A study was performed by disseminating a questionnaire to 81 mothers who delivered infants with congenital anomalies of extremities from 1994 to 1998 at Hospital S. Regarding the feeling on delivery of infants with anomalies, about one-half of the mothers replied that they had resigned themselves to the situation. Concerning future delivery, about one-half of the mothers replied that they didnt want to have another baby, and another one-half replied that they wanted to avoid getting pregnant. This reveals that the delivery of infants with anomalies plays a role as a psychological brake to some extent. Regarding psychological changes before and after the operation of infants, there were mothers who replied that they wanted to have the infants undergo an operation after they were fully convinced and had given full consent before the operation. In addition, there were mothers who replied that they wanted to put the matter in the expert's hands. The scores of dissatisfaction for postoperative results were significantly higher in the former group than the latter group. Regarding the relation between locus of control and delivery, in the PHLC type the scores of the group replying that they were very worried were significantly higher than the group replying that they consulted with doctors or friends. These results suggest that those who have deeper anxiety tend to be of the PHLC type. With respect to anxiety between the next child and the locus, the group replying that they didn't want to deliver another child because they worry about anomalies were of the IHLC type. In a postoperative evaluation, there were significantly more mothers in the group replying satisfied or satisfactory. On the other hand, in the group replying not satisfactory, there were more mothers with high scores of PHLC and IHLC types. When mental care is provided for mothers who have experienced such a crucial event in their lives as delivery of infants with anomalies, it is important to help the mother cope by reflecting the types of health behavior based on the locus of the mother.
View full abstract