title: Fatigue, depression, maternal confidence, and maternal satisfaction during the first month postpartum: A comparison of Japanese mothers by age and parity.
abstract: The aim of the study was to assess fatigue, depressive symptoms, and maternal confidence or satisfaction among older primiparae during the first month postpartum. The number of older Japanese primiparae has rapidly increased. Older primiparae are believed to be at high risk for puerperal morbidity. A multicentre prospective cohort study design was used. Data were examined from 2854 Japanese women who participated in a 6-month prospective cohort study conducted between May 2012 and September 2013. The women were classified into 4 groups based on maternal age and parity. All participants completed the Postnatal Accumulated Fatigue Scale, Japanese Edinburgh Postnatal Depression Scale, Postpartum Maternal Confidence Scale, and Postpartum Maternal Satisfaction Scale. Primiparae in all age groups were more severely fatigued and had a higher risk of postpartum depression than multiparous mothers during the first month postpartum. Older primiparae had significantly lower scores on maternal confidence and maternal satisfaction than the other 3 groups at 1 month postpartum. These findings suggest that postpartum nursing should focus on promoting adequate sleep, providing emotional support, and fostering the process of maternal role adaptation among older Japanese primiparae, particularly during the first postpartum month.
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: Kunie
authors.initials: K
authors.lastname: Maehara
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: D000293:Adolescent; D000328:Adult; D019052:Depression, Postpartum / Q000175:diagnosis / Q000453:epidemiology*; D005221:Fatigue / Q000523:psychology*; D005260:Female; D006801:Humans; D008423:Maternal Age; D008875:Middle Aged; D009035:Mothers / Q000523:psychology*; D010298:Parity; D010549:Personal Satisfaction; D049590:Postpartum Period / Q000523:psychology*; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012649:Self Concept; D012890:Sleep; D055815:Young Adult
keywords: fatigue; maternal age; maternal confidence; nursing; postpartum depression