Li Feng-Ying, Zhong Ming-Hua
Maternal and Child Health Care Hospital of Xigu District, Lanzhou City, Gansu Province, China.
Department of Obstetrics and Gynecology, People's Hospital of Xigu District, Lanzhou City, Gansu Province, China.
Medicine (Baltimore). 2025 Jun 27;104(26):e42471. doi: 10.1097/MD.0000000000042471.
The postpartum period presents unique challenges for primiparous mothers, particularly in relation to role adaptation and emotional well-being. Kangaroo Care (KC), defined as skin-to-skin contact between mother and newborn, has demonstrated benefits for neonatal outcomes; however, its impact on maternal psychological health remains less extensively studied. This study aims to evaluate the effects of KC on role adaptation and subjective well-being in primiparous mothers following vaginal delivery, with the goal of identifying its potential as a supportive intervention during the maternal transition. A retrospective study was conducted between January 2020 and December 2023, enrolling 168 primiparous mothers who delivered via vaginal birth. Participants were assigned to either an observation group (n = 80), which received the KC intervention, or a control group (n = 88), which received standard postpartum care. Data were collected using a demographic questionnaire, a Role Adaptation Scale (encompassing role identification, parent-child attachment, and caregiving behavior), and a Subjective Well-Being Scale. Post-intervention scores for role adaptation and subjective well-being were compared between groups. Correlation analysis was also performed to examine the relationship between these 2 variables. Mothers in the KC group exhibited significantly higher scores across all dimensions of role adaptation: role identification (P = .018), parent-child attachment (P < .001), and caregiving behavior (P = .001). Additionally, KC participants reported significantly greater subjective well-being, including improvements in life satisfaction, reduced health concerns, and enhanced mood stability (all P < .001). Pearson correlation analysis revealed a positive association between role adaptation and subjective well-being (R = 0.614, P < .001), suggesting that enhanced adaptation is linked to better emotional outcomes. KC following vaginal delivery significantly improves both role adaptation and subjective well-being in primiparous mothers. The observed positive correlation between these outcomes highlights the potential of KC as an effective intervention for promoting maternal adjustment and emotional health in the postpartum period.
产后时期对初产妇来说面临着独特的挑战，尤其是在角色适应和情绪健康方面。袋鼠式护理（KC），即母亲与新生儿之间的皮肤接触，已被证明对新生儿结局有益；然而，其对产妇心理健康的影响仍缺乏广泛研究。本研究旨在评估KC对阴道分娩后初产妇角色适应和主观幸福感的影响，以确定其作为产妇过渡期间支持性干预措施的潜力。在2020年1月至2023年12月期间进行了一项回顾性研究，招募了168名经阴道分娩的初产妇。参与者被分为观察组（n = 80），接受KC干预，或对照组（n = 88），接受标准产后护理。使用人口统计学问卷、角色适应量表（包括角色认同、亲子依恋和照顾行为）和主观幸福感量表收集数据。比较两组干预后角色适应和主观幸福感的得分。还进行了相关分析以检验这两个变量之间的关系。KC组的母亲在角色适应的所有维度上得分均显著更高：角色认同（P = 0.018）、亲子依恋（P < 0.001）和照顾行为（P = 0.001）。此外，接受KC的参与者报告主观幸福感显著更高，包括生活满意度提高、健康担忧减少和情绪稳定性增强（所有P < 0.001）。Pearson相关分析显示角色适应与主观幸福感之间存在正相关（R = 0.614，P < 0.001），表明适应能力增强与更好的情绪结果相关。阴道分娩后的KC显著改善了初产妇的角色适应和主观幸福感。这些结果之间观察到的正相关突出了KC作为促进产后产妇适应和情绪健康的有效干预措施的潜力。
