Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous

Background: Postpartum is a significant transition period for women and could be markedly stressful. Postpartum stress is a well-established risk factor for poor parenting practices and inadequate mother-infant interaction. Objectives: The present study aimed to assess adaptation to motherhood and...

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Main Authors: Hamzehgardeshi Z, Shahhosseini Z, Moosazadeh M, rezaeekalantari R, Hajizade-valokolaee M
Format: Article
Language:English
Published: Zanjan University of Medical Sciences and Health Services 2018-10-01
Series:Preventive Care in Nursing and Midwifery Journal
Subjects:
Online Access:http://zums.ac.ir/nmcjournal/article-1-527-en.pdf
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author Hamzehgardeshi Z
Shahhosseini Z
Moosazadeh M
rezaeekalantari R
Hajizade-valokolaee M
author_facet Hamzehgardeshi Z
Shahhosseini Z
Moosazadeh M
rezaeekalantari R
Hajizade-valokolaee M
author_sort Hamzehgardeshi Z
collection DOAJ
description Background: Postpartum is a significant transition period for women and could be markedly stressful. Postpartum stress is a well-established risk factor for poor parenting practices and inadequate mother-infant interaction. Objectives: The present study aimed to assess adaptation to motherhood and its influential factors in the first year postpartum in Iranian women. Methods: This cross-sectional study was performed in an urban area in the north of Iran. Inclusion criteria were age of more than 18 years, primiparous women, having healthy children in less than one year postpartum, Persian literacy, and willingness to participate in the research. Ill and disabled women, those with a history of depression, and high-risk pregnancies were excluded from the study. Convenience sampling was employed in seven health centers, and 536 subjects were selected. Data were collected using the scale of the experiences of Iranian first-time mothers in maternal role adaptation and demographic questionnaires. Data analysis was performed using descriptive statistics and regression and ordinal logistic regression. Results: None of the women had poor adaptation to motherhood. In addition, 2.6% of the subjects had average adaptation, 78.8% had good adaptation, and 18.6% had excellent adaptation. According to the logistic regression results, favorable economic status increased the possibility of appropriate adaptation by twice (OR=2.03; CI: 1.3-3.004; P<0.001). Conclusion: Provision of proper counseling services requires the recognition of the influential factors in adaptation to motherhood. According to the results, adaption of women to motherhood in the first year postpartum largely depends on the economic support of the mother and infant.
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spelling doaj.art-2a645d00b12f4aa9ba5e544072967bf72022-12-22T00:36:49ZengZanjan University of Medical Sciences and Health ServicesPreventive Care in Nursing and Midwifery Journal2588-44412588-445X2018-10-017419Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian PrimiparousHamzehgardeshi Z0Shahhosseini Z1Moosazadeh M2rezaeekalantari R3Hajizade-valokolaee M4PhD. Dept. of Reproductive Health and Midwifery, Associate Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran PhD. Dept. of Reproductive Health and Midwifery, Associate Professor, Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran PhD. Epidemiologist, Assistant professor, Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran MSc, Dept. of Psychology, Sari Bransh Islamic Azad University, Sari, IranMSc. Dept. of Counseling in Midwifery, Student Research Committee, Mazandaran University of Medical Sciences, Sari, IranBackground: Postpartum is a significant transition period for women and could be markedly stressful. Postpartum stress is a well-established risk factor for poor parenting practices and inadequate mother-infant interaction. Objectives: The present study aimed to assess adaptation to motherhood and its influential factors in the first year postpartum in Iranian women. Methods: This cross-sectional study was performed in an urban area in the north of Iran. Inclusion criteria were age of more than 18 years, primiparous women, having healthy children in less than one year postpartum, Persian literacy, and willingness to participate in the research. Ill and disabled women, those with a history of depression, and high-risk pregnancies were excluded from the study. Convenience sampling was employed in seven health centers, and 536 subjects were selected. Data were collected using the scale of the experiences of Iranian first-time mothers in maternal role adaptation and demographic questionnaires. Data analysis was performed using descriptive statistics and regression and ordinal logistic regression. Results: None of the women had poor adaptation to motherhood. In addition, 2.6% of the subjects had average adaptation, 78.8% had good adaptation, and 18.6% had excellent adaptation. According to the logistic regression results, favorable economic status increased the possibility of appropriate adaptation by twice (OR=2.03; CI: 1.3-3.004; P<0.001). Conclusion: Provision of proper counseling services requires the recognition of the influential factors in adaptation to motherhood. According to the results, adaption of women to motherhood in the first year postpartum largely depends on the economic support of the mother and infant.http://zums.ac.ir/nmcjournal/article-1-527-en.pdfadaptationpsychologicalmother-child interactionchildbirthprimiparous
spellingShingle Hamzehgardeshi Z
Shahhosseini Z
Moosazadeh M
rezaeekalantari R
Hajizade-valokolaee M
Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
Preventive Care in Nursing and Midwifery Journal
adaptation
psychological
mother-child interaction
childbirth
primiparous
title Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
title_full Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
title_fullStr Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
title_full_unstemmed Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
title_short Adaptation to Motherhood and Its Influential Factors in the First Year Postpartum in Iranian Primiparous
title_sort adaptation to motherhood and its influential factors in the first year postpartum in iranian primiparous
topic adaptation
psychological
mother-child interaction
childbirth
primiparous
url http://zums.ac.ir/nmcjournal/article-1-527-en.pdf
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AT shahhosseiniz adaptationtomotherhoodanditsinfluentialfactorsinthefirstyearpostpartuminiranianprimiparous
AT moosazadehm adaptationtomotherhoodanditsinfluentialfactorsinthefirstyearpostpartuminiranianprimiparous
AT rezaeekalantarir adaptationtomotherhoodanditsinfluentialfactorsinthefirstyearpostpartuminiranianprimiparous
AT hajizadevalokolaeem adaptationtomotherhoodanditsinfluentialfactorsinthefirstyearpostpartuminiranianprimiparous