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Ravi KE, Cronley C, Lawler A, Conway A, Kapur I, Jones A. Association of Daily Activities With Maternal-Child Bonding, Parenting Self-Efficacy, Social Support, and Parenting Behaviors Among Survivors Living in an Intimate Partner Violence Shelter: A Daily Diary Study. JOURNAL OF INTERPERSONAL VIOLENCE 2024:8862605241245361. [PMID: 38591162 DOI: 10.1177/08862605241245361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/10/2024]
Abstract
Following a traumatic event such as intimate partner violence (IPV), survivors often experience stress related to the violence. These high levels of stress related to IPV can be associated with the daily activities of survivors and their relationships with their children, such as maternal-child bonding. The purpose of the current study is to explore the relationship between daily activities, daily stress levels, parenting self-efficacy and behaviors, and maternal-child bonding among survivors living in an IPV shelter using an ecological momentary assessment (EMA) methodology. Twenty-five mothers living in an IPV shelter in two states in the Southern United States completed a baseline survey and completed electronic daily diaries for 14 days. Higher daily stress was associated with the number of times the mothers met with the case manager. Higher daily stress was also related to lower parenting self-efficacy. The number of case management appointments and legal appointments were positively correlated with a higher bonding score. More social support was associated with more positive parenting. IPV and post-traumatic stress disorder symptoms were not significantly associated with maternal-child bonding, parenting behaviors, or parenting self-efficacy. Findings suggest that screening for maternal support may be particularly important for positive bonding and positive parenting. Findings also lend preliminary insight into practical places where service providers could act to protect the bonding process or mitigate risks to impede it. Future research should include objective data about the mother's emotions and her interactive behavior with her child. There is also a need to consider how federal programs fund and incentivize service providers to focus on mother-child dyads and how they can tailor services that promote bonding.
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Affiliation(s)
| | | | | | - Anne Conway
- The University of Tennessee-Knoxville, USA
- The University of Tennessee Health Sciences Center, Knoxville, USA
| | | | - Anna Jones
- The University of Tennessee-Knoxville, USA
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Lau EYH, Li JB, Siu CTS. Postnatal depressive symptoms mediate the relation between prenatal role overload and responsiveness among first-time mothers. J Reprod Infant Psychol 2024; 42:95-109. [PMID: 35499554 DOI: 10.1080/02646838.2022.2070609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 04/20/2022] [Indexed: 10/18/2022]
Abstract
BACKGROUND This study examined the association between prenatal role overload and maternal responsiveness, with postnatal depressive symptoms as a mediator. METHODS Participants were 127 first-time mothers in Hong Kong (M = 32.8, SD = 4.0). Participants completed data collection for self-report on prenatal role overload (Time 1) in the third trimester of pregnancy, postnatal depressive symptoms (Time 2) at 4-month postpartum and maternal responsiveness (Time 3) at 9-month postpartum. The hypothesised mediation model was tested with the Hayes PROCESS macro (model 4). RESULTS Time 1 prenatal role overload was not directly predictive of later responsiveness (B = -0.06, p = .270). However, the indirect effect of Time 2 postnatal depressive symptoms in the association between Time 1 prenatal role overload and Time 3 responsiveness was significant (unstandardised effect = -0.03, 95% Bootstrapping CI = [-0.081, -0.001]; standardised effect = -0.06, 95% Bootstrapping CI = [-0.152, -0.002]). CONCLUSION Findings highlighted that more attention is required to the support provided to first-time expectant mothers to prevent role overload, and that intervention for postnatal depressive symptoms may focus on role overload. The findings also highlighted that postnatal depressive symptoms could be a promising way to increase maternal responsiveness.
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Affiliation(s)
- Eva Yi Hung Lau
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong
| | - Jian-Bin Li
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong
| | - Carrey Tik-Sze Siu
- Department of Early Childhood Education, The Education University of Hong Kong, Hong Kong
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Van den Branden L, Van de Craen N, Van Leugenhaege L, Bleijenbergh R, Mestdagh E, Timmermans O, Van Rompaey B, Kuipers YJ. On cloud nine? Maternal emotional wellbeing six weeks up to one year postpartum - A cross-sectional study. SEXUAL & REPRODUCTIVE HEALTHCARE 2023; 36:100856. [PMID: 37229926 DOI: 10.1016/j.srhc.2023.100856] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2022] [Revised: 03/31/2023] [Accepted: 05/02/2023] [Indexed: 05/27/2023]
Abstract
BACKGROUND Little is known about the full scope of emotional wellbeing of mothers up to one year postpartum, to adequately support women during transition to motherhood. Reduced emotional wellbeing (REW) affects women's adaption to the changes and challenges in becoming a mother. We aimed to increase the knowledge and understanding of mothers' emotional wellbeing and the influencing factors. METHODS This cross-sectional study includes 385 Flemish mothers up to one year postpartum. Online data were collected with the General Health Questionnaire-12, Postpartum Bonding Questionnaire, Personal Well-Being Index-Adult, The Basic Psychological Needs Scale, Sense of Coherence-13 and Coping Operations Preference Enquiry. RESULTS A total of 63.9% of the participants reported REW. Mothers with REW more often had (a history of) psychological problems compared to mothers with healthy emotional wellbeing (p = 0.007). Multiple linear regression analysis showed negative associations between emotional wellbeing and satisfaction (p = 0.002; p < 0.001), comprehensibility (p = 0.013) and positive associations between emotional wellbeing and bonding (p < 0.001), manageability (p = 0.033), problem solving (p = 0.030) and avoidance (p = 0,011) - with an explained variance of 55.5%. LIMITATIONS Some limitations of our study are the GHQ-12 cut-off value, the nature and implication of (a history of) psychological problems and the self-selected population. CONCLUSION It would be of worth for midwives to discuss with mothers (to be) what to expect. This - to support mothers in making sense of their life as a mother and how various factors might influence their emotional wellbeing. The high prevalence of REW is worrying, but needs to be interpreted with caution.
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Affiliation(s)
- Laura Van den Branden
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium.
| | - Natacha Van de Craen
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium
| | - Luka Van Leugenhaege
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Roxanne Bleijenbergh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Eveline Mestdagh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Olaf Timmermans
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Professorship Healthy Region, HZ University of Applied Sciences, Edisonweg 4, 4382 NW Vlissingen, the Netherlands
| | - Bart Van Rompaey
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Yvonne J Kuipers
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Edinburgh Napier University, School of Health & Social Care, Sighthill Court, Edinburgh EH11 4BN, Scotland, UK
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Raghuveer P, Haleema M. Perceived social support among pregnant women attending the antenatal clinic of a tertiary care hospital. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:88. [PMID: 37288407 PMCID: PMC10243413 DOI: 10.4103/jehp.jehp_1176_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 09/21/2022] [Indexed: 06/09/2023]
Abstract
BACKGROUND Social support among pregnant women is identified to have a positive influence on maternal, fetal outcome, personal competence, and self-esteem. This study was conducted with the aim to assess the social support as perceived by pregnant women and to find out the association between perceived social support and sociodemographic, obstetric variables. MATERIALS AND MATERIALS After obtaining approval from the Institutional Ethics Committee, a cross-sectional study was carried out among pregnant women attending the Antenatal Clinic of a Tertiary Care Hospital for a period of two months. The Multidimensional Scale of Perceived Social Support (MSPSS) was used to assess social support among study participants. RESULTS A total of 111 pregnant women were included. Majority, 98 (88.30%), were educated till High School. Nearly 87 (78.40%) were in the third trimester and 68 (61.30%) were primigravidae. Mean MSPSS score was found to be 5.36 ± 0.83. Majority, 75 (67.60%), had high social support (mean total score of 5.1-7.0). Those engaged in occupation had 2.922 odds for high social support (adjusted odds ratio = 2.92, 95% confidence interval = 0.612-13.95) when compared to housewives (P < 0.05). Women in third trimester had 2.104 odds for high social support, when compared to those in first and second trimesters (adjusted odds ratio = 2.014, 95% confidence interval = 0.715-6.185). CONCLUSION Majority scored high on MSPSS. Furthermore, involvement in occupation was found to be a significant predictor of high social support among the study participants.
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Affiliation(s)
- Pracheth Raghuveer
- Department of Epidemiology, Centre for Public Health, National Institute of Mental Health and Neurosciences, Bangalore, India
| | - Mubeena Haleema
- Department of Community Medicine, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India
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Schaming C, Wendland J. Postnatal mental health during the COVID-19 pandemic: Impact on mothers' postnatal sense of security and on mother-to-infant bonding. Midwifery 2023; 117:103557. [PMID: 36473335 PMCID: PMC9678387 DOI: 10.1016/j.midw.2022.103557] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Revised: 10/08/2022] [Accepted: 11/20/2022] [Indexed: 11/23/2022]
Abstract
BACKGROUND The unprecedented COVID-19 pandemic context imposed new living conditions which greatly modified women's experience of the postpartum period and brought significant changes to postnatal care. OBJECTIVE The main objective of this study was to evaluate the impact of the COVID-19 pandemic context on maternal sense of security and on mother-to-child bonding in the postpartum. DESIGN This study had a mixed research design. We compared levels of mother-child bonding disturbances and of maternal emotional security amongst two samples of postnatal women recruited before and during the pandemic. Postnatal depression was also evaluated. A qualitative analysis of the participants' comments on the impact of the COVID-19 pandemic was performed with an open-coding approach. PARTICIPANTS Two samples of French-speaking mothers in the first six months after their childbirth, recruited before the pandemic (N=874) and during the pandemic (N=721). FINDINGS Mother-child bonding disturbances measured with PBQ and levels of emotional security levels evaluated with PPSSi did not differ significantly between the samples. A high prevalence of women at risk of postnatal depression was found in both samples. However, participants' comments on their postnatal experience during the pandemic contrasted with their quantitative data. Fears of contamination, social isolation, and lack of support were the main factors of insecurity. Lack of closeness with relatives and friends, limited presence of the partner in the maternity ward, and early interactions with the newborn with a mask appear to have altered mother-child bonding during this pandemic period. CONCLUSIONS AND IMPLICATIONS FOR PRACTICE The findings highlight the importance of considering social and environmental factors and needs when evaluating postnatal mental health and providing postnatal care to new mothers during a health crisis. Health services and professionals should pay particular attention to mothers' mental health and well-being and guarantee continuity of care to avoid parents' isolation in the sensitive postpartum period.
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Affiliation(s)
- Céline Schaming
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, F-92100 Boulogne-Billancourt, France,Maternity, René Dubos Hospital, F-95303 Pontoise, France
| | - Jaqueline Wendland
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, F-92100 Boulogne-Billancourt, France,Corresponding author at: University of Paris, Institute of Psychology, Psychopathology and Health Processes Laboratory, 71 Avenue Edouard Vaillant, 92774 Boulogne Billancourt, France
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Mothering Ideology: A Qualitative Exploration of Mothers' Perceptions of Navigating Motherhood Pressures and Partner Relationships. SEX ROLES 2023; 88:101-117. [PMID: 36568897 PMCID: PMC9765384 DOI: 10.1007/s11199-022-01345-7] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2022] [Revised: 12/04/2022] [Accepted: 12/12/2022] [Indexed: 12/24/2022]
Abstract
Good mother ideology refers to beliefs that women are only 'good' mothers if they adhere to the tenets of dominant parenting discourse, such as intensive mothering ideology, which prioritizes children's needs and child-raising above all else. Undergirded by this ideology, mothers' attempts to navigate the transition to motherhood are fraught with pressures, and the transition is associated with negative health outcomes for mothers and children; yet existing research gives little attention to the quality or dynamics of the partner relationship as part of this transition. The current study examined motherhood pressure and the impact on partner relationships through individual, semi-structured interviews with 19 mothers living in Australia who were 18 years or older in a heterosexual relationship with at least one child under the age of five. Thematic analysis revealed four key themes: discourses on motherhood: criticisms of mothers and internalised guilt; transformation of identity; entrenchment of gender roles through childrearing; and positive relationship dynamics: supportive fathers and challenging gender roles. This study contributes to the larger body of literature highlighting the complexity of dominant mothering ideology and its entanglement with and impact on partner relationships. Further, this study includes mothers' perceptions of how they navigate these pressures within the relationship with their partner and the family unit. These findings have implications for programs to support mothers and other caregivers, as well as challenge unrealistic standards for motherhood. Supplementary Information The online version contains supplementary material available at 10.1007/s11199-022-01345-7.
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Wemakor A, Awuni V, Issah S. Maternal autonomy but not social support is a predictor of child feeding indicators in the Northern Region, Ghana. BMC Nutr 2022; 8:135. [PMID: 36401277 PMCID: PMC9673434 DOI: 10.1186/s40795-022-00630-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Accepted: 10/31/2022] [Indexed: 11/19/2022] Open
Abstract
Background Child malnutrition may be mediated by poor infant and young child feeding (IYCF) practices. This study sought to explore if maternal social support or autonomy was related to IYCF indicators in Northern Region, Ghana. Methods An analytical cross-sectional study was conducted with 395 randomly sampled mother–child pairs from 8 health facilities. Data were collected on socio-demographic characteristics, social support and autonomy statuses of mothers, and dietary intake and anthropometry of children. Maternal social support and autonomy statuses were derived and classified into tertiles and IYCF and child growth indicators were derived based on WHO protocol. Logistic regression analysis was used to explore the association of maternal social support and autonomy statuses to IYCF indicators and child nutritional status. Results The mean age of the women was 27 (± 5.10) years and most belonged to the lowest tertile of social support (52.4%), and autonomy (44.1%). About half of the children, 53.2% and 44.6%, received Minimum Dietary Diversity (MDD) and Minimum Acceptable Diet (MAD) respectively but the majority (72.9%) received Minimum Meal Frequency (MMF). About a fifth of the children, 21.0%, 24.1%, and 20.5%, were wasted, stunted, and underweight respectively. Maternal autonomy was associated with IYCF but not growth indicators of young children. Compared to children of mothers of richest autonomy tertile, children of women of middle autonomy tertile were 67% less likely to receive MDD [Adjusted Odds Ratio (AOR): 0.33; 95% Confidence Interval (CI): 0.18–0.59], and 56% less likely to receive MAD (AOR: 0.44; 95% CI: 0.24–0.77). Also, children belonging to mothers of poorest autonomy tertile were 56% less likely to receive MMF compared to children of richest maternal autonomy tertile (AOR: 0.44; 95% CI: 0.23–0.84). Conclusion Maternal autonomy and not social support is associated with IYCF indicators of children in Northern Ghana; child survival programmes should incorporate or strengthen women empowerment interventions to improve child nutrition. Supplementary Information The online version contains supplementary material available at 10.1186/s40795-022-00630-8.
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He S, Yang F, Zhang H, Zhang S. Affective well-being of Chinese urban postpartum women: predictive effect of spousal support and maternal role adaptation. Arch Womens Ment Health 2022; 25:781-788. [PMID: 35652947 DOI: 10.1007/s00737-022-01240-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 05/26/2022] [Indexed: 11/25/2022]
Abstract
Due to shortage of childcare facilities while high social expectations for mothering, becoming a mother is a big life challenge for most women in urban China. The understandings on Chinese postpartum women's affective well-being and its relation with spousal support and maternal role adaptation remain limited. This study aims to investigate the affective well-being (including both positive and negative affect) of Chinese urban postpartum women and how it is associated with spousal support and maternal role adaptation. A cross-sectional survey was conducted in Shanghai, China, between June and July 2019. A total of 498 urban mothers whose babies were 0 to 1 year old participated in this survey. They completed the Postpartum Social Support Questionnaire (PSSQ), the Maternal Role Adaptation Scale, and the Positive and Negative Affect Scale (PANAS), and reported socio-demographic information. Results showed that positive and negative affect of postpartum women were not significantly associated with each other. Positive affect had a positive correlation with spousal support and maternal role adaptation. Negative affect was negatively associated with maternal role adaptation, while not significantly associated with spousal support. Maternal role adaptation partially mediated the relationship between spousal support and positive affect of the participants, controlling for age, household income, education, birth order, and inter-generational support. The findings indicate that intervention programs towards mental health of postpartum women should focus more on positive affect cultivation; moreover, clinical services should help postpartum women to adapt to maternal role by encouraging new fathers' or partners' involvement in daily childcare-giving.
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Affiliation(s)
- Shanshan He
- School of Social Development, East China Normal University, Shanghai, 200062, China
| | - Fan Yang
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, 200030, China. .,Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Room 335, Xinjian Building, 1954 Huashan Road, Shanghai, 200030, China.
| | - Huimin Zhang
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, 200030, China.,Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Room 335, Xinjian Building, 1954 Huashan Road, Shanghai, 200030, China
| | - Shumiao Zhang
- School of Social Development, East China Normal University, Shanghai, 200062, China
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Buchheim A, Ziegenhain U, Kindler H, Waller C, Gündel H, Karabatsiakis A, Fegert J. Identifying Risk and Resilience Factors in the Intergenerational Cycle of Maltreatment: Results From the TRANS-GEN Study Investigating the Effects of Maternal Attachment and Social Support on Child Attachment and Cardiovascular Stress Physiology. Front Hum Neurosci 2022; 16:890262. [PMID: 35923749 PMCID: PMC9341217 DOI: 10.3389/fnhum.2022.890262] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Accepted: 06/09/2022] [Indexed: 11/13/2022] Open
Abstract
Introduction Childhood maltreatment (CM) is a developmental risk factor and can negatively influence later psychological functioning, health, and development in the next generation. A comprehensive understanding of the biopsychosocial underpinnings of CM transmission would allow to identify protective factors that could disrupt the intergenerational CM risk cycle. This study examined the consequences of maternal CM and the effects of psychosocial and biological resilience factors on child attachment and stress-regulatory development using a prospective trans-disciplinary approach. Methods Mother-child dyads (N = 158) participated shortly after parturition (t 0), after 3 months (t 1), and 12 months later (t 2). Mothers' CM experiences were assessed at t 0, attachment representation at t 1 and psychosocial risk and social support were assessed at t 1 and t 2. At t 2, dyads participated in the Strange Situation Procedure (SSP). Children's attachmen status were classified as organized vs. disorganized, including their level of disorganized behavior, and heart rate (HR) and respiratory sinus arrhythmia (RSA) were recorded as stress response measures of the autonomic nervous system. Maternal caregiving during SSP was assessed using the AMBIANCE scale. Child's single nucleotide polymorphisms rs2254298 within the oxytocin receptor (OXTR) and rs2740210 of the oxytocin gene (OXT) were genotyped using DNA isolated from cord blood. Results Maternal CM experiences (CM+) were significantly associated with an unresolved attachment status, higher perceived stress and more psychological symptoms. These negative effects of CM were attenuated by social support. As expected, maternal unresolved attachment and child disorganized attachment were significantly associated. Maternal caregiving did not mediate the relationship between maternal and child attachment but influenced children's HR and RSA response and disorganized behavior. Moreover, the rs2254298 genotype of the OXTR gene moderated the stress response of children from mothers with CM. Children carrying the rs2740210 risk allele of the OXT gene showed more disorganized behavior independent from maternal CM experiences. Conclusion We replicated and extended existing CM and attachment models by co-examining maternal attachment, social support, and child genetic susceptibility on child attachment and cardiovascular stress regulation. The findings contribute to an extended understanding of risk and resilience factors and enable professionals to target adequate services to parents and children at risk.
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Affiliation(s)
- Anna Buchheim
- Department of Clinical Psychology II, Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Ute Ziegenhain
- Department of Child and Adolescent Psychiatry and Psychotherapy, Ulm University Hospital, Ulm, Germany
| | | | - Christiane Waller
- Department of Psychosomatic Medicine and Psychotherapy, Nuremberg General Hospital, Paracelsus Medical University, Nürnberg, Germany
| | - Harald Gündel
- Department of Psychosomatic Medicine and Psychotherapy, Ulm University, Ulm, Germany
| | - Alexander Karabatsiakis
- Department of Clinical Psychology II, Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Jörg Fegert
- Department of Child and Adolescent Psychiatry and Psychotherapy, Ulm University Hospital, Ulm, Germany
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Huang HH, Lee TY, Lin XT, Duan HY. Maternal Confidence and Parenting Stress of First-Time Mothers in Taiwan: The Impact of Sources and Types of Social Support. Healthcare (Basel) 2022; 10:healthcare10050878. [PMID: 35628015 PMCID: PMC9140915 DOI: 10.3390/healthcare10050878] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Revised: 04/30/2022] [Accepted: 05/07/2022] [Indexed: 02/06/2023] Open
Abstract
The adjustment process to becoming a mother is affected by culture. However, earlier studies have not clarified the relationship between parenting stress, social support, and maternal confidence in non-Western women. This study examined the associations between different types and sources of social support, maternal confidence, and parenting stress experienced by first-time mothers. The sample consisted of first-time mothers with a child under one year of age in northern Taiwan, and a total of 205 valid questionnaires were collected. The results supported the stress-buffering hypothesis, which suggests that social support reduces the adverse effect of stress on maternal confidence. Although previous studies have suggested that spouses and maternal relatives are critical in supporting first-time mothers’ transition into their new roles, each source did not show a mediator effect in our study. The beneficial effect of social support was found only when all social network members collectively participated. Regarding the types of social support, only appraisal support had a significant mediator effect; no effect was found for emotional, instrumental, or informational support. These findings add to our understanding of how different types and sources of social support play a role in helping first-time mothers adapt.
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Affiliation(s)
- Hsin-Hui Huang
- Department of Infant and Child Care, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan; (H.-H.H.); (X.-T.L.)
| | - Tzu-Ying Lee
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan;
| | - Xin-Ting Lin
- Department of Infant and Child Care, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan; (H.-H.H.); (X.-T.L.)
| | - Hui-Ying Duan
- Department of Infant and Child Care, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan; (H.-H.H.); (X.-T.L.)
- Correspondence: ; Tel.: +886-2-28227101 (ext. 7617)
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Validation of the Postpartum Bonding Questionnaire: a cross-sectional study among Flemish mothers. Midwifery 2022; 107:103280. [DOI: 10.1016/j.midw.2022.103280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2020] [Revised: 01/27/2022] [Accepted: 02/06/2022] [Indexed: 11/22/2022]
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Kuipers YJ, Beeck EV, Cijsouw A, van Gils Y. The impact of motherhood on the course of women's psychological wellbeing. JOURNAL OF AFFECTIVE DISORDERS REPORTS 2021. [DOI: 10.1016/j.jadr.2021.100216] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Van den Branden L, Van de Craen N, Van Leugenhaege L, Mestdagh E, Timmermans O, Van Rompaey B, Kuipers YJ. Flemish midwives' perspectives on supporting women during the transition to motherhood - A Q-methodology study. Midwifery 2021; 105:103213. [PMID: 34902679 DOI: 10.1016/j.midw.2021.103213] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 11/05/2021] [Accepted: 11/24/2021] [Indexed: 12/17/2022]
Abstract
OBJECTIVE In this study we aimed to reveal midwives' distinct perspectives about midwifery support of women in their transition process during the continuum from pregnancy to one-year postpartum. DESIGN A Q-methodology study, a mixed quantitative-qualitative approach, was conducted. Participants (P-set) rank-ordered 36 statements (Q-set) about how midwives provide support during the woman's transition to motherhood, followed by interviews to motivate their ranking. To extract the perspectives/factors on support during this transition process, centroid by-person factor analysis and varimax rotation was used. The transcripts of the interviews were interpreted per factor. SETTING Independent (self-employed) and employed, community and hospital-based practising midwives in Flanders, Belgium. PARTICIPANTS 83 practicing midwives participated, selected on: variation in practice setting, years of experience, views on the woman's domestic role in family life, and motherhood status. FINDINGS Two distinct perspectives (factors) on supporting women in transition to motherhood emerged. The job-focused midwife acts according to evidence, knowledge and guidelines and adheres to the scope and tasks within the professional profile (Factor 1). The woman-focused midwife acts within a relationship of trust emphasizing the one-on-one connection while supporting transition to motherhood and the woman's needs (Factor 2). Both factors showed an explained total variance of 59% of the Q-set. KEY CONCLUSIONS Both the job-focused midwife and the woman-focused midwife represent distinct perspectives about the midwife's execution of supporting transition to motherhood, including salotugenic elements. This provides an understanding of midwives' thoughts and experiences about why and how support is given. IMPLICATIONS FOR PRACTICE More awareness about the subjective distinct ways of thinking about supporting transition to motherhood should be integrated in practice, midwifery education and professional development.
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Affiliation(s)
- Laura Van den Branden
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium.
| | - Natacha Van de Craen
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium
| | - Luka Van Leugenhaege
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Eveline Mestdagh
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Olaf Timmermans
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Professorship Healthy Region, HZ University of Applied sciences, Edisonweg 4, 4382 NW Vlissingen, The Netherlands
| | - Bart Van Rompaey
- University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium
| | - Yvonne J Kuipers
- AP University of Applied Sciences, Department of Health and Social Care, School of Midwifery, Noorderplaats 2, 2000 Antwerp, Belgium; University of Antwerp, Faculty of Medicine & Health Sciences, Department of Nursing and Midwifery, Universiteitsplein 1, 2610 Wilrijk, Belgium; Edinburgh Napier University, School of Health & Social Care, Sighthill Court, Edinburgh EH11 4BN, Scotland, UK
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Bedaso A, Adams J, Peng W, Sibbritt D. Prevalence and determinants of low social support during pregnancy among Australian women: a community-based cross-sectional study. Reprod Health 2021; 18:158. [PMID: 34315486 PMCID: PMC8314443 DOI: 10.1186/s12978-021-01210-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Accepted: 07/19/2021] [Indexed: 12/13/2022] Open
Abstract
Background Pregnancy is a time for women in which the need for social support is crucial. Social support reduces stressors and improves the emotional and physical well-being of pregnant women. Women receiving low social support during pregnancy are at risk of substances use, developing mental illness, and adverse birth outcomes. The current study aims to determine the prevalence and determinants of low social support during pregnancy among Australian women. Methods Data were obtained from the 1973–1978 cohort of Australian Longitudinal Study on Women’s Health (ALSWH) and those who report being pregnant (n = 493) were included in the current analyses. Social support was assessed using Medical Outcomes Study Social Support index (MOSS). A logistic regression model was applied to identify determinants of low social support, separately for each MOSS domain. Result The study found that 7.1% (n = 35) of pregnant women reported low social support. Significant determinants of low emotional support were non-partnered (AOR = 4.4, 95% CI: 1.27, 14.99), difficulty managing on available income (AOR = 3.1, 95% CI: 1.18, 8.32), experiencing depressive symptoms (AOR = 8.5, 95% CI: 3.29, 22.27) and anxiety symptoms (AOR = 2.9, 95% CI: 1.26, 7.03). Significant determinants of low affectionate support were suffering from depressive symptoms (AOR = 5.3, 95% CI: 1.59, 17.99), having anxiety symptoms (AOR: 6.9, 95% CI: 2.21, 22.11) and being moderately/very stressed (AOR: 3, 95% CI: 1.17, 7.89). Significant determinants of low tangible support were difficulty managing available income (AOR = 3, 95% CI: 1.29, 6.95), and being depressed (AOR = 2.8, 95% CI: 1.48, 5.34). Conclusion The study revealed that 7.1% of pregnant women reported low social support. Having a mental health problems, being stressed, being from low socio-economic status and being non-partnered were significant determinants of low social support during pregnancy. Maternal health professionals and policymakers can use this information to screen pregnant women at risk of receiving low social support and improve the level of support being provided. Providing strong social support improves emotional and physical well-being, strengthens social relationships, promotes health, and enhances the stress coping ability of pregnant women. However, pregnant women receiving low social support are at risk of substances use, developing mental illness, and adverse birth outcomes. The current study aims to determine the prevalence and determinants of low social support during pregnancy among Australian women. Data were obtained from Survey 6 of the 1973–1978 cohort of the Australian Longitudinal Study on Women’s Health (ALSWH) (n = 493, pregnant women aged 34–39 years). This cohort is one of ALSWH ongoing community-based study focusing on the health of women in Australia. Social support provided for a pregnant woman was the outcome variable, assessed using the 19-item Medical Outcomes Study Social Support index (MOSS). The prevalence of low social support in each domain was calculated for each of the independent variables. A logistic regression model, using a backward stepwise elimination approach, was employed to identify determinants of low social support. In the final model, the strength of association measured by adjusted odds ratios (AOR) with 95% confidence intervals. The significance level was set at p < 0.05. From the total participant pregnant women, 7.1% of them reported low social support. Significant determinants of low social support among pregnant Australian women were, having a mental illness, being stressed and/or being from low socio-economic status and being non-partnered. Maternal health professionals can use this information to screen pregnant women at risk of receiving low social support as well as develop policy to help enhance the social support being given and the psychological wellbeing being of pregnant women.
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Affiliation(s)
- Asres Bedaso
- College of Medicine and Health Sciences, Faculty of Health, School of Nursing, Hawassa University, Hawassa, Ethiopia. .,Australian Centre for Public and Population Health Research, School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia.
| | - Jon Adams
- Australian Centre for Public and Population Health Research, School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | - Wenbo Peng
- Australian Centre for Public and Population Health Research, School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
| | - David Sibbritt
- Australian Centre for Public and Population Health Research, School of Public Health, Faculty of Health, University of Technology Sydney, Ultimo, NSW, Australia
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Varga S, Mackert M, Mandell DJ. The prenatal triad: The importance of provider-patient communication with expectant fathers throughout the prenatal care process. PATIENT EDUCATION AND COUNSELING 2021; 104:1826-1830. [PMID: 33229190 DOI: 10.1016/j.pec.2020.11.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Revised: 10/14/2020] [Accepted: 11/03/2020] [Indexed: 06/11/2023]
Abstract
Previous research has primarily focused on the relationship between providers and expectant mothers as a key element of quality prenatal care. Significantly less attention has been directed toward expectant fathers and the importance of their communication with prenatal care providers and involvement in the prenatal care process. Much of this limited existing literature emphasizes the health benefits including fathers would bring for mom and baby, but rarely is the potential benefit to fathers' health included in the conversation. This discussion aims to highlight the value of this line of research for both communication and medical researchers and consider potential avenues for studying and promoting father engagement in prenatal care.
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Affiliation(s)
- Sarah Varga
- Department of Communication Studies, Moody College of Communication, The University of Texas at Austin, Austin, USA.
| | - Michael Mackert
- Center for Health Communication, Stan Richards School of Advertising & Public Relations, and Department of Population Health, The University of Texas at Austin, Austin, USA
| | - Dorothy J Mandell
- School of Community and Rural Health, The University of Texas Health Science Center at Tyler, and Population Health University of Texas, System Administration, Austin, USA
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Manurung S, Setyowati S. Development and validation of the maternal blues scale through bonding attachments in predicting postpartum blues. MALAYSIAN FAMILY PHYSICIAN : THE OFFICIAL JOURNAL OF THE ACADEMY OF FAMILY PHYSICIANS OF MALAYSIA 2021; 16:64-74. [PMID: 33948144 PMCID: PMC8088748 DOI: 10.51866/oa1037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
BACKGROUND Postpartum blues in Indonesia has a high prevalence at 37% to 67%. Postpartum blues syndrome has been described as varying changes in the affective domain, such as feelings, behavior, or thoughts, that can be influenced by the roles and tasks of women, along with their social, cultural, and economic support. Instruments that measure maternal blues through bonding attachment behavior have never before been developed in Indonesia. OBJECTIVE This study aimed to develop a maternal blues scale through bonding attachments to predict postpartum blues. METHOD The research design consisted of three stages: 1) phenomenology design and focus group discussion; 2) development and construction of the maternal blues scale, and 3) a cross-sectional study to measure validation of the scales. Respondents were postpartum mothers in the first week after birth. The sample comprised 501 participants. Sampling was done by consecutive sampling at the Public Health Center (PUSKESMAS) in the South Jakarta area. Data analysis used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), correlation, and a diagnostic testing . RESULTS Item analysis produced 32 items consisting of 24 items regarding the mother's role and duties as internal factors and eight factors involving social, cultural, and economic support as external factors. Both factors were valid and reliable in predicting postpartum blues with indicators (t loading factors ≥ 1.96, standardized loading factor (SLF) ≥.50, internal factors: construct reliability (CR) ≥ .70 and extraction variants (VE) ≥ .50 and external factors: CR ≥ .74 to .83 VE ≥ .50 to .63). The relationship with Kennerley's maternity blues as a gold standard was significant. Internal factors had a score of 53, with a sensitivity of 60.2%. The external factors score was 19, with a sensitivity of 77.3%. CONCLUSION The new scale for postpartum blues prediction developed displayed internal consistency and validity of each indicator (internal and external factors) that was good (CR ≥ .70; VE ≥ .50). This scale provides a feasible tool to predict postpartum blues.
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Affiliation(s)
- Suryani Manurung
- Lecturer, Maternity Nursing Department, Health Polytechnic Jakarta I, Indonesia
| | - S Setyowati
- Professor, Maternity Nursing Department, Faculty of Nursing Universitas, Indonesia.
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Yu J, Dong H, Wu Q, Yang Y, Pi H. Factors Associated With Low Self-Esteem Among Patients With Hematologic Malignancies: A Cross-Sectional Study. Front Psychiatry 2021; 12:683894. [PMID: 34489752 PMCID: PMC8416896 DOI: 10.3389/fpsyt.2021.683894] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 06/29/2021] [Indexed: 02/02/2023] Open
Abstract
The present study aimed to explore the self-esteem level of patients with hematology malignancies and the associated factors. In this cross-sectional study, we screened patients with hematologic malignancies treated in the Department of Hematology of Aerospace Center Hospital between November 2019 and June 2020. We included 157 eligible patients by convenience sampling. The participants completed questionnaires covering demographic characteristics, loneliness, the coping styles, hope, five personality traits, and self-esteem level. We applied t-test, analysis of variance, simple linear regression, and multiple stepwise regression to explore the factors associated with patients' self-esteem. The mean self-esteem score of hematology tumor patients was 26.86 ± 2.34, which was lower than the national norm (P < 0.01). The multiple stepwise regression analysis identified maintaining close relationships with others, conscientiousness, extroversion, agreeableness, and positive coping style as factors independently associated with the self-esteem of hematology tumor patients. Patients with hematologic malignancies experience low self-esteem. Factors including maintaining close relationships with others, conscientiousness, extraversion, agreeableness, and active coping style were found to be independently associated with the self-esteem level of these patients. For patients with hematologic malignancies, health providers should apply patient-centered and targeted interventions to improve patients' self-esteem, reduce adverse psychological emotions, and improve their quality of life.
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Affiliation(s)
- Junye Yu
- Chinese PLA General Hospital, Beijing, China
| | - Huan Dong
- Aerospace Center Hospital, Beijing, China
| | - Qi Wu
- Aerospace Center Hospital, Beijing, China
| | - Ya Yang
- Aerospace Center Hospital, Beijing, China
| | - Hongying Pi
- Chinese PLA General Hospital, Beijing, China
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Manurung S, Setyowati S, Ginanjar AS, Soesilo TEB, Tyastuti D. The Item Development of Maternal Blues Suryani (MBS) Scale in the antepartum period through bonding attachment that predicting postpartum blues. ENFERMERIA CLINICA 2019. [DOI: 10.1016/j.enfcli.2019.06.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Costa ECV, Moreira L, Castanheira E, Correira P, Ribeiro D, Pereira MG. Demographic, psychological and relationship factors are associated with resource loss among pregnant women. J Reprod Infant Psychol 2019; 37:429-443. [PMID: 30741564 DOI: 10.1080/02646838.2019.1577957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Objectives: This study analysed the association between demographic, psychological and relationship factors and resource loss in pregnant women. Methods: Quantitative descriptive correlational study. Depressive mood, social support, relationship intimacy and resource loss were assessed in a sample of 200 pregnant women recruited from public primary-care clinics. Results: Hierarchical regression showed that being younger, having lower yearly income, and having stronger depressive mood, little relationship intimacy and little satisfaction with social support were the main factors associated with resource loss. Depressive mood accounted for most resource loss after controlling for demographic risk factors. The models show the combined influence of demographic, psychological and relationship factors in shaping resource loss. Conclusions and implications: Depressive mood was a major risk factor for resource loss among pregnant women, whereas social support and relationship intimacy had a protective role. The results highlight the importance of screening for depressive mood and level of resources during routine prenatal care, in order to identify pregnant women at risk of depression. The findings point to interventions that foster patient's emotions to help them protect resources.
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Affiliation(s)
- Eleonora C V Costa
- a North Regional Health Administration, ACES Cávado III , Portugal.,b Department of Psychology, Portuguese Catholic University , Portugal
| | - Litícia Moreira
- b Department of Psychology, Portuguese Catholic University , Portugal
| | - Eva Castanheira
- c School of Psychology, Applied Psychology Department, University of Minho , Portugal
| | - Paulo Correira
- a North Regional Health Administration, ACES Cávado III , Portugal
| | - Duarte Ribeiro
- a North Regional Health Administration, ACES Cávado III , Portugal
| | - M Graça Pereira
- c School of Psychology, Applied Psychology Department, University of Minho , Portugal
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McLeish J, Redshaw M. "Being the best person that they can be and the best mum": a qualitative study of community volunteer doula support for disadvantaged mothers before and after birth in England. BMC Pregnancy Childbirth 2019; 19:21. [PMID: 30630445 PMCID: PMC6327467 DOI: 10.1186/s12884-018-2170-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Accepted: 12/28/2018] [Indexed: 01/24/2023] Open
Abstract
BACKGROUND Disadvantaged pregnant women and new mothers are at increased risk of psychosocial stress, anxiety and depression. As well as affecting birth outcomes and child development, poor maternal emotional wellbeing can inhibit the development of parenting self-efficacy and successful adjustment to the maternal role. Social support is a protective factor against antenatal and postnatal depression, anxiety and stress, and improves mothers' confidence in infant care. Community doula programmes have been developed to meet the social support and information needs of disadvantaged women. In these programmes trained volunteer doulas support mothers during pregnancy, at birth and for a short period postnatally. METHODS This was a descriptive qualitative study, informed by phenomenological social psychology, exploring mothers' and doulas' experiences of antenatal and postnatal community doula support. Semi-structured qualitative interviews were undertaken with 13 disadvantaged mothers and 19 doulas at three community volunteer doula projects in England. Interviews were audio-recorded and transcripts were analysed using inductive thematic analysis. RESULTS The overarching theme emerging from the analysis was "Supporting the mother to succeed and flourish". There were five subthemes: "Overcoming stress, anxiety and unhappiness", "Becoming knowledgeable and skilful", "Developing self-esteem and self-efficacy", "Using services effectively", and "Becoming locally connected". Doulas believed that their community role was at least as important as their role at births. Their support was highly valued by vulnerable mothers and helped to improve their parenting confidence and skills. CONCLUSIONS Volunteer doula support before and after birth can have a positive impact on maternal emotional wellbeing, by reducing anxiety, unhappiness and stress, and increasing self-esteem and self-efficacy. Doulas help mothers feel more knowledgeable and skilful, support them to make effective use of maternity services, and enable them to build social ties in their community. To facilitate the best service for vulnerable mothers at the end of doula support, doula projects should consider formalising their relationship with other community organisations that can offer ongoing one-to-one or group support. They might also alleviate some of the potential distress caused by the ending of the doula relationship by increasing the flexibility of the ending, or by organising or permitting informal low level contact.
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Affiliation(s)
- Jenny McLeish
- Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF UK
| | - Maggie Redshaw
- Policy Research Unit in Maternal Health and Care, National Perinatal Epidemiology Unit, University of Oxford, Old Road Campus, Headington, Oxford, OX3 7LF UK
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Copeland DB, Harbaugh BL. "It's Hard Being a Mama": Validation of the Maternal Distress Concept in Becoming a Mother. J Perinat Educ 2019; 28:28-42. [PMID: 31086473 PMCID: PMC6491152 DOI: 10.1891/1058-1243.28.1.28] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
New mothers actively adapt to new demands and challenges in the mothering role but some may find this adjustment difficult and distressing, depending on their perceptions and resources. Previous research on maternal distress is primarily concentrated on needs of mothers with depression but nonpathological approaches of viewing difficulties in early parenting should be explored. A secondary analysis of a descriptive, qualitative study was completed on new, low-income mothers in early parenthood to determine how maternal distress influences mothers' transition to becoming a mother and to validate the use of the Maternal Distress Concept in the clinical setting. Findings reveal new mothers experience maternal distress on various levels: stress, adaptation, functioning, and connecting. Implications for practice and education are discussed.
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Gleeson DM, Craswell A, Jones CM. Women's use of social networking sites related to childbearing: An integrative review. Women Birth 2018; 32:294-302. [PMID: 30606628 DOI: 10.1016/j.wombi.2018.10.010] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2018] [Revised: 10/29/2018] [Accepted: 10/29/2018] [Indexed: 10/27/2022]
Abstract
BACKGROUND Social support is essential in both the transition to motherhood and maternal role development. With diminishing access to traditional communities of motherhood wisdom, women struggle to access this information in their tangible worlds. AIM This paper presents a review of the research literature investigating childbearing women's use of social networking sites related to pregnancy and parenting and how these may influence women's experiences of the childbearing period. METHOD An integrative review. FINDINGS Today's women are increasingly drawn to the online environment, particularly social media groups, to connect with other childbearing women. Their online interactions influence their childbearing decisions and empower them to challenge expert narratives. Social networking presents a mechanism for mothers to build bonding and bridging social capital through the formation of virtual networks. DISCUSSION The value of emotional and instrumental support gained in online environments should not be underestimated and has benefits for childbearing women. While childbearing women are far from gullible in trusting online sources, health professionals may have a role in educating women in the evaluation information gained through online interactions. Insight into mothers' experiences of using closed online groups over longer periods would also be valuable. CONCLUSION Mother's understandings of childbearing norms are being shaped through digital, mother to mother interactions. Maternity care disciplines should work toward establishing a better understanding of the meaning and worth that mothers receive from ongoing participation in online groups. This knowledge has the potential to identify and address shortcomings to better meet the needs of new mothers.
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Affiliation(s)
- Danielle M Gleeson
- Faculty of Health, School of Nursing, Midwifery and Paramedicine, University of Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs QLD 4556, Australia.
| | - Alison Craswell
- Faculty of Health, School of Nursing, Midwifery and Paramedicine, University of Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs QLD 4556, Australia
| | - Christian M Jones
- Faculty of Arts, Business and Law, Engage Research Lab, University of Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs QLD 4556, Australia
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Panagopoulou V, Kalokairinou A, Tzavella F, Tziaferi S. A survey of Greek women's satisfaction of postnatal care. AIMS Public Health 2018; 5:158-172. [PMID: 30094278 PMCID: PMC6079052 DOI: 10.3934/publichealth.2018.2.158] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 06/05/2018] [Indexed: 11/28/2022] Open
Abstract
Background The research described in this paper is a cross-sectional study which surveys women who delivered their babies in a regional hospital in Greece to investigate their satisfaction with their postnatal care. This is the first published study which measures satisfaction of postnatal services in Greece. The aim of this study is to determine which factors most influence postnatal satisfaction, which areas are lacking and therefore identify specific areas which should be targeted to improve the performance of health services. Methods A cross sectional, quantitative study of 300 women who gave birth in a regional Greek hospital between January 2015 and July 2017 were surveyed 40 days after birth using a self-administered questionnaire. The questionnaire contained sociodemographic and clinical characteristic questions and a selection of questions from the WOMen's views of Birth Postnatal Satisfaction Questionnaire (WOMBPNSQ). Results This study found that the dimensions with the higher satisfaction scores were “Professional support” and “Continuity”. The lower satisfaction scores were for the dimensions “Woman's health”, “Contraceptive advice” and “Social support” indicating that these are areas for improvement. The three dimensions most correlated with general satisfaction were “Time with woman”, “Feeding baby” and “Professional support”. Conclusions This study highlights the important role of health professionals showing that they can enhance postnatal satisfaction by spending time with the women, giving guidance on the care of the newborn and baby feeding. Focusing on improving these areas is expected to enhance the quality of postnatal care.
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Affiliation(s)
- Vasiliki Panagopoulou
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparta, Greece
| | - Athina Kalokairinou
- Faculty of Nursing, National & Kapodistrian University of Athens, Athens, Greece
| | - Foteini Tzavella
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparta, Greece
| | - Styliani Tziaferi
- Department of Nursing, Laboratory of Integrated Health Care, University of Peloponnese, Sparta, Greece
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Masala-Chokwe MET, Ramukumba TS. The lived experiences and social support needs of first-time mothers at health care facilities in the City of Tshwane, South Africa. Curationis 2017; 40:e1-e8. [PMID: 29041783 PMCID: PMC6091604 DOI: 10.4102/curationis.v40i1.1680] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2016] [Revised: 06/30/2017] [Accepted: 07/14/2017] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Social support refers to the assistance people receive from others, and it is divided into four types of support. Given the increasing mortality and morbidity rates of mothers and neonates postpartum, this study intended to determine whether the social support needs of the first-time mothers were met after early discharge from health care facilities. OBJECTIVES The objective of the study was to explore the lived experiences and social support needs of the first-time mothers after an early discharge from health care facilities in the City of Tshwane, Gauteng. METHOD A qualitative explorative study was conducted to explore the lived experiences and social support needs of the first-time mothers. The population were first-time mothers who had a vaginal delivery and were discharged within 6-12 hours of delivery from health care facilities. Purposive sampling was performed and 14 semi-structured interviews were conducted, with those mothers who came for the prescribed three postnatal check-ups at the three health care facilities identified according to maternity services provided. Saturation of data for the three health care facilities was reached at the 14th interview. Data analysis was performed using the hermeneutic interpretive approach. RESULTS Almost all participants had completed grades 11 or 12, but most were unemployed. The needs identified included the need for social support, lack of confidence, knowledge and skill to care for themselves and their newborn babies after early discharge. CONCLUSION There is need to identify alternative types of social support for the first-time mothers, to ensure a normal adjustment to motherhood.
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Is sensory processing an issue for infants with colic? Infant Behav Dev 2017; 48:105-113. [PMID: 28554786 DOI: 10.1016/j.infbeh.2017.05.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Revised: 05/05/2017] [Accepted: 05/05/2017] [Indexed: 11/20/2022]
Abstract
OBJECTIVES To determine the association between sensory functioning, sleep, cry/fuss, and feeding behaviors of infants with colic younger than 4 months of age. METHODS Dunn's Infant/Toddler Sensory Profile™ and a modified Barr Baby Day Diary© were used to assess 44 breastfed infants with colic under four months of age. Colic was defined according to Wessel's criteria. RESULTS Thirty-four of the 44 infants with colic (77%) scored as atypical for sensory processing. Of these, 56% scored atypical for sensory processing on quadrant one (Q1) (Low Registration), with 24%, 65%, and 18% scoring as atypical for sensory processing on Q2 (Sensory seeking), Q3 (Sensory sensitivity), and Q4 (Sensation avoiding), respectively. All infants demonstrating sensation avoiding also scored as Low Threshold. A moderate statistically significant correlation was found between sensation seeking and time spent sleeping (r=0.31; p=0.04). No other statistically significant associations between infant behaviors and their sensory functioning were demonstrated. Overall, infants demonstrating atypical sensory responses (in any quadrant) slept significantly more than infants demonstrating typical sensory responses (mean difference=-67.8min/day; 95% CI=-133.6 to -2.1; p=0.04). CONCLUSION Very limited associations between infant behaviors and sensory functioning were demonstrated, suggesting that sensory functioning may not be a significant factor in the multifactorial nature of infant colic. Further well-designed studies using validated tools for infants with colic are required to determine whether associations between infant behaviors and sensory functioning exist.
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Letourneau NL, Kozyrskyj AL, Cosic N, Ntanda HN, Anis L, Hart MJ, Campbell TS, Giesbrecht GF. Maternal sensitivity and social support protect against childhood atopic dermatitis. ALLERGY, ASTHMA, AND CLINICAL IMMUNOLOGY : OFFICIAL JOURNAL OF THE CANADIAN SOCIETY OF ALLERGY AND CLINICAL IMMUNOLOGY 2017; 13:26. [PMID: 28559916 PMCID: PMC5446757 DOI: 10.1186/s13223-017-0199-4] [Citation(s) in RCA: 79] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2016] [Accepted: 05/17/2017] [Indexed: 12/30/2022]
Abstract
BACKGROUND Many studies have identified associations between qualities of maternal-child relationships and childhood asthma, but few have examined associations with childhood atopic dermatitis (AD), a common precursor to asthma. Moreover, maternal psychological distress, including prenatal and postnatal depression, anxiety and stress, may increase risk, while social support from partners may reduce risk for childhood AD. We sought to uncover the association between maternal-infant relationship qualities (maternal sensitivity towards infant behavioral signals, controlling behavior, and unresponsiveness) and child AD after accounting for risk (i.e., prenatal and postnatal maternal depression, anxiety and stress) and protective (i.e., social support) factors. METHODS We conducted a secondary analysis of data collected on a subsample of 242 women and their infants enrolled during pregnancy in the ongoing Alberta Pregnancy Outcomes and Nutrition cohort study. Inclusion criteria required mothers to be >16 years of age, English speaking and <22 weeks gestational age at enrollment. Data on depression, anxiety and stress in the prenatal and postnatal periods and physician diagnosis of childhood AD at 18 months were gathered via maternal report. Maternal sensitivity, unresponsiveness and controlling behaviours were assessed via videotaped observations using the Child-Adult Relationship Experimental (CARE)-Index at 6 months of infant age. RESULTS Higher maternal sensitivity, or the inability of the mother to appropriately understand and respond to infant needs based on behavioral signals, predicted reduced odds of AD independent of and in combination with low prenatal and postnatal anxiety and high paternal support. After adjustment, higher maternal controlling behaviours and unresponsiveness also predicted greater odds of AD. CONCLUSIONS Low maternal sensitivity is a risk factor for childhood AD, independently and in combination with perinatal anxiety and low social support. Thus, interventions that improve maternal-infant relationship quality, especially sensitivity, reduce anxiety and improve social support from partners could reduce odds of childhood AD.
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Affiliation(s)
- Nicole L. Letourneau
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Anita L. Kozyrskyj
- Departments of Pediatrics, Obstetrics & Gynecology, Faculty of Medicine and Dentistry, and School of Public Health, University of Alberta, Edmonton, AB T6G 2R3 Canada
| | - Nela Cosic
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Henry N. Ntanda
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Lubna Anis
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Martha J. Hart
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - Tavis S. Campbell
- Department of Psychology, University of Calgary, Calgary, AB T2N 1N4 Canada
| | - Gerald F. Giesbrecht
- Cumming School of Medicine, Department of Pediatrics & Community Health Sciences, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
| | - The APrON Team
- Faculty of Nursing, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Departments of Pediatrics & Psychiatry, University of Calgary, Calgary, AB T2N 4N1 Canada
- Departments of Pediatrics, Obstetrics & Gynecology, Faculty of Medicine and Dentistry, and School of Public Health, University of Alberta, Edmonton, AB T6G 2R3 Canada
- Department of Psychology, University of Calgary, Calgary, AB T2N 1N4 Canada
- Cumming School of Medicine, Department of Pediatrics & Community Health Sciences, University of Calgary, Calgary, AB T2N 4N1 Canada
- Child Development Centre, ACHRI Owerko Centre, 3rd Floor, 2888 Shaganappi Trail, Calgary, AB T3B 6A8 Canada
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Webster J, New K, Fenn M, Batch M, Eastgate A, Webber S, Nesbit A. Effects of frequent PATient moves on patient outcomes in a large tertiary Hospital (the PATH study): a prospective cohort study. AUST HEALTH REV 2017; 40:324-329. [PMID: 26386599 DOI: 10.1071/ah15095] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Accepted: 06/17/2015] [Indexed: 11/23/2022]
Abstract
Objective The aim of the present study was to investigate the incidence of and patient outcomes associated with frequent patient moves. Methods In a prospective cohort study, any bed move and the reason for the move were documented. Patients were assessed on admission for anxiety, social support and delirium. Adverse events, length of stay and satisfaction were recorded. Patients moved three or more times were compared with those moved less than three times. Results In all, 566 patients admitted to a tertiary referral hospital were included in the study. Of these, 156 patients (27.6%) were moved once, 46 (8.1%) were moved twice and 28 (4.9%) were moved at least three times. Those moved three or more times were almost threefold more likely to have an adverse event recorded compared with those moved fewer times (relative risk (RR) 2.75; 95% confidence interval (CI) 1.18, 6.42; P=0.02) and to have a hospital stay twice as long (RR 7.10; 95% CI 2.60, 11.60; P=0.002). Levels of satisfaction and anxiety were not affected by frequent moves and there was no effect on delirium. Conclusion Frequent bed moves affect patient safety and prolong length of stay. What is known about the topic? Retrospective and qualitative studies suggest that patient safety and costs may be affected by frequent patient moves. What does this paper add? The present study is the first prospective study to assess the negative effects of frequent patient moves on specific patient outcomes, such as adverse events, length of stay and satisfaction with care. What are the implications for practitioners? Within- and between-ward moves may affect patient safety. Patients should be moved only when there is a clear and unavoidable reason for doing so.
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Affiliation(s)
- Joan Webster
- Level 2, Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
| | - Karen New
- School of Nursing Midwifery and Social work, Level 3, Chamberlain building, The University of Queensland, St Lucia, Qld 4072, Australia. Email
| | - Mary Fenn
- Patient Flow Unit, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
| | - Mary Batch
- Level 2, Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
| | - Alyson Eastgate
- Level 2, Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
| | - Selena Webber
- Level 2, Centre for Clinical Nursing, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
| | - Anthony Nesbit
- Patient Flow Unit, Royal Brisbane and Women's Hospital, Butterfield Street, Herston, Qld 4029, Australia.
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Jonsdottir SS, Thome M, Steingrimsdottir T, Lydsdottir LB, Sigurdsson JF, Olafsdottir H, Swahnberg K. Partner relationship, social support and perinatal distress among pregnant Icelandic women. Women Birth 2017; 30:e46-e55. [DOI: 10.1016/j.wombi.2016.08.005] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2016] [Revised: 08/09/2016] [Accepted: 08/10/2016] [Indexed: 11/25/2022]
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Gutiérrez-Zotes A, Labad J, Martín-Santos R, García-Esteve L, Gelabert E, Jover M, Guillamat R, Mayoral F, Gornemann I, Canellas F, Gratacós M, Guitart M, Roca M, Costas J, Ivorra JL, Navinés R, de Diego-Otero Y, Vilella E, Sanjuan J. Coping strategies for postpartum depression: a multi-centric study of 1626 women. Arch Womens Ment Health 2016; 19:455-61. [PMID: 26399872 DOI: 10.1007/s00737-015-0581-5] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2015] [Accepted: 09/14/2015] [Indexed: 01/27/2023]
Abstract
The transition to motherhood is stressful as it requires several important changes in family dynamics, finances, and working life, along with physical and psychological adjustments. This study aimed at determining whether some forms of coping might predict postpartum depressive symptomatology. A total of 1626 pregnant women participated in a multi-centric longitudinal study. Different evaluations were performed 8 and 32 weeks after delivery. Depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS) and the structured Diagnostic Interview for Genetic Studies (DIGS). The brief Coping Orientation for Problem Experiences (COPE) scale was used to measure coping strategies 2-3 days postpartum. Some coping strategies differentiate between women with and without postpartum depression. A logistic regression analysis was used to explore the relationships between the predictors of coping strategies and major depression (according to DSM-IV criteria). In this model, the predictor variables during the first 32 weeks were self-distraction (OR 1.18, 95 % CI 1.04-1.33), substance use (OR 0.58, 95 % CI 0.35-0.97), and self-blame (OR 1.18, 95 % CI 1.04-1.34). In healthy women with no psychiatric history, some passive coping strategies, both cognitive and behavioral, are predictors of depressive symptoms and postpartum depression and help differentiate between patients with and without depression.
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Affiliation(s)
- Alfonso Gutiérrez-Zotes
- Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain.
| | - Javier Labad
- Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain
| | - Rocío Martín-Santos
- Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.,Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.,Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain
| | - Luisa García-Esteve
- Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.,Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain
| | - Estel Gelabert
- Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.,Department of Clinical and Health Psychology, Autonoma University of Barcelona, Bellaterra, Spain
| | - Manuel Jover
- Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain
| | - Roser Guillamat
- Corporación Sanitaria Parc Taulí, Sabadell, Autonoma University of Barcelona, Barcelona, Spain
| | - Fermín Mayoral
- Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain
| | - Isolde Gornemann
- Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain
| | | | - Mónica Gratacós
- Centre for Genomic Regulation (CRG) and UPF, Barcelona, Spain.,Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
| | - Montserrat Guitart
- Corporación Sanitaria Parc Taulí, Sabadell, Autonoma University of Barcelona, Barcelona, Spain
| | - Miguel Roca
- Institut Universitari d'Investigació en Ciències de la Salut, RediAPP, Palma de Mallorca, Spain
| | - Javier Costas
- Complexo Hospitalario Universitario de Santiago (CHUS), Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) Servizo Galego de Saúde (SERGAS), Reus, Spain
| | - Jose Luis Ivorra
- Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain
| | - Ricard Navinés
- Psychiatry Department, Neuroscience Institute, Hospital Clinic, University of Barcelona, IDIBAPS, CIBERSAM, Barcelona, Spain.,Neuroscience Program, IMIM-Parc de Salut Mar, Autonoma University of Barcelona, RTA, Barcelona, Spain.,Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain
| | - Yolanda de Diego-Otero
- Unidad de Gestión Clínica de Salud Mental, Instituto de Investigación Biomédica de Málaga (IBIMA), Complejo Hospitalario de Málaga, Universidad de Málaga, Málaga, Spain
| | - Elisabet Vilella
- Clínica Psiquiátrica Universitaria - Hospital Universitari Institut Pere Mata, Research Department, IISPV, Universitat Rovira i Virgili, CIBERSAM, Ctra. De l'Institut Pere Mata s/n, 43206, Reus, Spain
| | - Julio Sanjuan
- Hospital Clinic, University of Valencia, CIBERSAM, Valencia, Spain
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The mediated effects of maternal depression and infant temperament on maternal role. Arch Womens Ment Health 2016; 19:133-40. [PMID: 25994237 DOI: 10.1007/s00737-015-0540-1] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2014] [Accepted: 05/09/2015] [Indexed: 01/30/2023]
Abstract
We examined prenatal depression, postpartum depression, and infant temperament, respectively, in a mediated process model to predict maternal role. Using a prospective, observational design, we surveyed 168 women during pregnancy and then in postpartum. Data analyses supported the contribution of each variable in an ascending fashion (ab = -0.01, SE = 0.004, 95 % CI [-0.021, -0.004]), such that infant temperament had the strongest effects (sr(2) = .124, p < .001). Further, postpartum depression was found to influence maternal role with both direct effects and indirect effects via infant temperament. These results highlighted the significant impact postpartum depression may have on maternal role. Future interventions targeting mothers experiencing or who are at risk for depression may consider tools to improve mother-baby interactions. The effects of such intervention may subsequently improve both infant temperament and maternal role evaluation.
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Kim AR, Tak YR. Maternal Role Development in Neonatal Intensive Care Unit Graduate Mothers of Premature Infant. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2015; 21:308-320. [PMID: 37684834 DOI: 10.4069/kjwhn.2015.21.4.308] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2015] [Revised: 12/07/2015] [Accepted: 12/10/2015] [Indexed: 09/10/2023] Open
Abstract
PURPOSE The aim of this study was to determine the predictive factors for maternal role development for mothers of premature infants. METHODS A descriptive correlational study was conducted. A total sample of 121 mothers of premature infants following discharge from the neonatal intensive care unit were recruited using two strategies; an internet-based survey and an in-person data collection in a tertiary university hospital in Korea. A self-report questionnaire was used to collect data regarding personal, birth variables, marital intimacy, maternal attachment, maternal identity and maternal role development. RESULTS A hierarchical multiple regression analysis indicated that parity, maternal attachment, marital intimacy and maternal identity were predictors for maternal role development for mothers of premature infants, accounting for 70% of the variance. Among these variables, maternal attachment is the most powerful predictor for maternal role development. CONCLUSION Nursing interventions during hospitalization to post-discharge education that includes parents of premature babies with positive interaction between couples strengthening marital intimacy and promotes maternal attachment that leads to integrate maternal identity should be considered by priority. Community-based family services such as home visits should be focused on maximizing the predictive factors for maternal role development in transition to motherhood that can contribute to maternal health as well as optimal growth and development of premature infants.
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Affiliation(s)
- Ah Rim Kim
- College of Nursing, Hanyang University, Seoul, Korea
| | - Young Ran Tak
- College of Nursing, Hanyang University, Seoul, Korea
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Ahn S, Kim Y. Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2015; 21:262-271. [PMID: 37684830 DOI: 10.4069/kjwhn.2015.21.4.262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2015] [Revised: 11/19/2015] [Accepted: 12/07/2015] [Indexed: 09/10/2023] Open
Abstract
PURPOSE This study was to explore association of maternal role adjustments, parenting stresses, and demographic factors to breastfeeding adaptation. METHODS A correlational survey design was used to recruit 183 mothers who breastfeed or breastfed their babies. Participants' visited outpatient departments and were admitted to pediatric ward at 2 hospitals in metropolitan city of Korea. Inclusion criteria for subjects were mothers whose babies were from 1 month to 24 months old. Data were collected using a self-report questionnaire for mothers' and babies' demographic variables, maternal role adjustments, parenting stresses, and maternal breastfeeding adaptations. RESULTS Higher levels of maternal adaptations and low levels of parenting stresses were associated with greater maternal breastfeeding adaptations. Types of feeding during hospital stays and baby's health status at birth were also associated with maternal breastfeeding adaptation. CONCLUSION Results showed that a higher level of mothers' adjustment to breastfeeding; indicated lesser parenting stresses with higher levels of maternal adaptation. Nursing interventions for breastfeeding should be applied for appropriate breastfeeding adaptation during mothers' hospital stay. As baby's poor health status at birth medical team should provide a proper breastfeeding education.
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Affiliation(s)
- Sukhee Ahn
- College of Nursing, Chungnam National University, Daejeon, Korea
| | - Yunmi Kim
- College of Nursing, Chungnam National University, Daejeon, Korea
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Prenatal Psychosocial Profile: translation, cross-cultural adaptation and validation to its use in Brazil. Midwifery 2015; 31:1157-62. [PMID: 26342854 DOI: 10.1016/j.midw.2015.08.001] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2014] [Revised: 07/22/2015] [Accepted: 08/02/2015] [Indexed: 11/21/2022]
Abstract
OBJECTIVES To translate the Prenatal Psychosocial Profile (PPP) to be used in Brazil; to perform its cross-cultural adaptation; and to evaluate its reliability and validity. DESIGN Methodological study. SETTING The study was conducted in 10 prenatal care clinics at the city of Porto Alegre/Brazil. PARTICIPANTS 241 women pregnant women. METHODS The adaptation process consisted in: translation; first version synthesis; expert committee evaluation; back translation; pre-test of the PPP version in Portuguese (PPP-VP); validation; the data with the participants was collected in 2007, by trained student nurses that approached the women while they were waiting for prenatal consultation. FINDINGS The mean scores for all subscales were similar to the ones found by the original authors; internal consistency was verified through Cronbach׳s alpha, with values of 0.71 for the stress subscale; 0.96 for support from the partner; 0.96 for support from others; and 0.79 for self-esteem; validity was supported through factorial analysis; construct and criterion validities were also established. CONCLUSION PPP-VP should be used as a tool to obtain a psychosocial profile which can lead to nursing interventions that will reduce health risk behaviours during pregnancy.
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Rossman B, Greene MM, Meier PP. The role of peer support in the development of maternal identity for "NICU Moms". J Obstet Gynecol Neonatal Nurs 2015; 44:3-16. [PMID: 25580732 DOI: 10.1111/1552-6909.12527] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVE To examine first-time neonatal intensive care unit (NICU) mothers' perceptions of the initial effect and stress of their birth experiences and hospitalizations of their infants and what facilitated or hindered the development of their maternal roles within the context of the NICU. DESIGN A qualitative descriptive design. SETTING A 57-bed, tertiary NICU in Chicago. PARTICIPANTS Twenty-three mothers of very low birth weight (VLBW) infants hospitalized in the NICU. METHODS Participants were a subset of a larger longitudinal mixed-method study of psychological distress in 69 mothers of VLBW infants. Mothers were interviewed using an adaptation of the Clinical Interview for Parents of High-Risk Infants (CLIP) approximately 6 weeks after the births of their infants. Data were analyzed using conventional content analysis. RESULTS Mothers characterized the infants' births and hospitalizations as a time of overwhelming change culminating in a new perspective on life. Primary themes were loss, stress and anxiety, adapting, resilience, peer support, and "I'm a NICU Mom." Mothers rated peer support as the most facilitative and supportive aspect of developing the maternal role in the NICU. CONCLUSION Peer support and role modeling by NICU-based breastfeeding peer counselors helped the mothers throughout every stage of their infants' hospitalizations, from giving them hope, to helping them begin to develop maternal identity, to providing anticipatory guidance about taking their infants home. Talking points are provided for nurses who work in NICUs without dedicated peer support to help mothers establish a healthy mother/infant relationship.
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Suplee PD, Bloch JR, McKeever A, Borucki LC, Dawley K, Kaufman M. Focusing on maternal health beyond breastfeeding and depression during the first year postpartum. J Obstet Gynecol Neonatal Nurs 2014; 43:782-91; quiz E51-2. [PMID: 25316525 DOI: 10.1111/1552-6909.12513] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Nursing experts reviewed publications between 2003 and 2013 to identify practices for the care of women during the recovery year after childbirth. They focused on maternal transition, role and function, and psychosocial support. Findings indicated that clarification of the psychosocial meanings of childbirth and motherhood and family support systems that strengthen or hinder optimal wellness and functioning are needed. In addition, evidence is required to promote healthy transitions during this transition year.
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Fahey JO, Shenassa E. Understanding and meeting the needs of women in the postpartum period: the Perinatal Maternal Health Promotion Model. J Midwifery Womens Health 2013; 58:613-21. [PMID: 24320095 DOI: 10.1111/jmwh.12139] [Citation(s) in RCA: 120] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A new model for the care of women in the postpartum focuses on the development of life skills that promote complete well-being. The year following childbirth is a time of significant transition for women. In addition to the physiologic changes associated with the postpartum period, a woman undergoes marked psychosocial changes as she transitions into a motherhood role, reestablishes relationships, and works to meet the physical and emotional needs of her infant and other family members. It is a time when women are vulnerable to health problems directly related to childbirth and to compromised self-care, which can manifest in the development or reestablishment of unhealthy behaviors such as smoking and a sedentary lifestyle. In addition to long-term implications for women, compromised maternal health in the postpartum period is associated with suboptimal health and developmental outcomes for infants. Maternal health experts have called for a change in how care is provided for women in the postpartum period. This article presents the rationale for a health promotion approach to meeting the needs of women in the postpartum period and introduces the Perinatal Maternal Health Promotion Model. This conceptual framework is built around a definition of maternal well-being that asserts that health goes beyond merely the absence of medical complications. In the model, the core elements of a healthy postpartum are identified and include not only physical recovery but also the ability to meet individual needs and successfully transition into motherhood. These goals can best be achieved by helping women develop or strengthen 4 key individual health-promoting skills: the ability to mobilize social support, self-efficacy, positive coping strategies, and realistic expectations. While the model focuses on the woman, the health promotion approach takes into account that maternal health in this critical period affects and is affected by her family, social network, and community. Clinical implications of the model are addressed, including specific health promotion strategies that clinicians can readily incorporate into antepartum and postpartum care.
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Abstract
A better understanding of the process of adaptation to motherhood should enhance nurses’ ability to prepare women for the transition to motherhood and to provide care following childbirth. Knowledge about women’s adaptation to motherhood was developed primarily from the 1960s to the 1990s. Cesarean birthing was a special focus of research throughout the late 1970s and the 1980s, followed by functional status, and more recently, depression and stress associated with birth and postpartum. Adaptation to motherhood in the context of the early 21st century has received limited attention in nursing research, creating an assumption that the process of adaptation is universal and context-free rather than evolving within the life and societal context of women across generations. Although becoming and being a mother has been described as a normative transition rather than a stressor by some, knowledge development about adaptation to motherhood also has been constrained by the limited use of a unified perspective of transition as a process of adaptation. Therefore, the purposes of this exploratory study were to describe contemporary women’s physical, emotional, functional, and social adaptation to motherhood and to examine the relations of selected demographic and perinatal variables to adaptation to motherhood in the first 3 to 6 weeks of the postpartum.
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Affiliation(s)
- Cynthia Aber
- Associate Professor (Retired), University of Massachusetts Boston
| | - Marianne Weiss
- Associate Professor and Wheaton Franciscan Healthcare–St. Joseph/Sister Rosalie Klein Professor of Women’s Health, Marquette University
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Berlanga Fernández S, Vizcaya-Moreno MF, Pérez-Cañaveras RM. [Perception of the transition to motherhood: a phenomenological study in the Barcelona region]. Aten Primaria 2013; 45:409-17. [PMID: 23790964 PMCID: PMC6985479 DOI: 10.1016/j.aprim.2013.04.004] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2012] [Revised: 04/17/2013] [Accepted: 04/22/2013] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVES To describe needs and experiences of mothers with children under one year old, to identify the factors that hinder the transition to motherhood, and to design the content of a health promotion program to develop motherhood support group sessions. DESIGN A qualitative study with a phenomenological approach. LOCATION Eight Primary Care Centres in the province of Barcelona, between July 2011 and July 2012. PARTICIPANTS A total of 21 mothers participating in group dynamics maternity support: All of them participated in interviews and 8 in focus group. METHOD Semi-structured interviews were used in a purposive sample. The transcriptions were analysed by structure (latent content analysis) and content (manifest content analysis), with different categories being obtained. RESULTS The participants in the study defined the construct of motherhood around three categories: Changes in lifestyle, feelings and perceptions. They identified as the most stressful times; «the new role», «changes in the partner relationship», «feelings», «experiences of pregnancy and childbirth», «idealisation», «lack of support», «crying», «colic», «read the signs of the child», «bath», «rest», «contradictory opinions», «learning», and «acquisition of new skills». They highlighted, as key topics for group dynamics, feeding, development, affective relationship, maternal confidence, fathers participation, family role, emotional, rest, massage, bath, accident prevention, colic, first aid, childcare, resources, and vaccines. CONCLUSION Dynamic groups should be contextualised according to the perceived needs of the mothers, and other family members should be allowed to participate.
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Affiliation(s)
- Sofía Berlanga Fernández
- Área Básica de Salud (ABS) Sta. Eulalia Sur, Institut Català de la Salut, Hospitalet del Llobregat, Barcelona, España.
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Emmanuel EN, Sun J. Health related quality of life across the perinatal period among Australian women. J Clin Nurs 2013; 23:1611-9. [DOI: 10.1111/jocn.12265] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/04/2013] [Indexed: 11/26/2022]
Affiliation(s)
- Elizabeth N Emmanuel
- School of Nursing, Midwifery & Nutrition; James Cook University; Cairns Australia
| | - Jing Sun
- School of Public Health; Griffith University; Gold Coast Australia
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Ha JY, Kim YJ. Factors Influencing Self-confidence in the Maternal Role among Early Postpartum Mothers. KOREAN JOURNAL OF WOMEN HEALTH NURSING 2013; 19:48-56. [PMID: 37684751 DOI: 10.4069/kjwhn.2013.19.1.48] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/10/2023] Open
Abstract
PURPOSE The purpose of this study was to identify the influencing factors of mothers' confidence in their maternal role during the early postpartum period. METHODS Participants were 178 postpartum women who delivered at three specialized obstetrics and gynecology facilities and used the postpartum care facility in city B. Data were collected from February to April, 2012 using the scales of measurements of self-confidence in maternal role performance, maternal self-esteem, mother-to-infant attachment, social support, and childcare stress. Descriptive statistics, Pearson correlation coefficients, and stepwise multiple regression were used with the SPSS/WIN 18.0 program to analyze the data. RESULTS The scores for self-confidence in the maternal role showed significant negative correlations with the scores of childcare stress (r=-.40, p<.001). Parity and maternal attachment were significant predictors and accounted for 97.4% of the variance in self-confidence in the maternal role. CONCLUSION To strengthen self-confidence in the maternal role of early postpartum mothers, prenatal class programs need to be complemented in order to reduce childcare stress and promote mother-to-infant attachment.
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Affiliation(s)
- Ju Young Ha
- College of Nursing, Pusan National University, Yangsan, Korea. gadget-@hanmail.net
| | - Yoon Ji Kim
- College of Nursing, Pusan National University, Yangsan, Korea. gadget-@hanmail.net
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Emmanuel E, St John W, Sun J. Relationship between social support and quality of life in childbearing women during the perinatal period. J Obstet Gynecol Neonatal Nurs 2012; 41:E62-70. [PMID: 22861382 DOI: 10.1111/j.1552-6909.2012.01400.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
OBJECTIVE To explore demographic and social support predictors of health-related quality of life (HRQoL) (mental and physical) for childbearing women in the perinatal period. DESIGN Longitudinal. SAMPLE Three public hospitals in metropolitan Brisbane, Australia. PARTICIPANTS Four hundred seventy-three (473) women recruited at 36 weeks of pregnancy, and 6 and 12 weeks following childbirth. METHODS The Short Form-12 (SF-12) Version 2 Health Survey was used to measure the mental and physical domains of HRQoL. Social support was measured using the Maternal Social Support Scale (MSSS). RESULTS Mean scores for the mental and physical domains of HRQoL were lower than population norms. Social support was found to be a significant and consistent predictor of higher HRQoL scores, particularly in the physical domain at 12 weeks following child birth and mental domain during the perinatal period. The relationship between social support and HRQoL was found to be independent of other factors including education, length of relationship with partner, age, parity, and antenatal visit. The only other significant predictor was length of relationship with partner in the mental domain at 36 weeks of pregnancy. CONCLUSION Social support is a significant and consistent predictor of a mother's HRQoL during the perinatal period. Nurses and midwives need to assess social support, rather than making assumptions based on demographic factors.
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Affiliation(s)
- Elizabeth Emmanuel
- School of Nursing, Midwifery & Nutrition, James Cook University, Cairns, Australia.
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Chung SS, Joung KH. Comparative Study on Predictors of Maternal Confidence between Primipara and Multipara. ACTA ACUST UNITED AC 2011. [DOI: 10.4094/jkachn.2011.17.3.181] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Sung-Suk Chung
- Department of Statistics and Institute of Applied Statistics, Chonbuk National University, Jeonju, Korea
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