A public health approach to perinatal mental health: Improving health and wellbeing of mothers and babies

Tripathy, Priyadarshini

doi:10.1016/j.jogoh.2020.101747

Cited by 19 publications

(12 citation statements)

References 17 publications

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“…Other studies ( 1 , 2 ) have found similar gaps in ANC service delivery. The importance of assessing mental and psychosocial health issues through integrating into existing antenatal care services and comprehensive maternal care approaches in clinical practice has been recognized ( 25 , 40 – 42 ). Notably, as Health Centres and Hospitals are the primary points of contact for health care needs, ANC clinics and HCPs should consider special risk conditions for more comprehensive ANC and counsel pregnant women who encounter partner relationship breakup.…”

Section: Discussionmentioning

confidence: 99%

“…It is important to pay attention to women who appear to lack protection from a partner, and identifying such pregnant women at risk would allow us to follow them up during their pregnancy and implement necessary therapeutic and psychosocial interventions as needed. If healthcare providers (HCPs) are aware of the significance of some specific situations for psychosocial and emotional burdens in pregnancy, they may be able to more easily identify them and assist with their condition ( 25 , 26 ).…”

Section: Introductionmentioning

confidence: 99%

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A phenomenological study of the lived experiences of partner relationship breakup during pregnancy: Psychosocial effects, coping mechanisms, and the healthcare providers' role

Negussie

Girma

Kaba

2023

Front. Glob. Womens Health

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BackgroundPregnancy is a state of continuous changes in feelings and emotions, and highly stressful experiences such as a relationship breakup during this period may result in additional stress for the woman, making pregnancy and motherhood challenging. This study aimed to investigate pregnant women's lived experiences of partner relationship breakup during pregnancy, their coping mechanisms, and the role of healthcare providers in breakup cases during their Antenatal care visits.MethodsA phenomenological study approach was followed to seek an understanding of the lived experiences of pregnant women who encountered partner relationship breakup. The study was carried out in Hawassa, Ethiopia, and eight pregnant women were involved in in-depth interviews. The data meanings found from participants' experiences were described in a meaningful text and organized into themes. Key themes were developed in reference to the research objectives, and thematic analysis was used to analyze the data.ResultsPregnant women in such situations faced serious psychological and emotional distress, feelings of shame/embarrassment, prejudice and discrimination, and severe economic struggles. To cope with this multifaceted situation, pregnant women sought social support from family/relatives or close friends, and if they had no other options, from supporting organizations. The participants also revealed that they received no counseling from healthcare providers during their Antenatal care visits, and there was no further discussion to address their psychosocial problems.ConclusionsCommunity-level information, education, and communication should be initiated to aware communities about the psychosocial consequences of relationship breakup during pregnancy, address cultural norms and discrimination, and promote supportive environments. Women's empowerment activities and psychosocial support services should also be strengthened. In addition, the need for more comprehensive Antenatal care to address such unique risk conditions is indicated.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A phenomenological study of the lived experiences of partner relationship breakup during pregnancy: Psychosocial effects, coping mechanisms, and the healthcare providers' role

Negussie

Girma

Kaba

2023

Front. Glob. Womens Health

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“…With the outbreak of the COVID-19, perinatal mental conditions may have become even more prevalent in some settings due to social distancing, disruption of regular antenatal care, and financial difficulties ( 17 ). Given the already high prevalence of perinatal mental health problems, along with the documented consequences of mental health problems for the well-being of both mothers and children, a growing number of studies have pointed to perinatal mental health issues as an important area for global public health research ( 18 , 19 ). In particular, more research is needed to investigate underlying factors that may lead to perinatal mental health problems.…”

Section: Introductionmentioning

confidence: 99%

Perinatal Mental Health Problems in Rural China: The Role of Social Factors

Jiang

Guo²,

Zhang³

et al. 2021

Front. Psychiatry

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Background: Perinatal mental health is important for the well-being of the mother and child, so the relatively high prevalence of perinatal mental health problems in developing settings poses a pressing concern. However, most studies in these settings focus on the demographic factors associated with mental health problems, with very few examing social factors. Hence, this study examines the prevalence of the depressive, anxiety and stress symptoms among pregnant women and new mothers in rural China, and the associations between these mental health problems and social factors, including decision-making power, family conflicts, and social support.Methods: Cross-sectional data were collected from 1,027 women in their second trimester of pregnancy to 6 months postpartum in four low-income rural counties in Sichuan Province, China. Women were surveyed on symptoms of mental health problems using the Depression, Anxiety, and Stress Scale (DASS-21) and social risk factors. Multivariate logistic regression analyses were conducted to examine social risk factors associated with maternal mental health problems, with results reported as odds ratios (OR) and 95% confidence intervals (CI).Results: Among all respondents, 13% showed symptoms of depression, 18% showed symptoms of anxiety, 9% showed symptoms of stress, and 23% showed symptoms of any mental health problem. Decision-making power was negatively associated with showing symptoms of depression (OR = 0.71, CI: 0.60–0.83, p < 0.001) and stress (OR = 0.76, CI: 0.63–0.90, p = 0.002). Family conflict was positively associated with depression (OR = 1.53, CI: 1.30–1.81, p < 0.001), anxiety (OR = 1.34, CI: 1.15–1.56, p < 0.001), and stress (OR = 1.68, CI: 1.41–2.00, p < 0.001). In addition, social support was negatively associated with depression (OR = 0.56, CI: 0.46–0.69, p < 0.001), anxiety (OR = 0.76, CI: 0.63–0.91, p = 0.002), and stress (OR = 0.66, CI: 0.53–0.84, p < 0.001). Subgroup analyses revealed that more social risk factors were associated with symptoms of anxiety and stress among new mothers compared to pregnant women.Conclusion: Perinatal mental health problems are relatively prevalent among rural women in China and are strongly associated with social risk factors. Policies and programs should therefore promote individual coping methods, as well as target family and community members to improve the social conditions contributing to mental health problems among rural women.

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“…Perinatal mental health problems occurring during pregnancy or in the first year following birth, affect approximately 20% of women [8,9], thus making them an important public health issue [10]. According to the primary tenets of infant mental health (IMH), an infant's mental health cannot be considered separately from that of its primary caregiver [11].…”

Section: Introductionmentioning

confidence: 99%

“Nobody Listened”. Mothers’ Experiences and Needs Regarding Professional Support Prior to Their Admission to an Infant Mental Health Day Clinic

Nuyts

Haeken

Crombag

et al. 2021

IJERPH

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Challenges during the perinatal period can lead to maternal distress, negatively affecting mother-infant interaction. This study aims to retrospectively explore the experiences and needs regarding professional support of mothers with difficulties in mother-infant interaction prior to their admission to an infant mental health day clinic. In-depth semi-structured interviews were conducted with 13 mothers who had accessed an infant mental health day clinic because of persistent severe infant regulatory problems impairing the wellbeing of the infant and the family. Data were transcribed and analyzed using the Qualitative Analysis Guide of Leuven (QUAGOL). Three themes were identified: ‘experience of pregnancy, birth, and parenthood’; ‘difficult care paths’; and ‘needs and their fulfillment’. The first theme consisted of three subthemes: (1) ‘reality does not meet expectations’, (2) ‘resilience under pressure’, and (3) ‘despair’. Mothers experienced negative feelings that were in contradiction to the expected positive emotions associated with childbirth and motherhood. Resilience-related problems affected the mother-child relationship, and infants’ regulatory capacities. Determined to find solutions, different healthcare providers were consulted. Mothers’ search for help was complex and communication between healthcare providers was limited because of a fragmented care provision. This hindered the continuity of care and appropriate referrals. Another pitfall was the lack of a broader approach, with the emphasis on the medical aspects without attention to the mother-child dyad. An integrated care pathway focusing on the early detection of resilience-related problems and sufficient social support can be crucial in the prevention and early detection of perinatal and infant mental health problems.

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A public health approach to perinatal mental health: Improving health and wellbeing of mothers and babies

Cited by 19 publications

References 17 publications

A phenomenological study of the lived experiences of partner relationship breakup during pregnancy: Psychosocial effects, coping mechanisms, and the healthcare providers' role

A phenomenological study of the lived experiences of partner relationship breakup during pregnancy: Psychosocial effects, coping mechanisms, and the healthcare providers' role

Perinatal Mental Health Problems in Rural China: The Role of Social Factors

“Nobody Listened”. Mothers’ Experiences and Needs Regarding Professional Support Prior to Their Admission to an Infant Mental Health Day Clinic

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