AimTo explore the factors influencing help‐seeking behaviours amongst mothers with low socioeconomic status at pregnancy, 1 month postpartum and 3 months postpartum.MethodsA prospective cohort study was conducted from September 2022 to August 2023. A total of 209 mothers aged 21 years and above, with low socioeconomic status and irrespective of parity, were recruited from a local hospital using convenience sampling. Self‐administered questionnaires were used to collect data at (1) third trimester of pregnancy, (2) 1 month postpartum and (3) 3 months postpartum. Multiple regression analysis was used to identify significant factors influencing help‐seeking behaviour at 3 months postpartum. Sub‐analyses were conducted between primiparous mothers and multiparous mothers. General linear model repeated measures were used to identify longitudinal trends in outcomes of help‐seeking behaviour.ResultsHelp‐seeking behaviour at pregnancy and 1 month postpartum, sources of social support at 3 months postpartum, birth order of the child, attendance of antenatal classes, paternal involvement in feeding and changing diapers and mode of delivery significantly predicted mothers' help‐seeking behaviour at 3 months postpartum. Amongst primiparous mothers, help‐seeking behaviour at pregnancy at 1 month, social support at 3 months postpartum, employment in part‐time jobs and exclusively breastfeeding their infant were significant factors in influencing their help‐seeking behaviours at 3 months postpartum. For multiparous mothers, help‐seeking behaviour at pregnancy and 1 month postpartum, number of hours of antenatal class attended, Malay ethnicity, educational background, parental satisfaction at 3 months postpartum and infant bonding at both time points were significant factors influencing their help‐seeking behaviours at 3 months postpartum.ConclusionPrimiparous mothers with low socioeconomic status who underwent caesarean section exhibited less help‐seeking behaviours. Attendance of antenatal classes and greater paternal involvement in infant care encouraged mothers with low socioeconomic status to help‐seeking behaviours. A tailored approach is needed to support mothers with low socioeconomic status by providing additional support in improving the accessibility of antenatal classes and involving fathers in infant care.ImpactWhat Problem Did the Study Address? Mothers with low socioeconomic status tend to exhibit lower help‐seeking behaviours due to limited support and access to care services. What Were the Main Findings? First‐time mothers who underwent caesarean section, did not attend antenatal classes, and had husbands uninvolved in feeding and diaper changing were significantly less likely to seek help in the third month postpartum. One and 3 months postpartum are crucial time points when mothers with low socioeconomic status could benefit from additional support. Hospitals should explore online informational resources, forums, teleconsultations and virtual antenatal classes as possible alternative options to improve accessibility for mothers with low socioeconomic status. Where and on Whom Will the Research Have an Impact? Mothers with low socioeconomic status and healthcare providers of mothers with low socioeconomic status will benefit from the findings of this research. This study was conducted within the Singapore context. Findings could be generalizable to other cultural contexts with similar multi‐ethnic populations. Reporting MethodSTROBE checklist.Patient or Public ContributionNo patient or public contribution.

中文翻译：

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养育网络：影响低社会经济地位母亲寻求帮助行为因素的前瞻性纵向研究


目的 探讨孕期、产后1个月和产后3个月低社会经济地位母亲求助行为的影响因素。方法于2022年9月至2023年8月进行前瞻性队列研究。共纳入209名21岁及以上母亲，社会经济地位较低且不考虑性别的女性是通过便利抽样从当地医院招募的。使用自填问卷收集 (1) 妊娠晚期、(2) 产后 1 个月和 (3) 产后 3 个月的数据。使用多元回归分析来确定影响产后 3 个月寻求帮助行为的重要因素。在初产母亲和多产母亲之间进行亚组分析。使用一般线性模型重复测量来确定寻求帮助行为结果的纵向趋势。结果妊娠期和产后 1 个月的寻求帮助行为、产后 3 个月的社会支持来源、孩子的出生顺序、产前课程的出席情况、父亲参与喂养和换尿布以及分娩方式显着预测了母亲在产后 3 个月的寻求帮助行为。在初产妇中，怀孕1个月时的求助行为、产后3个月的社会支持、兼职工作和纯母乳喂养婴儿是影响其产后3个月求助行为的重要因素。 对于多产妈妈来说，怀孕时和产后1个月的寻求帮助行为、参加产前课程的小时数、马来族裔、教育背景、产后3个月的父母满意度以及两个时间点的婴儿关系是影响其寻求帮助的重要因素产后 3 个月的行为。结论社会经济地位较低的初产妇接受剖腹产后寻求帮助的行为较少。参加产前课程和父亲更多地参与婴儿护理会鼓励社会经济地位较低的母亲采取寻求帮助的行为。需要采取量身定制的方法来支持社会经济地位较低的母亲，通过提供额外支持来改善产前课程的可及性并让父亲参与婴儿护理。影响该研究解决了什么问题？由于支持和获得护理服务的机会有限，社会经济地位较低的母亲往往表现出较低的寻求帮助行为。主要发现是什么？接受剖腹产手术、没有参加产前课程、丈夫不参与喂养和换尿布的首次母亲在产后第三个月寻求帮助的可能性显着降低。产后 1 个月和 3 个月是社会经济地位较低的母亲可以从额外支持中受益的关键时间点。医院应探索在线信息资源、论坛、远程咨询和虚拟产前课程作为可能的替代选择，以改善社会经济地位较低的母亲的可及性。研究将在哪里以及对谁产生影响？社会经济地位较低的母亲以及社会经济地位较低的母亲的医疗保健提供者将受益于这项研究的结果。这项研究是在新加坡背景下进行的。研究结果可以推广到具有相似多民族人口的其他文化背景。报告方法STROBE 检查表。患者或公众贡献没有患者或公众贡献。