Journal of Education and Health Promotion

The effect of maternal role training program on role attainment and maternal role satisfaction in nulliparous women with unplanned pregnancy

Authors

. Masoumeh Kordi
. Maryam Fasanghari 1
. Negar Asgharipour 2
. Habibollah Esmaily 3

1 Department of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences

2 Department of Clinical Psychology, Psychiatry and Behavioral Science Research Center, Ibn Sina Hospital,

3 Department of Statistics and Epidemiology, Health Sciences Research Center, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract
INTRODUCTION: The maternal role is one of the most basic and important roles played by
women during their lifetime. The process of the maternal role starts during pregnancy and
to continue and develop after postpartum with the growth of suckling. However, unplanned
pregnancy may jeopardize achieving the maternal role and reduce maternal role satisfaction.
Therefore, the researcher conducted the present study to determine the impact of maternal
role training program on attainment of role and role satisfaction in nulliparous women with
unplanned pregnancy.
METHODOLOGY OF THE RESEARCH: In this clinical trial, the researcher divided 67 nulliparous
women with unplanned pregnancies into two groups at random by drawing lots. For the
intervention group, in addition to the usual pregnancy care, the researcher conducted 3 group
training sessions at weeks 34, 35, and 36 of pregnancy and an individual training session in the
1st day after delivery before release; then, during the next 4 weeks, the researcher made follow‑up
phone calls each week. The control group received the usual pregnancy care. The research
tools included London questionnaire to measure unplanned pregnancy, Myself‑As‑Mother
Scale (SD‑Self), My‑Baby Scale (SD‑Baby), Perceived Competence Scale to measure maternal
role attainment, and Parenting Sense of Competence Scale to measure maternal role satisfaction.
The researcher measured the maternal role attainment and maternal role satisfaction before
training and 4 weeks after delivery. The researcher analyzed the data using SPSS software
version 21 and statistical tests such as independent t‑test, Chi‑square, paired sample t‑test,
Mann–Whitney, one‑way analysis of variance, and Wilcoxon. The amount of P was supposed
to be <0.05.
RESULTS: The mean age of research units was 24.10 ± 4.3. Twenty‑one persons (60%) in the
intervention group and ten persons (31.3%) in the control group attained the maternal role (P = 0.019)
and changes to achieve the maternal role in intervention group were significantly more than the control
group (P = 0.002). Changes in the mean scores of maternal role satisfaction in the intervention group
were significantly more than the control group (P = 0.023).
CONCLUSION: Maternal role training for nulliparous women with unplanned pregnancy during
pregnancy and postpartum period can help them in maternal role attainment and maternal role
satisfaction.

Keywords

Maternal behavior
psychological adaptation
training program
unplanned pregnancy
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Journal of Education and Health Promotion
Volume 7, Issue 4
July and August 2017
Pages 1-8

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