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Assessment of Maternal Readiness for Childbirth and childrearing among Adolescent Mothers in Ghana

Advances in Reproductive Sciences 2021年第2期9卷 107-117页

作者： Rebecca Dordunu Gideon Dzando Augustine Kumah Anthony B. Donyi Hillary Selassi Nutakor Wonder A. Y. Amenuvor Charles Komla Anagblah Eunice Adorkor Honore Mordenu School of Nursing and Midwifery University of Ghana Legon Ghana College of Nursing and Health Sciences Flinders University Adelaide Australia Department of Quality and Public Health Nyaho Medical Centre Accra Ghana Department of Nursing Presbyterian University College Agogo Ghana Department of Mental Health Accra Psychiatric Hospital Accra Ghana Department of Oncology Ghana Health Service Ho Ghana Department of Nursing Krachi West District Hospital Krachi Ghana Department of Nursing Ho Teaching Hospital Ho Ghana School of Nursing and Midwifery University of Cape Coast Cape Coast Ghana

Background: Adolescent pregnancy is a public health problem of concern in developed, developing and underdeveloped countries. Trends in developing and underdeveloped countries are higher and account for most adverse pregnancy outcomes. Adolescence is a period of transition between childhood and adulthood. The burden of coping with changes with this transition and at the same time preparing for childbirth puts pregnant adolescent girls on edge. Childbirth and childrearing are critical moments that require support and specialized skills to nurture healthy infants. Aim: This study aims to assess the readiness of adolescent expectant mothers towards childbirth and childrearing in the Komenda/Edina/Eguafo/Abirem (KEEA) district of the central region of Ghana. Methods: This study utilized the total population sampling technique to collect data from three sites that offer specialized adolescent antenatal services within the KEEA district of the central region of Ghana. Data were analyzed using SPSS version 22.0 and results presented as descriptive statistics. Results: This study assessed maternal readiness for childbirth and childrearing among 98 pregnant adolescent girls. The study was dominated by late adolescents who made up 86.7% of study participants. Regarding readiness for childrearing, the majority (74.5%) said they could not independently cater for their children and will require some support. The majority (52.0%) have had some form of counseling with a greater number (41.2%) coming from parents. Regarding readiness to embrace childbirth, the majority (82.4%) of respondents said they had companions who were willing to support them during childbirth. The majority (57.1%) of responden

关键词： Childbearing childrearing Adolescence Pregnancy Antenatal Care

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Challenges in Work-Family Balance and Support Needs of Japanese Parents with Nursery School-Aged Children

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Health 2023年第6期15卷 622-639页

作者： Yuko Shimoda Miyuki Ishii Yuichi Hori Faculty of Nursing Kyoto Tachibana University Kyoto Japan College of Nursing Art and Science University of Hyogo Akashi Japan Graduate School of Health Sciences Kobe University Kobe Japan

We aimed to identify the challenges parents face raising preschool-aged children when trying to maintain a good work-family balance. We also highlight how public health nurses can support the community in this regard. Seven Japanese parents volunteered to participate, and individual in-depth interviews were conducted from May to October 2021. We analyzed the recorded interview data using qualitative descriptive methods. Three main themes concerning work-family balance challenges were extracted: 1) conflicts between parents’ childcare and work roles, 2) issues related to institutions and social systems, and 3) a lack of informal support. Factors contributing to the difficulties were a lack of time to spend with their children;an imbalance in the division of housework and childcare roles between married couples;the employment environment in Japan that makes it difficult to pursue a career while raising children;a lack of childcare services, including childcare for sick children;inadequate consultation systems;and an aging grandparents’ generation owing to late marriages. To solve this problem, we suggest that in addition to establishing a reliable system for providing childcare, local public health nurses should work with childcare workers to create an environment in which parents feel comfortable discussing work-family balance, considering the time constraints of parents during the childrearing period, and use nursery schools as a place for parent-child support.

关键词： childrearing Parent Public Health Nurse Work-Family Balance

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