Early Postpartum Symptoms Differ Between Older and Younger First-Time Mothers

The study examined symptom patterns in 114 first-time mothers over the first 3 months postpartum, using the Memorial Symptom Assessment Scale. On average, mothers reported 7.0 symptoms at 1 month, decreasing to 5.3 by 3 months, with physical symptoms showing the greatest reduction. Common symptoms included lack of energy, worrying, pain, difficulty sleeping or concentrating, and feelings of irritability, sadness, or drowsiness. The most distressing symptoms were lack of energy, irritability, pain, nervousness, and hair loss. Older mothers (≥35 years) experienced significantly more symptoms and distress than younger mothers. The study highlights the importance of frequent postpartum assessments and interventions, especially for older mothers, as some symptoms, though not perceived as distressing, may pose clinical concerns and affect maternal-infant welfare beyond the initial postpartum period.