Effects of a maternal role adjustment program for first time mothers who use postpartum care centers (Sanhujoriwon) in South Korea: a quasi-experimental study

Author:

Song Ju-Eun,Chae Hyun-Ju,Ko Jung Mi,In Yang Jeong,Kim Tiffany

Abstract

Abstract Background Many South Korean women stay in specialized postpartum care centers called Sanhujoriwon for 2 weeks after childbirth, a time which is widely recognized as a critical period for maternal role adjustment. Mothers’ time within the postpartum care center offers a unique opportunity for nursing intervention to promote a successful transition to motherhood, especially for first time mothers. This study aimed to develop a maternal role adjustment program within the Sanhujoriwon based on the ecological model, and to evaluate its effects on maternal role confidence and breastfeeding success. Methods A non-equivalent control group pretest-posttest design was used. Data were collected from 30 participants in the experimental group and 37 in the control group at four measurement times, i.e., admission day to Sanhujoriwon, discharge day from Sanhujoriwon, 4–6 weeks postpartum, and 12 weeks postpartum. The experimental group received the maternal role adjustment program, which included family education and counseling regarding breastfeeding and infant care, and encouraged rooming-in practices during their stay in the Sanhujoriwon. The data were analyzed using the IBM SPSS statistics 25.0 program using descriptive statistics, t-test, chi-square test, ANCOVA, and GEE. Results There were significant interaction effects showing different patterns in maternal role confidence and breastfeeding success scores over the four time points. Maternal role confidence in the experimental group gradually increased over time. Maternal role confidence in the control group also increased from baseline to 4 to 6 week postpartum, but abruptly decreased at 12 week postpartum. At 12 weeks postpartum, maternal role confidence in the experimental group was significantly higher than that of the control group. In addition, breastfeeding success scores in the experimental group also gradually increased over the four time points, while those of the control group showed a gradual decline. Breastfeeding success scores were significantly higher than those of control group at both 4–6 weeks and 12 weeks postpartum. Conclusions These results indicate that the maternal role adjustment program was effective in improving maternal role confidence and breastfeeding success among first time mothers in the postpartum care center.

Funder

the National Research Foundation of South Korea

Publisher

Springer Science and Business Media LLC

Subject

Obstetrics and Gynecology

Reference49 articles.

1. Yeh YC, St John W, Venturato L. Doing the month in a Taiwanese postpartum nursing center: an ethnographic study. Nurs Health Sci. 2014;16(3):343–51.

2. Altuntug K, Anik Y, Ege E. Traditional practices of mothers in the postpartum period: evidence from Turkey. Afr J Reprod Health. 2018;22(1):94–102.

3. Song JE, Chang SB, Park SM, Kim S, Nam CM. Empirical test of an explanatory theory of postpartum fatigue in Korea. J Adv Nurs. 2010;66(12):2627–39.

4. Choi HK, Jung NO. Factors influencing health promoting behavior in postpartum women at Sanhujoriwon. Korean J Women Health Nurs. 2017;23(2):135–44.

5. Ministry of Health and Welfare. The government efforts for Sanhujori facility user’s damage prevention. 2013. http://www.mw.go.kr/front_new/sch/index,jsp. Accessed 15 Feb 2019.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3