Challenges for Primary Healthcare Professionals in Caring for Women With Postpartum Depression

Meira, Bianca de Macêdo; Pereira, Pauliany Alencar de Souza; Silveira, Maria de Fátima Araújo; Gualda, Dulce María Rosa; Santos, Hudson P.

doi:10.1590/0104-0707201500049-14

Cited by 12 publications

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References 13 publications

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“…The limitation of focus to physiological aspects of the development of pregnancy and the postpartum period prevents an integral care during antenatal and postpartum periods. (28,29) Thus, health professionals should understand the state of higher psychic vulnerability of pregnant women, without trivializing their complaints and, when necessary, request referring support from mental health professionals to pregnant women in mental suffering. (29) …”

Section: Discussionmentioning

confidence: 99%

Sintomas depressivos na gestação e fatores associados: estudo longitudinal

et al. 2017

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Objective: To identify the frequency of depressive symptoms during pregnancy and verify their association with sociodemographic, obstetric and health variables. Methods: A longitudinal study conducted with 272 pregnant women in 12 health units in the city of São Paulo. Data were obtained using a form for the independent variables, and the Edinburgh Postpartum Depression Scale applied at the 20 th , 28 th and 36 th gestational weeks. A model of generalized estimating equations was used to evaluate the associated factors and odds ratio. Results: The frequency of depressive symptoms was 27.2%, 21.7% and 25.4%. Higher educational level, planned pregnancy and continuity of gestation were protective factors. Suffering or having suffered psychological violence was an independent risk factor of the gestational period. Conclusion: The frequency of depressive symptoms during pregnancy was high. The associated factors were higher educational level, planned pregnancy, continuity of pregnancy, and suffering or having suffered psychological violence. ResumoObjetivo: Identificar a frequência de sintomas depressivos no decorrer da gestação e verificar sua associação com variáveis sociodemográficas, obstétricas e de saúde. Métodos: Estudo longitudinal realizado com 272 gestantes de 12 unidades de saúde do Município de São Paulo. Os dados foram obtidos por meio de um formulário para as variáveis independentes e da Escala de depressão pós-parto de Edimburgo aplicada nas 20ª, 28ª e 36ª semanas gestacionais. Utilizou-se modelo de equações de estimação generalizadas para avaliar os fatores associados e chances de risco. Resultados: A frequência de sintomas depressivos foi de 27,2%, 21,7% e 25,4%. Maior escolaridade, gestação planejada e continuidade da gestação foram fatores de proteção. Sofrer ou ter sofrido violência psicológica foi fator de risco independente do período gestacional. Conclusão: A frequência de sintomas depressivos na gestação foi elevada. Os fatores associados foram maior escolaridade, gestação planejada, continuidade da gestação e sofrer ou ter sofrido violência psicológica.

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Section: Discussionmentioning

confidence: 99%

Sintomas depressivos na gestação e fatores associados: estudo longitudinal

et al. 2017

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“…This shows, in Brazil, a gap in the assistance protocols developed by the Ministry of Health for maternal life (6) . Furthermore, professionals are unaware of the methods of screening and interventions due to lack of training in perinatal mental health, given the lack of prioritization of this dimension in undergraduate courses (35) . Therefore, it is recommended to use interventions that promote maternal well-being in prenatal care, namely: early identification of risk factors; establishment of a relationship of trust between professional and user; preparation to perform maternal role; identification of the social support network; encouragement of the partner's involvement in the pregnancy-puerperal cycle; and conducting home visits, especially after birth (36) .…”

Section: Discussionmentioning

confidence: 99%

Common mental disorders and perinatal depressive symptoms: an integrative review

et al. 2020

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Objective: to investigate occurrence and risk factors for common mental disorders and perinatal depressive symptoms. Methods: an integrative literature review using CINAHL, Embase, PubMed, PsycINFO, and LILACS, looking for studies conducted between 2014 and 2019. Data collection took place between June and July 2019. Health Sciences Descriptors (DeCS) and Medical Subject Heading (MeSH) were used in the search strategies employed in each database. Results: thirteen articles were included. Most studies were conducted in Brazil and with a cross-sectional design. The highest prevalence of common mental disorders (63%) and depressive symptoms (30%) were found in Brazilian studies. Conclusion: high frequencies were found for perinatal mental disorder, with emphasis on studies carried out in Brazil. Low socioeconomic status, being a single mother, history of mental disorder, unplanned pregnancy and multiparity were risk factors for the investigated disorders.

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“…Observam-se estudos no Brasil e no cenário internacional, com resultados semelhantes ao dessa pesquisa (Alvares, Azevedo & Neto, 2015;Meira, Pereira, Silveira, Gualda, & Santos Jr, 2015;Oliveira, Alves, Azevedo, Cavalcante & Azevedo, 2016;Souza, Santos, Sorte, Peixoto, & Carvalho, 2018;Elshatarat et al,2018). Meira, Pereira, Silveira, Gualda, e Santos Jr (2015) verificaram a dificuldade que os enfermeiros têm de identificar a DPP-M, explicando que isso ocorre devido ausência do conhecimento relativo a esta psicopatologia e suas consequências.…”

Section: Discussionunclassified

“…Meira, Pereira, Silveira, Gualda, e Santos Jr (2015) verificaram a dificuldade que os enfermeiros têm de identificar a DPP-M, explicando que isso ocorre devido ausência do conhecimento relativo a esta psicopatologia e suas consequências. As falas dos entrevistados apontaram que mesmo na presença de sinais da DPP-M, estes classificavam a mulher com uma predisposição a doença, demonstrando insegurança para afirmação de tal condição) (Meira, Pereira, Silveira, Gualda, & Santos Jr (2015). Evidencia-se que o conhecimento dos enfermeiros da atenção primária em saúde sobre a DPP-M é fragilizado e a conduta do enfermeiro no cuidado às mães é focada nos cuidados com a criança, necessidades fisiológicas e reprodutivas, não avançando em relação às causas psicológicas do cuidado (Souza, Santos, Sorte, Peixoto, & Carvalho, 2018).…”

Section: Discussionunclassified

Conhecimento de profissionais da estratégia saúde da família acerca da depressão pós-parto

Gonçalves

Oliveira

Jantara

et al. 2020

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This study aimed to learn about the preparation and training of professionals in the Family Health Strategy to work in the detection and intervention of Postpartum Maternal Depression, based on an exploratory descriptive study carried out in four Basic Family Health Units, from June to September 2016, through semi-structured interviews, analyzed by means of Thematic Content Analysis. The results of the data analysis were compiled into two thematic categories: The unpreparedness of health professionals in the face of Postpartum Depression and The recognition of the need for training on Postpartum Depression. Despite the unpreparedness and lack of technical and scientific training of health professionals to identify and intervene in maternal postpartum depression, workers recognized the need for educational actions to qualify the assistance provided by them. Thus, it is understood that the National Policy for Permanent Education in Health must be effectively incorporated into Primary Care services, as well as permanent education actions must be implemented and maintained in the work routine of the Family Health Strategy, addressing themes diversified, especially those in which the team finds weaknesses, such as postpartum depression. It is also worth mentioning the need for interprofessional efforts, to ensure adequate preparation of workers and qualification of assistance to women in their puerperal pregnancy cycle, with examples such as psychological prenatal care and matrix support.

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Challenges for Primary Healthcare Professionals in Caring for Women With Postpartum Depression

Cited by 12 publications

References 13 publications

Sintomas depressivos na gestação e fatores associados: estudo longitudinal

Sintomas depressivos na gestação e fatores associados: estudo longitudinal

Common mental disorders and perinatal depressive symptoms: an integrative review

Conhecimento de profissionais da estratégia saúde da família acerca da depressão pós-parto

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