Effects of the Self-Regulation Program on Postpartum Weight Retention among First-Time Mothers
DOI:
https://doi.org/10.60099/jtnmc.v39i02.267997Keywords:
postpartum weight retention, self-regulation program, health behaviors, postpartum mothersAbstract
Introduction Excessive postpartum weight retention in first-time mothers has an ongoing impact on their health. Self-regulation to maintain a normal weight range is therefore crucial.
Objective To 1) compare the average weight retention of experimental group before and after participating in a self-regulation program, and 2) compare the average weight retention between the control and experimental groups after the program
Design This study employed a quasi-experimental design with two-group pretest and posttest.
Methodology The study comprised 52 first-time mothers attending the Well-Baby Clinic, Health Promotion Center Region 1, Chiang Mai, with their infants for vaccinations between November 2021 and July 2022, post the fourth month of the postpartum period. Following inclusion criteria, participants were purposively selected and assigned to either an experimental or control group, each consisting of 26 participants. The control group received routine care, while the experimental group received a self-regulation program and routine care. Intervention tools included 1) an 8-week self-regulation program, 2) a self-regulation guide, 3) the Z-Size Ladies, and 4) a weighing scale. Data collection instruments included 1) personal data forms, 2) obstetric history forms, and 3) postpartum weight retention health behavior record books. Data collection was completed in the control group and then the experimental group. The data were then analyzed using descriptive statistics, Paired t-test, and Independent t-test.
Results The average postpartum weight retention among the experimental group after participating in the self-regulation program was lower than before the program with a statistical significance (t = 3.594, p = .001). Moreover, average postpartum weight retention among the experimental group after the program was lower than that of the control group with a statistical significance (t = 2.018, p = .02).
Recommendation Nurses and midwives can use the self-regulation program for managing postpartum weight retention among first-time mothers, maintaining it within a normal range. Additionally, conducting a follow-up prospective study is essential to evaluate effectiveness of the program in controlling weight among participants in a subsequent pregnancy.
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