title: Factors affecting maternal confidence and satisfaction in older Japanese primiparae during postpartum hospital stay.
abstract: The purpose of this study was to identify factors affecting maternal confidence and satisfaction in older Japanese primiparae during their postpartum hospital stay. Participants were Japanese primiparae (age ≥ 35) who delivered live singleton infants (n = 479). Questionnaires completed 1 day before discharge from hospital included the Postpartum Maternal Confidence Scale and the Postpartum Maternal Satisfaction Scale. Data were analysed using stepwise multiple regression for maternal confidence and stepwise logistic regression for maternal satisfaction, after controlling for delivery mode. Maternal confidence was negatively affected by feeling overwhelmed by postpartum routines, needing a longer time for feeding, and a pregnancy with complications. Satisfaction with the birth experience and a longer rooming-in period were related to greater maternal satisfaction. Lack of prior experiences with caring for babies and lack of communication with their partner about parenting role were also associated with lower confidence and satisfaction. These findings provide an important framework for nurses to teach and counsel older first-time mothers.
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Japan.
authors.forename: Kunie
authors.initials: K
authors.lastname: Maehara
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Japan.
authors.forename: Emi
authors.initials: E
authors.lastname: Mori
authors.affiliation: Division of Cancer Survivorship Research, National Cancer Center, Tokyo, Japan.
authors.forename: Miyako
authors.initials: M
authors.lastname: Tsuchiya
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Japan.
authors.forename: Hiroko
authors.initials: H
authors.lastname: Iwata
authors.affiliation: Graduate School of Nursing, Chiba University, Chiba, Japan.
authors.forename: Akiko
authors.initials: A
authors.lastname: Sakajo
authors.affiliation: Graduate School of Medicine, Nagoya University, Nagoya, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Tamakoshi
mesh_terms: D000328:Adult; D000367:Age Factors; D005260:Female; D006760:Hospitalization; D006801:Humans; D007564:Japan; D009035:Mothers / Q000523:psychology*; D010298:Parity; D010549:Personal Satisfaction; D049590:Postpartum Period / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: maternal age; maternal confidence; maternal satisfaction; nursing; postpartum period