A Scoping Review of the Maternal Role at Older Age; Perceptions and Occupations

Motherhood is a meaningful life role among adult women. Occupations within the maternal role of younger mothers have been well documented, but less is known regarding the maternal-role at older age. This review aimed to describe the occupations, activities, and perceptions that older women ascribe to their maternal role. In the future, this information may promote health and wellbeing of older women. A systematic search of peer reviewed articles, that included healthy, community-dwelling mothers, 60 years of age or older, was conducted. Maternal-role occupations and perceptions of older mothers were identified and classified according to the Occupational Therapy Practice Framework (OTPF). Fourteen articles, representing 3102 older mothers, were included. The identified occupations and activities within the maternal role were from two categories: Instrumental Activities of Daily Living (IADL) (such as assistance with daily chores) and social participation (such as sharing holiday rituals). Three themes reflecting maternal-role perceptions were identified: providing support; relationship with children; and motherhood as a never-ending role. Maternal occupations were identified in only a few articles and from only two categories, IADL and social participation. These findings together with the perception that motherhood is a ‘never-ending’ role suggests that further research is needed to better characterize the maternal role of older women from an occupational perspective.

Childbearing culture: a prominent context in the process of maternal role attainment in Iranian mothers with preterm neonates

Transition to the role of mothering is one of the most important events in a woman’s life. While childbirth is a biological event, pregnancy and the experiences around it are more influenced by social structure, which is shaped by cultural perceptions and practices. The aim of this study was to explore cultural context during maternal role attainment in neonatal intensive care units (NICUs) in Iran. The study was part of a grounded theory study on how the mothers of preterm neonates go through maternal role attainment. Data collection was carried out by purposeful sampling from 20 participants (15 mothers of preterm neonates and 5 NICU nurses). Data were analysed according to Corbin and Strauss’s (2015) approach. Four categories of childbearing culture emerged: ‘The necessity of childbearing’, ‘Childbearing rituals’, ‘Maternal persistent presence’ and ‘Attitudes and religious beliefs’. The findings showed that the special beliefs and practices in Iranian culture affected all of the participants’ reactions to mothering process. Culture is one of the most important factors affecting the development of motherhood in Iran. In order to provide sensitive and culturally appropriate care, nurses should be aware of the general impact of cultural norms and values on the process of maternal role attainment and strive to meet the cultural needs of all mothers.

STUDI KASUS PADA PRIMIPARA DENGAN BAYI GEMELLI PREMATUR

Persalinan prematur atau preterm adalah kelahiran hidup dengan usia gestasi kurang dari 37 minggu. Penyebab terjadinya persalinan preterm diantaranya kehamilan gemelli. Asuhan keperawatan yang diberikan pada ibu primipara diharapkan perawat membantu proses pencapaian peran ibu serta mengajarkan kemandirian dalam merawat diri dan bayinya. Metode yang digunakan adalah studi kasus dengan fokus penerapan teori “self care” Orem dan “maternal role attainment” Mercer. Aplikasi teori Orem dan Mercer efektif diterapkan pada kelima kasus yang dikelola, perawat melakukan observasi dan wawancara pada perilaku pasien serta kebutuhan yang diharapkan dari perawat. Intervensi keperawatan yang sesuai dengan kebutuhan pasien membantu dalam pencapaian peran menjadi ibu lebih optimal.

ORGANIZATION OF PSYCHOLOGICAL SUPPORT FOR CONVICTED WOMEN HAVING CHILDREN IN CHILDREN'S HOUSES AT CORRECTIVE INSTITUTIONS (ON THE MATERIAL OF PKU IK-15 OF THE FPS OF RUSSIA AT THE SAMARA REGION)

Статья посвящена рассмотрению сущности и содержания психологического сопровождения осужденных женщин, имеющих детей в возрасте до трех лет в домах ребенка при исправительных учреждениях. Авторами статьи обосновывается актуальность психологического сопровождения осужденных женщин-матерей как одного из видов психологической помощи, направленного на качественные изменения в специфике их отношения к своей материнской роли, социальную адаптацию и ресоциализацию личности осужденной женщины в условиях исправительного учреждения и после освобождения. Характеризуются основные проблемы, возникающих в отношениях матери с ребенком при выполнении материнских функций. Рассматривается общая структура психологического сопровождения осужденных женщин, включающая в себя непрерывное отслеживание динамики личности женщин посредством психологической диагностики, осуществление психологической профилактики негативных изменений в пенитенциарной среде, а также психологическую коррекцию отношения указанной категории осужденных к своей материнской роли. На примере ФКУ ИК-15 УФСИН России по Самарской области раскрываются особенности реализации модели совместного проживания осужденных женщин с детьми как необходимого условия для достижения эмоционального единства и устойчивой психологической связи матери и ребенка, способствующего формированию здоровой привязанности к малышу, являющейся залогом его нормального психического развития и личностного благополучия. Раскрываются психотерапевтические направления, используемые в работе с осужденными женщинами, имеющими детей в домах ребенка при исправительных учреждениях, рассматривается структура программы их психологического сопровождении, а также анализ результатов ее реализации. Содержатся выводы и рекомендации по организации психологического сопровождения указанной категории осужденных. The article is devoted to the consideration of the essence and content of psychological support for convicted women with children under the age of three in children's homes in correctional institutions. The authors of the article substantiate the relevance of psychological support for convicted women mothers, as one of the types of psychological assistance aimed at qualitative changes in the specifics of their attitude to their maternal role, social adaptation and resocialization of the personality of a convicted woman, both in a correctional institution and after release. The main problems arising in the relationship between a mother and a child during the performance of maternal functions are characterized. The general structure of psychological support for convicted women is considered, which includes continuous tracking of the dynamics of the personality of women through psychological diagnostics, the implementation of psychological prevention of negative changes in the penitentiary environment, as well as psychological correction of the attitude of this category of convicts to their maternal role. Using the example of PKU IK-15 of the Federal Penitentiary Service of Russia in the Samara Region, the peculiarities of the implementation of the model of cohabitation of convicted women with children as a necessary condition for achieving emotional unity and stable psychological connection between mother and child, contributing to the formation of healthy attachment to the baby, which is the key to his normal mental development and personal well-being. The article reveals the psychotherapeutic directions used in work with convicted women with children in children's homes at correctional institutions, the structure of the program of their psychological support, as well as the analysis of the results of its implementation. Contains conclusions and recommendations on the organization of psychological support for this category of convicts.

A Study of Maternal Competence in Preterm Birth Condition, during the Transition from Hospital to Home: An Early Intervention Program’s Proposal

The study was conducted with 104 mothers (average age 32.5 years, SD 6.1) of preterm infants (very and moderately preterm but still healthy) to monitor the perceived maternal role competence from the time of hospitalisation to post-discharge, in order to define an intervention program to support mothers during this transition. A targeted Q-Sort tool (Maternal Competence Q-Sort in preterm birth) was applied at two different times as a self-observation tool for parenting competence in neonatology. A tendency towards dysregulation of the maternal role competence was detected, mainly in terms of low self-assessment and was found to worsen during post-discharge, particularly with regard to caregiving ability. This study suggests the importance of accompanying parenting competence in preterm birth conditions, not only during hospitalisation in the Neonatal Intensive Care Unit (NICU) but also following discharge in order to promote the development of premature infants. This paper reports in the last part a specific integrated psychoeducational intervention program (psychologist and nurses), which we defined precisely in light of the suggestions offered by the study data on perceived maternal competence created with the Q-sort.

The effect of a training program on maternal role adaptation and self-esteem of mothers with preterm infants: a quasi-experimental study

Background Admission of preterm infants in the neonatal intensive care unit limits the mother’s interaction with their infants, delaying accepting and playing the motherhood role. Besides, mothers of preterm infants have low self-esteem due to their infants' condition. Accordingly, the present study explored the effect of implementing the training program on maternal role adaptation and self-esteem of mothers of preterm infants admitted to the neonatal intensive care unit. Methods This study employed a quasi-experimental design with two groups. The participants were 80 mothers of preterm infants. The participants were selected using convenience sampling and simply randomly assigned to the intervention and control groups. The instruments included a demographic information questionnaire, the Rosenberg Self-Esteem Scale, and the Maternal Role Adaptation Scale. The participants in the intervention group attended the training program, while the control group did not receive any intervention. The questionnaires were completed by the two groups before and 2 weeks after the intervention. The collected data were analyzed using SPSS software version 21, a significance level of 0.05. Results The maternal role adaptation scores before the intervention in the control and intervention groups were 134.222 ± 11.84 and 138.800 ± 12.42, respectively, showing no statistically significant difference (P = 0.096). The corresponding scores after the intervention for the control and intervention groups were 139.17 ± 12.46 and 154.05 ± 8.57, showing a significant intergroup difference (P < 0.001). Similarly, the pre-intervention self-esteem scores in the control and intervention groups were 30.30 ± 3.79 and 30.95 ± 8.61, showing no statistically significant difference between the two groups (P = 0.664). Besides, the post-intervention self-esteem scores in the control and intervention groups were 31.52 ± 3.42 and 36.001 ± 7.74, respectively, indicating a statistically significant difference between the two groups (P < 0.001). Conclusion Given the insight from this study, implementing training programs is a suitable solution for improving maternal role adaptation and increasing mothers' self-esteem. Furthermore, nurses’ training packages can help the mother accept the maternal role more quickly and improve the mother's self-esteem for better care of the baby. Trial registration The registration number for this study was obtained from Kerman University of Medical Sciences, and the number of the grant was 98000150.

TEORI KEPERAWATAN RAMONA T MERCER “Maternal Role Attainment—Becoming a Mother”

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