The positive psychological impact of rich childbirth experiences on child-rearing

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  • TAKEHARA Kenji
    Department of Health Policy, National Research Institute for Child Health and Development
  • NOGUCHI Makiko
    Department of Nursing, Tokyo Women's Medical University
  • SHIMANE Takuya
    Department of Drug Dependence Research, National Institute of Mental Health
  • MISAGO Chizuru
    Faculty of Liberal Arts, Tsuda College

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  • 豊かな出産体験がその後の女性の育児に及ぼす心理的な影響
  • ユタカ ナ シュッサン タイケン ガ ソノゴ ノ ジョセイ ノ イクジ ニ オヨボス シンリテキ ナ エイキョウ

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Abstract

Objective The purpose of this study was to investigate the psychological implications of emotionally enriching childbirth experiences for problems such as awareness of motherhood, postnatal depression, and parenting stress among women after childbirth.<br/>Method All women who gave birth at five study centers (four birthing homes and one maternity hospital) during May 2002 and August 2003 were asked to participate in the cohort study. All 2,314 women were approached and 1,004 eligible women agreed to take part. Analyses were conducted using a baseline survey and four follow-up surveys conducted at 4 months, 9 months, 2 and a half years, and 3 years after childbirth. The questionnaire included four scales to evaluate the subjects' childbirth experiences, awareness of motherhood, postnatal depression, and parenting stress and difficulties. Data were collected via structured interviews and transcription from medical records.<br/>Results Bivariate and multivariate analysis indicated that women who had good childbirth experiences had positive feelings concerning motherhood and parenting stress and anxiety were lower. Bivariate analysis also indicated that childbirth experience had an inverse relationship with postnatal depression.<br/>Conclusions This study revealed that having good childbirth experiences inhibits negative awareness of motherhood and abusive behavior towards children. These results show that it is important for mothers to be provided with appropriate care during pregnancy and labor for preventing child abuse and parenting stress and anxiety. More research is needed to identify the determinants of childbirth experiences and to make specific recommendations for appropriate care and intervention.

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