Neither birthing method nor place of residence made a difference in the amount of help that MAMs expected to provide their daughters or in the amount of help that AMOMs expected from their mothers.
The involvement in maternal and newborn care that AMOMs expect from their mothers and the involvement that MAMs expect to provide their daughters and grandchildren are congruent.
Much more research is needed to investigate the expectations of AMOMs and MAMs regarding maternal and newborn care, but in the meantime, nurses may consider including MAMs in the postpartum discharge education of AMOMs.
Nurses need to consult with the AMOMs before including their mothers in discharge education.
In situations where daughters welcome their mothers' participation, AMOMs and newborns alike may benefit from nurses' teaching efforts by helping mother/daughter dyads improve their communication skills, negotiate their new roles, and strengthen their relationships (Contreras et al.
There are a number of possible reasons for so few differences between the involvement expectations of AMOMs and MAMs.
AMOMs and MAMs with persistent conflicts may have been excluded from this study.
Surrogates were included because AMOMs often rely on kinship-ties for the care of themselves and their infants when their biological mothers are either physically or emotionally unavailable (Crosson-Tower, 2005).
Also, the distribution of responses was skewed, the resulting decreased variability may have attenuated the differences between AMOMs and MAMs.
The findings of this study indicate that much more research is necessary to explore the benefits and risks of educating both AMOMs and MAMs during the postpartum hospital stay.