A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Passing the test of motherhood? Self‐esteem development and birth experience in the transition to motherhood : A longitudinal mixed methods study in Finland (2022)
Raudasoja, M., Vehviläinen‐Julkunen, K., & Tolvanen, A. (2022). Passing the test of motherhood? Self‐esteem development and birth experience in the transition to motherhood : A longitudinal mixed methods study in Finland. Journal of Advanced Nursing, 78(12), 4246-4260. https://doi.org/10.1111/jan.15468
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Raudasoja, Mirjam; Vehviläinen‐Julkunen, Katri; Tolvanen, Asko
Lehti tai sarja: Journal of Advanced Nursing
ISSN: 0309-2402
eISSN: 1365-2648
Julkaisuvuosi: 2022
Ilmestymispäivä: 17.10.2022
Volyymi: 78
Lehden numero: 12
Artikkelin sivunumerot: 4246-4260
Kustantaja: Wiley-Blackwell
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1111/jan.15468
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Osittain avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/83601
Tiivistelmä
To investigate women's childbirth experiences and their relation to self-esteem development in the postpartum year.
Design
A mixed methods study.
Methods
Women (N = 125) completed survey questionnaires regarding their self-esteem and childbirth experiences at three time points in 2020–2021: third trimester of pregnancy (T1), 4–8 weeks postpartum (T2) and 1 year postpartum (T3). The survey results were analysed using qualitative thematic and quantitative path analyses with latent change factors. The open-ended answers of the women who demonstrated a change in self-esteem between T2 and T3 were then compared. The STROBE checklist was used as the reporting guideline.
Results
The quantitatively measured childbirth experiences predicted statistically significantly and positively the changes in self-esteem in the following year. The women described their childbirth stories through three main themes: childbirth as a lived experience, childbirth as a relational event and childbirth as a medical event. On the basis of the thematic analysis, we propose that the relationship between childbirth experience and self-esteem development might only hold for women with extremely positive or negative childbirth experiences. There were mixed results for those women who had mixed experiences, indicating that other factors probably contributed to the changes in self-esteem.
Conclusion
Childbirth is a pivotal event that may have lasting effects on the mother's self-esteem after childbirth. Especially women with traumatic experiences deserve attention because they are at risk of the most negative consequences.
Impact
Perinatal services and policy makers must recognize the importance of childbirth experiences in women's well-being and improve their practices. Different cultural models of childbirth should be recognized and supported to facilitate good experiences and prevent traumatic ones.
Patient or Public Contribution
Service users recruited in Finnish Child Health Centers responded to surveys that were used as data for this study.
YSO-asiasanat: raskaus; synnytys; äidit; äitiys; vanhemmuus; hyvinvointi; itsetunto; kokemukset; kätilöt; kyselytutkimus; pitkittäistutkimus
Vapaat asiasanat: childbirth experience, longitudinal study, midwife, mixed method, nursing, self-esteem
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2022
JUFO-taso: 3
