Abstract:

Background: postpartum involves health risks and complex interrelations between nurturing the baby and life changes and stressful. Yet, compared to the maternity aspect, postpartum has received less attention globally, especially in low- income countries such as Tanzania.

Methods: this was a cross sectional study carried from October to December 2020. Multistage random sampling technique was used to recruit 384 participants (primipara and multipara). Data was collected using a semi- structured pre- tested questionnaire. Data collected were analyzed using statistical package for social science (SPSS) version 20.0 software as per objectives.

Results: the study revealed primipara to experience more postpartum concerns compared with multipara. Majority had primary level of education and unplanned pregnancy/ unwanted pregnancy was reported by 54% of respondents and 78.7% were self-employed. Suicide ideation was reported by 15%. Multipara reported change in sexual relationship with partners during postpartum compared with primipara however both reported to receive care and support from family and partners. Level of education, age, number of pregnancies, support and care from the family and partners were among of the factors affecting postpartum concerns.

Conclusion: A high proportional of mothers reported to experience postpartum concerns which are insomnia, physical appearance, and postpartum depression majority of them being primipara. postpartum concerns should be addressed during antenatal clinic.