Influence of older primiparity on childbirth, parenting stress, and mother-child interaction
Influence of older primiparity on childbirth, parenting stress, and mother-child interaction
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DOI：
10.1111/jjns.12110
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发表时间：
2016-04-01
影响因子：
1.7
通讯作者：
Hirose, Taiko
中科院分区：
文献类型：
--
作者：
Sonobe, Mami;Usui, Masami;Hirose, Taiko
日本 35 岁及以上的 AimDelivery 有所增加。虽然有很多关于产科风险和高龄分娩的研究，但很少有研究涉及出生后的育儿问题。本研究旨在了解高龄初产妇在育儿、养育压力和母子互动方面的特征与年轻妈妈有何不同。方法研究对象为35岁及以上的初产妇和20-29岁的初产妇；全部在医院分娩。调查问卷在产后住院期间以及产后 3 个月、1 年和 2 年家访期间分发。使用护理儿童评估教学量表（NCATS）评估家访期间的母子互动。结果在研究结束时，老年组包括 13 名初产妇，对照组包括 7 名初产妇。一些年龄较大的初产妇采用了生育治疗和剖腹产术，但20多岁的初产妇两者都没有采用。在抑郁、心理健康、网络规模以及白天或夜间喂食次数方面没有显着差异。统计学上显着的差异如下。年龄较大的初产妇经历了更多的社会孤立和整体压力，他们的孩子在 3 个月时表现出更大的过敏/缺乏适应能力。年长的母亲更有可能表示，孩子在孩子出生后 1 岁和 2 岁时几乎没有做出什么努力来取悦她们。根据观察，年龄较大的初产妇获得了较高的 NCATS 看护者分数，但 20 多岁的初产妇的孩子获得了较高的儿童分数。 结论 母亲和儿童保育专家应该认识到，年龄较大的初产妇与孩子的互动更友好，但养育压力也更大。
AimDelivery at 35 years and above has increased in Japan. While there is much research concerning obstetrical risk and delivery at advanced age, little research addresses child-rearing after birth. This study seeks to identify how older primiparas' characteristics of child-rearing, parenting stress, and mother-child interaction differ from those of younger mothers.MethodsParticipants were primipara women aged 35 years and above and primiparas aged 20-29 years; all delivered in the hospital. Questionnaires were distributed during hospitalization after birth and during home visits at 3 months, 1 year, and 2 years post-partum. Mother-child interactions during home visits were assessed using the Nursing Child Assessment Teaching Scale (NCATS).ResultsThe older group included 13 primiparas, and the control group included seven primiparas at the study's end. Some older primiparas used fertility treatment and cesarean section, but primiparas in their 20s used neither. There were no significant differences in terms of depression, psychological health, size of networks, and number of daytime or night-time feedings. Statistically significant differences were as follows. Older primiparas experienced more social isolation and overall stress, and their children exhibited greater hypersensitivity/lack of adaptability at 3 months. Older mothers were more likely to report little effort by their children to please them at 1 and 2 years after birth. Under observation, older primiparas received higher NCATS caregiver scores, but children of primiparas in their 20s received higher child scores.ConclusionMothers and child-care specialists should recognize that older primiparas interact more favorably with their children, but have more parenting stress.