Tsai Shuo-Shin, Wang Hsiu-Hung
College of Nursing, Kaohsiung Medical University and Department of Nursing, Chung-Jen Junior College of Nursing, Health Sciences and Management, Taiwan.
College of Nursing, Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., San-Ming District, Kaohsiung City 80708, Taiwan.
Midwifery. 2019 Jul;74:6-13. doi: 10.1016/j.midw.2019.03.007. Epub 2019 Mar 18.
Zuò yuèzi, or 'doing the month', is a postpartum tradition among ethnically Chinese women, and the purpose is to restore the organ and endocrine function of the mother's body to normal. The period for 'doing the month' is generally between 30 and 40 days postpartum, and some problems in the establishment of the mother-child relationship and adaptation to motherhood may occur during this period. Yet, this is an easily often-ignored period for caring. This "doing the month" period refers to the Chinese postnatal confinement of the nursing mother for one month immediately following the birth of the child, known as zuò yuè zi and has many strict traditional guidelines. There are even specialty private women's "hospitals" set up for the one-month stay catering to the nursing mother, though new mothers may also experience the postpartum period at home with home or family relative care.
To explore the transition to motherhood and the role of the feelings and experiences of primipara 'doing the month' period.
A qualitative research methodology was utilized to conduct the research. In-depth interviews were conducted.
The study was conducted in a zuò yuè zi area in Taiwan, from March 2016 to March 2017.
Twenty healthy primiparas were recruited using a purposive sampling method, a snowball sampling method, and were interviewed during 'doing the month' period.
The change from being a childless adult to being a mother experienced by the participants during 'doing the month' period was divided into two themes: 'Motherhood burden' and 'Motherhood adaptation'. 'Motherhood burden' contained the following subthemes: 'motherhood stereotypes', 'fatigue', and 'frustration'. By contrast, motherhood adaptation contained the following subthemes: 'compromising in the face of reality' and 'being practical and realistic'.
Two of the challenges of role transition around women's experiences of initiating breastfeeding for the first time during 'doing the month' period are psychological burden and acceptance of maternal responsibilities. Therefore, the needs of primiparous women transitioning to motherhood during 'doing the month' period must be considered to ensure that such women are sufficiently prepared and competent as mothers and to promote the establishment of mother-child relationships.
坐月子，即“坐月”，是华裔女性的产后传统习俗，目的是使母亲身体的器官和内分泌功能恢复正常。“坐月子”的时间一般在产后30至40天，在此期间可能会出现一些母婴关系建立和适应母亲角色方面的问题。然而，这是一个容易被忽视的护理时期。这个“坐月子”时期指的是产妇在孩子出生后立即进行为期一个月的产后调养，称为“坐月子”，有许多严格的传统准则。甚至有为产妇设立的专门的私立“月子中心”供其入住，不过新妈妈也可以在家中由家人照顾度过产后期。
探讨初产妇向母亲角色的转变以及“坐月子”期间感受和经历的作用。
采用定性研究方法进行研究。进行了深入访谈。
该研究于2016年3月至2017年3月在台湾的一个坐月子地区进行。
采用目的抽样法和滚雪球抽样法招募了20名健康初产妇，并在她们“坐月子”期间进行了访谈。
参与者在“坐月子”期间从无子女的成年人转变为母亲的过程分为两个主题：“母亲负担”和“母亲角色适应”。“母亲负担”包含以下子主题：“母亲刻板印象”、“疲惫”和“挫败感”。相比之下，母亲角色适应包含以下子主题：“面对现实做出妥协”和“务实与实际”。
在“坐月子”期间，初产妇首次开始母乳喂养时，角色转变面临的两个挑战是心理负担和对母亲责任的接受。因此，必须考虑初产妇在“坐月子”期间向母亲角色转变的需求，以确保这些女性为成为母亲做好充分准备并胜任这一角色，并促进母婴关系的建立。
