The Effect of Midwife-led Psycho-Education on Parental Stress, Postpartum Depression and Parental Competency in High Risk Pregnancy Women: A Randomized Controlled Trial

Abstract

Introduction: Women with high-risk pregnancy are at increased risk of depression and anxiety during pregnancy, as well as a less favorable parent-infant interaction. This study aimed to investigate the effect of midwife-led psycho-education intervention on parental stress, competency, and postpartum depression in nulliparous women hospitalized with high-risk pregnancy. Methods: This randomized controlled trial was carried out on 66 nulliparous women admitted to the high-risk pregnancy ward of Kamali Hospital, Karaj, Iran. Using convenient sampling method, the mothers were randomly assigned to control and intervention groups. In addition to routine care, the intervention group received four sessions of midwife-led psycho-education intervention in two group sessions in pregnancy and two individual sessions immediately after delivery. The parental stress, parental competency, and postpartum depression questionnaires were used for data collection before, after, and one month after the intervention. Data were analyzed using SPSS software ver. 13.0. Repeated-measures ANOVA test was used for comparing the mean scores of parenting stress, parental competency, and depression between and within both study groups before, after, and one month after delivery. Results: While postpartum depression and parental stress decreased in intervention group, parental competency increased. Conclusion: Our findings indicated that midwife-led psycho-education was effective on parental stress, competency, and postpartum depression in high-risk pregnancy mothers. Accordingly, prenatal distress in high-risk pregnancies should be assessed routinely.

Task-sharing psychosocial interventions for the prevention of common mental disorders in the perinatal period in low- and middle-income countries: A systematic review and meta-analysis

“…After removal of duplicates ( n = 2,298), a total of 4,884 titles and abstracts were assessed for eligibility, 296 of which fulfilled the eligibility criteria. After inspection of full-texts, a total of 23 studies (Abhari et al, 2021; Asnani et al, 2021; Baumgartner et al, 2021; Chaharrahifard et al, 2021; Dayhimi et al, 2020; Gao et al, 2010, 2015; George et al, 2020; Guo et al, 2021; Koçak et al, 2021; Li et al, 2019; Mao et al, 2012; Ozcan & Eryilmaz, 2021; Özçoban et al, 2022; Rajeswari & SanjeevaReddy, 2020; Ramezani et al, 2017; Rong et al, 2021; Rotheram-Borus, Richter et al, 2014; Rotheram-Borus, Tomlinson et al, 2014; Sanfilippo et al, 2020; Sapkota et al, 2022; Tripathy et al, 2010; Vargas-Porras et al, 2021) from 28 publications (Supplemental Appendix D) with 24,442 participants were included in the systematic review. Of these, 22 provided data suitable for the meta-analysis (Figure 1 and Supplemental Appendix D, E).…”

“…Psychosocial interventions were provided by primary-level health care workers (e.g. midwives, nurses, obstetricians) in 16 studies (Abhari et al, 2021; Asnani et al, 2021; Chaharrahifard et al, 2021; Dayhimi et al, 2020; Gao et al, 2010, 2015; Guo et al, 2021; Koçak et al, 2021; Li et al, 2019; Mao et al, 2012; Ozcan & Eryilmaz, 2021; Özçoban et al, 2022; Rajeswari & SanjeevaReddy, 2020; Ramezani et al, 2017; Sapkota et al, 2022). Community workers (e.g.…”

Effects of the non-pharmacological interventions of traditional Chinese medicine on postpartum depression

“…Some researches proved that few women come forward to seek professional help, and the barriers include feelings of stigma, childcare difficulties, lack of knowledge, financial constraints, lack of transportation, and lack of time [19] . Besides, non-pharmacological interventions are more popular than medication among postpartum women due to concerns about medication side effects [20–27] …”

“…[19] Besides, nonpharmacological interventions are more popular than medication among postpartum women due to concerns about medication side effects. [20][21][22][23][24][25][26][27] However, there is no NMA on the comparative efficacy and safety of different non-pharmacological interventions of TCM for PPD. NMA can quantify and analyze different interventions for the treatment of the same disorder and rank all interventions, thus helping determine the best intervention.…”

Prevalence and Associated Risk Factors of Antenatal Depression among Pregnant Women Attending Tertiary Care Hospitals in South India

“…There is evidence to suggest that interventions in women at risk of antenatal depression were effective in preventing postnatal depression and also improving pregnancy outcomes [26][27][28]. Subsequently, several systematic reviews and meta-analyses substantiated the above observation [29][30][31].…”