Maternal and child health nurses: A vital link to the community for primiparae over the age of 35
Mary Carolan
HCTP Program, Faculty of Nursing, University of Toronto, Canada
PP: 133 - 142
Abstract
Australia, like other developed countries is exhibiting a trend towards childbearing later in life and this trend has been particularly evident in the last three decades. Social trends of declining birth rates and small nuclear families mean that the contemporary adult has far less exposure to children than adults of former generations.
Increasing female trends of employment and participation in higher education have also contributed to a postponement of childbearing, and more women than ever before are having a first baby >35 years. Mothering experiences for this group of women often occur in a situation of limited family or social support, geographical distance from family and with few links to the community. Together these factors make new mothering an isolating experience for some women.
This paper reports on findings from a longitudinal qualitative study, outlining the importance of maternal and child health nurses in providing support and in facilitating links to the community for primiparae >35 years.
Keywords
nursing; maternal support; social network; infant; primiparae >35; mothers
References
ABS, Australian Bureau of Statistics 2003. 3301.0 Births, Australia 2002.Australian Government Press, Canberra.
AIHW, Australian Institute of Health and Welfare, National Perinatal Statistics Unit 2000. Catalogue no. PER15.Australian Government Press, Canberra.
Ambler Walter C 1986. The Timing of Motherhood. Lexington Books, Lexington, Massachusetts.
Barclay L 1995. Misery of Motherhood: illness or isolation. The Communique 6(4): 10-14.
Barclay L, Everitt L, Rogan F, Schmied V & Wyllie A 1997. Becoming a mother - an analysis of women's experiences of early motherhood. Journal of Advanced Nursing 25 (4): 719-728.
Berryman J, Thorpe K & Windridge K 1999. Older Mothers, Conception, pregnancy and birth after 35. Harper Collins Publishers, London.
Borjesson B, Paperin C. & Lindell M 2004. Maternal support during the first year of infancy. Journal of Advanced Nursing 45(6): 588-594.
Brown S, Lumley J, Small R. & Astbury J 1994 Missing Voices, The experience of motherhood Oxford University Press, Melbourne.
Carolan M 2003. Later motherhood, the experience of parturition for first time mothers aged >35 years. Australian Midwifery 16 (2): 17-21.
Crittenden A 2001. The price of motherhood: why the most important job in the world is still the least valued. Henry Holt, New York.
Cutcliffe J & McKenna H 1999 Establishing the credibility of qualitative research findings: the plot thickens. Journal of Advanced Nursing, 30(2): 374-380.
Daniels P & Weingarten K 1982 Sooner or Later: The timing of Parenthood in Adult lives. Norton, New York.
Dobrzykowski T & Stern P 2003. Out of Sync: a generation of first time mothers over 30. Health Care for Women International 24: 242-253.
Ellis C, Kiesinger CE & Tillmann-Healy LM 1997 Interactive interviewing: talking about emotional experience. In Hertz R (Ed.) Reflexivity & Voice. Sage, Thousand Oaks.
Emden C 1998 Conducting a Narrative Analysis. Collegian 5(3): 34-39.
Erlandson DA, Harris EL, Skipper BL & Allen SD 1993. Doing naturalistic inquiry: a guide to methods. Sage, London.
Ezzy D 2002. Qualitative analysis: practice and innovation Allen & Unwin, Crows Nest NSW.
Fleming A, Flett G, Ruble D, & Shaul D. 1988. Postpartum adjustment in first time mothers: relations between mood, maternal attitudes and other-infant interactions. Developmental Psychology 24: 71-81.
Gjerdingen D & Chaloner K 1994. Mothers experience with household chores and social support during the first postpartum year. Women & Health 21(4): 57-84.
Gjerdingen D, Froberg D. & Fontaine P.1990. A causal model describing the relationship of postpartum health to social support, length of leave and complications of childbirth. Women & Health 16(2): 71-87.
Green J & Kafetsios K 1997. Positive experiences of early motherhood: predictive variables from a longitudinal study. Journal of Reproductive and Infant Psychology 15(2): 141-157.
Hewlett S. 2002. Executive Women and the Myth of Having it All. Harvard Business Review On Point (product no. 9616).
Koch T & Harrington A 1998. Reconceptualizing rigour: the case for reflexivity. Journal of Advanced Nursing 28(4): 882-890.
Kvale S 1996. Interviews: An introduction to qualitative research interviewing. Sage, London.
Logsdon M. & Davis D. 2003. Social and professional support for pregnant and parenting women. MCN, The American journal of maternal/child nursing 28(6): 371-376.
Majewski J. 1987. Social support and the transition to the maternal role. Health Care for Women International 8: 397-407.
McIntosh J. 1993. The experience of motherhood and the development of depression in the postnatal period. Journal of Clinical Nursing 2(4): 243-9.
McVeigh C 2000. Investigating the relationship between satisfaction with social support and functional status after childbirth. MCN, The American Journal of Maternal/Child Nursing 25(1): 25-30.
Navaie-Waliser M, Martin S, Tessaro I., Campbell M. & Cross A 2000. Social support and psychological functioning among high risk mothers: the impact of the baby; Love Maternal Outreach Worker Program. Public Health Nursing 17(4): 280-291.
Reece S 1995. Stress and maternal adaptation in first-time mothers more than 35 years old. Applied Nursing Research 8(2): 61-66.
Rice PL & Ezzy D 1999. Qualitative research methods: a health focus. Oxford University Press, Melbourne.
Rogan F, Schmied V, Barclay L, Everitt L. & Wyllie A. 1997. Becoming a mother: developing a new theory of early motherhood. Journal of Advanced Nursing 25(5): 877-885.
Sandelowski M1986 Rigor or rigor mortis: the problem of rigor in qualitative research. Advances in Nursing Science 8(3): 27-37.
Streubert Speciale HJ & Carpenter DR 2003. Qualitative research in nursing: advancing the humanistic imperative. Lippincott, Philadelphia.
Tarkka M 2003. Predictors of maternal competence by first-time mothers when the child is 8 months old. Journal of Advanced Nursing 41(3): 233-240.
Tarkka M, Paunonen M. & Laippala P 2000. How first time mothers cope with childcare while still in the maternity ward. International Journal of Nursing Practice 6(2): 97-104.
Tarkka M, & Paunonen M. 1996. Social support and its impact on mothers' experiences of childbirth. Journal of Advanced Nursing 23(1): 70-75.
Scott D, Brady S, & Glynn P. 2001. New mothers groups as a social network intervention: consumer and maternal and child health perspectives. Journal of Advanced Nursing 18(4): 23-29.
Vehvilainen-Julkunen K 1995. Family training: supporting mothers and fathers in the transition to parenthood. Journal of Advanced Nursing 22(4): 731-7.
Ward C 2003. Migrant mothers and the role of social support when child rearing. Contemporary Nurse 16(1-2): 74-82.
Yonge O & Stewin L 1988 Reliability and validity: misnomers for qualitative research. The Canadian Journal of Nursing 20(2): 61-67.
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