Kunie Maehara1, Emi Mori2, Miyako Tsuchiya3, Hiroko Iwata2, Akiko Sakajo2, Harumi Ozawa2, Akiko Morita4, Tomoko Maekawa4, Miyuki Makaya5, Koji Tamakoshi6. 1. Graduate School of Nursing, Chiba University, Chiba, Japan. kmaehara@faculty.chiba-u.jp. 2. Graduate School of Nursing, Chiba University, Chiba, Japan. 3. Division of Cancer Survivorship Research, National Cancer Center, Tokyo, Japan. 4. Former Graduate School of Nursing, Chiba University, Chiba, Japan. 5. School of Nursing, Kitasato University, Sagamihara, Japan. 6. Graduate School of Medicine, Nagoya University, Nagoya, Japan.
Abstract
AIM: To compare the factors that affect maternal confidence at 1 month post-partum between older (≥35 years old) and younger (20-34 years old) primiparous Japanese mothers. METHODS: A multicenter prospective study of mothers who gave birth to live singleton infants in Japan was conducted. Following ethics approval, the participants completed questionnaires 1 day before discharge and 1 month after childbirth. The questionnaires included the Postpartum Maternal Confidence Scale, demographics and background information, prenatal and obstetric data, situational variables and perceptions of daily life, and social support. The obstetric data were extracted from the hospital medical records. Data from the older primiparae (n = 479) and the younger primiparae (n = 1033) were analyzed by using multiple stepwise regressions, controlling for the delivery mode. RESULTS: Maternal confidence at 1 month post-partum was positively associated with emotional support for the older primiparae and appraisal support and exclusive breastfeeding for younger primiparae. In both groups, feeling overwhelmed by daily life, a lack of communication with their partner about the parenting role, and a lack of prior experience in caring for babies were negatively related to maternal confidence. Family budget instability was negatively related to maternal confidence in the younger group. CONCLUSION: Providing care that is based on an understanding of the unique support needs of first-time mothers in different age groups could promote more effective parenting.
AIM: To compare the factors that affect maternal confidence at 1 month post-partum between older (≥35 years old) and younger (20-34 years old) primiparous Japanese mothers. METHODS: A multicenter prospective study of mothers who gave birth to live singleton infants in Japan was conducted. Following ethics approval, the participants completed questionnaires 1 day before discharge and 1 month after childbirth. The questionnaires included the Postpartum Maternal Confidence Scale, demographics and background information, prenatal and obstetric data, situational variables and perceptions of daily life, and social support. The obstetric data were extracted from the hospital medical records. Data from the older primiparae (n = 479) and the younger primiparae (n = 1033) were analyzed by using multiple stepwise regressions, controlling for the delivery mode. RESULTS: Maternal confidence at 1 month post-partum was positively associated with emotional support for the older primiparae and appraisal support and exclusive breastfeeding for younger primiparae. In both groups, feeling overwhelmed by daily life, a lack of communication with their partner about the parenting role, and a lack of prior experience in caring for babies were negatively related to maternal confidence. Family budget instability was negatively related to maternal confidence in the younger group. CONCLUSION: Providing care that is based on an understanding of the unique support needs of first-time mothers in different age groups could promote more effective parenting.
Authors: Yi Zhu; Xuan Zhou; Xiaoxu Yin; Lei Qiu; Na Sun; Rongrong An; Yanhong Gong Journal: BMC Pregnancy Childbirth Date: 2022-07-07 Impact factor: 3.105