Browse > Article

Maternal Transition in Mothers with High Risk Newborns  

신현정 (고려대학교 간호대학)
Publication Information
Journal of Korean Academy of Nursing / v.34, no.2, 2004 , pp. 243-251 More about this Journal
Abstract
Purpose: The purpose of this study was a comprehensive understanding about maternal transition in mothers with high risk newborns according to the degree of situational meaning. Method: A methodological triangulation that combines qualitative and quantitative methods was used. The situational meaning of a high risk newborn mother was identified using a Family Meaning Attribution Scale. According to the degree of situational meaning, in-depth interviews were conducted at 3 time periods postpartum: between 3-10 days after childbirth, around the time of the newborn's discharge, and between 10-12 weeks after childbirth. Quantitative data was analyzed using descriptive statistics and t-test. Qualitative data was analyzed using Tutty, Rothery, & Grinnell's methodology. Result: The average score of the situational meaning in high the risk newborn mother was 53.57(possible score is between 0-96) and the average score of each item was 1.67. A Maternal transition process in the mother that has a positive situational meaning was conceptualized in three distinctive phases: confusion, accepting, and shaping phases. The Maternal transition process in the mother that has a negative situational meaning was also conceptualized in three distinctive phases: avoiding, conflicting, and accepting phases. Conclusion: It is necessary that the nurses provide high risk newborn mothers with individualized care considering both the situational meaning that is attributed to them and the maternal transition phase that they are faced with.
Keywords
Newborn; High-risk; Mothers; Transition;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Affonso, D. D., Hurst, I., Mayberry, L. S., Yost, K., & Lynch, M. E. (1992). Stressors reported by mothers of hospitalized premature infants. Neonatal Netw, 11(6), 63-70
2 Cho, K. J. (1993). A comparison of the mother-infant interaction in low birth weight infants and normal full-term infants. Unpublished doctoral dissertation, Seoul National University, Seoul
3 Kim, S. J., & Jeong, G. H. (1995). Mothers' perception of their normal and high-risk newborn during the early postpartum period. J Korean Acad Child Health Nurs, 1(1), 5-15
4 Ladden, M., & Damato, E. (1992). Parenting and supportive programs. NAACOGS Clin Issu Perinat Womens Health Nurs, 3(1), 174-187
5 Miles, M. S., Funk, S. G., & Kasper, M. A. (1992). The stress response of mothers and fathers of preterm infants. Res Nurs Health, 15, 261-269   DOI   ScienceOn
6 Park, Y. S. (1991). Transition to motherhood of primipara in postpartum period. Unpublished doctoral dissertation, Seoul National University, Seoul
7 Pridham, K. F., Lytton D., Chang, A. S., & Rutledge, D. (1991). Early postpartum transition : progress in maternal identity and role attainment. Res Nurs Health, 14,21-3l   DOI   ScienceOn
8 Tutty, L. M., Rothery, M., & Grinnell, R. M. (1996). Qualitative research for social workers. Allyn and Bacon, A division of Simon & Schuster, Inc.
9 Mercer, R. T. (1981). A theoretical framework for studying the factors that impacts on the maternal role. Nurs Res, 30, 73-77
10 Lim, J. Y. (1997). Effect of supportive care and infant care information on the perceived stress level and health status of mothers of premature infants. Unpublished doctoral dissertation, Yonsei University, Seoul
11 Wong, D. L. (1991). Nursing Care of Infants and Children. 6th ed., Mosby Co.
12 Imle, M. A. (1990). Third trimester concerns of expectant parents in transition to parenthood. Holist Nurs Pract, 4(3), 25-36
13 Choi, E. J. (1999). A phenomenological study on mother's experience of premature infants. Unpublished master's thesis, Pusan National University, Pusan
14 Patterson, 1. M., & Garwick, A. W. (1994). Level of meaning in family stress theory. Fam Process, 33, 287-304   DOI   ScienceOn
15 Hughes, M., McCollum, J., Sheftel, D., & Sanchez, G. (1994). How parents cope with the experience of neonatal intensive care. Child Health Care, 23(1), 1-14
16 Kwon, M. K., & Han, K. J. (1991). Astudy on mother-infant interaction and maternal identity in mother-infant dyads of premature and full-term infants. J Korean Acad Nurs, 21(1), 79-87
17 Bialoskurski, M., Cox, C. L., & Hayes, J. A. (1999). The nature of attainment in a neonatal intensive care unit. J Perinat Neonatal Nurs, 13(1), 66-76
18 Gardner, S. L., & Hagedon, M. I. (1991). Physiologic sequelae of prematurity : The nurse ractitioner's role. J Pediatr Health Care, 5, 122-134   DOI   PUBMED
19 Moon, Y. I., & Koo, H. Y. (1999). Parental role stress and perception of the newborn in mothers of preterm babies. J Korean Acad Nurs, 29(1), 174-182
20 Schumacher, K. L., & Meleis, A. I. (1994). Transitions : A central concept in nursing. Image J Nurs Sch, 26(2), 119-127
21 Wrbsky, P. M. (2000). Family meaning attribution in the health-illness transition to preterm birth. Unpublished doctoral dissertation, University of Minnesota