The Changing Pattern of Physical and Psychological Health, and Maternal Adjustment Between Primiparas Who Used and Those Who did Not Use Sanhujori Facilities

Abstract

Purpose: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not. Methods: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. Results: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. Conclusion: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.

Bladder Symptoms, Fatigue and Physical Activity in Postpartum Women

“…Therefore, we are unable to draw direct comparisons between this study and previous studies. Previous studies reported that the overall fatigue scores decreased significantly over time in early postpartum women [23,27]. The fatigue score in the 12th week after giving birth in this study was higher than that after 6 months, reported previously [27].…”

“…Postpartum fatigue was assessed using the Modified Fatigue Symptom Checklist (MFSC) [22,23], a 30-item self-report checklist with ordinal response ("very much so", "moderately so", 'somewhat', or "not at all") to measure psychological and physical symptoms of fatigue experienced after giving birth. Possible scores ranged from 30 to 120.…”

Effects of a maternal role adjustment program for first time mothers who use postpartum care centers (Sanhujoriwon) in South Korea: a quasi-experimental study

“…Although childbirth and parenthood is a family-centered phenomenon and family centered care is widely recognized as the global standard of care during the postpartum period [7][8][9], rooming-in is not currently the norm within Sanhujoriwon [6,10]. Not surprisingly, this environment is associated with decreased breastfeeding success and increased parental stress after discharge from Sanhujoriwon [10,11]. According to a national survey in 2018 regarding Sanhujoriwon use, only 3% of postpartum women using Sanhujoriwon "roomed in" with their infants for 24 h and the average daily time spent with infants was only 4.2 h [6].…”

“…Many mothers view their postpartum stay within the Sanhujoriwon as an opportunity for rest and recovery without parenting responsibilities [11]. Therefore many mothers in Sanhujoriwon do not desire to room-in and are separated from their babies most of the time [10,11].…”

“…Many mothers view their postpartum stay within the Sanhujoriwon as an opportunity for rest and recovery without parenting responsibilities [11]. Therefore many mothers in Sanhujoriwon do not desire to room-in and are separated from their babies most of the time [10,11]. Likewise, most Sanhujoriwon engage in rooming-in practices only if mothers specifically request it in order to promote sufficient rest for new mothers [10].…”