COMPARISON OF FIRST AND SECOND MONTH POSTPARTUM STRESS AND STRESSORS IN PRIMIPAROUS AND MULTIPAROUS WOMEN

In the postpartum period, Mothers encounter with new responsibility stressors such
as breastfeeding and depression that can be associated with other complications. Based on such factors
this study was designed to clarify the stressors in the first and second months of postpartum in
primiparous and multiparouse.
Materials & methods: This descriptive comparative study was conducted on 400 primiparous and
multiparous mothers referring to Mashhad health care centers in 1390. They were selected by multistage
sampling method. Data collection was done by a questionnaire based on Hung and Helen. Postpartum
stressors were modified with maximum 910 for nulliparous women and 940 for multiparous in the first
and second month after delivery. The questionnaires were completed when they were referring to the
health care centers. The data were analyzed by using descriptive and analytic statistics.
Results: Mean deviation scores stress rates in nulliparous women were 242.5 ± 157 and 228.7 ± 179.8
in the first and second months, respectively. They were 223.8 ± 135.7 and 208.9 ± 163.5, in the first and
second months of multiparous women, respectively. Comparison of stress intensity in the first and
second month in two groups showed that nulliparous women had higher scores on the two times
separately. On both months, the first baby shower stress for primiparous and lower back pain stress for
multiparous mothers had got the highest score.
Conclusion: According to the different stressors among both groups of nulliparous and multiparous
women, their educational needs are totally different