Ju-Eun Song; Bo-Lim Park

doi:10.4040/jkan.2010.40.4.503

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Original Article
The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities: Ju-Eun Song, Bo-Lim Park; Journal of Korean Academy of Nursing 2010;40(4):503-514.
DOI: https://doi.org/10.4040/jkan.2010.40.4.503
Published online: August 31, 2010

¹Assistant Professor, Department of Nursing, Dankook University, Cheonan, Korea.

²Director, Park Bo Lim International Board of Lactation Consultant's Clinic, Cheonan, Korea

Address reprint requests to: Song, Ju-Eun. Department of Nursing, Dankook University, Anseo-dong, Cheonan 330-714, Korea. Tel: 82-41-550-3987, Fax: 82-41-550-3888, songje@dankook.ac.kr

• Received: May 7, 2010 • Accepted: August 9, 2010

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not.
Methods
The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program.
Results
There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower.
Conclusion
Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.
Keywords: Sanhujori facility; Fatigue; Depression; Psychological stress; Primiparity

This work was supported by the Korea Research Foundation Grant funded by the Korean Government (KRF-2008-331-E00399).

REFERENCES

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Figure 1

Research framework.

Table 1

Homogeneity Test of General Characteristics and Study Variables Between Two Groups

NSVD=Normal Spontaneous Vaginal Delivery.

Table 2

Changing Pattern of Postpartum Fatigue Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Table 3

Changing Pattern of Postpartum Depression Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1<T3<T2 (Bonferroni adjusted p<.017).

Table 4

Changing Pattern of Childcare Stress Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Time contrast paired t-test : T1, T3<T2 (Bonferroni adjusted p<.017).

Table 5

Changing Pattern of Maternal Identity Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1, T2<T3 (Bonferroni adjusted p<.017).

Figure & Data

REFERENCES

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The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

J Korean Acad Nurs. 2010;40(4):503-514. Published online August 31, 2010

DOI: https://doi.org/10.4040/jkan.2010.40.4.503

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The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

Figure 1 Research framework.

Figure 1

The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

Table 1

Homogeneity Test of General Characteristics and Study Variables Between Two Groups

NSVD=Normal Spontaneous Vaginal Delivery.

Table 2

Changing Pattern of Postpartum Fatigue Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Table 3

Changing Pattern of Postpartum Depression Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1<T3<T2 (Bonferroni adjusted p<.017).

Table 4

Changing Pattern of Childcare Stress Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Time contrast paired t-test : T1, T3<T2 (Bonferroni adjusted p<.017).

Table 5

Changing Pattern of Maternal Identity Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1, T2<T3 (Bonferroni adjusted p<.017).

Table 1 Homogeneity Test of General Characteristics and Study Variables Between Two Groups

NSVD=Normal Spontaneous Vaginal Delivery.

Table 2 Changing Pattern of Postpartum Fatigue Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Table 3 Changing Pattern of Postpartum Depression Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

Time contrast paired t-test : T1<T3<T2 (Bonferroni adjusted p<.017).

Table 4 Changing Pattern of Childcare Stress Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.

^*Greenhouse-Geisser adjusted p.

Time contrast paired t-test : T1, T3<T2 (Bonferroni adjusted p<.017).

Table 5 Changing Pattern of Maternal Identity Between Two Groups

T1: 2-4 days after childbirth, T2: 4-6 weeks after childbirth, T3: 12-14 weeks after childbirth.