The Relationship of Maternal Infant Dyad Adaptation and Selected Variables in Primigravida Experiencing Unplanned Cesarean Birth

2.50
Hdl Handle:
http://hdl.handle.net/10755/149340
Type:
Presentation
Title:
The Relationship of Maternal Infant Dyad Adaptation and Selected Variables in Primigravida Experiencing Unplanned Cesarean Birth
Abstract:
The Relationship of Maternal Infant Dyad Adaptation and Selected Variables in Primigravida Experiencing Unplanned Cesarean Birth
Conference Sponsor:Sigma Theta Tau International
Conference Year:2001
Conference Date:November 10 - 14, 2001
Author:Satyshur, Rosemarie
P.I. Institution Name:University of Maryland
Objective: Maternal infant interaction is one factor that nurses consider when assessing maternal infant dyad adaptation. Integral to this assessment is quantification of this adaptation and identification of variables having a negative effect on these dyads. Multiple factors may be implicated in the amount of adaptation that primigravida dyads experience in the postpartum; these factors, however, have received limited investigation, especially among primigravida having an unplanned cesarean birth. Therefore, the following question was investigated: What is the relationship between maternal infant dyad adaptation and selected variables in primigravida experiencing unplanned cesarean birth? Names of Variables: Barnars’s (1978) Parent-Child-Environment Interaction Model guided this study: characteristics of the infant (age and method of delivery), characteristics of mother (age, intendedness and sonography) and environmental factors [socioeconomic status (SES) and childbirth class]. Setting: Ninety-two maternal infant dyads from two hospitals were studied over three months. Measures/instruments: A pilot study of ten subjects scored by two raters was conducted to establish interrater reliability of the Dyadic Mini Code (DMC). The DMC, the dependent variable, was scored by the investigator 48 to 72 hours following birth and a demographic survey was used. The Four Factor Index of Social Status (FFISS) measured SES. Five independent variables were analyzed in the following hierarchical regression model: age, SES, intendedness, sonography, and childbirth class. Findings: Hypothesis testing of SES resulted in a significant t value, t(89) = 8.2, p< .0001 or mothers with higher SES experienced greater dyadic adaptation, and an R squared change which represented half of the variance in DM scores. The remaining independent variables were not related to scores on the DMC. Conclusions: Conclusions of the study where (a) SES is a predictor of maternal infant dyad adaptation, and (b) age, intendedness, sonography, and childbirth class, may not be associated with maternal infant dyadic adaptation in the early postpartum period by primigravida having an unplanned cesarean birth. Implications: Information about maternal infant dyad adaptation is needed to support activities which nurses use to foster the adaptation of the mother infant dyad experiencing unplanned cesarean birth.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Nov-2001
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationship of Maternal Infant Dyad Adaptation and Selected Variables in Primigravida Experiencing Unplanned Cesarean Birthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149340-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationship of Maternal Infant Dyad Adaptation and Selected Variables in Primigravida Experiencing Unplanned Cesarean Birth</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2001</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">November 10 - 14, 2001</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Satyshur, Rosemarie</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Maryland</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">satyshur@son.umaryland.edu</td></tr><tr><td colspan="2" class="item-abstract">Objective: Maternal infant interaction is one factor that nurses consider when assessing maternal infant dyad adaptation. Integral to this assessment is quantification of this adaptation and identification of variables having a negative effect on these dyads. Multiple factors may be implicated in the amount of adaptation that primigravida dyads experience in the postpartum; these factors, however, have received limited investigation, especially among primigravida having an unplanned cesarean birth. Therefore, the following question was investigated: What is the relationship between maternal infant dyad adaptation and selected variables in primigravida experiencing unplanned cesarean birth? Names of Variables: Barnars&rsquo;s (1978) Parent-Child-Environment Interaction Model guided this study: characteristics of the infant (age and method of delivery), characteristics of mother (age, intendedness and sonography) and environmental factors [socioeconomic status (SES) and childbirth class]. Setting: Ninety-two maternal infant dyads from two hospitals were studied over three months. Measures/instruments: A pilot study of ten subjects scored by two raters was conducted to establish interrater reliability of the Dyadic Mini Code (DMC). The DMC, the dependent variable, was scored by the investigator 48 to 72 hours following birth and a demographic survey was used. The Four Factor Index of Social Status (FFISS) measured SES. Five independent variables were analyzed in the following hierarchical regression model: age, SES, intendedness, sonography, and childbirth class. Findings: Hypothesis testing of SES resulted in a significant t value, t(89) = 8.2, p&lt; .0001 or mothers with higher SES experienced greater dyadic adaptation, and an R squared change which represented half of the variance in DM scores. The remaining independent variables were not related to scores on the DMC. Conclusions: Conclusions of the study where (a) SES is a predictor of maternal infant dyad adaptation, and (b) age, intendedness, sonography, and childbirth class, may not be associated with maternal infant dyadic adaptation in the early postpartum period by primigravida having an unplanned cesarean birth. Implications: Information about maternal infant dyad adaptation is needed to support activities which nurses use to foster the adaptation of the mother infant dyad experiencing unplanned cesarean birth.</td></tr></table>en_GB
dc.date.available2011-10-26T10:00:28Z-
dc.date.issued2001-11-10en_GB
dc.date.accessioned2011-10-26T10:00:28Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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