Predictors of post‐partum stress in <scp>V</scp>ietnamese immigrant women in <scp>T</scp>aiwan

Lee, Li-Chun; Hung, Chich‐Hsiu

doi:10.1111/jjns.12084

Cited by 13 publications

(9 citation statements)

References 33 publications

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“…Family income has been veri ed to be correlated with PPD, i.e., low family income is regarded as a risk factor for PPD [30]Interestingly, in the present study, subjects with high family income were susceptible to PPD. Patients with low family income usually have to deal with more di culties in life and more worry about the future.…”

Section: Discussionsupporting

confidence: 59%

Labor Analgesia Reduces the Risk of Postpartum Depression in Women with Single-Term Pregnancy: A Prospective Cohort Clinical Study

Ren¹,

Chen²,

Su³

et al. 2020

Preprint

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Background: Postpartum depression (PPD) is a frequent mental disorder during the first year after delivery. Previous studies reported that patients with labor analgesia revealed lower incidence of PPD compared to those without. However, most pregnant women gave birth by labor analgesia or cesarean section in China, it is still unclear that whether there is a difference of the effects of labor analgesia and cesarean section on PPD.Methods: A single-centered, prospective cohort clinical study was designed. One hundred ninety-eight patients with single pregnancy at full term were allocated to receive epidural labor analgesia (group LA) or cesarean section with epidural anesthesia (group CS) according to the maternal preference of delivery and professional suggetions of obstetricians and anesthesiologists. PPD was assessed with Edinburgh Postnatal Depression Scale (EPDS) scores ≥10 at 6 weeks postpartum. Maternal and neonatal variables in the perinatal period were recorded. Multivariate logistical regression analysis was conducted to evaluate the associated factors of PPD. Results: 11 patients in group LA and 26 patients in group CS was diagnosed as PPD. The incidence of PPD in group LA was lower than group CS (P=0.011). Eight potential predictor factors (labor analgesia, family income, duration of labor, antenatal depression, perinatal classes attending, neonate of male, EPDS scores at 3 days postpartum and adverse event at 6 weeks postpartum) were correlated with PPD. And it was reported in the final model that labor analgesia was the protective factor of PPD, however, high family income and EPDS scores at 3 days postpartum were associated with an increased risk of PPD. Conclusions: Patients with epidural labor analgesia were associated with lower incidence of PPD compare to those with cesarean section with epidural anesthesia. Epidural labor analgesia, family income and EPDS scores in the early postpartum period were the independent predictors of PPD. Trial registration: This clinical trial was registered at the Chinese Clinical Trial Registry (http://www.chictr.org.cn/index.aspx). Number: ChiCTR1900020510. Registered on: 3/1/2019.

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Section: Discussionsupporting

confidence: 59%

Labor Analgesia Reduces the Risk of Postpartum Depression in Women with Single-Term Pregnancy: A Prospective Cohort Clinical Study

Ren¹,

Chen²,

Su³

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…A higher score indicates greater support from family and friends (Smilkstein, 1984; Smilkstein et al, 1982). The Social Support Scale has been widely used in the measurement of social support for women in the perinatal period (Hung & Chung, 2001; Hung et al, 2011; Lee & Hung, 2016). Cronbach's α has been found to range from 0.90 to 0.92 (Hung & Chung, 2001; Lee & Hung, 2016).…”

Section: Methodsmentioning

confidence: 99%

“…The Social Support Scale has been widely used in the measurement of social support for women in the perinatal period (Hung & Chung, 2001; Hung et al, 2011; Lee & Hung, 2016). Cronbach's α has been found to range from 0.90 to 0.92 (Hung & Chung, 2001; Lee & Hung, 2016). Cronbach's α in the present study was 0.92.…”

Section: Methodsmentioning

confidence: 99%

Women's trajectories of postpartum depression and social support: A repeated‐measures study with implications for evidence‐based practice

Lee

Hung

2022

Worldviews Ev Based Nurs

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Background Postpartum depression is one of the most common psychological disorders of women after childbirth. Despite the importance of social support as an influencing factor, there have been few studies on the trends and characteristics of social support as it relates to postpartum depression. Aims To explore the trends in postpartum depression and social support, to cross‐analyze the correlation between the postpartum depression trajectory and the social support trajectory, and to investigate predictors of changes in postpartum depression trajectories. Methods A prospective repeated‐measure study and convenience sampling were used to recruit 230 women at 1, 3, and 6 months after childbirth. Structured questionnaires were used for data collection. Trajectory analysis was used to explore the trajectories of postpartum depression and social support during the 6 months after childbirth, and polynomial logistic regression was used to explore predictors of the trajectory of postpartum depression. Results Postpartum depression was at its most serious in the third month after childbirth, showing patterns of low‐risk, moderate‐risk, and high‐risk trajectories. Social support also showed low, moderate, and high patterns, and the trajectory of postpartum depression was significantly related to the trajectory of social support. The predictors of moderate‐risk and high‐risk postpartum depression were also found in this study. Linking Evidence to Action Postpartum mental health education and online learning systems should be used to increase social support for women after childbirth and reduce the incidence of postpartum depression.

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“…Postpartum stressors such as women's negative body changes, maternal role attainment and lack of social support may vary during the postpartum period (Hung et al, 2011). Moreover, compared with experienced women, inexperienced mothers had more postpartum stress (Hung, Lin, et al, 2011; Hung, Yu, et al, 2011; Lee, & Hung, 2016). Women with complications during pregnancy had high postpartum stress (Hung, Lin, et al, 2011; Hung, Yu, et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

The impact of prenatal depression and diabetes management self‐efficacy on postpartum stress and depression in women with gestational diabetes mellitus

Hung

Wang

2021

Journal of Clinical Nursing

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Aims The study aimed to examine the impact of prenatal depression and diabetes management self‐efficacy on postpartum stress and postpartum depression in women with gestational diabetes mellitus. Background Poor perinatal mental health is linked to various adverse pregnancy outcomes in women with gestational diabetes mellitus. Designs A predictive study design and the guidelines for the STROBE checklist were used for the study. Methods A total of 119 pregnant women with a positive 75 g‐glucose challenge test were recruited at a medical centre. The Taiwanese depression questionnaire (TDQ), the diabetes management self‐efficacy scale (DMSES) and the Hung postpartum stress scale (Hung PSS) were used for data collection at the 24th week of pregnancy and the first week after childbirth. Results Diabetes management self‐efficacy was correlated with postpartum stress in women with gestational diabetes mellitus. Moreover, prenatal depression was a predictor of postpartum stress and postpartum depression, respectively, in women with gestational diabetes mellitus. Conclusions Healthcare providers should assess those women's diabetes management self‐efficacy and mood status during prenatal visits and offer the needed intervention to reduce the levels of postpartum stress and postpartum depression of those women after childbirth. Relevance to clinical practice A holistic care approach integrated diabetic care and mental health for women with gestational diabetes mellitus in a timely manner is warranted to promote perinatal mental health in women with gestational diabetes mellitus.

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Predictors of post‐partum stress in Vietnamese immigrant women in Taiwan

Cited by 13 publications

References 33 publications

Labor Analgesia Reduces the Risk of Postpartum Depression in Women with Single-Term Pregnancy: A Prospective Cohort Clinical Study

Labor Analgesia Reduces the Risk of Postpartum Depression in Women with Single-Term Pregnancy: A Prospective Cohort Clinical Study

Women's trajectories of postpartum depression and social support: A repeated‐measures study with implications for evidence‐based practice

The impact of prenatal depression and diabetes management self‐efficacy on postpartum stress and depression in women with gestational diabetes mellitus

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