Yip, Shing Kai Alexander. / "April 2002." / Thesis (M.D.)--Chinese University of Hong Kong, 2002. / Includes bibliographical references (p. 221-255). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web.

Using a questionnaire developed by M. Gruis in 1974, this study determines (a) the major concerns of primiparous and multiparous mothers one month postpartum, and (b) the resources used in meeting identified concerns. The sample was composed of 19 primiparas and 22 multiparas who delivered their babies in a large tertiary care maternity centre in Vancouver, B. C, in January and February of 1987. The most frequently identified major concerns of primiparas were feeding, fatigue, breast soreness, infant behavior, and return of the figure. The most frequently identified major concerns of multiparas were fatigue, regulating demands, emotional tension, jealousy of other children, and the labor and delivery experience. The vast majority of major concerns were dealt with effectively. The women used a variety of resources, and their partners were particularly helpful. However, for 64% of the multiparas in this study, the hospital stay did not provide preparation for the first weeks at home with their new babies. It is recommended that hospital nurses assess the learning needs of postpartum mothers individually, and place more attention on (a) the rest and recuperation of mothers from the birthing process, and (b) ensuring that mothers are able to thoroughly review their labor and delivery experiences. Public health or community health nurses should see their postpartum clients as soon as possible after discharge from hospital. Teaching sessions can occur in the home, and in accordance with individual concerns. / Applied Science, Faculty of / Nursing, School of / Graduate

Thesis (Ph. D.)--University of Washington, 2004. / Vita. Includes bibliographical references (leaves 106-114).

Masters in Medicine (MMed) in Obstetrics and Gynaecology dissertation for submission 2013 / Emergency contraception (EC) has been shown in observational studies to prevent pregnancy after unprotected intercourse. EC is available in South Africa (SA) in the public and private health sectors, without prescription. Prior studies of EC in SA demonstrated a low level of EC awareness. Establishing the awareness of EC among women in the greater Soweto region that attend the Chris Hani Baragwanath Academic Hospital (CHBAH) for delivery may give us an indication of the need for education on emergency contraceptive methods. We will aim also to establish where women would prefer to source their EC, once a basic understanding of EC is conveyed. The need for targeted education and media campaigns has been demonstrated to improve EC awareness in other countries and this should be considered when programs are instituted to get wider coverage. It would be advantageous to have insight as to the sources of current EC information and client preferences. OBJECTIVE: The main aim of this study is to establish awareness and knowledge of EC in postpartum women at CHBAH. Secondary objectives were to establish the source of the information, and differences in women who were aware of the method from those who were unaware. We also assessed the woman’s planned pregnancy rate for their pregnancy, previous and current pregnancy. The final objective is to determine if there is a willingness to use EC among this population, after informing all women about the method.

Chan Suk-mei. / "October 2000." / Thesis (Ph.D.)--Chinese University of Hong Kong, 2000. / Includes bibliographical references (p. [171]-188). / Electronic reproduction. Hong Kong : Chinese University of Hong Kong, [2012] System requirements: Adobe Acrobat Reader. Available via World Wide Web. / Mode of access: World Wide Web. / Abstracts in English and Chinese.

Li Siu-yan Susan. / Thesis (M.Phil.)--Chinese University of Hong Kong, 2001. / Includes bibliographical references (leaves 156-168). / Abstracts in English and Chinese. / Abstract (English version) --- p.i / Abstract (Chinese version) --- p.iii / Acknowledgements --- p.v / Table of Contents --- p.vi / List of figures --- p.ix / Chapter I. --- INTRODUCTION --- p.1 / Background of the study --- p.1 / Chapter II. --- LITERATURE REVIEW --- p.5 / Maternal role attainment --- p.6 / Transitional theory --- p.16 / Feminist approaches to transition to motherhood --- p.23 / Local research on transition to motherhood --- p.26 / The rationale of the study --- p.30 / Chapter III. --- METHODS --- p.34 / Design --- p.34 / Setting --- p.39 / Sample --- p.39 / Ethical issues --- p.41 / Data collection --- p.42 / Data analysis --- p.46 / Trustworthiness of the study --- p.53 / Summary --- p.57 / Chapter IV. --- FINDINGS AND DISCUSSION --- p.59 / Conceptual categories --- p.61 / Keeping harmony --- p.62 / Giving of self --- p.63 / Discontinuity of self --- p.64 / Caring for (m)other --- p.75 / Replenishing --- p.91 / Daydreaming --- p.92 / Fortifying support --- p.98 / Developing self --- p.117 / Rewards of mothering --- p.118 / Achieving maternal competency --- p.121 / Renegotiating relationships --- p.127 / With mother-in-law --- p.130 / With husband --- p.135 / With work --- p.137 / The storyline --- p.139 / Chapter V. --- CONCLUSIONS AND RECOMMENDATIONS --- p.141 / Summary of the study --- p.141 / Implications for midwifery practice --- p.146 / Limitations and recommendations for further study --- p.152 / Personal reflections on study --- p.153 / References --- p.156 / Appendix / Chapter A. --- Letters of approval - The Chinese University of Hong Kong --- p.169 / Chapter B. --- Letters of approval - general hospital --- p.170 / Chapter C. --- Subject information sheet for the participants (English and Chinese version) --- p.171 / Chapter D. --- Consent form from the participant (English and Chinese version) --- p.173 / Chapter E. --- Transcripts in Chinese language --- p.175 / Chapter F. --- Translation of transcripts in English --- p.195 / Chapter G. --- Demographic summary of interview participants --- p.214

nÃo hà / Embora a importÃncia da morbidade pÃs-natal tenha sido posta em pauta nos Ãltimos anos, informaÃÃes sobre a sua repercussÃo para a vivÃncia das puÃrperas ainda à limitada, o que leva a crer que a qualidade de vida (QV) da mulher neste perÃodo seja um aspecto que mereÃa maior atenÃÃo. Neste sentido, a mensuraÃÃo da qualidade de vida mediante a percepÃÃo do paciente tem sido recomendada. Objetivou-se adaptar transculturalmente a Maternal Postpartum Quality of Life Questionnaire para a LÃngua Portuguesa no contexto brasileiro, verificar as propriedades psicomÃtricas da Maternal Postpartum Quality of Life Questionnaire no Brasil, analisar a relaÃÃo entre os Ãndices da Maternal Postpartum Quality of Life Questionnaire e as variÃveis maternas, e identificar os preditores de Qualidade de Vida entre as mÃes brasileiras estudadas. Trata-se de um estudo metodolÃgico, com abordagem quantitativa, realizado em uma maternidade-escola pÃblica de Fortaleza-CearÃ. O estudo foi iniciado apÃs consentimento da autora da escala e cumpriu duas etapas: adaptaÃÃo transcultural, segundo protocolo de Beaton et al. (2007) e verificaÃÃo das propriedades psicomÃtricas (validade e confiabilidade). A amostra foi composta por 210 mulheres, entre 7 e 10 dias de pÃs-parto. A coleta de dados ocorreu entre abril e julho de 2012 e foi subsidiada pela tÃcnica de entrevista, com aplicaÃÃo da MAPP-QOL e de um formulÃrio com informaÃÃes sociodemogrÃficas e obstÃtricas das participantes. As anÃlises dos dados maternos, Ãndices de Qualidade de Vida e propriedades psicomÃtricas foram realizadas utilizando o programa Statistical Package for Social Sciences, versÃo 21.0. O processo de adaptaÃÃo transcultural resultou em uma escala com 39 itens, reavaliados seis itens por discordÃncia entre o comità de juÃzes e acrescentadas modificaÃÃes em dois destes, em resposta à validaÃÃo de face. Sendo assim, a Maternal Postpartum Quality of Life Questionnaire obteve um Ãndice de ConcordÃncia entre os juÃzes de 0,97. A anÃlise fatorial foi o meio escolhido para a validaÃÃo de construto do instrumento. Foi mantido o mesmo nÃmero de domÃnios da versÃo original, diferindo apenas na relocaÃÃo de 20 itens ao longo de todos os domÃnios, segundo rotaÃÃo varimax. O alfa de Cronbach total foi de 0,89, denotando a confiabilidade do instrumento. A validade discriminante foi confirmada atravÃs das diferenÃas nos escores da Maternal Postpartum Quality of Life Questionnaire entre os grupos contrastados. O escore mÃdio obtido da Maternal Postpartum Quality of Life Questionnaire foi 15,24 e houve relaÃÃo estatÃstica significativa entre estado civil (p = 0,01), raÃa (p = 0,04) e nÃvel educacional (p = 0,01), com os escores totais da escala. Segundo a anÃlise de regressÃo mÃltipla das variÃveis e os escores da escala, apenas o estado civil e a raÃa puderam ser considerados preditores para qualidade de vida. Conclui-se que a versÃo brasileira da Maternal Postpartum Quality of Life Questionnaire pode ser considerada um instrumento especÃfico confiÃvel e vÃlido de aferiÃÃo da qualidade de vida, de fÃcil compreensÃo e aplicaÃÃo durante o perÃodo pÃs-parto. A utilizaÃÃo da MAPP-QOL no Brasil poderà nortear pesquisadores e/ou profissionais da Ãrea da saÃde da mulher rumo ao planejamento, à implementaÃÃo e à avaliaÃÃo de intervenÃÃes prÃ-qualidade de vida, tornando-os, assim, promotores da saÃde materna.

While up to 45% of women quit smoking during pregnancy, nearly 80% return to smoking within a year after delivery. Current interventions to prevent this return have had limited success. The aim of this study was to use the Theory of Planned Behavior to understand the factors influencing intention to resume smoking postpartum, specifically focusing on the role of subjective norms, or the social environment. During the postpartum hospital stay, we conducted in-depth, individual interviews with 24 women who had quit smoking during pregnancy. Over 300 pages of transcripts were analyzed by all four investigators using qualitative methods to identify common themes facilitated by Atlas.ti software. Respondents were predominately white (63%) and primipara (54%) with a mean age of 26. When reflecting on their experiences of being a smoker, the women emphasized the importance of their social relationships. Common themes were: 1) virtually all were embedded in large, complex social networks of smokers (partners, family, friends, co-workers) that influenced their smoking behavior, 2) the subjective norm (the perceived social pressure) for many women was that, while smoking during pregnancy is unacceptable, smoking after pregnancy is tolerable, and 3) partners were particularly influential on these womens smoking behaviors. In conclusion, we found that social environment played a large role in these women's past smoking behavior and future intentions. Thus, this factor may continue to influence their behavior after pregnancy. Further research is needed to establish the generalizability of these findings; however, our study suggests that the influence of the social environment should be integrated into postpartum smoking interventions.

Thesis (M.A. (Health Social Science))--Mahidol University, 2007. / LICL has E-Thesis 0024 ; please contact computer services.

Background The postpartum period represents a major transition in the lives of many women, a time when women are at increased risk for the emergence of psychopathology including depression and PTSD. The current study aimed to better understand the unique contributions of clinically significant postpartum depression, PTSD, and comorbid PTSD/depression on mother–infant bonding and observed maternal parenting behaviors (i.e., behavioral sensitivity, negative affect, positive affect) at 6 months postpartum. Methods Mothers (n=164; oversampled for history of childhood maltreatment given parent study's focus on perinatal mental health in women with trauma histories) and infants participated in 6-month home visit during which dyads engaged in interactional tasks varying in level of difficulties. Mothers also reported on their childhood abuse histories, current depression/PTSD symptoms, and bonding with the infant using standardized and validated instruments. Results Mothers with clinically significant depression had the most parenting impairment (self-report and observed). Mothers with clinically significant PTSD alone (due to interpersonal trauma that occurred predominately in childhood) showed similar interactive behaviors to those who were healthy controls or trauma-exposed but resilient (i.e., no postpartum psychopathology). Childhood maltreatment in the absence of postpartum psychopathology did not infer parenting risk. Limitations Findings are limited by (1) small cell sizes per clinical group, limiting power, (2) sample size and sample demographics prohibited examination of third variables that might also impact parenting (e.g., income, education), (3) self-report of symptoms rather than use of psychiatric interviews. Conclusions Findings show that in the context of child abuse history and/or current PTSD, clinically significant maternal depression was the most salient factor during infancy that was associated with parenting impairment at this level of analysis.