Maternal social support, quality of birth experience, and post-partum depression in primiparous women

Tani, Franca; Castagna, Valeria

doi:10.1080/14767058.2016.1182980

Cited by 100 publications

(107 citation statements)

References 13 publications

(14 reference statements)

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“…Numerous clinical aspects related to the occurrence of PPD in women have been found in the scientific literature (complicated and prolonged labour, obstetric interventions during labour, pain, postpartum complications) [23]. This study confirmed the relationship between women's multiparity and the severity of depressive symptoms.…”

Section: Discussionsupporting

confidence: 82%

Multivariate analysis of risk factors for postpartum depression

Kaźmierczak¹,

Przykłota²,

Gierszewska³

et al. 2020

Med Og Nauk Zdr.

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Introduction and objective. Postpartum depression affects between 7%-20% of women worldwide. Risk assessment of depressive symptoms plays a key role in ensuring the mental health and proper functioning of women after childbirth. The aim of the study is to assess the severity of postpartum depression and conduct multivariate analysis of risk factors. Materials and method. 80 women in the third trimester of pregnancy were invited to participate in the study and asked for contact after childbirth. Recruitment for the study took place while the pregnant women were staying at the Pregnancy Pathology Ward and the Obstetrics and Gynaecology Clinic, Diabetology Clinic and Obstetrics Emergency Room. The research project was carried out from February-May 2019. Ultimately, 70 women took part in the project on average in week 4 of puerperium. The research tools were a questionnaire of own design and the Edinburgh Postnatal Depression Scale. Results. The risk of depressive symptoms was found in 18.6% of women after childbirth. Multi-dimensional logistic regression showed that age (p = 0.014), anxiety due to motherhood (p = 0.019) and the occurrence of difficulties in looking after a child (p = 0.005) were the factors significantly associated with the symptoms of postpartum depression. Conclusions. The incidence of postpartum depression in the study sample did not differ significantly from the incidence reported in the literature. Worldwide. The risk of postpartum depression symptoms increased with age. Anxiety due to motherhood and difficulties in looking after a child proved to be crucial determinants of depressive symptoms. Fertility at the level of three or more deliveries and individual personality types of women did not influence the occurrence of postpartum depression.

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Section: Discussionsupporting

confidence: 82%

Multivariate analysis of risk factors for postpartum depression

Kaźmierczak¹,

Przykłota²,

Gierszewska³

et al. 2020

Med Og Nauk Zdr.

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“…Specifically, partner's support resulted to mediate the relation between pregnant women's concerns and their psychological well-being (Ilska and Przybyła-Basista, 2017). Moreover, the social support perceived by mothers during pregnancy represented a protective factor against postpartum depression while also reducing the negative aspects of the experience of childbirth (Tani and Castagna, 2017).…”

Section: Psychological Well-being Of Expectant Mothersmentioning

confidence: 97%

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

2020

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The birth of a child is a critical and potentially stressful experience for women, entailing several changes both at the individual and interpersonal level. This event can lead to different forms of distress, ranging in intensity and duration. Many studies highlighted medical, psychological, and social variables as risk factors potentially influencing the onset or aggravation of perinatal maternal conditions. The current pandemic emergency and the restrictive measures adopted by local governments to prevent the spread of the coronavirus infection may negatively affect mothers-to-be and new mothers potentially increasing the likelihood of anxiety, depressive or post-traumatic symptoms to develop. Moreover, the forced quarantine combined with the limited access to professional or family support may increase feelings of fatigue and isolation. The present study aims to investigate women's psychological well-being during pregnancy and in the first months after childbirth, integrating the evaluation of some traditionally studied variables with the specificities of the current situation. 575 Italian women have been administered an online self-report questionnaire assessing the presence of anxiety disorders, depressive and post-traumatic symptoms as well as the expectations toward childbirth (for mothersto-be) or the subjective experience of childbirth (for postpartum women). Findings revealed a higher percentage of women than that reported in the literature scored above the clinical cutoff both during pregnancy and postpartum on a series of measures of psychological well-being, thus demonstrating that this period was perceived as particularly challenging and stressful and had significant impact on the women's wellbeing. Moreover, some socio-demographic, medical, and pandemic-related variables, especially the lack of presence and support from one's partner during labor and delivery as well as in the first days postpartum was found to predict women's mental health. These findings suggest the need for developing specific interventions targeted at women who cannot benefit from the support of their partners or family.

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“…Different intrapartum factors can affect the experience of traumatic childbirth. For example, fear of childbirth, failure to take analgesics [9], lack of support [10], and transferring the newborn to the Neonatal Intensive Care Unit (NICU) [11] can be among risk factors for traumatic childbirth. In a cross sectional study among 800 Iranian women, absence of pain relief during labour and the fear of childbirth were the main intrapartum predicting factors for a traumatic birth experience [9].…”

Section: Introductionmentioning

confidence: 99%

Respectful maternity care and its relationship with childbirth experience in Iranian women: a prospective cohort study

Hajizadeh

Vaezi

Meedya

et al. 2020

BMC Pregnancy Childbirth

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Background: Intrapartum respectful maternity care is defined as a fundamental human right that can affect the mother's experiences. This study aimed to determine the status of respectful maternity care and its relationship with childbirth experience among Iranian women. Methods: This prospective cohort study recruited 334 postpartum women in postpartum wards of two public and four private hospitals in Tabriz, Iran. Quota sampling was used based on the number of births in each hospital. Data were collected through interviews with the use of the following tools: sociodemographic and obstetrics characteristics questionnaire, respectful maternity care scale (6 to 18 h postpartum), and childbirth experience questionnaire (30 to 45 days postpartum). The General Linear Model was used to determine the relationship between respectful maternity care and childbirth experience. Results: The mean respectful maternity care score was 62.58 with a range of 15 to 75, and the total childbirth experience score was 3.29 with a range of 1 to 4. After adjusting for sociodemographic and obstetrics characteristics, a statistically significant direct correlation was found between respectful maternity care and a positive childbirth experience (P < 0.001). Conclusions: The findings reveals a direct relationship between respectful maternity care and positive childbirth experience. Therefore, it is recommended that mangers and policy makers in childbirth facilities reinforce facilitating a respectful maternity care to improve women's child birth experience and prevent potential adverse effects of negative childbirth experiences.

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Maternal social support, quality of birth experience, and post-partum depression in primiparous women

Abstract: Social support perceived by mothers during pregnancy plays a significant role as a protection factor against post-partum depression, both directly and indirectly, reducing the negative clinical aspects of the birth experience.

Cited by 100 publications

References 13 publications

Multivariate analysis of risk factors for postpartum depression

Multivariate analysis of risk factors for postpartum depression

Motherhood in the Time of Coronavirus: The Impact of the Pandemic Emergency on Expectant and Postpartum Women’s Psychological Well-Being

Respectful maternity care and its relationship with childbirth experience in Iranian women: a prospective cohort study

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