Date of Award

Fall 1988

Document Type

Thesis - Restricted

Degree Name

Master of Science (MS)

Department

Nursing

First Advisor

Hennessey, Jean

Second Advisor

Van Riper, Marcia

Third Advisor

Lough, Mary Ann

Abstract

This study was designed to develop an increased understanding of the concerns of normal primiparous mothers compared to normal multiparous mothers while hospitalized 24-48 hours after delivery. The two-part literature review focuses on theoretical concepts and research studies which describe first maternal role and then concerns that may be generated as mothers adapt to a new maternal role. The convenience sample consists of 29 married multiparae and 29 married primiparae, each having had an uncomplicated pregnancy and-delivery with a normal full-term infant. The Maternal Concerns Questionnaire (MCO) by Bull, plus three additional Hoehn developed items were used for data collection. Results of the t-test demonstrated a significant difference between the two groups with p < .05. Primiparae had more concerns to a greater degree than multiparae. Primiparae were most concerned about their infants, especially feeding. Women giving birth for the first-time were also concerned about themselves in their new role as a mother. Multiparae identified the self category as being of more concern than other categories and were also concerned about react1ons of children at home and time management issues. Return of figure to normal and fatigue were of moderate to much concern for both groups of mothers. Items within the community category were of little concern for both groups. Although results cannot be generalized, the findings have relevance for nursing practice.

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