Predicting early post‐partum depressive symptoms among older primiparous J apanese mothers

Int J of Nursing Practice

Tsuchiya³

et al. 2016

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Factors affecting maternal confidence and satisfaction in older Japanese primiparae during postpartum hospital stayThe purpose of this study was to identify factors affecting maternal confidence and satisfaction in older Japanese primiparae during their postpartum hospital stay. Participants were Japanese primiparae (age ≥ 35) who delivered live singleton infants (n = 479). Questionnaires completed 1 day before discharge from hospital included the Postpartum Maternal Confidence Scale and the Postpartum Maternal Satisfaction Scale. Data were analysed using stepwise multiple regression for maternal confidence and stepwise logistic regression for maternal satisfaction, after controlling for delivery mode. Maternal confidence was negatively affected by feeling overwhelmed by postpartum routines, needing a longer time for feeding, and a pregnancy with complications. Satisfaction with the birth experience and a longer rooming-in period were related to greater maternal satisfaction. Lack of prior experiences with caring for babies and lack of communication with their partner about parenting role were also associated with lower confidence and satisfaction. These findings provide an important framework for nurses to teach and counsel older first-time mothers.

Section: Discussionmentioning

confidence: 58%

Factors affecting maternal confidence and satisfaction in older Japanese primiparae during postpartum hospital stay

Maehara

Int J of Nursing Practice

Tsuchiya³

et al. 2016

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“…The study's sample was taken from a prospective cohort study that examined the physical and psychosocial well‐being of Japanese mothers during the first 6 months' post‐partum. A detailed description of the cohort study method has been published previously . Approval of the cohort study was obtained from the relevant review boards at the principal investigator's university and participating research hospitals.…”

Section: Participants and Methodsmentioning

confidence: 99%

Relationship between the mode of conception and depressive symptoms during the first 6 months post‐partum in Japan

Reprod Medicine & Biology

Iwata

Maehara

et al. 2018

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PurposeTo determine whether conventional treatment and assisted reproductive technology for infertility are associated with depressive symptoms and to identify the predictors of depressive symptoms during the first 6 months' post‐partum.MethodsA prospective cohort design was used, with the participants being recruited from 13 Japanese hospitals. Using self‐report questionnaires, a total of 2709 women (response rate: 71.9%) provided longitudinal data at five time points: during their hospital stay and at 1, 2, 4, and 6 months' post‐partum. The depressive symptoms were measured by using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS). A logistic regression analysis was used to examine the association between the mode of conception and depressive symptoms and to identify the predictors of the depressive symptoms.ResultsThere was no significant association between the mode of conception and the depressive symptoms at any time point. Six factors that were associated with the EPDS score were first‐time childbirth, emergency cesarean delivery, infant feeding, financial burden, having a male infant, and dissatisfaction with social support.ConclusionThere was no significant relationship between the mode of conception and depressive symptoms. Nursing care should be based on individual assessments that focus on parity, the delivery method, infant feeding method, financial burden, the infant's sex, and social support, rather than on the mode of conception.

“…Concerns about infant caretaking were also identified as a significant predictor of PPD in the entire group, as well as in both the low‐ and high‐risk groups. In a previous analysis with the same sample, this variable was also found to be a significant predictor of PPD tendency during hospital stay (Iwata et al ., ). This suggests that continued assessment of women's concerns about infant caretaking, including concerns about infant health and feeding, is important during the first month post‐partum.…”

Section: Discussionmentioning

confidence: 97%

“…The participants in the present study were part of a prospective cohort study, conducted in Japan between May 2012 and September 2013. The cohort study is described in detail elsewhere (Iwata et al ., ). In brief, the present study sample comprised 479 primiparas aged 35 years and over, drawn from the 3769 women who met the inclusion criteria and agreed to participate in the original study.…”

Section: Methodsmentioning

confidence: 97%

Predictors of depressive symptoms in older Japanese primiparas at 1 month post‐partum: A risk‐stratified analysis

Iwata

Japan Journal Nursing Sci

Tsuchiya³

et al. 2015

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