Postnatal depression (PND) is recognised as a common maternal health problem, but little evidence examines PND among refugee, asylum seeker and immigrant women in developed country settings. This review aimed to identify the rates of PND and highlight common risk factors among this group of women. An iterative and dynamic literature search was conducted across ten databases to identify published articles on PND among immigrant, asylum-seeking and refugee women in developed country settings. Medical Subject Headings (MeSH) and 'free text' search terms, as well as thesaurus terms, acronyms and truncation were used where appropriate. Findings suggest that PND may affect up to 42% of migrant women, compared to around 10-15% of native-born women. Common risk factors for PND among migrant women include history of stressful life events, lack of social support and cultural factors. With a growing number of babies born to immigrant mothers, greater awareness of PND among this group is needed in order to respond to their particular maternal mental health needs. Maternity care providers should regard all recent immigrants as at high risk of PND and give closer observation and support as necessary.
Although receptive to follow-up, the situational factors of being a new mother need to be taken into account to engage successfully with this patient group. Further research is needed to help clarify the extent to which a history of preeclampsia is an independent factor for future cardiovascular disease to provide a solid foundation for effective risk communication.
Our understanding of environmental issues and our contribution to environmental degradation are shaped by the way our stories are framed, the value hierarchies they advance and a familiarity with the chosen narratives that are so conventionalised that this may deter recognition of how narrative choices limit our interpretive process. Textual arguments and image choices within these narratives have the potential to expand or restrict the audience's commitment to and participation in the belief or action sought by the message. In this article, I am interested in televised documentaries that argue for environmental preservation. I argue that, guided by journalistic conventions and stock environmental narratives, well-meaning appeals frequently make the wrong strategic choices. By examining a case study of similar documentaries employing different narrative choices, we can begin to see how particular narrative structures and substantive appeals advance or restrict audience adherence to the proposed environmental action.
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