional and practical support from their partners experiencing lower rates of depression and anxiety (2). Family members, particularly the woman’s own parents, can also be important sources of support, providing guidance, reassurance, and hands-on assistance with childcare.
Friends and peer groups can offer a unique type of support during the perinatal period, as they may be going through similar experiences and challenges. Sharing stories, advice, and emotional support with other new parents can help normalize the ups and downs of early parenthood and reduce feelings of isolation (3). Online forums and social media groups can be particularly valuable for women who may be geographically isolated or have limited access to in-person support networks.
Healthcare providers, including obstetricians, midwives, pediatricians, and mental health professionals, are another essential source of support for perinatal women. In addition to providing medical care and guidance, these providers can offer emotional support, resources, and referrals to community services (4). Nurses, lactation consultants, and doulas can also play important roles in providing education, advocacy, and hands-on support during labor, delivery, and the postpartum period.
Benefits of Strong Social Support Networks
Research has consistently shown that strong social support networks are associated with better physical and mental health outcomes for perinatal women. Women who report higher levels of social support have lower rates of depression, anxiety, and PTSD during pregnancy and the postpartum period (5). They also tend to have better birth outcomes, including lower rates of preterm delivery and low birth weight (6).
Social support can buffer the impact of stress on perinatal health by providing emotional regulation, coping resources, and tangible assistance (7). For example, having someone to talk to about the challenges of new parenthood can help reduce feelings of overwhelm and provide perspective. Similarly, having help with household chores or childcare can alleviate the burden of trying to manage everything alone.
Beyond the individual benefits, social support also plays a key role in promoting healthy family functioning and positive parenting practices. Women who feel supported by their partners and extended family are more likely to engage in responsive, sensitive caregiving with their infants (8). This type of nurturing parenting is essential for promoting secure attachment, emotional regulation, and overall child development.
Strategies for Building and Maintaining Social Support
Despite the clear benefits of social support, many women face barriers to building and maintaining strong support networks during the perinatal period. These may include geographic isolation, financial constraints, or cultural factors that discourage seeking help outside the family. For women with a history of trauma or adversity, trust and safety concerns may also make it difficult to reach out for support.
One key strategy for building social support is to intentionally cultivate relationships and connections throughout pregnancy and early parenthood. This may involve reaching out to friends and family members, joining local parenting groups or classes, or seeking online communities of support. Women should also communicate openly with their partners about their needs and expectations for support, and work collaboratively to identify ways to share the load of new parenthood (9).
Healthcare providers can play an important role in helping women identify and access social support resources. Routine screening for social isolation and support needs should be integrated into prenatal and postpartum care, with referrals to community programs, support groups, or mental health services as needed (10). Providers can also offer education and guidance on strategies for building and maintaining healthy social connections.
Social support is a vital resource for promoting well-being and resilience during the perinatal period. By providing emotional connection, practical assistance, and a sense of belonging, strong support networks can buffer the impact of stress and promote positive outcomes for mothers, infants, and families. Women and their healthcare providers should prioritize building and maintaining social support throughout pregnancy and the postpartum period, using a range of strategies and resources to cultivate a robust network of care and connection.
To learn more about perinatal mental health support and services, please contact Dr. Haley Beech at Taproot Therapy Collective by emailing [email protected].
References:
- Beebe, B. (2006). Co-constructing mother–infant distress in face-to-face interactions: Contributions of microanalysis. Infant Mental Health Journal, 27(4), 345-361.
- Byatt, N., Cox, L., Moore Simas, T. A., Biebel, K., Sankaran, P., Swartz, H. A., & Weinreb, L. (2018). How obstetric settings can help address gaps in psychiatric care for pregnant and postpartum women with bipolar disorder. Archives of Women’s Mental Health, 21(5), 543–551.
- Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., Koss, M. P., & Marks, J. S. (2019). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American Journal of Preventive Medicine, 56(6), 774–786.
- Grote, N. K., Bridge, J. A., Gavin, A. R., Melville, J. L., Iyengar, S., & Katon, W. J. (2010). A meta-analysis of depression during pregnancy and the risk of preterm birth, low birth weight, and intrauterine growth restriction. Archives of General Psychiatry, 67(10), 1012–1024.
- Kozhimannil, K. B., Trinacty, C. M., Busch, A. B., Huskamp, H. A., & Adams, A. S. (2011). Racial and ethnic disparities in postpartum depression care among low-income women. Psychiatric Services, 62(6), 619–625.
- Mukherjee, S., Coxe, S., Fennie, K., Madhivanan, P., & Trepka, M. J. (2017). Antenatal stressful life events and postpartum depressive symptoms in the United States: The role of women’s socioeconomic status indices at the state level. Journal of Women’s Health, 26(3), 276–285.
- Myors, K. A., Schmied, V., Johnson, M., & Cleary, M. (2013). Collaboration and integrated services for perinatal mental health: An integrative review. Child and Adolescent Mental Health, 18(1), 1-10.
- O’Hara, M. W., & Wisner, K. L. (2014). Perinatal mental illness: Definition, description and aetiology. Best Practice & Research Clinical Obstetrics & Gynaecology, 28(1), 3–12.
- Rowan, P. J., Duckett, S. A., & Wang, J. E. (2015). State mandates regarding postpartum depression. Psychiatric Services, 66(3), 324–328.
- Seymour, M., Giallo, R., Cooklin, A., & Dunning, M. (2015). Maternal anxiety, risk factors and parenting in the first post-natal year. Child: Care, Health and Development, 41(2), 314–323.
- Siegel, D. J. (2001). Toward an interpersonal neurobiology of the developing mind: Attachment relationships, “mindsight,” and neural integration. Infant Mental Health Journal, 22(1–2), 67–94.
- Muzik, M., & Borovska, S. (2010). Perinatal depression: Implications for child mental health. Mental Health in Family Medicine, 7(4), 239–247.
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