Premium
Factors affecting maternal confidence and satisfaction in older Japanese primiparae during postpartum hospital stay
Author(s) -
Maehara Kunie,
Mori Emi,
Tsuchiya Miyako,
Iwata Hiroko,
Sakajo Akiko,
Tamakoshi Koji
Publication year - 2016
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12435
Subject(s) - medicine , confidence interval , logistic regression , feeling , patient satisfaction , pregnancy , obstetrics , postpartum period , singleton , stepwise regression , nursing , psychology , social psychology , biology , genetics
The purpose of this study was to identify factors affecting maternal confidence and satisfaction in older Japanese primiparae during their postpartum hospital stay. Participants were Japanese primiparae (age ≥ 35) who delivered live singleton infants ( n = 479). Questionnaires completed 1 day before discharge from hospital included the Postpartum Maternal Confidence Scale and the Postpartum Maternal Satisfaction Scale. Data were analysed using stepwise multiple regression for maternal confidence and stepwise logistic regression for maternal satisfaction, after controlling for delivery mode. Maternal confidence was negatively affected by feeling overwhelmed by postpartum routines, needing a longer time for feeding, and a pregnancy with complications. Satisfaction with the birth experience and a longer rooming‐in period were related to greater maternal satisfaction. Lack of prior experiences with caring for babies and lack of communication with their partner about parenting role were also associated with lower confidence and satisfaction. These findings provide an important framework for nurses to teach and counsel older first‐time mothers.