The role of social support in shaping maternal experiences during the postpartum hospital stay: A qualitative study.

BACKGROUND: Social support plays a critical role in maternal well-being during childbirth and the postpartum period. Florida's diverse population and healthcare landscape provide a unique setting to explore how support is received and utilized during hospitalization and postpartum transitions. Understanding these experiences can inform policies and interventions to improve maternal outcomes. OBJECTIVES: To examine women's perceptions of social support during hospitalization following childbirth and the postpartum period in Florida birthing hospitals. DESIGN: A qualitative study using semi-structured interviews. METHODS: Participants were recruited through Healthy Start programs and had given birth in a Florida hospital within the past 12 months. Virtual interviews were conducted (June-August 2023) in English, Spanish, or Haitian Creole. Transcripts were analyzed thematically using MaxQDA 2022. RESULTS: A total of 163 mothers participated, with an average age of 29.5 years, and were interviewed approximately 2.8 months postpartum. Participants were diverse in race and ethnicity (36.2% White, 35% Black/African American, 32.5% Hispanic/Latino). Most participants reported receiving informational and instrumental support from healthcare providers, family, and community organizations. Emotional and appraisal support were less common. Participants valued continuous monitoring, case management, and referrals, but noted gaps in breastfeeding assistance, pain management, and post-discharge support. Support experiences varied by neonatal intensive care unit status, marital status, language, and race/ethnicity, with some reporting communication barriers and disparities in care. Recommendations included enhanced lactation support, clearer medical communication, and improved resource referrals. CONCLUSION: Findings highlight the importance of comprehensive, patient-centered support. While informational and instrumental support were well received, emotional support and care consistency need improvement. Strengthening staff training, standardizing discharge processes, and expanding postpartum resources could enhance maternal well-being and health outcomes.