Korean J Women Health Nurs.  2018 Sep;24(3):322-332. 10.4069/kjwhn.2018.24.3.322.

Effects of a Maternal Role Adjustment Program on First-time Mothers

Affiliations
  • 1Graduate Student, College of Nursing, Pusan National University, Yangsan, Korea.
  • 2Professor, College of Nursing, Pusan National University, Yangsan, Korea. seojimin@pusan.ac.kr

Abstract

PURPOSE
To investigate the effect of a maternal role adjustment program on first-time mothers.
METHODS
The research was quasi-experimental with a non-equivalent control group non-synchronized design. Participants were first-time mothers admitted to two postpartum clinics at women's hospitals. The experimental group had 38 mothers and the control group had 35 mothers. A maternal role adjustment program was applied individually to the experimental group between the 1st and 2nd weeks after childbirth. Assessing Adaptation to Motherhood, Semantic Differential Scale-Myself as Mother, and Edinburgh Postnatal Depression Scale were used to measure effects of the program. A pre-test was conducted in the 1st week after childbirth while post-tests were conducted in the 4th and 6th weeks. Data were analyzed with χ2 test, Fisher's exact test, t-test, and repeated measures ANOVA using SPSS 24.0.
RESULTS
Maternal role adjustment (F=6.17, p=.015) and maternal identity (F=6.63, p=.012) were significantly increased in the experimental group compared to those in the control group. However, the difference in postpartum depression (F=1.11, p=.335) was not statistically significant between the two groups.
CONCLUSION
The maternal role adjustment program can be utilized as an effective nursing intervention program to enhance maternal role adjustment and maternal identity for first-time mothers.

Keyword

Maternal behavior; Mother-child interaction; Postpartum depression; Psychological adaptation

MeSH Terms

Adaptation, Psychological
Depression, Postpartum
Female
Humans
Maternal Behavior
Mother-Child Relations
Mothers*
Nursing
Parturition
Postpartum Period
Semantic Differential

Cited by  1 articles

Development of Maternal Adaptation Scale for the Primipara Women
Jungmi Ko, Ju-Eun Song
J Korean Matern Child Health. 2024;28(2):51-64.    doi: 10.21896/jkmch.2024.28.2.51.


Reference

1. Mercer RT. Becoming a mother versus maternal role attainment. J Nurs Scholarsh. 2004; 36(3):226–232.
Article
2. Rubin R. Attainment of the maternal role: Part I. processes. Nurs Res. 1967; 16(3):237–245.
3. Ludington-Hoe SM. Postpartum: Development of maternicity. Am J Nurs. 1977; 77(7):1171–1174.
Article
4. Rubin R. Maternal tasks in pregnancy. J Adv Nurs. 1976; 1(5):367–376.
Article
5. Mercer RT. The process of maternal role attainment over the first year. Nurs Res. 1985; 34(4):198–204.
Article
6. Pridham KF, Lytton D, Chang AS, Rutledge D. Early postpartum transition: Progress in maternal identity and role attainment. Res Nurs Health. 1991; 14(1):21–31.
Article
7. Chae YS. Adaptation of maternal roles and postpartum depression of primiparas during early postpartum period [master's thesis]. Seoul: Ewha Womans University;2005. 68.
8. Mercer RT, Walker LO. A review of nursing interventions to foster becoming a mother. J Obstet Gynecol Neonatal Nurs. 2006; 35(5):568–582. DOI: 10.1111/j.1552-6909.2006.00080.x.
Article
9. Chae MY, Hwang MS. The effects of home care nursing based maternal role strengthening programs on the maternal identity and confidence of maternal role on first-time mothers. J Korean Acad Soc Home Care Nurs. 2011; 18(2):88–98.
10. Yoo DS. The postpartum depression and maternal role adjustment of mothers having an infant [master's thesis]. Seoul: Seoul National University;2008. 55.
11. Kim JY. Psycho-social predicting factors model of postpartum depression [master's thesis]. Seoul: Sungshin Women's University;2003. 49.
12. 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.
13. Ozkan H, Polat S. Maternal identity development education on maternity role attainment and my baby perception of primiparas. Asian Nurs Res (Korean Soc Nurs Sci). 2011; 5(2):108–117. DOI: 10.1016/S1976-1317(11)60019-4.
14. Jang YS. Effects of a maternal role promotion program for mothers of premature infants on maternal role strain, maternal role confidence and maternal identity. Korean J Child Health Nurs. 2005; 11(4):472–480.
15. Kordi M, Fasanghari M, Asgharipour N, Esmaily H. The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy. J Educ Health Promot. 2017; 6:61. DOI: 10.4103/jehp.jehp_113_15.
16. Srisomboon A, Serisathien Y, Yusamran C, Phahuwatanakorn W. The effect of a maternal role promoting program on maternal role attainment in adolescent mothers with unplanned pregnancies. J Nurs Sci. 2011; 29(2):74–81.
17. Kim YS, Lee YJ, Park GH. The effects of maternal health care program on depression, maternal role self-confidence and delivery self-efficacy in pregnant women. J East West Nurs Res. 2017; 23(2):134–141. DOI: 10.14370/jewnr.2017.23.2.134.
18. Bang KS, Huh BY, Kwon MK. The effect of a postpartum nursing intervention program for immigrant mothers. Child Health Nurs Res. 2014; 20(1):11–19. DOI: 10.4094/chnr.2014.20.1.11.
Article
19. Gao LL, Xie W, Yang X, Chan SW. Effects of an interpersonal-psychotherapy-oriented postnatal programme for Chinese first-time mothers: A randomized controlled trial. Int J Nurs Stud. 2015; 52(1):22–29. DOI: 10.1016/j.ijnurstu.2014.06.006.
Article
20. Kim MY, Kim WO, Han SS. Effects of individual and group education programs on coping and self-care behaviors in cancer patients. J East West Nurs Res. 2014; 20(1):1–8. DOI: 10.14370/jewnr.2014.20.1.1.
Article
21. Jang YS. Effects of a workbook program on the perceived stress level, maternal role confidence and breast feeding practice of mothers of premature infants. J Korean Acad Nurs. 2005; 35(2):419–427.
Article
22. Sheehan F. Assessing postpartum adjustment. A pilot study. JOGN Nurs. 1981; 10(1):19–22.
Article
23. Walker LO. Investigating the semantic properties of two concepts. Unpublished manuscript paper. Austin, Texas: The University of Texas at Austin;1977.
24. Kim AR, Tak YR. Maternal role development in neonatal intensive care unit graduate mothers of premature infant. Korean J Women Health Nurs. 2015; 21(4):308–320. DOI: 10.4069/kjwhn.2015.21.4.308.
Article
25. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987; 150:782–786.
26. Yeo JH. Postpartum depression and its predictors at six months postpartum. Korean J Women Health Nurs. 2006; 12(4):355–362.
Article
27. Sim KS, Kho HJ, Lim KH. A study on the educational needs of the mothers for the infant care. J Korean Soc Matern Child Health. 2002; 6(2):287–297.
28. Song JE, Ahn JA. Effect of intervention programs for improving maternal adaptation in Korea: Systematic review. Korean J Women Health Nurs. 2013; 19(3):129–141. DOI: 10.4069/kjwhn.2013.19.3.129.
Article
29. Song JE, Ko JM. Influencing factors on maternal role adjustment among the primipara women in the first year after child-birth. J Korean Soc Matern Child Health. 2016; 20(3):284–296.
30. Walker J, Payne S, Jarrett N, Ley T. KJ Lee S Kim S Yang KH Lee SB Im . Psychology for nurses and the caring professions. 4th ed. Seoul: Soomoonsa;2013. p. 161–178.
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