The impact of primiparous self-efficacy on increasing maternal competence during the postpartum period
Abstract
Commonly, primiparous are unfamiliar with the experience of dealing with a newborn, nor do they have the competence to take care of them. A high level of self-efficacy will increase maternal competence in dealing with the newborn. The study aimed to (1) determine the level of maternal sense of competence among primiparous women in Jordan, (2) determine the level of perceived maternal self-efficacy among primiparous women in Jordan, (3) determine whether a significant relationship exists between maternal sense of competence and perceived maternal self-efficacy, and (4) identify whether sociodemographic characteristics are significantly related with maternal sense of competence and perceived maternal self-efficacy. The study employed a cross-sectional, descriptive correlational research design. Recruitment was performed at the King Abdullah University Hospital. A total of 89 participants joined the study. The Maternal Efficacy Questionnaire (MEQ) measured the perceived maternal self-efficacy, and the Parenting Sense of Competence Scale (PSOCS) measured the maternal sense of competence. Participants had a moderate positive maternal sense of competence and a high level of perceived maternal self-efficacy. Age had a weak positive but significant relationship with a maternal sense of competence. No significant relationships were found between maternal sense of competence and perceived maternal self-efficacy. Maternal self-competence and self-efficacy are significant components that make up a mother's armamentarium to perform parenting skills and make decisions about child-rearing. However, no significant relationship was found between perceived maternal self-competence and maternal self-efficacy. Future research should explore what factors drive low self-competence and self-efficacy among primiparous women. Nurses can assist and support mothers in improving their perceived self-competence levels and help mothers sustain the already high levels of maternal self-efficacy. Interventions must be multidimensional and multidisciplinary, involving other specialties such as midwives, nurses, and breastfeeding counselors.
References
Abuhammad, S. (2020). Predictors of maternal parenting self-efficacy for infants and toddlers: A Jordanian study. PLOS ONE, 15(11), e0241585. https://doi.org/10.1371/journal.pone.0241585
Abuhammad, S. (2021). Perceived maternal parenting self-efficacy as a predictor maternal responsiveness in infants and toddlers. International Journal of Clinical Practice, 75(5), e14043. https://doi.org/10.1111/ijcp.14043
Adams, E. L., Smith, D., Caccavale, L. J., & Bean, M. K. (2021). Parents Are Stressed! Patterns of Parent Stress Across COVID-19. Frontiers in Psychiatry, 12, 626456. https://doi.org/10.3389/fpsyt.2021.626456
Albanese, A. M., Russo, G. R. and Geller, P. A. (2019). The role of parental self‐efficacy in parent and child well‐being: A systematic review of associated outcomes. Child: Care, Health and Development, 45(3), 333–363. https://doi.org/10.1111/cch.12661
Bagherinia, M., Meedya, S. and Mirghafourvand, M. (2018). Association between maternal sense of competence and self-efficacy in primiparous women during the postpartum period. Shiraz E Medical Journal, 19(3). https://doi.org/10.5812/semj.59286
Bastos, F., Dias, A., & Campos, M. J. (2023). Family Nursing Care during the Transition to Parenthood: A Scoping Review. Healthcare, 12(5), 515. https://doi.org/10.3390/healthcare12050515
Botha, E., Helminen, M., Kaunonen, M., Lubbe, W., & Joronen, K. (2020). Mothers’ parenting self-efficacy, satisfaction and perceptions of their infants during the first days postpartum. Midwifery, 88, 102760. https://doi.org/10.1016/j.midw.2020.102760
Busari, D., & Nwafor, J. A. (2023). Romanticizing pregnancy: When motherhood becomes a malady. Journal of Human Behavior in the Social Environment, 35(2), 143–160. https://doi.org/10.1080/10911359.2023.2287021
Coo, S., García, M. I., & Mira, A. (2021). Examining the association between subjective childbirth experience and maternal mental health at six months postpartum. Journal of Reproductive and Infant Psychology, 41(3), 275–288. https://doi.org/10.1080/02646838.2021.1990233
Delhalle, M., Monseur, C., Knüppel, I., & Blavier, A. (2024). Psychometric Properties of the Parenting Sense of Competence Scale for a Sample of French-speaking Mothers. Journal of Child and Family Studies, 33(1), 151-165. https://doi.org/10.1007/s10826-023-02776-w
Gbogbo, S. (2020). Early motherhood: voices from female adolescents in the Hohoe Municipality, Ghana—a qualitative study utilizing Schlossberg’s Transition Theory. International Journal of Qualitative Studies on Health and Well-Being, 15(1). https://doi.org/10.1080/17482631.2020.1716620
Gibaud-Wallston, J., & Wandersman, L. P. (1978). Parenting sense of competence scale. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement
Green, S. B. (1991). How many subjects does it take to do a regression analysis. Multivariate behavioral research, 26(3), 499-510
Huang, Y., Zhong, Y., Chen, Q., Zhou, J., Fu, B., Deng, Y., ... & Wu, Y. (2024). A comparison of childbirth self-efficacy, fear of childbirth, and labor pain intensity between primiparas and multiparas during the latent phase of labor: a cross-sectional study. BMC Pregnancy and Childbirth, 24(1), 400. https://doi.org/10.1186/s12884-024-06571-3
Janssens, J. J., Achterhof, R., Lafit, G., Bamps, E., Hagemann, N., Hiekkaranta, A. P., M. Hermans, S. F., Lecei, A., Myin-Germeys, I., & Kirtley, O. J. (2021). The Impact of COVID-19 on Adolescents’ Daily Lives: The Role of Parent–Child Relationship Quality. Journal of Research on Adolescence, 31(3), 623-644. https://doi.org/10.1111/jora.12657
Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical psychology review, 25(3), 341-363.
Khamehchian, M., Adib-Hajbaghery, M., HeydariKhayat, N., Rezaei, M., & Sabery, M. (2020). Primiparous women’s experiences of normal vaginal delivery in Iran: a qualitative study. BMC pregnancy and childbirth, 20, 1-8. https://doi.org/10.1186/s12884-020-02954-4
Leerkes, E. M. and Burney, R. V. (2007). The development of parenting efficacy among new mothers and fathers. Infancy, 12, 45–67.
Leerkes, E. M. and Crockenberg, S. C. (2002). The development of maternal self-efficacy and its impact on maternal behavior. Infancy, 3(2), 227–247. https://doi.org/10.1207/S15327078IN0302_7
Liu, M., & Xu, Z. (2024). A study on regulating factors of the influence of Children’s negative emotions on mothers' parenting stress: A study of China's post-80s generation. Children and Youth Services Review, 159, 107533. https://doi.org/10.1016/j.childyouth.2024.107533
Mannocci, A., Ciavardini, S., Mattioli, F., Massimi, A., Lia, L., Scaglietta, F., Giannini, A., Antico, R., Dorelli, B., Svelato, A., Orfeo, L., Benedetti Panici, P., Ragusa, A., La Torre, G., & Group, H. M. (2021). HAPPY MAMA Project (Part 2)—Maternal Distress and Self-Efficacy: A Pilot Randomized Controlled Field Trial. International Journal of Environmental Research and Public Health, 19(3), 1461. https://doi.org/10.3390/ijerph19031461
Marques, G. M., Nascimento, D. Z., Trevisol, D. J., & Iser, B. P. (2020). Instruments measuring pregnant women’s expectations of labor and childbirth: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology, 246, 90-98. https://doi.org/10.1016/j.ejogrb.2020.01.014
McKelvin, G., Thomson, G., & Downe, S. (2021). The childbirth experience: A systematic review of predictors and outcomes. Women and Birth, 34(5), 407-416. https://doi.org/10.1016/j.wombi.2020.09.021
Ohan, J. L., Leung, D. W., & Johnston, C. (2000). The Parenting Sense of Competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement, 32(4), 251.
Polit, D. F. & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. In Nursing Research: Generating and Assessing Evidence for Nursing Practice. Wolters Kluwer Health.
Rao, T. K., Kumar, B., Chaurasia, S., Sharma, V. K., Kumar, P., & Malaviya, D. J. (2020). Features of Uterine Involution in Dairy Animals: A Review. Theriogenology Insight-An International Journal of Reproduction in all Animals, 10(3), 81-91.
Salarvand, S., Mousavi, M. S., Esmaeilbeigy, D., Changaee, F., & Almasian, M. (2020). The Perceived Health Needs of Primiparous Mothers Referring to Primary Health Care Centers: A Qualitative Study. International Journal of Women’s Health, 12, 745–753. https://doi.org/10.2147/IJWH.S258446
Schrey-Petersen, S., Tauscher, A., Dathan-Stumpf, A., & Stepan, H. (2021). Diseases and Complications of the Puerperium. Deutsches ÄRzteblatt International, 118(25), 436. https://doi.org/10.3238/arztebl.m2021.0168
Schobinger, E., Vanetti, M., Ramelet, A., & Horsch, A. (2022). Social support needs of first-time parents in the early-postpartum period: A qualitative study. Frontiers in Psychiatry, 13, 1043990. https://doi.org/10.3389/fpsyt.2022.1043990
Shorey, S., Ng, Y. P. M., Siew, A. L., Yoong, J. and Mörelius, E. (2018). Effectiveness of a Technology-Based Supportive Educational Parenting Program on Parental Outcomes in Singapore: Protocol for a Randomized Controlled Trial. Journal of Medical Internet Research, 20(1), 1–13. https://doi.org/10.2196/resprot.8062
Teti, D. M. and Gelfand, D. M. (1991). Behavioral Competence among Mothers of Infants in the First Year: The Mediational Role of Maternal Self-Efficacy. Child Development, 62(5), 918–929. Retrieved from https://doi.org/10.1111/j.1467-8624.1991.tb01580.x
Triantafyllidis, S., & Darvin, L. (2021). Mass-participant sport events and sustainable development: Gender, social bonding, and connectedness to nature as predictors of socially and environmentally responsible behavior intentions. Sustainability science, 16(1), 239-253.
Vance A. and Brandon D. (2018). Delineating among Parenting Confidence, Parenting Self-Efficacy and Competence. Advances in Nursing Science, 40(4), E18 – E37.
Yang, X., Ke, S., & Gao, L. (2020). Social support, parental role competence and satisfaction among Chinese mothers and fathers in the early postpartum period: A crosssectional study. Women and birth, 33(3), e280-e285. https://doi.org/10.1016/j.wombi.2019.06.009