Hung Chich-Hsiu
College of Nursing, Kaohsiung Medical University, and Department of Nursing, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2006 Oct;22(10):500-7. doi: 10.1016/S1607-551X(09)70344-4.
The purpose of this study was to examine first-time mothers' postpartum stress and its correlates following discharge from the hospital or clinic after vaginal delivery. One hundred and eighty-three first-time mothers were enrolled from hospitals and clinics in Kaohsiung City. All first-time mothers reported normal pregnancies and vaginal deliveries, delivered healthy infants at term, and were surveyed during their postpartum periods after discharge from hospitals or clinics. The Hung Postpartum Stress Scale was used to examine first-time mothers' postpartum stress and stressors during their postpartum periods. The top ten postpartum stressors perceived by the women were: "the baby getting sick suddenly", "the flabby flesh of my belly", "the unpredictability of the baby's schedule", "interrupted sleep", "the shape of the baby's head due to the sleeping position", "not sleeping enough", "lack of information regarding infant's growth and development", "the baby's crying", "my life is restricted", and "the baby choking during feeding". There were no significant differences between the first-time mothers' demographic characteristics and their postpartum stress and its three components (negative body changes, maternal role attainment, lack of social support), respectively. Insight into the study results of first-time mothers' postpartum stress and stressors provides a reference for health professionals that the development of programs and resources addressing primiparous women's unique needs are required.
本研究的目的是调查初产妇在阴道分娩后从医院或诊所出院后的产后压力及其相关因素。从高雄市的医院和诊所招募了183名初产妇。所有初产妇均报告妊娠和阴道分娩正常,足月分娩健康婴儿,并在从医院或诊所出院后的产后期间接受调查。使用洪氏产后压力量表来调查初产妇在产后期间的产后压力和压力源。女性感知到的十大产后压力源为:“宝宝突然生病”、“我的腹部赘肉”、“宝宝作息不可预测”、“睡眠中断”、“因睡姿导致宝宝头型”、“睡眠不足”、“缺乏有关婴儿生长发育的信息”、“宝宝哭闹”、“我的生活受到限制”以及“宝宝喂奶时呛到”。初产妇的人口统计学特征与其产后压力及其三个组成部分(身体负面变化、母亲角色适应、缺乏社会支持)之间分别无显著差异。深入了解初产妇产后压力和压力源的研究结果,为健康专业人员提供了参考,即需要制定满足初产妇独特需求的项目和资源。