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Self-value about childbirth experience of twins and triplets mothers and their development of maternal identity

双、三胞胎母亲分娩经历的自我价值及其母性认同的发展

基本信息

批准号：
10672233
负责人：
YOKO Tokiwa
金额：
$ 2.05万
依托单位：
Gunma University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1998
资助国家：
日本
起止时间：
1998 至 2000
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-10672233/
关键词：
maternal identity development of maternal identity childbirth experience self-value of delivery experience twins and triplets mothers multiple pregnancy 価値づけ多胎

项目摘要

This study aims at identifying the value the mothers see in their experience of delivery and the formation and the change of maternal identity and at developing a support plan to prevent child rearing related neurosis and infant/child abuse.In survey 1, the subjects were 1130 mothers of transvaginal delivery (20 mothers with twins) and written questionnaire survey was conducted between postpartum day 1 and day 14. The questionnaire was composed of "self evaluation scale of delivery experience", "maternal identity scale" and "postpartum depression scale" to find the relationship between their self-value of delivery experience and their maternal identity. The survey was performed between April and August 2000. It was indicated that the lower the value they gave to their experience of delivery, the less positive their maternal identity was at early postpartum period.In survey 2, the semi constitutive interview was performed on 18 mothers with multiple babies (14 mothers of twins and 4 mothers of triplets) for the same purpose as in the first survey. The mode of delivery was transvaginal (3) and caesarian section (15). The interview was given between January and September of 1999. The interview was tape recorded and the transcription was analyzed. The factors found to be affecting the evaluation of delivery experience were health maintenance during pregnancy, informed consent for the delivery, satisfaction about the delivery, health status of the babies, immediate contact with the babies after delivery, the support given by gynecology staffs during and after delivery, and the support of the husbands. As in survey 1, the lower the value for their delivery experience, the less positive their motherhood awareness was and the less positive they were in child rearing.Mothers with multiple babies are more likely to experience abnormal delivery. It is therefore necessary to support them so that they can find positive value in their experience of delivery.

本研究旨在确定母亲在分娩经历中所看到的价值，以及母亲身份的形成和变化，并制定一项支持计划，以预防与儿童养育有关的神经症和婴儿/儿童虐待。调查1选取经阴道分娩的母亲1130名（其中有双胞胎的母亲20名），于产后第1天至第14天进行书面问卷调查。问卷由“分娩体验自我评价量表”、“产妇认同量表”和“产后抑郁量表”组成，寻找产妇分娩体验自我价值与产妇认同的关系。这项调查是在二零零零年四月至八月期间进行的。结果表明，产后早期产妇对分娩经历的评价越低，其产妇认同的积极程度越低。在调查2中，为了与第一次调查相同的目的，对18名多胞胎母亲（14名双胞胎母亲和4名三胞胎母亲）进行了半构成性访谈。分娩方式为经阴道分娩3例，剖宫产15例。这次采访是在1999年1月到9月之间进行的。这次采访被录音并进行了分析。影响分娩体验评价的因素有：孕期健康维护、分娩知情同意、分娩满意度、婴儿健康状况、分娩后与婴儿的直接接触、分娩期间和分娩后妇科工作人员给予的支持以及丈夫的支持。在调查1中，分娩经验值越低，她们的母性意识越不积极，她们的育儿态度越不积极。有多胞胎的母亲更有可能出现异常分娩。因此，有必要支持他们，使他们能够在他们的交付经验中找到积极的价值。