Influencing Factors on Maternal Role Adjustment among the Primipara Women in the First Year after Childbirth

Song,  Ju Eun; Ko,  Jung Mi

doi:2016.20.3.284

J Korean Soc Matern Child Health > Volume 20(3); 2016 > Article

Journal of The Korean Society of Maternal and Child Health 2016;20(3):284-296.
DOI: https://doi.org/10.21896/jksmch.2016.20.3.284 Published online September 30, 2016.

Influencing Factors on Maternal Role Adjustment among the Primipara Women in the First Year after Childbirth

Ju Eun Song¹, Jung Mi Ko²

¹College of Nursing, Institute of Nursing Science, Ajou University, Korea
²Department of Nursing, Chung Ju University, Korea

출산 후 1년 이내 초산모의 모성역할적응에 영향을 미치는 요인

송주은¹, 고정미²

¹아주대학교 간호대학ㆍ아주대학교 간호과학연구소
²청주대학교 간호학과

Correspondence: Jung Mi Ko,
Email: khc9707@cju.ac.kr

Abstract

Department of Nursing, Chung Ju University2 Purpose: The purpose of this study was to identify the influencing factors on maternal role adjustment among the primiparous women in the first year after childbirth.
Methods
The study subjects were 210 healthy primiparous women who have delivered at one of four women's health hospitals and revisited the out-patient department for the routine check-up and baby's vaccination during the first year after childbirth. Data were collected by a self-report questionnaire which consisted of general characteristics, maternal role adjustment, spousal rearing support, childcare stress, and postpartum depression. Collected data were analyzed by using the SPSS Win 18.0 program with descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient and multiple regression.
Results
The maternal role adjustment was significantly correlated with spousal rearing support (r=.649, p<.001), childcare stress (r=-.596, p<.001), postpartum depression (r=-.569, p<.001), and subjective health condition (r=.204, p=.003). The multiple regression analysis showed that the maternal role adjustment were significantly affected by spousal rearing support (t=6.542, p< .001). childcare stress (t=-3.268, p=.001), and postpartum depression (t=-2.238, p=.018).
Conclusion
From these results, it is concluded that the nursing intervention for enhancing spousal support in childcare and decreasing the childcare stress and depression should be developed for improving maternal role adjustment in the first time mother, especially within one year after childbirth.

Key Words: maternal behavior, adaptation, primiparity, mother