Korean J Women Health Nurs.  2015 Dec;21(4):262-271. 10.4069/kjwhn.2015.21.4.262.

Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation

Affiliations
  • 1College of Nursing, Chungnam National University, Daejeon, Korea.
  • 2College of Nursing, Gachon University, Incheon, Korea. ymkim@gachon.ac.kr

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.

Keyword

Maternal; Role; Parenting; Stress; Breastfeeding; Adaptation

MeSH Terms

Breast Feeding*
Demography
Education
Humans
Korea
Length of Stay*
Mothers
Nursing
Outpatients
Parenting*
Parents*
Parturition*

Cited by  3 articles

Breastfeeding Adaptation Scale-Short Form for mothers at 2 weeks postpartum: construct validity, reliability, and measurement invariance
Sun-Hee Kim
Korean J Women Health Nurs. 2020;26(4):326-335.    doi: 10.4069/kjwhn.2020.11.10.

Impact of Parenting Stress and Husband's Support on Breastfeeding Adaptation among Breastfeeding Mothers
Seung Hui Heo, Yoon Goo Noh
Korean J Women Health Nurs. 2017;23(4):233-242.    doi: 10.4069/kjwhn.2017.23.4.233.

Breastfeeding Success Experience of Primiparas
Sun Ok Lee, Sung Soon Na, Hee Sook Kim, Kyung Eui Bae, Mi Sun Youn, Eun Ju Oh
J Korean Soc Matern Child Health. 2022;26(4):254-269.    doi: 10.21896/jksmch.2022.26.4.254.


Reference

1. World Health Organization. Global strategy on infant and young child feeding [Internet]. Geneva: WHO;2003. cited 2015 May 18. Available from: http://www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf.
2. Committee on health care for underserved women. Breastfeeding: Maternal and infant aspects. Int J Gynaecol Obstet. 2001; 74(2):217–232.
3. Mezzacappa ES. Breastfeeding and maternal stress response and health. Nutr Rev. 2004; 62(7):261–268.
Article
4. Groer MW, Davis MK, Hemphill J. Postpartum stress: Current concepts and the possible protective role of breastfeeding. J Obstet Gynecol Neonatal Nurs. 2002; 31(4):411–417.
Article
5. Thome M, Alder B. A telephone intervention to reduce fatigue and symptom distress in mothers with difficult infants in the community. J Adv Nurs. 1999; 29(1):128–137.
Article
6. Thome M, Alder EM, Ramel R. A population-based study of exclusive breastfeeding in Icelandic women: Is there a relationship with depressive symptoms and parenting stress? Int J Nurs Stud. 2006; 43(1):11–20.
Article
7. Kim HR. Breastfeeding trends, affecting factors and policy options for breastfeeding promotion in Korea. Health Welf Policy Forum. 2013; 201:49–60.
8. Harit D, Faridi MM, Aggarwal A, Sharma SB. Lipid profile of term infants on exclusive breastfeeding and mixed feeding: A comparative study. Eur J Clin Nutr. 2008; 62(2):203–209.
Article
9. Guibas GV, Xepapadaki P, Moschonis G, Douladiris N, Filippou A, Tsirigoti L, et al. Breastfeeding and wheeze prevalence in pre-schoolers and pre-adolescents: The Genesis and Healthy Growth studies. Pediatr Allergy Immunol. 2013; 24(8):772–781.
10. Kim SH. Factors affecting mother's adaptation to breastfeeding. J Korean Acad Nurs. 2010; 40(2):225–235.
Article
11. Kim ES, Jeong MJ, Kim S, Shin HA, Lee HK, Shin KY, et al. Maternal psychosocial factors that affect breastfeeding adaptation and immune substances in human milk. Korean J Women Health Nurs. 2014; 20(1):14–28.
Article
12. Nyström K, Ohrling K. Parenthood experiences during the child's first year: Literature review. J Adv Nurs. 2004; 46(3):319–330.
Article
13. Mercer RT. Nursing support of the process of becoming a mother. J Obstet Gynecol Neonatal Nurs. 2006; 35(5):649–651.
Article
14. Kim SH. Development of a breast feeding adaptation scale (BFAS). J Korean Acad Nurs. 2009; 9(2):259–269.
Article
15. Abidin RR. Parenting stress index: Short form. Charlottesville, VA: Pediatric Psychology Press;1995.
16. Lee KS, Chung KM, Park JA, Kim HJ. Reliability and validity study for the Korean version of Parenting Stress Index Short Form (K-PSI-SF). Korean J Woman Psychol. 2008; 13(3):363–377.
17. Sheehan F. Assessing postpartum adjustment. A pilot study. J Obstet Gynecol Neonatal Nurs. 1981; 10(1):19–22.
Article
18. Chae YS. Adaptation of maternal roles and postpartum depression of primiparas during early postpartum period [master's thesis]. Seoul: Ewha Womans University;2005.
19. Yun SE, Lee HK. Effects of breast-feeding adaptation, attitude and practice of primipara depending on method of postpartum breast-feeding education. Korean J Women Health Nurs. 2012; 18(2):75–84.
Article
20. Emmanuel EN, Creedy DK, St John W, Brown C. Maternal role development: The impact of maternal distress and social support following childbirth. Midwifery. 2011; 27(2):265–272.
Article
21. Park KY, Lee SO. A comparative study on the predictors of depression between primipara and multipara at postpartum 6 weeks. J Korean Soc Matern Child Health. 2011; 15(1):25–36.
22. Kwon M, Kim H, Kim N, Jang J. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. J Korean Acad Child Health Nurs. 2006; 12(3):314–321.
23. Kwon H, Kwon M. Effect of discharge education program for mothers of premature infants on maternal role confidence and parenting stress. J Korean Acad Child Health Nurs. 2007; 13(1):58–65.
24. Lee SY, Kwon IS. A comparative study on maternal role confidence and parenting stress according to the infant's feeding method. Korean J Women Health Nurs. 2006; 12(3):231–239.
Article
25. Pridham KF, Schroeder M, Brown R. The adaptiveness of mothers' working models of caregiving through the first year: Infant and mother contributions. Res Nurs Health. 1999; 22(6):471–485.
Article
26. Cooke M, Schmied V, Sheehan A. An exploration of the relationship between postnatal distress and maternal role attainment, breast feeding problems and breast feeding cessation in Australia. Midwifery. 2007; 23(1):66–76.
Article
27. Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004; 36(3):226–232.
Article
28. Lee YM. Impact of mother's child-rearing stress on the development of breastfeeding infants and non-breastfeeding infants. Korean J Childcare Educ. 2015; 11(1):395–413.
Article
29. Choi JH, Choi KE, Shin SM, Kim YJ, Kim NS, Choi YY, et al. Interfering factors of breastfeeding in the postpartum care centers. Korean J Perinatol. 2012; 23(3):165–178.
30. Kim MS, Kim JU, An YM, Bae SM, Kim MJ. The research on the breast feeding and its related factors of premature infant. Korean J Child Health Nurs. 2003; 9(3):272–284.
Full Text Links
  • KJWHN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr