Women’s perspectives on postpartum depression screening in pediatric settings: a preliminary study

Byatt, Nancy; Biebel, Kathleen; Friedman, Liz; Debordes-Jackson, Gifty; Ziedonis, Douglas M.

doi:10.1007/s00737-013-0369-4

Cited by 46 publications

(22 citation statements)

References 9 publications

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“…This may be partially due to the facts that they didn't know what the results or impact of the health problems they faced [54]. The result also indicated that mothers' unwillingness to seek professional help on mental health problems related to family con icts might be due to stigma towards them, similar results could be found in many previous studies [55][56][57]. Therefore, future interventions were needed to improve knowledge levels and reduce stigma of mothers in order to change their attitudes and behaviour regarding professional services [58][59][60].…”

Section: Discussionsupporting

confidence: 54%

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

Nan

Zhang

Nisar

et al. 2020

Preprint

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Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.

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Section: Discussionsupporting

confidence: 54%

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

Nan

Zhang

Nisar

et al. 2020

Preprint

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“…Many of the available PPD treatment approaches are office-based, which reduces their practicality for new mothers. In addition, patient-level barriers to the uptake of treatment include travel requirements, childcare, stigma, feelings of failure, poor understanding of depression or what help is available, and safety concerns about using prescription medications [41-44]. Provider-level barriers that discourage physicians and medical/clinic staff from becoming more fully involved in PPD screening and treatment include their lack of knowledge and skills due to insufficient training regarding depression and mental health, their fear of liability, the dearth of mental health treatment resources and flexible referral systems, and inadequate reimbursement [45-50].…”

Section: Introductionmentioning

confidence: 99%

MomMoodBooster Web-Based Intervention for Postpartum Depression: Feasibility Trial Results

Danaher¹,

Milgrom²,

Seeley³

et al. 2013

J Med Internet Res

119

136

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BackgroundPostpartum depression (PPD)—the most common complication of childbirth—is a significant and prevalent public health problem that severely disrupts family interactions and can result in serious lasting consequences to the health of women and the healthy development of infants. These consequences increase in severity when left untreated; most women with PPD do not obtain help due to a range of logistical and attitudinal barriers.ObjectiveThis pilot study was designed to test the feasibility, acceptability, and potential efficacy of an innovative and interactive guided Web-based intervention for postpartum depression, MomMoodBooster (MMB).MethodsA sample of 53 women who satisfied eligibility criteria (<9 months postpartum, ≥18 years of age, home Internet access and use of personal email, Edinburgh Postnatal Depression Survey score of 12-20 or Patient Health Questionnaire score from 10-19) were invited to use the MMB program. Assessments occurred at screening/pretest, posttest (3 months following enrollment), and at 6 months follow-up.ResultsAll six sessions of the program were completed by 87% (46/53) of participants. Participants were engaged with the program: visit days (mean 15.2, SD 8.7), number of visits (mean 20.1, SD 12.2), total duration of visits in hours (mean 5.1, SD 1.3), and number of sessions viewed out of six (mean 5.6, SD 1.3) all support high usage. Posttest data were collected from 89% of participants (47/53) and 6-month follow-up data were collected from 87% of participants (46/53). At pretest, 55% (29/53) of participants met PHQ-9 criteria for minor or major depression. At posttest, 90% (26/29) no longer met criteria.ConclusionsThese findings support the expanded use and additional testing of the MMB program, including its implementation in a range of clinical and public health settings.Trial RegistrationClinicaltrials.gov NCT00942721; http://clinicaltrials.gov/ct2/show/NCT00942721 (Archived by WebCite at http://www.webcitation.org/6KjYDvYkQ).

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“…While the inverse association between stigma (e.g., negative stereotyping) and help-seeking is well-established in the general population [23], it may be more pronounced during the perinatal period as women experience shame and guilt for not feeling happy and content during pregnancy or after delivery. The stigma of being an incompetent mother or a danger to their children adds to their substantial burden of concern [24-26]. …”

Section: Introductionmentioning

confidence: 99%

Public views of acceptability of perinatal mental health screening and treatment preference: a population based survey

Kingston

McDonald

Tough

et al. 2014

BMC Pregnancy Childbirth

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BackgroundAt a prevalence rate of 13-25%, mental health problems are among the most common morbidities of the prenatal and postnatal periods. They have been associated with increased risk of preterm birth and low birthweight, child developmental delay, and poor child mental health. However, very few pregnant and postpartum women proactively seek help or engage in treatment and less than 15% receive needed mental healthcare. While system-related barriers limit accessibility and availability of mental health services, personal barriers, such as views of mental health and its treatment, are also cited as significant deterrents of obtaining mental healthcare. The purposes of this population-based study were to identify the public’s views regarding mental health screening and treatment in pregnant and postpartum women, and to determine factors associated with those views.MethodsA computer-assisted telephone survey was conducted by the Population Research Laboratory with a random sample of adults in Alberta, Canada. Questions were drawn from the Perinatal Depression Monitor, an Australian population-based survey on perinatal mental health; additional questions were developed and tested to reflect the Canadian context. Interviews were conducted in English and were less than 30 minutes in duration. Descriptive and multivariable regression analyses were conducted.ResultsAmong the 1207 respondents, 74.8% had post-secondary education, 16.3% were 18-34 years old, and two-thirds (66.1%) did not have children <18 years living at home. The majority of respondents strongly agreed/agreed that all women should be screened in the prenatal (63.0%) and postpartum periods (72.7%). Respondents reported that when seeking help and support their first choice would be a family doctor. Preferred treatments were talking to a doctor or midwife and counseling. Knowledge of perinatal mental health was the main factor associated with different treatment preferences.ConclusionsThe high acceptability of universal perinatal mental health screening among the public provides a strong message regarding the public value for routine screening during pregnancy and postpartum periods. Perinatal mental health literacy is the most prominent determinant of screening and treatment acceptability and preference. Efforts to enhance population literacy as part of a multifaceted perinatal mental health strategy may optimize pregnant and postpartum women’s mental health.

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Women’s perspectives on postpartum depression screening in pediatric settings: a preliminary study

Cited by 46 publications

References 9 publications

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

MomMoodBooster Web-Based Intervention for Postpartum Depression: Feasibility Trial Results

Public views of acceptability of perinatal mental health screening and treatment preference: a population based survey

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