Korean J Women Health Nurs.  2011 Mar;17(1):52-63. 10.4069/kjwhn.2011.17.1.52.

Effects of Maternal Role Practice Education on Becoming a Mother

• Chea HJ
• Kim S

• KMID: 2308209
• DOI: http://doi.org/10.4069/kjwhn.2011.17.1.52

Abstract

PURPOSE
The purpose of this study was to investigate the effects of education and practice of the maternal role and becoming a mother using the concepts of self-confidence in caring, maternal attachment, and maternal identity.
METHODS
A non-equivalent control group non-synchronized design was used. Data was collected with the use of self-administered questionnaires from November 2007 to April, 2008. A total of 54 women at a Sanhujoriwon (postpartum care center) participated in the study. The experimental group consisted of 26 women (Nov-Dec), whereas the control group had 28 women (Feb-Apr). Education and practice on the maternal role was given individually and consisted of explanations, demonstrations and practice on breast feeding (day1 to 3), maternal attachment (day 8 to 9), bathing (day 10 to 11) and infant healthcare (day 13 to 14). The experimental group received education and practice on the maternal role while the control group received routine education only.
RESULTS
Data collection was done using pre and post questionnaires at admission and fourteen days later. The experimental group showed significant increases in self-confidence in caring (t=-3.31, p=.002) and maternal identity (t=-2.16, p=.036) compared to the control group.
CONCLUSION
Education and practice on the maternal role and being a mother was an effective intervention in increasing self-confidence in caring and maternal identity.

Keyword

Role; Practice; Education; Postpartum

MeSH Terms

Baths
Breast Feeding
Data Collection
Delivery of Health Care
Female
Humans
Infant
Mothers
Postpartum Period
Surveys and Questionnaires

Reference

1. Ahn Y.M., Lee S.M. The effects of integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and postpartum depression in the mothers of high risk infants. Korean Journal of Child Health Nursing. 2004. 10:340–349.

2. Beck C.T. Predictors of postpartum depression: An update. Nursing Research. 2001. 50:275–285.

3. Cho E.A. Education needs and education satisfaction of users in the post-partum care center. 2002. Gwangju: Chosun University;Unpublished master's thesis.

4. Cho K.J., Jung Y., Paik S.N. The educational needs and satisfactory about infant care of the mothers in the post-partum care center. Korean Journal of Child Health Nursing. 2000. 6:344–353.

5. Cho K.J., Lee K.J., Lee O.J. The effect of educational program on caring-confidence and rearing attitude in mothers with newborns. Korean Journal of Child Health Nursing. 1999. 5:84–96.

6. Cohen J. Statistical power analysis for behavioral sciences. 1988. New York: Academic Press.

7. Han K.E. The relationship of maternal self-esteem and maternal sensitivity with mother-to-infant attachment. 2001. Seoul: Hanyang University;Unpublished master's thesis.

8. Jang Y.S. Effects of a maternal role promotion program for mothers of premature infants on maternal role strain, maternal role confidence and maternal identity. Korean Journal of Child Health Nursing. 2005. 11:472–480.

9. Joo H.S., Seo Y.J., Lee K.S., Kim C.B. A comparative study of maternal satisfaction with the mode of newborn care education - Video tape vs. verbal -. Journal of Korean Society of Quality Assurance in Health Care. 2001. 8(2):160–172.

10. Kim H.K., Jeong I.S. Effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum carecenter. Journal of Korean Academy of Nursing. 2007. 37:125–134.

11. Kim H.W., Hwang M.S., Hong K.J. Primipara's maternal identity & self confidence for caring the baby during the immediate postpartum period. Korean Journal of Women Health Nursing. 1998. 4:65–77.

12. Kim T.I. Development and test of effectiveness of a prenatal parental role education program. Korean Journal of Child Health Nursing. 2006. 12:104–113.

13. Koh H.J. The relationship between role strain and identity in first-time mothers with regard to employment status. 1996. Seoul: Ewha Womans University;Unpublished doctoral dissertation.

14. Koniak-Griffin D., Verzemnieks I. Effects of nursing intervention on adolescents' maternal role attainment. Issues in Comprehensive Pediatric Nursing. 1991. 14:121–138.

15. Lee E.S. A study on the relationship between the primiparous' self confidence on the maternal role and the sensitivity in mother-infant interactions on the feeding context. 1987. Seoul: Ewha Womans University;Unpublished doctoral dissertation.

16. Lee J.H. The effect of a childcare education for first-mothers on newborn care behavior and confidence in maternal role. Korean Journal of Women Health Nursing. 1998. 4:322–331.

17. Lee S.B. A study on the nursing needs and service satisfaction of postpartal women in the postpartum care center. Inje Medical Journal. 2006. 27:77–86.

18. McGrath J.M., Records K., Rice M. Maternal depression and infant temperament characteristics. Infant Behavior and Development. 2008. 31:71–80.

19. Mercer R.T., Walker L.O. A review of nursing interventions to foster becoming a mother. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2006. 35:568–582.

20. Mercer R.T. Becoming a mother versus maternal role attainment. Journal of Nursing Scholarship. 2004. 36:226–232.

21. Muller M.E. Development of the prenatal attachment inventory. Western Journal of Nursing Research. 1993. 15(2):199–211.

22. Oh H.E., Sim J.S., Kim J.S. The effects of prenatal education on primiparas' perception of delivery experience, self-confidence and satisfaction in maternal role performance. Korean Journal of Women Health Nursing. 2002. 8(2):268–277.

23. Pharis M.E. Age and sex difference in expectations for infants and the parenting among couples in a first pregnancy and among university students. 1978. Austin, USA: University of Texas;Unpublished doctoral dissertation.

24. Ryu K.H., Chang K.H., Han S.S. Effects of maternity education before discharge on postpartum self-care and newborn baby care. Journal of the Korean Public Health Association. 2003. 29:230–238.

25. Seo Y.M. The effects of education program on primipara's knowledge, confidence and accuracy of behavior in newborn care. Journal of Korean Academy of Nursing. 1998. 28:1060–1074.

26. Sim K.S., Koh H.J., Lim K.H. A study on the educational needs of the mothers for the infant care. Journal of the Korean Society of Maternal and Child Health. 2002. 6:287–297.

27. Song J.E., Chang S.B., Kim S. Childcare stress, postpartum depression, and postpartum fatigue between who used and not used Sanhujori facility. Journal of the Korean Society of Maternal and Child Health. 2008. 12(1):33–45.

28. Walker L.O. Investigating the semantic properties of two concepts. 1977. University of Texas;Unpublished manuscript.

29. Walker L.O., Montgomery E. Maternal identity and role attainment: Long-term relations to children's development. Nursing Research. 1994. 43(2):105–110.

30. Zabielski M.T. Recognition of maternal identity in preterm and fullterm mothers. Maternal-Child Nursing Journal. 1994. 22(1):2–36.