DOI QR코드

DOI QR Code

Factors affecting maternal functioning among early postpartum women

산후 초기여성의 모성기능에 미치는 영향요인

  • 반민경 (동아대학교 일반대학원 간호학과) ;
  • 여정희 (동아대학교 간호학부)
  • Received : 2021.06.24
  • Accepted : 2021.09.20
  • Published : 2021.09.28

Abstract

Purpose: This study aimed to identify the maternal functioning and related factors among early postpartum women. Methods: In this cross-sectional study, 243 women recruited from three women's hospitals. Participants completed a structured questionnaire in on-line or off-line between 6 and 12 weeks postpartum. Data were analyzed using descriptive statistics, the t-test, analysis of variance, Pearson correlation coefficients, and stepwise multiple regression with SPSS for Windows ver. 25.0. Results: The mean score for the maternal functioning was 73.28±16.78 out of 120 points. Maternal functioning was associated with postpartum depression (r=-.57 p<.001), and spousal and family support (r=.54, p<.001). According to the stepwise multiple regression, postpartum depression (β=-0.43, p<.001), spouse and family support (β=0.39, p<.001), employment (β=0.12, p=.012) and delivery method (β=-0.10 p=.026) had a significant relationship with the maternal functioning among postpartum women. These variables had an explanatory power of 49.0% for maternal functioning. Conclusion: It is necessary to develop and implement a maternal intervention program focused on alleviating postpartum depression and improving spouse and family support. This study will be the starting point for various studies by identifying the maternal functioning of postpartum women for the first time in Korea.

본 연구는 출산여성의 모성기능의 정도와 이에 영향을 미치는 요인을 규명하기 위해 시도되었다. 자료수집은 2021년 2-3월에 걸쳐 여성병원 3곳에서 출산 후 6주에서 12주에 해당되는 여성 243명을 대상으로 실시하였고, 이 자료는 SPSS 25.0 프로그램을 이용하여 분석되었다. 그 결과 출산여성의 모성기능 영향요인은 산후우울, 배우자 및 가족지지, 직업유무, 출산 방법으로 나타났으며, 그 중 산후우울(β=-0.43, p<.001)과 배우자 및 가족 지지(β=0.39, p<.001)가 중요한 예측인자였다. 따라서 모성기능 향상을 위한 중재 개발 및 적용 시 산후우울을 완화하고 배우자 및 가족지지를 증진하는데 중점을 둘 필요가 있다. 본 연구는 국내에서 처음으로 출산여성의 모성기능을 파악하여 다양한 연구의 시발점이 될 것이다.

Keywords

Acknowledgement

This work was supported by the Dong-A University research fund.

References

  1. B. P. Don, A. Chong, S. N. Biehle, A. Gordon & K. D. Mickelson. (2014). Anxiety Aoss the Transition to Parenthood: Change Trajectories Among Low-risk Parents. Anxiety, Stress, & Coping, 27(6), 633-649. DOI : 10.1080/10615806.2014.903473
  2. R. Aydin & K. Kukulu. (2018). Adaptation of the Barkin Scale of Baternal Functioning and Examination of the Psychometric Properties. Health Care Women Int, 39(1), 50-64. DOI : 10.1080/07399332.2017.1385616
  3. J. L. Barkin, K. L. Wisner, J. T. Bromberger, S. R. Beach & S. R. Wisniewski. (2010). Assessment of Functioning in New Mothers. J Womens Health, 19(8), 1493-1499. DOI : 10.1089/jwh.2009.1864
  4. J. L. Barkin & K. L. Wisner. (2013). The Role of Maternal Self-care in New Motherhood. Midwifery, 29(9), 1050-1055. DOI : 10.1016/j.midw.2012.10.001
  5. J. L. Barkin, K. L. Wisner, J. T. Bromberger, S. R. Beach, M. A. Terry & S. R. Wisniewski. (2010). Development of the Barkin Index of Maternal Functioning. J Womens Health, 19(12), 2239-2246. DOI : 10.1089=jwh.2009.1893 https://doi.org/10.1089=jwh.2009.1893
  6. J. L. Barkin, K. L. Wisner & S. R. Wisniewski. (2014). The Psychometric Properties of the Barkin Index of Maternal Functioning. J Obstet Gynecol Neonatal Nurs, 43(6), 792-802. DOI : 10.1111/1552-6909.12505
  7. M. Mirghafourvand, J. L. Barkin, M. A. Jafarabadi, F. Karami & S. Ghanbari-Homayi. (2019). The Psychometric Properties of the Barkin Index of Maternal Functioning (BIMF) for the Iranian Population. BMC Womens Health, 19(1), 1-8. DOI : 10.1186/s12905-019-0859-2
  8. J. L. Barkin, K. L. Wisner, J. T. Bromberger, S. R. Beach & S. R. Wisniewski. (2016). Factors Associated with Postpartum Maternal Functioning in Women with Positive Screens for Depression. J Womens Health, 25(7), 707-713. DOI : 10.1089/jwh.2015.5296
  9. J. L. Barkin, A. McKeever, B. Lian &, S. R. Wisniewski. (2017). Correlates of Postpartum Maternal Functioning in A Low-income Obstetric Population. J Am Psychiatr Nurses Assoc., 23(2), 149-158. DOI : 10.1177/1078390317696783
  10. K. G. Williams, K. T. Patel, J. M. Stausmire, C. Bridges, M. W. Mathis & J. L. Barkin. (2018). The Neonatal Intensive Care Unit: Environmental Stressors and Supports. Int J Environ Res Public Health, 15(1), 60. DOI : 10.3390/ijerph15010060
  11. J. L. Barkin et al. (2019). Maternal Functioning and Depression Scores Improve Significantly with Participation in Visiting Moms® Program. J Am Psychiatr Nurses Assoc, 27(1), 54-63. DOI : 10.1177/1078390319877444
  12. S. Gholizadeh Shamasbi, J. L. Barkin, S. Ghanbari-Homayi, O. Eyvazzadeh & M. Mirghafourvand. (2020). The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women. Int J Environ Res Public Health, 17(5), 1558. DOI : 10.3390/ijerph17051558
  13. F. Karami Chamgurdani, J. L. Barkin, C. L. Curry & M. Mirghafourvand. (2020). Comparison of Maternal Functioning between Iranian Mothers with and without Depressive Symptoms: a case-control study. Int J Environ Res Public Health, 17(10), 3350. DOI : 10.3390/ijerph17103350
  14. A. M. Albanese, P. A. Geller, J. M. Steinkamp & J. L. Barkin. (2020). In Their Own Words: A Qualitative Investigation of the Factors Influencing Maternal Postpartum Functioning in the United States. Int J Environ Res Public Health, 17(17), 6021. DOI : 10.3390/ijerph17176021
  15. J. L. Barkin. J. R. Bloch, K. C. Hawkins & T. S. Thomas. (2014). Barriers to Optimal Social Support in the Postpartum Period. J Obstet Gynecol Neonatal Nurs, 43(4), 445-454. DOI : 10.1111/1552-6909.12463
  16. J. E. Song & J. M. Ko. (2016). Influencing Factors on Maternal Role Adjustment Among the Primipara Women in the First Year after Childbirth. J Korean Soc Matern Child Health., 20(3), 284-296. DOI : 10.21896/jksmch.2016.20.3.284
  17. H. J. Seo, J. E. Song, Y. Lee & J. A. Ahn. (2020). Effects of Stress, Depression, and Spousal and Familial Support on Maternal Identity in Pregnant Women. Korean J Women Health Nurs, 26(1), 84-92. DOI : 10.4069/kjwhn.2020.03.17
  18. J. Y .Lee & H. Y. Kim. (2017). Development and Validation of A Postpartum Care Mobile Application for First-time Mothers. Korean J Women Health Nurs, 23(3), 210-220. DOI : 10.4069/kjwhn.2017.23.3.210
  19. H. Woolhouse, J. James, D. Gartland, E. McDonald & S. J. Brown. (2016). Maternal Depressive Symptoms at Three Months Postpartum and Breastfeeding Rates at Six Months Postpartum: Implications for Primary Care in A Prospective Cohort Study of Primiparous Women in Australia. Women and Birth, 29(4), 381-387. DOI : 10.1016/j.wombi.2016.05.008
  20. Committee on Obstetric Practice. (2015). The American college of obstetricians and gynecologists committee opinion no. 630. Screening for perinatal depression. Obstet Gynecol, 125(5), 1268-1271. DOI : 10.1097/01.aog.0000465192.34779.dc
  21. A. Kizilirmak, P. Calpbinici, G. Tabakan & B. Kartal. (2020). Correlation between Postpartum Depression and Spousal Support and Factors Affecting Postpartum Depression. Health Care Women Int, 1-15. DOI : 10.1080/07399332.2020.1764562
  22. H. K. Jo & H. S. Lim. (2019). The Influence of Social Support on Married Immigrant Women's Self-esteem, Depression, Stress. J Korea Acad Industr Coop Soc, 20(12), 456-467. DOI : 10.5762/KAIS.2019.20.12.456
  23. World Health Organization. (2020). Process of translation and adaptation of instruments [Online]. http://www.who.int/substance_abuse/research_tools/translation/en/.
  24. J. L. Cox, J. M. Holden & R, Sagovsky. (1987). Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry, 150(6), 782-786. DOI : 10.1192/BJP.150.6.782
  25. J. I. Kim. (2006). A Validation Study on the Translated Korean Version of the Edinbergh Postnatal Depression scale. Korean J Women Health Nurs, 12(3), 204-209. https://doi.org/10.4069/kjwhn.2006.12.3.204
  26. S. Baek, S. Jung, S. Kim, S. Kim & H. Yu H. (2018). Postpartum Anger: A Narrative Review. Korean Parent-Child Health J, 21(1), 28-38.
  27. J. Slomian, G. Honvo, P. Emonts, J. Y. Reginster & O. Bruyere. (2019). Consequences of Maternal Postpartum Depression: A Systematic Review of Maternal and Infant Outcomes. Women's Health, 15, 1-55. DOI : 10.1177/1745506519844044
  28. M. Coulson, H. Skouteris & C. Dissanayake. (2012). The role of Planning, Support, and Maternal and Infant Factors in Women's Return to Work after Maternity Leave. Family Matters, (90), 33-44. DOI : 10.3316/ielapa.789710829604381
  29. L. Abushaikha, R. Safadi & Ahmad M. (2018). Assessing the Association between Fatigue and Functional Status during Postpartum. Sexual & Reproductive Healthcare, 18, 19-23. DOI : 10.1016/j.srhc.2018.08.005
  30. Y. Sanli & S. Oncel. (2014). Evaluation of the Functional Status of Women after Their Delivery of Child Factors Affecting It. Birth, 10(11), 18. DOI : 10.5505/tjod.2014.82574
  31. Y. L. Lai, C. H. Hung, J. Stocker, T. F. Chan & Y Liu. (2015). Postpartum Fatigue, Baby-care Activities, and Maternal-infant Attachment of Vaginal and Cesarean Births Following Rooming-in. Appl Nurs Res, 28(2), 116-120. DOI : 10.1016/j.apnr.2014.08.002
  32. H. Xu, Y. Ding, Y. Ma, X, Xin & D. Zhang. (2017). Cesarean Section and Risk of Postpartum Depression: A Meta-Analysis. J Psychosom Res, 97, 118-126. DOI : 10.1016/j.jpsychores.2017.04.016
  33. T. Kuhlmann, M. Dantlgraber & U. D. Reips. (2017). Investigating Measurement Equivalence of Visual Analogue Scales and Likert-type Scales in Internet-based Personality Questionnaires. Behav Res Methods, 49(6), 2173-2181. DOI : 10.3758/s13428-016-0850-x
  34. J. Brailovskaia & J. Margraf. (2018). How to Measure Self-esteem with One Item? Validation of the German Single-item Self-esteem Scale (G-SISE). Current Psychol, 1-11. DOI : 10.1007/s12144-018-9911-x