Bem-estar e saúde mental materna

Steen, Mary; Francisco, Adriana Amorim

doi:10.1590/1982-0194201900049

Cited by 10 publications

(3 citation statements)

References 10 publications

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Section: Introductionmentioning

confidence: 99%

“…The postnatal period represents a time of risk for the emergence of PND, affecting the well-being of the mother, the newborn and the entire family [27,28]. However, newly birthed mothers are not identified when at risk of having a poor state of well-being, and often the opportunities to detect anxiety, stress and coping problems are missed [28]. In South Africa, maternal mental health care, particularly for PND, remains a neglected area [17,21,29] and the country continues to focus more on reducing maternal and infant mortality and promoting infant physical health [29].…”

Section: Introductionmentioning

confidence: 99%

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Postnatal Depression Screening among Postpartum Women Attending Postnatal Care at Selected Community Health Centres Situated in the Nkangala District of South Africa

Modjadji¹,

Mokwena²

2020

TOPHJ

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Background: The postnatal period represents a time of risk for the emergence of Postnatal Depression (PND), a common maternal mental health problem affecting the well-being of the mother, the newborn and the entire family. Previously, it was postulated that African women were not affected by PND, due to traditional rituals and other cultural factors. However, the assumption has been refuted because of the existence of empirical evidence of PND in Africa and beyond, particularly among women living in socio-economic disadvantaged regions. Despite the growing magnitude of PND reported in South Africa, the country continues to focus more on reducing maternal and infant mortality and promoting infant physical health with limited efforts made to address PND among postpartum women. Objective: To screen for PND and determine the associated risk factors among postpartum women in selected community health centres situated in the Nkangala District, South Africa. Methods: The study was cross-sectional in design and applied a quantitative approach. Random sampling was used to select the three community health centres in the Nkangala District. A sample of 228 women who had delivered a live infant within 12 weeks of the time of data collection was selected using purposive sampling from the three community health centres. Trained research assistants administered a questionnaire to obtain information on demography and obstetric history, while the Edinburgh Postnatal Depression Scale (EDPS) was used to screen for postnatal depression. An EDPS score of 13+ confirmed the probability of PND. Data was analysed using STATA 14. Results: The mean age of women was 28±7 years. The majority of women were single (61%), living in large households (77%), and living in households with a monthly income of less than $291.10 (63%). Most women had normal (i.e., vaginal) delivery (83%) and reported unplanned pregnancies (65%). The probability of developing PND among women was 22%. The odds of developing PND were 3.17 times more likely in women with babies aged six weeks and above (AOR=3.17, CI; 1.39 - 7.23) and 4.50 times more likely in women living in households with an income of less than $115.55 (AOR=4.50, CI; 1.03 - 19.74). Partner/husband violence increased the odds of developing PND (AOR = 6.89, CI; 1.49 - 31.93), as well as a stressful life event (AOR= 3.73, CI: 1.52 - 9.17). Having partner/husband support (AOR=0.10, CI: 0.03 - 0.37) and receiving social support (AOR=0.28, CI: 0.09 - 0.93) reduced the risk of developing PND. A chi-square test showed significant associations between the EDPS scores and partner/husband support, partner/husband having another sexual partner, receiving social support, having a person who offers social support, partner/husband violence, and stressful life events. Conclusion: The probability of PND was high among postpartum women in the Nkangala District of the Mpumalanga Province, South Africa. The key determinants for the probability of PND were the age of a baby, household income, partner/husband violence, partner/husband support and receiving social support. Routine screening to identify women who are at risk of PND should be integrated into postnatal care settings for immediate intervention to protect the mother and her baby from different forms of morbidity.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postnatal Depression Screening among Postpartum Women Attending Postnatal Care at Selected Community Health Centres Situated in the Nkangala District of South Africa

Modjadji¹,

Mokwena²

2020

TOPHJ

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“…Adicionalmente otro hallazgo significativo es que las mujeres suelen presentar mayores niveles de estrés que los hombres que están en similares circunstancias (González-Olaya et al, 2014). No obstante, en las madres universitarias este fenómeno se encuentra poco estudiado, pese a que se conoce que el estado de salud mental de la madre puede impactar en el desarrollo físico y psicológico de su hijo (Álamo et al, 2017;Steen y Francisco, 2019).…”

Section: Introductionunclassified

El estrés académico y resiliencia en madres universitarias colombianas con y sin apoyo institucional en el cuidado de sus hijos

et al. 2021

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Son cada vez más las mujeres que asumen simultáneamente los roles de madre y estudiante en el ámbito universitario; lo cual puede hacerlas vulnerables a factores que obstaculizan su adecuado proceso académico. A través de un estudio cuantitativo, con un diseño de casos y controles, se analizó la asociación entre el estrés académico y la resiliencia en una muestra de 52 madres de dos instituciones universitarias colombianas: el Instituto Tecnológico Metropolitano y la Institución Universitaria de Envigado, de las cuales, la primera cuenta con un aula pedagógica de apoyo en el cuidado de los hijos de las estudiantes y se constituyó en el grupo de casos y la segunda no cuenta con este beneficio, conformando el grupo de control. Para la recolección de datos se aplicó un cuestionario sociodemográfico, la Escala de Resiliencia SV-RES y el Inventario de Estrés Académico SISCO. Se halló que el grupo de control tuvo niveles superiores de estrés psicológico y presentó una asociación negativa entre el estrés psicológico, comportamental y físico y el nivel total de resiliencia.

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Returning to work after maternity leave: a systematic literature review

Franzoi,

Sauta,

De Luca

et al. 2024

Arch Womens Ment Health

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Purpose Working women often experience difficulties associated with balancing family and career, particularly if they choose to have children. This systematic literature review aimed at investigating women’s experience in returning to work after maternity leave. Methods The review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The literature search led to the identification of 52 articles, which underwent data extraction and qualitative analysis. Results Results were organized in 5 categories: (1) Work-life balance; (2) Women’s mental and physical health; (3) Job-related wellbeing and working experience; (4) Breastfeeding. Women’s both mental and physical health seem connected to a longer maternity leave and a greater coworkers’ and supervisors’ support. Returning to work seems to constitute one of the most important barriers for exclusive breastfeeding or breastfeeding continuation. A shorter duration of maternity leave, a higher workload and the lack of occupational policies supporting breastfeeding seem to be hindering factors. Partner and family support, and the opportunity for fathers to work under a flextime system after childbirth seem to increase both breastfeeding initiation and duration. Women who continue breastfeeding after returning to work seem to experience more family-to-work conflict and overload. Conclusions This paper show that there are still many understudied aspects in exploring women’s experience of returning to work after maternity leave. This represents an important gap in the literature, since returning to work represents a particularly critical time in women’s personal and occupational life, in which challenges and barriers may arise, potentially affecting their experience in the immediate future and years to come.

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Bem-estar e saúde mental materna

Cited by 10 publications

References 10 publications

Postnatal Depression Screening among Postpartum Women Attending Postnatal Care at Selected Community Health Centres Situated in the Nkangala District of South Africa

Postnatal Depression Screening among Postpartum Women Attending Postnatal Care at Selected Community Health Centres Situated in the Nkangala District of South Africa

El estrés académico y resiliencia en madres universitarias colombianas con y sin apoyo institucional en el cuidado de sus hijos

Returning to work after maternity leave: a systematic literature review

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