Chronic disability in children imposes great strains on a family. The responsibility of mothering disabled children may be detrimental to the well-being of mothers. This study aims to assess the different types of coping styles of mothers with disabled children and its influencing factors. It is a cross-sectional study using Coping Inventory Stressful Situation (CISS) scale to determine the mothers' coping styles. A sample of 81 mothers with disabled children attending two rural Community Rehabilitation Centres, were included in the study. Overall, the mothers were using a mixture of coping strategies. However, they scored more in the task-oriented (mean T score = 52.88) and emotion-oriented (mean T score = 50.52) coping styles, while the other subscales of coping styles, namely avoidance, distraction and social diversion were below average (mean T score < 50). Divorced mothers (p=0.04) and those with low educational level (p=0.00) were more inclined to use emotion-oriented coping strategies while mothers with younger children (< 5 years old) used more avoidance coping strategies (p=0.01). There were no significant difference of coping styles in association with the mothers' age, ethnicity, duration of marriage, number of siblings, child's birth order or gender. By understanding the mothers' coping styles, health care workers would be able to educate the mothers with effective coping strategies and consequently reduce their psychological distress.
Coping Behavior ; Disabled Children ; Child coping with hospitalization ; lower case pea ; Upper case tea

We discussed the current state of the emergency care of pregnant women and better ways to solve the problems confronting obstetricians and hospitals in our country.The basis of this problem is that doctors specialized in obstetrics and gynecology are working hard at high risk of being sued, resulting in the rapid decrease in the number of obstetricians. It has become difficult for many hospitals to maintain the department of obstetrics and gynecology. In other arords, it boils down to how to increase, or at least not to decrease the number of obstetricians and how to use present working doctors efficiently. By so doing, we could take in more emergency patients. To incease the number of those who choose obstetrics and gynecology, we should emphasize attrctive aspects of obstetrics and gynecology to students in early grades of medical schools. To assist the women doctors' return after maternity leave in taking care of their child, 24-hour day nurseries are necessary. Construction of the systems of short time work to reduce their hard and long-time load is also needed.In addition, the effective regional hospital association and cooperation should be encouraged and prompt maternal transportation should be achieved as much as possible. Doctors of different clinics or hospitals are expected to join forces to replenish the work of a regional perinatal central hospital. There are many of the medical treatment lawsuit when the newborn baby with cerebral palsy is born. This is one reason why the doctors keep away from obstetrics. A new system of the nofault amends system may be established by which the load of medical providers and patients can be reduced. Increased salary for obstetrician may be effective to induce doctors to obstetrics. These points were discussed.
Discipline of obstetrics ; Gynecology ; Emergency Care ; Child coping with hospitalization ; Circumferential