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Japanese

Midwives' Involvement to Induce Second-Time Mothers' Care-Needs during Early Puerperium: With A Focus on The Period from Puerperal Hospitalization to Postnatal Health Check after One Month Koko HASHIMOTO 1 , Keiko YAMAZAKI 2 , Fujiko FUKUSHIMA 2 1National Center for Child Health and Development 2Faculty of Nursing,Toho University Keyword: 経産婦 , 第2子 , ケアニーズ , care-needs , multipara , second child pp.41-50
Published Date 2017/2/1
DOI https://doi.org/10.11477/mf.7011200063
  • Abstract
  • Reference

Purpose

The purpose of this study was to investigate midwives' involvement to induce second-time mothers' care-needs during early puerperium.

Method

The subjects were four second-time mothers(multiparas) who delivered from June to August 2015 at a university hospital in Tokyo. Midwives' involvement to induce their care-needs was qualitatively analyzed through care provided during puerperal hospitalization and interviews with them conducted at the time of postnatal health check after one month.

Results

Two care settings were considered as a situation to induce the second-time mothers' care-needs during early puerperium; one is a breast-feeding situation and the other is a situation for the mothers to cope with their first child.

These multiparas had breast-fed based on their experience gained at the time of first-child rearing. In this situation, we intervened so that they can recall their experience with breast-feeding to the first child and also corrected their breast-feeding skills. Thus, the mothers succeeded in appropriate breast-feeding tailored to the second child, by comparing the breast-feeding between the first- and second child and by having positive prospects for future.

Next, they had recognized some changes in the first child already from the pregnancy period, and they had had an anxiety how to cope with the first child if he/she would cause a "throwback-to-baby" phenomenon. We had an opportunity for them to tell what they feel toward the first child and, then, provided them with information on infant's psychological development. Thus, these mothers succeeded in appropriate childrearing by acknowledging the changes in the first child as development.

Conclusion

The experience of first-child rearing varies from person to person and, therefore, multiparas' care-needs were also different from person to person although the care-need situations were common. In order to cope with their care-needs, it is necessary to set up an opportunity for them to recall their skills and experience gained at the time of first-child rearing, examine own attitude toward childrearing and tell what they feel about childrearing. Such telling is considered to lead to re-construction of their self-concept and result in a chance to notice oneself as a mother and a sense of satisfaction.


Copyright © 2017, The Japan Maternal and Infant Caring Association All rights reserved.

基本情報

電子版ISSN 2758-8092 印刷版ISSN 1882-2495 日本母子看護学会

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