{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,2]],"date-time":"2025-11-02T10:30:58Z","timestamp":1762079458750},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,7,11]],"date-time":"2014-07-11T00:00:00Z","timestamp":1405036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Nursing Review"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal, new mothers are fatigued by childcare responsibilities because of lack of knowledge and preparation for their new role. Knowledge deficit and adherence to traditional health practices place infants at risk. Some cultural practices for the care of newborns may cause tetanus, hypothermia or other life\u2010threatening illnesses. Maternal education, previous experience of newborn care, economic status, relationship problems with husband or mothers\u2010in\u2010law and dissatisfaction with social relations are the variables of interest for this study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To examine the association between socio\u2010demographic variables and post\u2010natal anxiety among primiparous mothers in <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study was designed as a correlational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A major maternity hospital in <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>athmandu, <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>epal.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>The sample were 216 primiparous mothers who were followed at 5\u20136 weeks after delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Three instruments were used for data collection: a demographics questionnaire, the <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>ewborn <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>are <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>nowledge <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uestionnaire and the <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>tate\u2010<jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>rait <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nxiety <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>nventory for <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>dults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mothers' knowledge of newborn care, general educational level and income were inversely related to maternal anxiety, that is, mothers with a lower educational level and socio\u2010economic status demonstrated a higher level of post\u2010natal anxiety. Poor relationships with husbands or mothers\u2010in\u2010law and low social support presented potential for the development of anxiety and depression during post\u2010partum period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Maternal education, socio\u2010economic status and knowledge of newborn care were major factors of post\u2010natal anxiety. On the other hand, women with low income and education, poor relationships with their husbands or mothers\u2010in\u2010law, and insufficient social support are vulnerable to the development of moderate to severe anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Health policy<\/jats:title><jats:p>Policy implications from these results indicate the need for support and funding from the <jats:styled-content style=\"fixed-case\">M<\/jats:styled-content>inistry of <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealth for education for women at hospitals, which must work together to offer newborn care education during the ante\u2010natal and post\u2010natal periods.<\/jats:p><\/jats:sec>","DOI":"10.1111\/inr.12118","type":"journal-article","created":{"date-parts":[[2014,7,11]],"date-time":"2014-07-11T08:53:22Z","timestamp":1405068802000},"page":"427-434","source":"Crossref","is-referenced-by-count":19,"title":["Factors associated with post\u2010natal anxiety among primiparous mothers in <scp>N<\/scp>epal"],"prefix":"10.1111","volume":"61","author":[{"given":"S.","family":"Shrestha","sequence":"first","affiliation":[{"name":"Division of Nursing Sciences Faculty of Human Health Sciences Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Adachi","sequence":"additional","affiliation":[{"name":"Department of Midwifery Division of Nursing Sciences Faculty of Human Health Sciences Tokyo Metropolitan University  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.A.","family":"Petrini","sequence":"additional","affiliation":[{"name":"HOPE School of Nursing Wuhan University  Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Nidan Hospital Pvt. 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