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

本研究旨在探讨产妇在分娩经历中所看到的价值、母亲认同感的形成和变化，并为预防育儿相关神经症和婴幼儿虐待制定支持计划。调查一以1130名经阴道分娩的母亲(20名双胞胎母亲)为研究对象，在产后1~14天进行书面问卷调查。问卷由《分娩经历自我评定量表》、《母亲认同量表》和《产后抑郁量表》组成，以了解其分娩经历的自我价值与母亲认同感的关系。该调查是在2000年4月至8月期间进行的。调查二对18位多胞胎母亲(双胞胎母亲14人，三胞胎母亲4人)进行了半结构式访谈，目的与第一次调查相同。分娩方式：经阴道分娩3例，剖宫产15例。采访是在1999年1月至9月期间进行的。采访被录制下来，并对转录进行了分析。影响分娩体验评价的因素有孕期保健、分娩知情同意、分娩满意度、婴儿健康状况、产后即时接触、产中及产后妇科医护人员的支持、丈夫的支持。在调查1中，分娩经历的价值越低，她们的母性意识就越不积极，在养育孩子方面也就越不积极。有多个孩子的母亲更有可能经历异常分娩。因此，有必要支持他们，使他们能够从他们的交付经验中找到积极的价值。

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.