Postpartum Depression Help‐Seeking Barriers and Maternal Treatment Preferences: A Qualitative Systematic Review

Dennis, Cindy‐Lee; Chung-Lee, Leinic

doi:10.1111/j.1523-536x.2006.00130.x

Cited by 699 publications

(747 citation statements)

References 57 publications

Supporting

Mentioning

683

Contrasting

Unclassified

Order By: Relevance

“…In line with previous research, our findings highlight the need for ongoing relationships with caregivers and different models of postnatal care. [32] For example, the involvement of psychologically aware health visitors who could provide simple psychological interventions as required has been shown to be beneficial [32].Women in this sample wanted both the opportunity to talk about their distress in-depth with a non-judgemental empathic person who could reassure them, and peer support from other women with children [33,34].…”

Section: Discussionmentioning

confidence: 99%

Not identifying with postnatal depression: a qualitative study of women’s postnatal symptoms of distress and need for support

Coates

Visser

Ayers

2015

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

This is the accepted version of the paper.This version of the publication may differ from the final published version. Permanent repository link Methods:In-depth interviews with 17 women in southeast England with a baby under one year old who experienced a postnatal mental health problem. Data were analysed using inductive thematic analysis.Results: Women described a lack of identification with the concept of postnatal depression and felt that other forms of emotional distress were not recognised by the healthcare system. Women felt that support seeking for postnatal mental health problems needed to be normalised and that support should be available whether or not women were diagnosed. . Assessment needs to be well timed and caringly implemented.Discussion: Identification and recognition of symptoms and disorders other than postnatal depression needs to be improved. Awareness of multiple types of distress needs to be raised both for women experiencing such distress, and for healthcare professionals, to enable them to support women at this time. Different approaches to assessment that include the range of symptoms reported should be piloted.

show abstract

Section: Discussionmentioning

confidence: 99%

Not identifying with postnatal depression: a qualitative study of women’s postnatal symptoms of distress and need for support

Coates

Visser

Ayers

2015

Journal of Psychosomatic Obstetrics & Gynecology

View full text Add to dashboard Cite

show abstract

“…Regular contact with the health care system during this time provides a feasible opportunity to address potential underdetection and undertreatment of postpartum depression in the clinical context, and alternate models of and innovations in postpartum health care delivery (such as home health visits after childbirth) may allow for more flexible and responsive care for new mothers. Specific barriers to care among women with low income and in minority groups may include stigma, communication problems, and logistical issues (including insurance coverage, time constraints, child care, and transportation) (48,49). Prior literature suggests that addressing logistical challenges, cultural beliefs, and patient-provider communication may be helpful in meeting mental health treatment needs (50), and such efforts should be incorporated into the provision of postpartum health care, both in primary care and specialty mental health settings.…”

Section: Discussionmentioning

confidence: 99%

Racial and Ethnic Disparities in Postpartum Depression Care Among Low-Income Women

Kozhimannil¹

2011

Psychiatric Services

View full text Add to dashboard Cite

Objective The goal of this study was to characterize racial-ethnic differences in mental health care utilization associated with postpartum depression in a multiethnic cohort of Medicaid recipients. Methods In a retrospective cohort study, administrative claims data from New Jersey’s Medicaid program were obtained for 29,601 women (13,001 whites, 13,416 blacks, and 3,184 Latinas) who delivered babies between July 2004 and October 2007. Racial-ethnic differences were estimated with logistic regression for initiation of antidepressant medication or outpatient mental health visits within six months of delivery, follow-up (a prescription refill or second visit), and continued mental health care (at least three visits or three filled antidepressant prescriptions within 120 days). Results Nine percent (N=1,120) of white women initiated postpartum mental health care, compared with 4% (N=568) of black women and 5% (N=162) of Latinas. With analyses controlling for clinical factors, the odds of initiating treatment after delivery were significantly (p<.001) lower for blacks (adjusted odds ratio [AOR]=.43) and Latinas (AOR=.59) compared with whites. Among those who initiated treatment, blacks and Latinas were less likely than whites to receive follow-up treatment (blacks, AOR=.66, p<.001; Latinas, AOR=.67, p<.05) or continued care (blacks, AOR=.81, marginal difference at p<.10; Latinas, AOR=.67, p<.05). Among those who initiated antidepressant treatment, black women and Latinas were less likely than whites to refill a prescription. Conclusions There were significant racial-ethnic differences in depression-related mental health care after delivery. Suboptimal treatment was prevalent among all low-income women in the study. However, racial and ethnic disparities in the initiation and continuation of postpartum depression care were particularly troubling and warrant clinical and policy attention.

show abstract

“…During this period, parents seek to acquire new skills and find new ways of restoring balance in their lives [2]. Mothers experience challenging issues relating to health of the baby, breastfeeding, and varied sleeping patterns, which may lead to a myriad of emotions comprising of self-doubt [3], anxiety disorders [4], and post-partum depression [5][6][7][8].…”

Section: Introductionmentioning

confidence: 99%

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

Shorey¹,

Yang²,

Dennis³

2017

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Postnatal period poses numerous challenges for new parents. Various educational programmes are available to support new parents during this stressful period. However, the usefulness of educational programmes needs to be evaluated to ascertain their credibility.Objective: The aim of this descriptive qualitative study is to explore the views of parents to newborn with regard to the content and delivery of a mobile-health application based postnatal educational programme. Methods:A qualitative semi-structured interview guide was used to collect data from the 17 participants who belonged to the intervention group of a randomised controlled trail. The intervention, a four-week-long access to a mobile-health application based educational programme, was evaluated. The interviews were carried out in English and at the participants' homes. Thematic analysis was used to analyse the data. Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used to report the findings. Results:The interviews revealed four main themes: (1) positive features of the mobile-health application, (2) advice from the midwife, (3) experiences gained from using the mobile-health application, and (4) recommendations for the future. The participants evaluated the educational programme to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belonging to a virtual community beyond the hospital gave parents the confidence that they were not alone and were supported by other parents and healthcare professionals. Conclusion:The mobile-health application based educational programme effectively supported a multi-ethnic sample of parents during the postnatal period. This signals its potential to be implemented in a wider community of parents in the postnatal period. The effectiveness of the educational programme is a testament of the potential benefits in using telemedicine among new parents postnatally. Resources can also be dedicated towards extending the duration of access to the application beyond one month, and to develop relevant content for parents across the perinatal period.

show abstract

Postpartum Depression Help‐Seeking Barriers and Maternal Treatment Preferences: A Qualitative Systematic Review

Cited by 699 publications

References 57 publications

Not identifying with postnatal depression: a qualitative study of women’s postnatal symptoms of distress and need for support

Not identifying with postnatal depression: a qualitative study of women’s postnatal symptoms of distress and need for support

Racial and Ethnic Disparities in Postpartum Depression Care Among Low-Income Women

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

Contact Info

Product

Resources

About