Competence and Responsiveness in Mothers of Late Preterm Infants Versus Term Infants

Journal of Obstetric Gynecologic & Neonatal Nursing (Impact Factor: 1.02). 04/2013; 42(3). DOI: 10.1111/1552-6909.12026
Source: PubMed


OBJECTIVE: To compare maternal competence and responsiveness in mothers of late preterm infants (LPIs) with mothers of full-term infants. DESIGN: A nonexperimental repeated-measures design was used to compare maternal competence and responsiveness in two groups of postpartum mothers and the relationship of the theoretical antecedents to these outcomes. SETTING: Urban academic medical center. PARTICIPANTS: Mothers of late preterm infants (34-36, 6/7-weeks gestation) and mothers of term infants (≥37-weeks gestation), including primiparas and multiparas. Data were collected after delivery during the postpartum hospital stay and again at 6-weeks postpartum. METHODS: Descriptive and inferential analysis. RESULTS: A total of 70 mothers completed both data collection periods: 49 term mothers and 21 LPI mothers. There were no differences between the two groups related to their perception of competence or responsiveness at delivery or 6-weeks postpartum. At 6-weeks postpartum, none of the assessed factors in the model was significantly related to competence or responsiveness. CONCLUSIONS: The results, which may have been limited by small sample size, demonstrated no difference in the perceptions of LPI and term mothers related to competence or responsiveness. Maternal stress and support were significantly related to other factors in the model of maternal competence and responsiveness.

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Available from: Brenda Baker, Jan 08, 2015
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    ABSTRACT: Objective To explore the psychological mechanisms involved in the close association between maternal mood and self-reports of sleep quality during the perinatal period using appraisal theory of emotions.DesignRepeated measures.SettingAntenatal clinics of a health center associated with the Northern Hospital in Melbourne, Australia.Participants122 pregnant women in their third trimester of gestation.Methods Participants completed the Pittsburgh Sleep Quality Index (PSQI), the Edinburgh Postnatal Depression Scale, and an appraisal questionnaire during the third trimester of gestation, within 7 to 10 days after childbirth, and at 10 to 12 weeks postpartum. Correlational and regression analyses were used to explore the associations between sleep reports and appraisals.ResultsSelf-reports of poor sleep quality, impaired daytime dysfunction due to poor sleep, and the global PSQI score were associated with a low perceived ability to cope practically and emotionally with motherhood-related issues as well as with negative expectations about the future.Conclusions Appraisal dimensions associated with self-reports of poor sleep quality are similar to those related to maternal distress identified by previous research. This finding contributes to a better understanding of the association between self-reports of sleep and maternal mood. Practical implications are discussed.
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