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The effects of a supportive interven...

Hoffman, Yonit.

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The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers./
Author:	Hoffman, Yonit.
Description:	165 p.
Notes:	Adviser: Dennis Drotar.
Contained By:	Dissertation Abstracts International53-11B.
Subject:	Health Sciences, Mental Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9236357

The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers.
Hoffman, Yonit.

The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers. - 165 p.

Adviser: Dennis Drotar.

Thesis (Ph.D.)--Case Western Reserve University, 1992.

The present study examines the impact of a supportive intervention during labor and delivery on the psychological adaptation of new mothers. Prior studies documented that the presence of a supportive female labor companion--a "doula"--during labor and delivery resulted in significant decreases in labor length, cesarean deliveries, and perinatal complications. The present study, which is part of a larger, ongoing project designed to refine and extend prior research, addresses prior design limitations by including both lower and middle SES subjects and their labor partners and by assessing psychosocial variables within a prospective, longitudinal framework.Subjects--Topical Terms:

1017693
Health Sciences, Mental Health.

The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers.
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005 20110920
008 110921s1992 eng d
035 $a (UnM)AAI9236357
035 $a AAI9236357
040 $a UnM $c UnM
100 1 $a Hoffman, Yonit. $3 1293481
245 1 4 $a The effects of a supportive intervention during labor and delivery on the postpartum psychological adaptation of first-time mothers.
300 $a 165 p.
500 $a Adviser: Dennis Drotar.
500 $a Source: Dissertation Abstracts International, Volume: 53-11, Section: B, page: 5978.
502 $a Thesis (Ph.D.)--Case Western Reserve University, 1992.
520 $a The present study examines the impact of a supportive intervention during labor and delivery on the psychological adaptation of new mothers. Prior studies documented that the presence of a supportive female labor companion--a "doula"--during labor and delivery resulted in significant decreases in labor length, cesarean deliveries, and perinatal complications. The present study, which is part of a larger, ongoing project designed to refine and extend prior research, addresses prior design limitations by including both lower and middle SES subjects and their labor partners and by assessing psychosocial variables within a prospective, longitudinal framework.
520 $a The effects of doula support on three areas of maternal postpartum psychological adjustment were examined: depressed mood, self-evaluation regarding maternal role, and marital/relationship satisfaction. It was hypothesized that the doula intervention would be most beneficial to those mothers who were most lacking in two resources which are salient in the transition to motherhood and which reflect key functions of the doula; perceived social support and positive relationship with mother.
520 $a Subjects included 188 women (127 middle SES, 61 low SES) who were recruited during their third trimester of pregnancy, administered prenatal questionnaires, and then randomly assigned to experimental or control group status. Control group subjects received routine obstetric care while subjects in the experimental group had the additional support of a doula who remained with them throughout labor and delivery. Outcome measures were assessed at 8-10 weeks postpartum.
520 $a Contrary to prediction, the doula intervention did not have significant main effects on postpartum psychological adaptation independent of level of prenatal resources. However, as predicted, interactions between experimental group status and prenatal resources contributed significantly to the prediction of postpartum depressed mood and self-evaluations (though not relationship satisfaction). Subjects' perceived social support and the quality of their relationships with their own mothers moderated the impact of the doula intervention--but had differential roles with regard to their impact on postpartum mood or self-evaluations. SES differences were also detected. The empirical and clinical implications of these results are discussed.
590 $a School code: 0042.
650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Obstetrics and Gynecology. $3 1020690
650 4 $a Psychology, Clinical. $3 524864
690 $a 0347
690 $a 0380
690 $a 0622
710 2 0 $a Case Western Reserve University. $3 1017714
773 0 $t Dissertation Abstracts International $g 53-11B.
790 $a 0042
790 1 0 $a Drotar, Dennis, $e advisor
791 $a Ph.D.
792 $a 1992
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9236357