HomeHealth Sciences Journalvol. 8 no. 1 (2019)

Mental health promotion program to enhance maternal adjustment among postpartum women

Ria Valerie D. Cabanes

 

Abstract:

Introduction A statistical extrapolation reported 126,826 cases of post partum depression in the Philippines in 2004, prompting the proposal of the Postpartum Depression Research Act of 2007. This quasi-experimental research tested the Mental Health Promotion Program for Postpartum Women. The study elaborated the link between identified high-risk mothers for postnatal mood disturbances and effect of the intervention two weeks postpartum. Methods This was conducted using Postnatal Depression Predictor Inventory Scale–Revised, administration of a two-week Mental Health Promotion Program for Postpartum Women consisting of self-mastery, social support and sleep; and evaluation of postnatal depression scores of mothers through Edinburg’s Postnatal Depression Scale two weeks after giving birth. Results Mothers who are at risk of developing postpartum mood disorders were predominant. It also discovered that majority of high-risk mothers reported depressive symptoms. There was no significant difference in the postpartum mood between the study and control groups after the Mental Health Promotion Program for Postpartum Women. The intervention was able to address three factors: blaming oneself, fear and panic without reason, and difficulty sleeping due to sadness. Conclusion There is no significant difference in the postpartum mood between the control and study group after the intervention, however, the Mental Health Promotion Program for Postpartum Women was able to successfully target three factors: blaming oneself, fear and panic without reason, and difficulty sleeping due to sadness.



References:

  1. Beck C. State of science on postpartum depression: What nurse researchers have contributed – Part 1. MCN Am J Matern Child Nurs 2008; 33(2): 121-6.
  2. Segre L, O’Hara M, Arndt S, Beck C. Nursing care for postpartum depression: Part 1: Do nurses think they should offer both screening and counseling? MCN Am J Matern Child Nurs 2010; 35(4): 220-5.
  3. Oppo A, Mauri M, Ramacciotti D, et al. Risk factors for postpartum depression: The role of the Postpartum Depression Predictors Inventory-Revised. Arch Women Ment Health 12: 239-49.
  4. Morell J. Review of interventions to prevent or treat postnatal depression. Clin Eff Nurs [Internet]. 2006 [Accessed 2 Mar 2016]; doi: 10.1016/j.cein.2006.11.006
  5. Sockol, Epperson, Barber Mayo Clinic. High risk pregnancy: Know what to expect [Internet]. 2004 [Accessed 2 Mar 2016]. Available from: http://www.mayoclinic.org/healthy-lifestyle/pregnancy-week-by-week/in-depth/high-risk-pregnancy/art-20047012
  6. Beck C. Revision of the Postpartum Depression Predictors Inventory. J Obstet Gynecol Neonat Nurs 2002; 31: 394-402.
  7. Beck C, Records K, Rice M. Psychometric assessment of the Postpartum Depression Predictors Inventory-Revised.J Nurs Meas 2007; 15.
  8. Lewis B, Gjerdingen D, Avery M, Guo H, Sirard J, Bonikowske A, Marcus B. Examination of a telephone based exercise intervention for the prevention of postpartum depression: Design, methodology, and baseline data from The Healthy Mom Study. Contemp Clin Trials 2012; 1150-8.
  9. Cardone I, Kim J, Gordon T, Gordon S, Silver R. Psychosocial assessment by phone for high-scoring patients taking the Edinburgh Postnatal Depression Scale: Communication pathways and strategies. Arch Women Ment Health 2005; 9: 87-94.
  10. Milani H, Azargashb E, Beyraghi N, Defaie S Asbaghi T. Effect of telephone-based support on postpartum depression: A randomized controlled trial. Int J Fertil Steril 2015; 9(2): 247–53.
  11. Dennis C, Chung-Lee L. Postpartum depression help-seeking barriers and maternal treatment preferences: A qualitative systematic review. Birth 2006; 33(4): 223-31.
  12. Letourneau N, Duffett-Leger L, Stewart M, Hegadoren K, Dennis C-L, Rinaldi C. Canadian mothers’ perceived support needs during postpartum depression. J Obstet Gynecol Neonatal Nurs 2007; 36(5): 441-9.
  13. Beigi N, Broumandfar K, Bahadoran P, Abedi H. Women’s experience of pain during childbirth. Iran J Nurs Midwifery Res 2010; 15(2): 77-82.
  14. Webster J, Nicholas C, Velacott C, Cridland N, Fawcett L. Quality of life and depression following childbirth: Impact of social support. J Caring Sci [Internet]. 2013 Jun [Accessed 9 Mar 2016]; 2(2): 147–55. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161091/
  15. Park E, Meltzer-Brody S, Stickgold R. Poor sleep maintenance and subjective sleep quality are associated with postpartum maternal depression symptom severity. Arch Women Ment Health 2013; 16(6): 539-47.
  16. Torres R, Baylon M, De Jesus V, Habana A, Vista B. Validation of the Edinburgh Postnatal Depression Scale (EPDS) among Filipino women. Phil J Obstet Gynecol 2005; 29(1): 25.
  17. Boston University Medical Center. Mothers with postpartum depression with suicidal thoughts and their infant interactions. Science Daily [Internet]. 2009 [Accessed 11 Mar 2016]. Available from: www.sciencedaily.com/releases/2009/09/090903163854.htm
  18. Helliwell J, Layard R, Sachs J. World Happiness Report. Sustainable Development Solutions Network A Global Initiative for the United Nations [Internet]. UNSDSN. 2013 [Accessed 11 Mar 2016]. Available from: http://unsdsn.org/resources/publications/world-happinessreport-2013/
  19. Fisher J, Cabral de Mello M, Patel V, Rahman A. Maternal depression and newborn health. Newsletter for the Partnership of Maternal, Newborn & Child Health, 2. Geneva. 2006.
  20. Haga, S. Identifying risk factors for postpartum depressive symptoms: The importance of social support, self-efficacy, and emotional regulation [Internet]. PhD thesis. University of Oslo; 2011 [Accessed 30 Apr 2016].Available from: https://www.duo.uio.no/bitstream/handle/10852/18162/dravhandling-haga.pdf?sequence=3
  21. Warren P, McCarthy G, Corcoran P. Postnatal depression in first-time mothers: Prevalence and relationships between functional and structural social support at 6 and 12 weeks postpartum. [Internet]. 2011. doi: 10.1016/j.apnu.2010.08.005
  22. Holopainen D. The experience of seeking help for postnatal depression. Austral J Adv Nurs. 2002; 19(3): 39-44.
  23. K l a i n i n P, A r t h u r D. Po s t p a r t u m d e p r e s s i o n in Asian cultures. Int J Nurs Stud [Internet]. 2009 [Accessed 8 May 2015]; Available from: http://ac.els-cdn.com/S0020748909000704/1-s2.0-S0020748909000704-main.pdf?tid=aee6c84e-f545-11e4-a98900000aacb361&acdnat=1431064216_c7cf3e0a1810f1fd5dc341deefe5632a
  24. Hunter LP, Rychnovsky JD, Yount SM. A selective review of maternal sleep characteristics in the postpartum period. J Obstet Gynecol Neonatal Nurs 2009; 38: 60-8.
  25. Marcus S, Barry K, Flynn H, Tandon R, Greden J. Treatment guidelines for depression in pregnancy. Int J Gynaecol Obstetr 2001; 72:6170.
  26. Field T, Diego M, and Hernandez-Reif M. Prenatal depression effects and interventions: A review. Infant Behav Dev 2010; 33: 409-18