Women's Health Nursing (여성건강간호학회지)

Korean Society of Women Health Nursing (한국여성건강간호학회)
권호 표지
DOI QR코드

DOI QR Code

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

양육 스트레스, 모성역할 적응, 출산 당시 병원에서의 수유방법과 모유수유 적응과의 관계

  • Ahn, Sukhee (College of Nursing, Chungnam National University) ;
  • Kim, Yunmi (College of Nursing, Gachon University)
  • Received : 2015.08.19
  • Accepted : 2015.12.07
  • Published : 2015.12.20
Download PDF
⟨ Previous Next ⟩

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.

Keywords

References

  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. International Journal of Gynaecology and Obstetrics. 2001;74(2):217-232. https://doi.org/10.1016/S0020-7292(01)00464-7
  3. Mezzacappa ES. Breastfeeding and maternal stress response and health. Nutrition Reviews. 2004;62(7):261-268. https://doi.org/10.1111/j.1753-4887.2004.tb00050.x
  4. Groer MW, Davis MK, Hemphill J. Postpartum stress: Current concepts and the possible protective role of breastfeeding. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2002;31(4):411-417. https://doi.org/10.1111/j.1552-6909.2002.tb00063.x
  5. Thome M, Alder B. A telephone intervention to reduce fatigue and symptom distress in mothers with difficult infants in the community. Journal of Advanced Nursing. 1999;29(1):128-137. https://doi.org/10.1046/j.1365-2648.1999.00872.x
  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? International Journal of Nursing Studies. 2006;43(1):11-20. https://doi.org/10.1016/j.ijnurstu.2004.10.009
  7. Kim HR. Breastfeeding trends, affecting factors and policy options for breastfeeding promotion in Korea. Health and Welfare 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. European Journal of Clinical Nutrition. 2008;62(2):203-209. https://doi.org/10.1038/sj.ejcn.1602692
  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. Pediatric Allergy and Immunology. 2013;24(8):772-781. https://doi.org/10.1111/pai.12169
  10. Kim SH. Factors affecting mother's adaptation to breastfeeding. Journal of Korean Academy of Nursing. 2010;40(2):225-235. https://doi.org/10.4040/jkan.2010.40.2.225
  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 Journal of Women Health Nursing. 2014;20(1):14-28. https://doi.org/10.4069/kjwhn.2014.20.1.14
  12. Nystrom K, Ohrling K. Parenthood experiences during the child's first year: Literature review. Journal of Advanced Nursing. 2004;46(3):319-330. https://doi.org/10.1111/j.1365-2648.2004.02991.x
  13. Mercer RT. Nursing support of the process of becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006;35(5):649-651. https://doi.org/10.1111/j.1552-6909.2006.00086.x
  14. Kim SH. Development of a breast feeding adaptation scale (BFAS). Journal of Korean Academy of Nursing. 2009;9(2):259-269.
  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 Journal of Woman Psychology. 2008;13(3):363-377. https://doi.org/10.18205/kpa.2008.13.3.007
  17. Sheehan F. Assessing postpartum adjustment. A pilot study. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 1981;10(1):19-22.
  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 Journal of Women Health Nursing. 2012;18(2):75-84. https://doi.org/10.4069/kjwhn.2012.18.2.75
  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. https://doi.org/10.1016/j.midw.2009.07.003
  21. Park KY, Lee SO. A comparative study on the predictors of depression between primipara and multipara at postpartum 6 weeks. Journal of Korean Society of Maternal Child Health 2011;15(1):25-36. https://doi.org/10.21896/jksmch.2011.15.1.25
  22. Kwon MK, Kim HW, Kim NS, Jang JA. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. Child Health Nursing Research. 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. Child Health Nursing Research. 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 Journal of Women Health Nursing 2006;12(3):231-239.
  25. Pridham KF, Schroeder M, Brown R. The adaptiveness of mothers' working models of caregiving through the first year: Infant and mother contributions. Research in Nursing & Health. 1999;22(6):471-485. https://doi.org/10.1002/(SICI)1098-240X(199912)22:6<471::AID-NUR5>3.0.CO;2-P
  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. https://doi.org/10.1016/j.midw.2005.12.003
  27. Mercer RT. Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship. 2004;36(3):226-232. https://doi.org/10.1111/j.1547-5069.2004.04042.x
  28. Lee YM. Impact of mother's child-rearing stress on the development of breastfeeding infants and non-breastfeeding infants. Korean Journal of Childcare and Education. 2015;11(1):395-413. https://doi.org/10.14698/jkcce.2015.11.395
  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 Journal of Perinatology. 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. Child Health Nursing Research. 2003;9(3):272-284

Cited by

  1. The Effect of Attitudes Toward Breastfeeding in Public on Breastfeeding Rates and Duration: Results from South Korea vol.4, pp.4, 2015, https://doi.org/10.15206/ajpor.2017.4.4.208
  2. 모유수유 어머니의 양육 스트레스와 남편의 지지가 모유수유 적응에 미치는 영향 vol.23, pp.4, 2015, https://doi.org/10.4069/kjwhn.2017.23.4.233
  3. 면 단위에 거주하는 영유아 자녀를 둔 여성의 분만 후 시기별 모유수유 실천 및 모성적응 vol.32, pp.3, 2015, https://doi.org/10.5932/jkphn.2018.32.3.376
  4. 융복합 시대 취업모의 모성역할적응에 모아애착 및 사회적 지지가 미치는 영향 vol.18, pp.6, 2020, https://doi.org/10.14400/jdc.2020.18.6.379
  5. 산후 2주 축약형 모유수유 적응 측정도구의 구성 타당도, 신뢰도와 측정 불변성 vol.26, pp.4, 2015, https://doi.org/10.4069/kjwhn.2020.11.10