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New Mothers (new + mother)
Selected AbstractsThe Development of Parenting Efficacy Among New Mothers and FathersINFANCY, Issue 1 2007Esther M. Leerkes Predictors of prenatal and postnatal parenting efficacy were examined in a sample of 115 primiparous mothers and 73 fathers in an effort to examine the association between preexisting parental characteristics and prenatal efficacy and the association between prenatal characteristics and postnatal efficacy when aspects of the current parenting context are taken into account. The most robust predictors of maternal postnatal efficacy included both prenatal efficacy, which significantly predicted postnatal efficacy independent of all other predictors including the current parenting context, and perceived infant temperamental reactivity as both a main effect and as buffered by social support. This was not the case for fathers, whose postnatal efficacy was primarily a function of their amount of involvement in parenting tasks and social support. The differential predictors of mother and father efficacy as well as their implications for future research are discussed. [source] Predictors of outcome for unrelated adoptive placements made during middle childhoodCHILD & FAMILY SOCIAL WORK, Issue 4 2005Cherilyn Dance ABSTRACT This paper reports on a follow-up to adolescence of two longitudinal prospective studies of children placed from public care with non-related adoptive families in the UK. Factors associated with outcome are presented for 99 children (one index child per adoptive family) who were between 5 and 11 years of age at placement. Information concerning the children's backgrounds and care histories was obtained shortly after placement (T1), from social workers. Adopters were interviewed at T1 and again at the end of the first year (T2). A further follow-up was conducted an average of six years after placement (T3). Outcomes at T3 were classified as either disrupted, which was true for 23%, continuing and ,positive' (49%) or continuing but ,difficult' (28%). Bivariate analyses revealed a number of attributes, related to both the child and the adoptive parents, which were associated with differential outcomes. Logistic regression produced five predictors of placement disruption: age at placement, behavioural problems, preferential rejection, time in care and the child's degree of attachment to the new mother. Differences were found between ,positive' and ,difficult' outcomes in continuing placements as well as between continuing and disrupted placements. The analysis suggests that adoption should certainly be considered as an option for children over 5 years of age while recognizing the need for both preparation and post-placement support. Evidence of differential outcome in continuing placements provides support for efforts to reduce the number of placements and returns home that a child at risk experiences. [source] In uniparental Phodopus sungorus, new mothers, and fathers present during the birth of their offspring, are the only hamsters that readily consume fresh placentaDEVELOPMENTAL PSYCHOBIOLOGY, Issue 7 2006Jennifer K. Gregg Abstract Placentophagia is common among parturient female mammals but non-parturient females generally refuse placenta. Biparental male dwarf hamsters (Phodopus campbelli) readily consume placenta. The present study quantified placentophagia and liver acceptance in the closely related Siberian hamster P. sungorus in which males do not participate in the birth and are not responsive to a displaced pup. Sexually naïve P. sungorus males and females refused both placenta and liver (all groups <10%). Reproductive females specifically consumed placenta on the day before (G17), and the day of, parturition (G18) (>80%). Males rejected both tissues on G17 and accepted placenta soon after the birth (G18) (80%) only if they were present during the birth. Palatability of the placenta was not responsible for the species difference as P. campbelli accepted P. sungorus placenta. Results are consistent with a neophobic reaction to both placenta (conspecific or heterospecific) and liver as P. sungorus also rejected P. campbelli placenta. © 2006 Wiley Periodicals, Inc. Dev Psychobiol 48: 528,536, 2006. [source] Infant-holding biases in mothers and affective symptoms during pregnancy and after deliveryINFANT AND CHILD DEVELOPMENT, Issue 2 2009Jacques Vauclair Abstract Several authors have reported that participants have a leftward bias when holding a newborn or young infant. Our study of mothers met before and after their infant's birth sought to ascertain whether particular combinations of affective symptoms (depression, anxiety) and holding positions (horizontal versus vertical) were related to holding-side biases. Our results showed that (a) mothers displayed a significant leftward (71%) holding bias, (b) mothers with affective symptoms held their newborn on the right side and more frequently in the vertical position, and (c) hemispheric specialization for perceiving visual emotions had no significant effect on the holding-side biases of new mothers. These results suggest that maternal affective symptoms have a dominant effect on the determination of holding-side preferences, when associated with a particular holding position. Copyright © 2008 John Wiley & Sons, Ltd. [source] Expectations of the child health nurse in Sweden: two perspectivesINTERNATIONAL NURSING REVIEW, Issue 2 2003A. Fägerskiöld MScN Abstract Background: the child health service exists to support and stimulate parents in order to reduce stress and to encourage an advantageous development of the preschool child. Aim: To explore and describe similarities and differences in expectations of the child health nurse, from the perspective of the recently delivered first-time mother, as compared to an expression of what the child health nurse believed mothers of infants expected of them. The data consisted of 15 interviews with child health nurses and 20 interviews with first-time mothers. Thematic content analysis resulted in seven categories of expectations. The child health nurse was expected to be someone to approach, who could assess the child's development and give immunizations and to be a supporter, counsellor, safety provider and a parent group organizer with knowledge. Similarities between the mothers' and the nurses' statements occurred more frequently than differences, which is suggested to depend on the Swedish tradition among new mothers of visiting the child health clinic. The mothers expected participation in parent groups to a higher degree than the nurses thought they did. Child health nurses who fulfil the mothers' expectations appear to require a good relationship with the mother in order to find out what she desires, which the allocation of sufficient time for regular meetings, will facilitate. Moreover, the nurse requires knowledge about children's requirements and the transition to motherhood as well as the father's important role. [source] Division of domestic work and psychological distress 1 year after childbirth: a comparison between France, Quebec and Italy,JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY, Issue 6 2002Catherine des Rivières-Pigeon Abstract Background. The participation of men in domestic work should have a positive impact on the wellbeing and mental health of women who are mothers of young children. However, cultural factors, which largely determine the expectations and desires of men and women, are likely to modify this impact. The purpose of this study was to explore differences between countries in the division of child care and housework between couples 1 year after childbirth, and to look at possible differences in the relationship between this division and the psychological health of new mothers. Methods. Similar studies were carried out in three countries: France, Italy and Canada (province of Quebec), making it possible to compare the situation of 1598 women. Results. The results revealed major differences between countries in the division of domestic work. For nearly all the child care and housework tasks studied, answers indicating an unequal division were more frequent in Italy than in France, and more frequent in France than in Quebec. Despite these differences, we found very similar pattern of associations, in the three countries, between the division of domestic work and the mental health of women. An unequal division of child care was linked with psychological distress, but this association was not found for the division of housework. Conclusion. These results raise questions concerning the mechanisms by which the division of domestic work affects the psychological health of new mothers. Copyright © 2002 John Wiley & Sons, Ltd. [source] Postpartum/newborn patients: who are they and do they all need the same amount of nursing care?JOURNAL OF NURSING MANAGEMENT, Issue 2 2008Christiane Raby RN Aim, To obtain a quantitative description of mother,newborn presentations and to identify their nursing care requirements while in hospital. Background, Recommendations on minimum staffing levels are broad based with implications that all new mothers and newborns are normal without complications. However, in a large tertiary centre, mother,newborn dyads do present with complications, suggesting variation in nursing care requirements. Method, Two studies were conducted: (1) a cross-sectional retrospective, descriptive study; and (2) a convenience sampling survey professional nurses' expert opinions. Results, A sample of 1224 mother and/or newborn presentations was retrospectively classified. Almost half of the patient presentations were classified as having complications. Nursing care ratios required for postpartum ranged from 1:1 to 9:1. Conclusion, An objective classification system was obtained from nursing experts in caring for mother and newborn with variable needs, in a hospitalized setting. Implications for nursing management This comprehensive classification system can be used to objectively align nursing resources to mother/newborn care needs. [source] Emergency Preparedness and Disaster Response Core Competency Set for Perinatal and Neonatal NursesJOURNAL OF OBSTETRIC, GYNECOLOGIC & NEONATAL NURSING, Issue 4 2010Anne M. Jorgensen ABSTRACT A nationally derived consensus-based core competency set provides perinatal and neonatal nurses a template to guide emergency preparedness and disaster response educational and training activities. Moreover, this consensus-based core competency set allows for the identification and incorporation of measurable objectives that address the learning needs of nurses as well as the unique needs of pregnant women, new mothers, and infants during public health emergencies and disaster events. [source] Social support and symptoms of postpartum depression among new mothers in Eastern TurkeyJOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH (ELECTRONIC), Issue 4 2008Emel Ege Abstract Aim:, The aim of the present study was to examine the relationship between symptoms of postpartum depression and social support in new mothers in a semi-rural province (Malatya) of Eastern Turkey. Methods:, This is a descriptive, cross-sectional study. The study was conducted with a 12-item Multidimensional Scale of Perceived Social Support (MSPSS) questionnaire, a 10-item Edinburgh Postnatal Depression Scale (EPDS) questionnaire, and a 16-item demographic/obstetric questionnaire designed by the authors. 364 women who were between 6 to 48 weeks postpartum were included in the study. Results:, Symptoms of postpartum depression were negatively correlated with social support (,0.39, P = 0.000). The frequency of the prevalence of symptoms of postpartum depression was 33.2%. The study showed that EPDS mean score was related to several factors, including age, woman's education, woman's occupation, socioeconomic status of family, spouse's education, number of years married, parity, planned pregnancy, method of delivery, knowledge of infant care, sharing of problems with a close person, past psychiatric history and family support during the postnatal period in an Eastern province of Turkey. Conclusion:, Symptoms of postpartum depression were negatively correlated among Turkish women living in the Malatya province of Eastern Turkey and were associated with the level of social support. The prevalence of postpartum depression was higher than in the published reports regarding most regions of Turkey, with the exception of Northeastern Turkey. [source] Breastfeeding duration and postpartum psychological adjustment: Role of maternal attachment stylesJOURNAL OF PAEDIATRICS AND CHILD HEALTH, Issue 6 2008pek Akman Aim: Depressive and anxiety symptoms are common in new mothers. The aim of this study is to explore the link between postpartum psychological adjustment and feeding preferences of the mothers. Methods: Sixty mothers and newborns were enrolled in this prospective, longitudinal study. Maternal depressive symptoms were screened by the Edinburgh Postpartum Depression Scale (EPDS), and maternal anxiety level was assessed by the State-Trait Anxiety Inventory at 1 month postpartum. The Multidimensional Scale of Perceived Social Support was used for the assessment of maternal social support. The Adult Attachment Scale was used to determine the attachment style of the mother. Infants were examined and evaluated at 1 and 4 months of life. Results: All mothers started breastfeeding their infants postpartum; 91% and 68.1% continued exclusive breastfeeding at 1 and 4 months, respectively. The first-month median EPDS score of mothers who breastfeed at the fourth month was statistically significantly lower than those who were not breastfeeding (6 and 12, respectively) (P = 0001). The first-month median EPDS score of mothers with secure attachment was lower than the median score of mothers with insecure attachment (5 and 9, respectively) (P < 0001). Exclusive breastfeeding rate was not statistically different among mothers with secure and insecure attachment styles. The median state and trait anxiety scores and social support scores of mothers were not different between groups according to breastfeeding status. Conclusions: This study has shown an association between higher EPDS scores and breastfeeding cessation by 4 months after delivery. [source] Providing a Dental Home for Pregnant Women: A Community Program to Address Dental Care Access , A Brief CommunicationJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2008Peter Milgrom Abstract Objective: This paper describes a community-based intervention to provide a dental home for women covered by Medicaid in Klamath County, Oregon. In 2001, 8.8 percent of pregnant women served by Medicaid in Oregon received care. The long-term goal of the program is to promote preventive oral care for both mothers and their new infants. Methods: Pregnant women received home/Women, Infant and Children visits and were assigned a dental home under a dental managed care program [Dental Care Organization (DCO)]. All initial care was provided at the Oregon Institute of Technology Dental Hygiene Clinic under the contract with the DCO. Emergency, preventive, and restorative care was provided. Results: Between February 2004 and January 2006, 503 pregnant women were identified; 421 women were contactable. Of these, 339 received home visits (339/421, 80.5 percent) and 235 received care (235/339, 69.3 percent). Overall, 55.8 percent of eligible women received care (235/421). Most who did not have a visit either moved or were not the caretaker of the baby. The missed appointment rate was 9 percent. Conclusion: A community health partnership led to a successful and sustainable model extending care to pregnant women and is being extended to promote preventive care for both new mothers and their offspring. [source] New Mothers' Labour Force Participation in Italy: The Role of Job CharacteristicsLABOUR, Issue 2005Massimiliano Bratti In this paper we use newly available individual-level data from the Longitudinal Survey of Italian Households to investigate the factors associated with female labour force participation after the birth of the first child. We focus on the role of pre-marital job characteristics and find that new mothers who worked without a contract are less likely to participate, while those who worked in the public sector or in a large private firm have a higher probability of being in the labour force after childbearing. We suggest that these effects could be at least partly attributed to differences in the level of job protection and employment stability enjoyed by workers. This implies that in Italy women with highly protected and stable jobs might find it easier to combine career and family, whereas those who are less sheltered by the legislation might be more likely to be inactive after becoming mothers. [source] Validation of the WHOQOL-BREF among women following childbirthAUSTRALIAN AND NEW ZEALAND JOURNAL OF OBSTETRICS AND GYNAECOLOGY, Issue 2 2010Joan WEBSTER Background:, There is increasing interest in measuring quality of life (QOL) in clinical settings and in clinical trials. None of the commonly used QOL instruments has been validated for use postnatally. Aim:, To assess the psychometric properties of the 26-item WHOQOL-BREF (short version of the World Health Organization Quality of Life assessment) among women following childbirth. Methods:, Using a prospective cohort design, we recruited 320 women within the first few days of childbirth. At six weeks postpartum, participants were asked to complete the WHOQOL-BREF, the Edinburgh Postnatal Depression Index and the Australian Unity Wellbeing Index. Validation of the WHOQOL-BREF included an analysis of internal consistency, discriminate validity, convergent validity and an examination of the domain structure. Results:, In all, 221 (69.1%) women returned their six-week questionnaire. All domains of the WHOQOL-BREF met reliability standards (alpha coefficient exceeding 0.70). The questionnaire discriminated well between known groups (depressed women and non-depressed women. P , 0.000) and demonstrated satisfactory correlations with the Australian Unity Wellbeing index (r , 0.45). The domain structure of the WHOQOL-BREF was also valid in this population of new mothers, with moderate-to-high correlation between individual items and the domain structure to which the items were originally assigned. Conclusion:, The WHOQOL-BRF is a well-accepted and valid instrument in this population and may be used in postnatal clinical settings or for assessing intervention effects in research studies. [source] Learning Needs of Postpartum Women: Does Socioeconomic Status Matter?BIRTH, Issue 2 2005Wendy Sword PhD This study's aim was to examine women's concerns at the time of hospital discharge and unmet learning needs as self-identified at 4 weeks after discharge. Methods: Data were collected as part of a cross-sectional survey of postpartum health outcomes, service use, and costs of care in the first 4 weeks after postpartum hospital discharge. Recruitment of 250 women was conducted from each of 5 hospitals in Ontario, Canada (n = 1,250). Women who had given vaginal birth to a single live infant, and who were being discharged at the same time as their infant, assuming care of their infant, competent to give consent, and able to communicate in one of the study languages were eligible. Participants completed a self-report questionnaire in hospital; 890 (71.2%) took part in a structured telephone interview 4 weeks after hospital discharge. Results: Approximately 17 percent of participants were of low socioeconomic status. Breastfeeding and signs of infant illness were the most frequently identified concerns by women, regardless of their socioeconomic status. Signs of infant illness and infant care/behavior were the main unmet learning needs. Although few differences in identified concerns were evident, women of low socioeconomic status were significantly more likely to report unmet learning needs related to 9 of 10 topics compared with women of higher socioeconomic status. For most topics, significantly more women of both groups identified learning needs 4 weeks after discharge compared with the number who identified corresponding concerns while in hospital. Conclusions: It is important to ensure that new mothers are adequately informed about topics important to them while in hospital. The findings highlight the need for accessible and appropriate community-based information resources for women in the postpartum period, especially for those of low socioeconomic status. (BIRTH 32:2 June 2005) [source] | ||||||||||||||||||||||||||||