Assessing the Relationship Between Transition to Motherhood, Early Mother-Infant Interaction, Stress, and Social Support Among Taiwanese First-Time Mothers

Abstract

Transition to motherhood is referred to as change in the new role and relationship during women's developmental stages. Difficult transitions may cause problems in the mother-infant relationship and influence the acceptance of this role. The purpose of this study was to investigate transition to motherhood as it relates to early mother infant interaction, stress and social support of first time Taiwanese mothers, and to determine other maternal characteristics related to transition to motherhood. Purposive sampling was used to recruit 63 first-time postpartum mothers between ages of 18 to 35 who intended to breastfeed their infants. The subjects were recruited from a maternity unit of one medical center in south of Taiwan between year 2004 to year 2005. Four major instruments were used to collect the data: Revised What Being the Parent of a Baby is like Questionnaire, The Nursing Child Assessment Scale, The Perceived Stress Scale and The Interpersonal Support Evaluation List. The first administration of all questionnaires was conducted and the feeding interaction was observed and scored on the postpartum day during hospitalization (Time 1). After observation, immediate feedback regarding their feeding interaction including positive feedback and suggestions were given to all participants by the investigator. The second administration of all questionnaires was conducted at 4 weeks postpartum (Time 2). The last administration of all questionnaires was mailed to participants at 4 months postpartum (Time3). T-test, analysis of variance, Pearson Correlation and stepwise multiple regression were utilized to analyze the data. Findings indicate that first- time mothers with lower perceived stress and longer breastfeeding had an easier transition process to motherhood. During this transition, social support mediates the effect of perceived stress. The data fit the model and explained 42 % of the variance in transition to motherhood. Up to 29 % of variance was explained by perceived stress and of 13 %was explained by the length ofbreastfeeding. The study provides a knowledge base for further research on transition to motherhood and designing advanced educational program for new parents and clinical practice is required. Key words: transition, motherhood, mother-infant interaction, stress, social support.