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Cited by 52Maternal Mental Health During Pregnancy and PostpartumMaternal and Neonatal HealthcareBreastfeeding Practices and Influences

The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.

A quantitative longitudinal study to explore factors which influence maternal self-efficacy among Chinese primiparous women during the initial postpartum period

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Zheng, Xujuan, Morrell, Jane, Watts, Kim·2018·Midwifery
DOI 10.1016/j.midw.2017.12.022
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Abstract

Background parenting during infancy is highly problematic for Chinese primiparous women. As an important determinant of good parenting, maternal self-efficacy (MSE) should be paid more attention by researchers. At present, the limitations of previous research about MSE during infancy are that the factors which influence MSE remained poorly explored, there were few studies with Chinese women, and the studies did not consider the effect of different cultures. Objectives to explore factors which influence MSE in primiparous women in China in the first three months postnatally. Methods a quantitative longitudinal study using questionnaires was conducted. In total, 420 Chinese primiparous women were recruited in obstetric wards at three hospitals in Xiamen City, Fujian Province of China. Initial baseline questionnaires to measure socio-demographic and clinical characteristics were distributed to participants face-to-face by the researcher on the postnatal ward at three days postnatally. Follow-up questionnaires at six and 12 weeks postnatally were sent via e-mail by the researcher to participants, including the Self-efficacy in Infant Care Scale (SICS), the Edinburgh Postnatal Depression Scale (EPDS) and the Postpartum Social Support Scale (PSSS) to measure MSE, postnatal depression symptoms and social support, respectively. These were returned by participants via e-mail. Quantitative data were analysed using SPSS. Results the variables: social support, women's satisfaction with ‘Doing the month’, postnatal depression, maternal education, baby health, and maternal occupation had an influence on MSE at six weeks postnatally (Adjusted R 2 = 0.510, F = 46.084, P <0.01); and the variables: postnatal depression, social support, baby health, women's satisfaction with ‘Doing the month’, and baby fussiness were the factors influencing MSE at 12 weeks postnatally (Adjusted R 2 = 0.485, F = 41.082, P <0.01). Conclusions obstetric nurses and women's family members need to be aware of the significant contribution of social support, women's satisfaction with ‘Doing the month’ in positively influencing primiparous women's MSE, and the significant effect of postnatal depression symptoms in negatively impacting on first-time mothers’ MSE; they should pay more attention to primiparous women with less education, unemployed mothers, women with unskilled occupations, women with an unhealthy baby, and women with a baby with a difficult temperament to improve their comparatively lower MSE levels during the initial postnatal period.

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Research works printed but not linked: 4

  1. Dennis, 2004, Psychosocial and psychological interventions for preventing postnatal depression, Cochrane Database of Systematic Reviews, 18, CD001134
  2. Lu, 2001, The relationship between social support and postnatal depression of primiparous women, Chinese Journal of Nursing, 36, 731
  3. Pan, 2006, The investigation of 1 ~ 5 month baby family education status and its influencing factors, Family Education, 5, 53
  4. Zang, 2010, Study on influencing factors of maternal self-efficacy in primiparous women, China Journal of Health Psychology, 18, 35

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Metadata

Authors
Zheng, X., Morrell, J., & Watts, K.
Affiliations
  • Shenzhen University (CN)
  • University of Nottingham (GB)
  • King's College London (GB)
Corresponding author
Zheng, Xujuan
ORCID
Venue
Midwifery
Publisher
Elsevier BV
Published
2018-04
Volume
59
Pages
39-46
ISSN
0266-6138 (ISSN-L)
DOI
10.1016/j.midw.2017.12.022
OpenAlex
W2780933808
Cited by
51
References
41
Citations by year
2026: 3 · 2025: 7 · 2024: 4 · 2023: 5 · 2022: 15 · 2021: 8 · 2020: 3 · 2019: 3 · 2018: 3
FWCI
2.31
Type
journal article
Language
en
Open access
Licence
Locations
  • Midwifery (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • DMU Open Research Archive (De Montfort University) (submittedVersion)
  • Research Portal (King's College London) (submittedVersion, cc-by-nc-nd)
Funders
Natural Science Foundation of Shenzhen University (2017079)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Epidemiology › Breastfeeding Practices and Influences
Keywords
maternal self-efficacy, infant care, postpartum depression, social support, postpartum period, primiparous women, Chinese mothers, infant health, maternal education, infant temperament, postpartum depression screening, obstetric nursing
MeSH terms
Adult, Attitude to Health, China, Female, Humans, Longitudinal Studies, Maternal Health Services, Pregnancy, Surveys and Questionnaires, Social Support, Patient Satisfaction, Self Efficacy, Pregnant People, Postpartum Period

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