Tanigo Tomomi, Marumoto Sanae, Endo Masayuki
Faculty of Nursing, Osaka Dental University, 11-8 Hanazono-machi, Kuzuha, Hirakata-shi 573-1121, Osaka, Japan.
Division of Health Science, Graduate School of Medicine, Osaka University, 1-7, Yamadaoka, Suita-shi 565-0871, Osaka, Japan.
Healthcare (Basel). 2025 Dec 23;14(1):33. doi: 10.3390/healthcare14010033.
: Mothers expecting a second child experience the parenting of multiple children for the first time, differing from first-time motherhood. This highlights the need for childbirth preparation education tailored to families expecting a second child. Parental self-efficacy influences maternal mental health, child development, and parent-child interactions. This non-randomized pilot exploratory study aimed to examine the association between childbirth preparation education for families expecting a second child and maternal parental self-efficacy at 1-month postpartum, focusing on a family-based, single-session program actively involving firstborn children. : The intervention group (n = 18) received childbirth preparation education during pregnancy and completed questionnaires and semi-structured interviews at 1-month postpartum. The control group (n = 34) completed questionnaires only at 1-month postpartum. Questionnaires included the Parenting Sense of Competence Scale, Rosenberg Self-Esteem Scale, Maternal Attachment Inventory, Edinburgh Postnatal Depression Scale, and demographic information. Semi-structured interviews explored participants' experiences and feelings after attending the childbirth preparation class. Compared to the control group, the intervention group had higher Parenting Sense of Competence Scale scores; mothers in the intervention group reported smoother family-wide adaptation to life with a second child, greater confidence in child-rearing, recognition of the firstborn's growth into an older sibling, and effective use of hands-on experiences from the class. : Childbirth preparation education for families expecting a second child may be associated with higher maternal parental self-efficacy at 1-month postpartum. This association may reflect collective family preparation and adjustment supporting adaptation to life with a second child.
怀第二胎的母亲首次经历多个孩子的养育过程，这与初为人母有所不同。这凸显了为怀第二胎的家庭量身定制分娩准备教育的必要性。父母的自我效能感会影响母亲的心理健康、孩子的发展以及亲子互动。这项非随机试点探索性研究旨在探讨针对怀第二胎家庭的分娩准备教育与产后1个月时母亲的父母自我效能感之间的关联，重点关注一个积极让长子参与的家庭式单节课程。干预组（n = 18）在孕期接受了分娩准备教育，并在产后1个月完成了问卷调查和半结构化访谈。对照组（n = 34）仅在产后1个月完成了问卷调查。问卷包括育儿胜任感量表、罗森伯格自尊量表、母亲依恋量表、爱丁堡产后抑郁量表以及人口统计学信息。半结构化访谈探讨了参与者参加分娩准备课程后的经历和感受。与对照组相比，干预组的育儿胜任感量表得分更高；干预组的母亲报告说，全家对第二个孩子的生活适应更顺利，育儿信心更强，认识到长子成长为哥哥/姐姐，并且有效地利用了课程中的实践经验。针对怀第二胎家庭的分娩准备教育可能与产后1个月时母亲更高的父母自我效能感相关。这种关联可能反映了支持适应有第二个孩子生活的集体家庭准备和调整。
