@article{82c2921d56f941379a0e5896ef9c1d27,
title = "The effect of grandmothers{\textquoteright} presence on the provision of multidisciplinary perinatal support for pregnant and postpartum women with psychosocial problems",
abstract = "Background: Pregnant and postpartum women with psychosocial problems are prone to face limited or absent perinatal functional support from biological grandmothers due to familial dysfunction. The study aimed to investigate whether the involvement and presence of biological maternal grandmothers providing practical support for their pre/postnatal daughters (ie, pregnant women) during the perinatal period may influence the number of support services provided by multidisciplinary agencies, including child consultation centers and municipal offices. Participants and methods: This is a retrospective cohort study based on the medical records of all pregnant women with psychosocial problems that visited, gave birth, and received intervention from the hospital-based child protection unit at the Chiba University Hospital between February 2018 to March 2019. The primary outcome was to identify whether there was a difference in the number of multidisciplinary agencies providing perinatal support between pregnant women with and without the presence of functional support from biological maternal grandmothers during the perinatal period. Results: We identified 114 pregnant and postpartum women with psychosocial problems. Seventy-six of these participants (66.7%) had functional support from their biological maternal grandmothers during the perinatal period, and 38 participants (33.3%) did not. The number of agencies involved with participants who lacked functional support was significantly higher than participants with functional support (t(55.14) = 2.98, p < 0.01). This finding was consistent among pregnant and postpartum primipara participants (n = 70) (t(68) = 3.87, p < 0.001), but not multipara (n = 44). Conclusion: The findings indicate that the presence and functional support of biological maternal grandmothers influence the support that is needed from multidisciplinary perinatal support systems by pregnant and postpartum women with psychosocial problems. Primipara mothers without support from their own mothers may need greater multidisciplinary support.",
keywords = "Child maltreatment, Grandmother, Perinatal, Postpartum, Pregnancy, Psychosocial",
author = "Michi Ogawa and Tasuku Hashimoto and Mami Tanaka and Masumi Tachibana and Ryota Seki and Aiko Sato and Jun Okayama and Mamiko Endo and Naoki Saito and Yasunori Sato and Hiroyuki Watanabe and Michiko Nakazato and Emi Mori and Makio Shozu and Masaomi Iyo",
note = "Funding Information: We would like to thank Editage (www.editage.jp) for English language editing. We declare that this work was financially supported by Satsuki-kai Sodegaura-Satsukidai Hospital, Japan. We would like to thank all the patients and doctors who participated in this study. We are particularly grateful to the clinical research nurses (Kaoru Ikeda, Chisako Fujishiro, and Chiharu Fujita), the research assistant (Komako Ito), and the members of CPT in Chiba University Hospital (Kyoko Tanabe, Ryoko Fukuhara, Saki Eshima, and Akiko Ichihara) for cooperating with this study at Chiba University Hospital. Funding Information: This study was implemented by the financial support of Sodegaura-Satsukidai Hospital. The Foundation had no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. We would like to thank Editage (www.editage.jp) for English language editing. We declare that this work was financially supported by Satsuki-kai Sodegaura-Satsukidai Hospital, Japan. We would like to thank all the patients and doctors who participated in this study. We are particularly grateful to the clinical research nurses (Kaoru Ikeda, Chisako Fujishiro, and Chiharu Fujita), the research assistant (Komako Ito), and the members of CPT in Chiba University Hospital (Kyoko Tanabe, Ryoko Fukuhara, Saki Eshima, and Akiko Ichihara) for cooperating with this study at Chiba University Hospital. Publisher Copyright: {\textcopyright} 2019 Ogawa et al.",
year = "2019",
doi = "10.2147/JMDH.S228320",
language = "English",
volume = "12",
pages = "1033--1041",
journal = "Journal of Multidisciplinary Healthcare",
issn = "1178-2390",
publisher = "Dove Medical Press Ltd.",
}