The effect of educational package on functional status and maternal self-confidence of primiparous women in postpartum period: a randomized controlled clinical trial

Bagherinia, Marzieh; Mirghafourvand, Mojgan; shafaie, fahimeh sehhatie

doi:10.1080/14767058.2016.1253061

Cited by 23 publications

(21 citation statements)

References 26 publications

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“…Data were collected through a sociodemographic questionnaire, the IFSAC, and the Lips Maternal Self-confidence Score (LMSCS), which was completed before the intervention and six weeks after the intervention. The results of the study showed that education had a positive effect on women's self-esteem and, likewise, affected maternal functioning in a positive manner [19].…”

Section: Discussionmentioning

confidence: 90%

“…Therefore, evaluation of maternal functioning should be included in the postpartum work-up, as it provides valuable information about mother's daily functioning and comfort level in juggling multiple role demands [17]. The studies conducted on Iranian mothers have shown that their functional status is at a moderate level [18,19]. For a woman to fully achieve her postpartum functional status, she must resume most of the roles she had before she gave birth and birth can make it difficult for many women to make a full return to their functional status because of the changes often made in the lives of mothers [10].…”

Section: Introductionmentioning

confidence: 99%

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The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

et al. 2020

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Background: The role of the mother can be deeply satisfying, but it is associated with many challenges including challenges during the postpartum period that may impede the optimal development of the infant. Therefore, the aim of the present study was to investigate the effects of counseling using the Skills Training Approach (STA) on postpartum maternal functioning. Methods: This randomized controlled trial was performed on 68 postpartum women who referred to health centers of Tabriz-Iran in 2019. Participants were assigned to one of two groups-either counseling or control through the block randomization method. The intervention group received four counseling sessions using the Skills Training Approach (STA). Before and two weeks after the completion of the intervention, the Barkin Index of Maternal Functionning (BIMF) was completed by the participants. The independent t-test and ANCOVA (Analysis of Covariance) was used to analyze the data. Results: There was no statistically significant difference between the two groups in terms of sociodemographic characteristics and the baseline scores of the BIMF and its domains (p > 0.05). Before the intervention, the mean (SD) total score of the BIMF in the intervention group was 73.1 (8.5) and in the control group, it was 71.6 (4.8). Post-intervention, the mean (SD) of the total score of the BIMF in the intervention group was 95.8 (11.8) and in the control group, it was 70.3 (4.5). Based on the ANCOVA test and after adjusting the baseline score, the mean total score of the BIMF was significantly higher in the intervention group than in the control group (Mean Difference (MD): 22.9; 95% CI: 18.2 to 27.6; p < 0.001). The post-intervention scores of all domains of the BIMF including self-care (MD: 3.8), infant care (MD: 2.0), mother-child interaction (MD: 4.8), psychological wellbeing (MD: 8.4), social support (MD: 4.0), management (MD: 6.8), and adjustment to new motherhood (MD: 3.2) were significantly higher in the intervention group compared to the control group (P < 0.001). Conclusion: In this study, counseling, using STA, was effective in improving maternal functioning in all of the domains. This intervention, aimed at skill-building, should be strongly considered where improved postpartum functioning is the goal.

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Section: Discussionmentioning

confidence: 90%

Section: Introductionmentioning

confidence: 99%

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

et al. 2020

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“…Several factors such as anxiety and depression (mental health disorders) can affect maternal recovery and maternal functioning in the postpartum period. Anxiety and depression during the postpartum period can lead to the impaired adjustment of mothers, delay their recovery, and even impede the actions that are necessary to maintain their health [31,43].…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

Shamasbi

Barkin

Ghanbari‐Homayi

et al. 2020

IJERPH

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The postpartum period is critical for new mothers, in terms of performing maternal functions, which can be affected by physical or psychological complications. The purpose of the present study is to determine the relationship between maternal functioning and mental health in the postpartum period. This cross-sectional descriptive-analytic study was conducted on 530 eligible women who referred to health centers in Tabriz, Iran in 2018. The participants were selected through randomized cluster sampling, and data were collected by using a socio-demographic characteristics questionnaire, Mental Health Inventory (MHI), and the Barkin Index of Maternal Functioning (BIMF). These assessments were collected between 1 and 4 months postpartum. The relationship between maternal functioning and mental health was determined by conducting bivariate analysis via Pearson and Spearman correlation analysis and the general linear model (GLM) in a multivariate analysis. The mean (SD) mental health score in women was 79.1 (15.0) in the obtainable score range of 18 to 108, and the mean (SD) BIMF score in women was 97.4 (12.9) in the obtainable score range of 0 to 120. Based on Pearson or Spearman correlations, mental health and its sub-domains had positive, significant correlations with infant care, mother-child interaction, mental well-being, social support, management, adjustment, self-care, and maternal functioning (p < 0.001). Based on the GLM, increased maternal functioning was associated with higher total mental health score, having a moderate income, and receiving support for infant care (p < 0.05). High levels of postpartum mental health can have a positive impact on maternal functioning. Additionally, having support with infant care tasks can also improve functioning.

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“…In an- other study, the effect of counseling on self-efficacy and short-term breastfeeding outcomes among primiparous mothers in Wuhan, China was assessed, and participants in the intervention group showed significantly more increases in breastfeeding self-efficacy, exclusive breastfeeding and duration of breastfeeding comparing to participants in the control group at 4 and 8 weeks postpartum (30). Also, the results of an interventional study among primiparous women showed that training women has a positive effect in increasing their self-efficacy and improving their functional status (31). The results of a study conducted on 64 male and female high school students in Chaharmahal and Bakhtiari province showed the positive effect of group counseling on self-efficacy (32).…”

Section: Discussionmentioning

confidence: 99%

Effect of Counseling on Self-Efficacy in Iranian Middle-Aged Women: A Randomized Controlled Clinical Trial

Karimlou

Mohammad‐Alizadeh‐Charandabi

Malakouti

et al. 2017

Iran Red Crescent Med J

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Background: Attention to women's health is considered a health priority in every country. One of the factors that promote women's general health is self-efficacy. Objectives: The present study was conducted to determine the effect of counseling on the self-efficacy of middle-aged women. Methods: The present randomized controlled clinical trial was conducted on 102 middle-aged women (51 women in each group) and was covered by health centers in Tabriz in 2015 -16. Participants were randomly assigned into two groups (one group received counseling and another did not) using the block randomization stratified based on age (40 to 50 and 50 to 60) in block sizes of 4 and 6. The intervention group received counseling on health promotion over three 45-minute sessions. Sherer et al's general self-efficacy scale was completed in both groups before the intervention, and four and eight weeks after the intervention. Data were analyzed using independent t-test and repeated measures ANOVA. Results: Before the intervention, no significant difference was observed between the two groups in terms of self-efficacy. Four and eight weeks after intervention, mean (SD) of self-efficacy scores were 69.0 (11.4) and 71.7 (11.1) respectively in the counseling group and 65.7 (13.2) and 64.9 (11.3) respectively in the control group. After the intervention, and with adjusting the baseline values, repeated measures ANOVA test showed a significantly higher mean self-efficacy score in the counseling group compared to the control group (Adjusted mean difference = 5.3; 95% confidence interval = 2.1 to 8.5; P < 0.001). Conclusions: Counseling in middle-aged women can lead to improved self-efficacy, resulting in improved health in this age group.

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The effect of educational package on functional status and maternal self-confidence of primiparous women in postpartum period: a randomized controlled clinical trial

Abstract: This study showed that training women has a positive effect in increasing their self-confidence and improving their functional status.

Cited by 23 publications

References 26 publications

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

The effect of counseling with a skills training approach on maternal functioning: a randomized controlled clinical trial

The Relationship between Maternal Functioning and Mental Health after Childbirth in Iranian Women

Effect of Counseling on Self-Efficacy in Iranian Middle-Aged Women: A Randomized Controlled Clinical Trial

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