Family-Centered Maternity Care in Reducing the Risk of Baby Blues Syndrome Among Postpartum Mothers
DOI:
https://doi.org/10.53713/htechj.v4i5.738Keywords:
baby blues syndrome, family-centered maternity care, family support, maternal mental health, postpartum motherAbstract
Baby Blues Syndrome is one of the most common psychological challenges experienced by mothers during the early postpartum period. Emotional instability, unexplained crying, anxiety, sleep disturbances, and feelings of helplessness commonly occur within the first two weeks after childbirth. Although generally transient, inadequate management may increase the risk of postpartum depression and adversely affect maternal–infant bonding, breastfeeding, and infant development. Family support plays an important role in maternal emotional adaptation following childbirth. Family-Centered Maternity Care (FCMC) is an approach that promotes collaboration among healthcare professionals, mothers, partners, and family members throughout maternity care. This narrative literature review aimed to analyze the role of FCMC in reducing the risk of Baby Blues Syndrome among postpartum mothers. Literature published between 2021 and 2026 was identified from Scopus, PubMed, ScienceDirect, and Google Scholar using keywords related to FCMC, baby blues syndrome, postpartum emotional support, maternal mental health, and family support. Relevant articles were critically analyzed thematically, focusing on emotional adaptation, social support, maternal coping, partner involvement, and nursing interventions. The findings indicate that FCMC may support maternal emotional stability by strengthening family participation, providing emotional reassurance, sharing caregiving responsibilities, and facilitating communication between healthcare professionals and families. Family involvement was also associated with greater maternal confidence, reduced psychological stress, stronger mother–infant attachment, and improved postpartum emotional well-being. Culturally sensitive family-centered approaches may further enhance these outcomes. FCMC represents a holistic and humanistic approach that can support maternal psychological well-being and potentially reduce the risk and severity of Baby Blues Syndrome during the postpartum period.
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References
Afulani, P. A., Nakphong, M. K., & Sudhinaraset, M. (2023). Person-centered sexual and reproductive health: A call for standardized measurement. Health Expectations, 26(4), 1384–1390. https://doi.org/10.1111/hex.13781
Alqarawi, N., & Alhalal, E. (2024). Factors affecting family-centered care practice by nurses: A systematic review. Journal of Pediatric Nursing, 78, 158–171. https://doi.org/10.1016/j.pedn.2024.06.008
Alruwaili, T. A., Crawford, K., Jahanfar, S., Hampton, K., & Fooladi, E. (2023). Pregnant persons and birth partners' experiences of shared decision-making during pregnancy and childbirth: An umbrella review. Patient Education and Counseling, 114, 107832. https://doi.org/10.1016/j.pec.2023.107832
Ashifa, A. N., Herman, H., Hilmanto, D., Sutedja, E., Nurihsan, J., & Anwar, R. (2025). The role of husband’s support in preventing postpartum depression: A scoping review. Majalah Kesehatan Indonesia, 6(3), 107–118. https://doi.org/10.47679/makein.2025257
Cantor, A. G., Jungbauer, R. M., Skelly, A. C., & et al. (2024). Respectful maternity care. Annals of Internal Medicine, 177(1), 50–64. https://doi.org/10.7326/M23-2676
Chen, J., Wang, S., Lai, X., Zou, L., Wen, S. W., Krewski, D., & Xie, R.-H. (2024). The association between social support and postpartum post-traumatic stress disorder. BMC Pregnancy and Childbirth, 24(1), 874. https://doi.org/10.1186/s12884-024-07088-5
Dworetzky, B., Hoover, C. G., & Walker, D. K. (2023). Family engagement at the systems level: A framework for action. Maternal and Child Health Journal, 27(6), 969–977. https://doi.org/10.1007/s10995-023-03619-2
Hameed, W., Khan, B., & Avan, B. I. (2025). The role of birth companionship in women’s experiences of mistreatment during childbirth and postpartum anxiety and depression: An analysis of a cross-sectional survey. PLOS Global Public Health, 5(7), e0004030. https://doi.org/10.1371/journal.pgph.0004030
Henshaw, E. J. (2023). Breastfeeding and postpartum depression: A review of relationships and potential mechanisms. Current Psychiatry Reports, 25(12), 803–808. https://doi.org/10.1007/s11920-023-01471-3
Huang, Q., Peng, A., Cui, Z., Huang, Z., Duan, D., Cao, X., Cui, Y., & Huang, L. (2026). Effectiveness of discharge planning interventions on health-related outcomes among postpartum women: A systematic review and meta-analysis. Frontiers in Public Health, 14, 1733799. https://doi.org/10.3389/fpubh.2026.1733799
Jafari, Z., Kermanshahi, S. M. K., & Vanaki, Z. (2023). Communication barriers to implementation of family-centered care from perspective of mothers and personnel of neonatal intensive care unit: A qualitative study. Journal of Archives in Military Medicine, 11(2), e138443. https://doi.org/10.5812/jamm-138443
Jeong, J., Sullivan, E. F., & McCann, J. K. (2023). Effectiveness of father-inclusive interventions on maternal, paternal, couples, and early child outcomes in low- and middle-income countries: A systematic review. Social Science & Medicine, 328, 115971. https://doi.org/10.1016/j.socscimed.2023.115971
Khademi, K., & Kaveh, M. H. (2024). Social support as a coping resource for psychosocial conditions in postpartum period: A systematic review and logic framework. BMC Psychology, 12(1), 301. https://doi.org/10.1186/s40359-024-01814-6
Khademi, K., Kaveh, M. H., Ghahremani, L., Nazari, M., & Karimi, M. (2023). The impact of family social support on postpartum quality of life among Iranian women: Structural equation modelling. Journal of International Medical Research, 51(2), 03000605221147198. https://doi.org/10.1177/03000605221147198
Kordsalarzehi, F., Rajabzadeh, Z., Yoosefi, N., & Navidian, A. (2024). The effect of family-centered education on post-traumatic stress symptoms in mothers of premature infants hospitalized in the NICU. Journal of Education and Health Promotion, 13(1). https://doi.org/10.4103/jehp.jehp_332_23
Landman, A., Ngameni, E. G., Dubreucq, M., Dubreucq, J., Tebeka, S., & Dubertret, C. (2024). Postpartum blues: A predictor of postpartum depression, from the IGEDEPP Cohort. European Psychiatry, 67(1), e30. https://doi.org/10.1192/j.eurpsy.2024.1741
Landry, I., René, C., & Demontigny, F. (2023). Family centered nursing practices towards women and their families in the birthing context: A qualitative systematic review. Nursing Open, 10(9), 5937–5949. https://doi.org/10.1002/nop2.1880
Li, L., Xiao, L., Yuan, X., Wu, J., Li, J., Chen, X., Zhai, X., & Wang, B. (2025). Partner involvement and emotional and informational support gaps as predictors of postpartum birth trauma symptoms: A multicenter cross-sectional study of 230 women at 42 days postpartum. BMC Pregnancy and Childbirth, 25(1), 918. https://doi.org/10.1186/s12884-025-08084-z
Low, S. R., Bono, S. A., & Azmi, Z. (2023). The effect of emotional support on postpartum depression among postpartum mothers in Asia: A systematic review. Asia-Pacific Psychiatry, 15(2–3), e12528. https://doi.org/10.1111/appy.12528
Maulina, R., Argaheni, N. B., & Juwita, S. (2023). What are the mental health issues of postpartum mothers during a pandemic? A scoping review. Journal of Public Health in Africa. https://doi.org/10.4081/jphia.2023.2621
McCarter, D., Law, A. A., Cabullo, H., & Pinto, K. (2022). Scoping review of postpartum discharge education provided by nurses. Journal of Obstetric, Gynecologic & Neonatal Nursing, 51(4), 377–387. https://doi.org/10.1016/j.jogn.2022.03.002
McLeish, J., Ayers, S., & McCourt, C. (2023). Community-based perinatal mental health peer support: A realist review. BMC Pregnancy and Childbirth, 23(1), 570. https://doi.org/10.1186/s12884-023-05843-8
Noonan, M., Jomeen, J., & Doody, O. (2021). A review of the involvement of partners and family members in psychosocial interventions for supporting women at risk of or experiencing perinatal depression and anxiety. International Journal of Environmental Research and Public Health, 18(10), 5396. https://doi.org/10.3390/ijerph18105396
Oktavia, S. N., & Kanathasan, J. S. (2025). Effect of family-centered maternity care (FCMC) on postnatal depression among mothers: A quasi-experimental study. Journal of Health Science and Medical Therapy, 3(3), 244–254. https://doi.org/10.59653/jhsmt.v3i03.1857
Pebryatie, E., Paek, S. C., Sherer, P., & Meemon, N. (2022). Associations between spousal relationship, husband involvement, and postpartum depression among postpartum mothers in West Java, Indonesia. Journal of Primary Care & Community Health, 13, 21501319221088355. https://doi.org/10.1177/21501319221088355
Rahyani, N. K. Y., Budhi, N. G. M. A. A., Armini, N. W., Sulisnadewi, N. L. K., & Suardana, I. W. (2025). Postpartum women’s experiences of spousal and family support in Bali interpreted through hermeneutic phenomenology. Discover Public Health, 22(1), 804. https://doi.org/10.1186/s12982-025-01189-y
Riem, M. M. E., Bakermans-Kranenburg, M. J., Cima, M., & van Ijzendoorn, M. H. (2023). Grandparental support and maternal postpartum mental health. Human Nature, 34(1), 25–45. https://doi.org/10.1007/s12110-023-09440-8
Sendas, M. V., & Freitas, M. J. (2024). The needs of women in the postpartum period: A scoping review. Midwifery, 136, 104098. https://doi.org/10.1016/j.midw.2024.104098
Sharifipour, F., Javadnoori, M., Behboodi Moghadam, Z., Najafian, M., Cheraghian, B., & Abbaspoor, Z. (2022). Interventions to improve social support among postpartum mothers: A systematic review. Health Promotion Perspectives, 12(2), 141–150. https://doi.org/10.34172/hpp.2022.18
Sufredini, F., Catling, C., Zugai, J., & Chang, S. (2022). The effects of social support on depression and anxiety in the perinatal period: A mixed-methods systematic review. Journal of Affective Disorders, 319, 119–141. https://doi.org/10.1016/j.jad.2022.09.005
Tavares, D., Fidalgo, D., Sousa, M., Morais, A., Jongenelen, I., Lamela, D., Alves, S., Costa, R., & Pinto, T. M. (2025). History of mental health problems moderates the association between partner support during childbirth and women's mental health in the postpartum period. Midwifery, 144, 104359. https://doi.org/10.1016/j.midw.2025.104359
Tosto, V., Ceccobelli, M., Lucarini, E., Tortorella, A., Gerli, S., Parazzini, F., & Favilli, A. (2023). Maternity blues: A narrative review. Journal of Personalized Medicine, 13(1), 154. https://doi.org/10.3390/jpm13010154
Wang, Y., Gu, J., Zhang, F., & Xu, X. (2023). The effect of perceived social support on postpartum stress: The mediating roles of marital satisfaction and maternal postnatal attachment. BMC Women's Health, 23(1), 482. https://doi.org/10.1186/s12905-023-02593-9
Woldring, J. M., Luttik, M. L., Paans, W., & Gans, R. O. B. (2023). The added value of family-centered rounds in the hospital setting: A systematic review of systematic reviews. PLOS ONE, 18(1), e0280142. https://doi.org/10.1371/journal.pone.0280142
Xiao, Y., Cui, Y., Li, F., Zeng, W., Rozelle, S., Shi, C., Xu, J., Shi, J., Li, G., & Jiang, F. (2024). The mediating effect of family support in the relationship between socioeconomic status and postpartum depressive symptoms. BMC Public Health, 24(1), 3374. https://doi.org/10.1186/s12889-024-20849-3
Zhang, X., Wang, C., Zuo, X., Aertgeerts, B., Buntinx, F., Li, T., & Vermandere, M. (2023). Study characteristical and regional influences on postpartum depression before vs. during the COVID-19 pandemic: A systematic review and meta-analysis. Frontiers in Public Health, 11, 1102618. https://doi.org/10.3389/fpubh.2023.1102618












