A qualitative study of mild to moderate psychological distress during pregnancy

Furber, Christine; Garrod, Debbie; Maloney, Eileen; Lovell, Karina; McGowan, Linda

doi:10.1016/j.ijnurstu.2008.12.003

Cited by 88 publications

(88 citation statements)

References 33 publications

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“…Scant research exists into the actual experiences of pregnancy as recounted by vulnerable women themselves (Smith 1999;Furber, Garrod, Maloney, Lovell & McGowan, 2009). These stories privilege personal narrative over professional discourse, which may inform theory and practice.…”

Section: Introductionmentioning

confidence: 99%

‘Me and my Bump’: An interpretative phenomenological analysis of the experiences of pregnancy for vulnerable women

Birtwell

Hammond

Puckering

2013

Clin Child Psychol Psychiatry

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Eight pregnant women, considered to be ‘vulnerable’ due to exposure to a number of underlying risk factors, participated in semi-structured interviews regarding their experiences of pregnancy and of Mellow Bumps, a 6-week targeted antenatal intervention. Interview transcripts were explored using interpretative phenomenological analysis. The analysis revealed five superordinate themes: pregnancy as a time of reflection; the body being taken over; pregnancy as an emotional rollercoaster; relationships as important; separating identities. Pre- and post-natal attachment theories were found to be useful in interpreting the data. Findings suggest that pregnancy may be ‘normalising’ and provide an important opportunity for building more positive representations of the self. Findings also provide clinical support for the assertion that the attachment relationship begins before birth. The Mellow Bumps intervention was uniformly seen as helpful. It appeared to nurture prenatal attachment relationships, playing a potentially protective role, by helping to establish the foundations for secure mother–infant relationships in the future. Meeting similar women and engaging in ordinary, supportive conversation during Mellow Bumps seemed to reduce feelings of isolation and stigma. Implications for clinical practice are considered.

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Section: Introductionmentioning

confidence: 99%

‘Me and my Bump’: An interpretative phenomenological analysis of the experiences of pregnancy for vulnerable women

Birtwell

Hammond

Puckering

2013

Clin Child Psychol Psychiatry

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“…Mesmo assim, ressalta-se a importância do acompanhamento emocional nesses casos. De acordo com Alami, Kadri e Berradas (2006) e Furber, Garrod, Maloney, Lovell e McGowan (2009, mesmo um nível leve de depressão influencia de forma negativa a mulher grávida que, pode apresentar menos práticas saudá-veis, como boa alimentação e exercícios apropriados, podendo, também, desenvolver mais desesperança durante a gestação (Lindgren, 2001). …”

Section: Discussionunclassified

Apego materno-fetal, ansiedade e depressão em gestantes com gravidez normal e de risco: estudo comparativo

Saviani-Zeoti

Petean

2015

Estud. psicol. (Campinas)

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Estudos de Psicologia I Campinas I 32(4) I 675-683 I outubro -dezembro 2015 http://dx.doi.org/10.1590/0103-166X2015000400010 ResumoEste estudo teve como objetivo verificar as possíveis diferenças nos comportamentos de apego materno-fetal, bem como nos níveis de ansiedade e depressão apresentados por gestantes com e sem risco na gravidez, durante o segundo trimestre gestacional. Participaram da pesquisa 25 mulheres com gravidez sem risco e 23 com gravidez de risco, sendo que quatro delas tiveram fetos malformados. A Escala de Apego Materno-fetal e os Inventários de Ansiedade e Depressão de Beck foram utilizados. Os resultados mostram que não há diferenças no nível de apego materno-fetal entre os dois grupos de gestantes, os quais apresentaram valores máximos. Os índices de ansiedade e depressão mostraram-se mais elevados, mas não estatisticamente significativos, entre as gestantes de risco, principalmente para aquelas que tinham suspeita de fetos malformados. Conclui-se que a gravidade da realidade vivida por essas mães implica em níveis mais elevados de ansiedade e depressão, porém, não impede a formação da relação de apego entre elas e seus filhos. Palavras-chave:

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“…Additionally, documentation of potentially sensitive information may be of concern for women due to the notes being read by family and friends (Furber et al, 2009) Failure to do so could discourage women from making future disclosures. In addition, some of these women had been taking prescribed mental health medication which was ceased due to concerns with using pharmacological interventions during pregnancy, but without actually putting any alternative support in place.…”

Section: Mental Health Documentation In the Handheld Maternity Notesmentioning

confidence: 99%

Antenatal mental health referrals: Review of local clinical practice and pregnant women׳s experiences in England

2015

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Objective: To investigate: i) the consistency and completeness of mental health assessment documented at hospital booking; ii) the subsequent management of pregnant women identified as experiencing, or at risk of, mental health problems; and iii) women's experiences of the mental health referral process.Design: Mixed methods cohort study Setting: Large, inner-city hospital in the north of England Participants: Women (n=191) booking at their first formal antenatal appointment; mean gestational age at booking 13 weeks.Methods: Women self-completed the routine mental health assessment in the clinical handheld maternity notes, followed by a research pack. Documentation of mental health assessment (including assessment of depression symptoms using the Whooley and Arroll questions, and mental health history), mental health referrals and their management were obtained from women's health records following birth. Longitudinal semi-structured interviews were conducted with a purposive sub-sample of 22 women during and after pregnancy.Findings: Documentation of responses to the Whooley and Arroll questions was limited to the handheld notes and symptoms were not routinely monitored using these questions, even for women identified as possible cases of depression. The common focus of referrals was on the women's previous mental health history rather than current depression symptoms, assessed using the Whooley questions. Women referred to a Mental Health Specialist Midwife for further support were triaged based on the written referral and few met eligibility criteria. Although some women initially viewed the referral as offering a 'safety net', analysis of health records and subsequent interviews with women both indicated that communication regarding the management of referrals was inadequate and women tended not to hear back about the outcome of their referral.Key conclusions and implications for practice: Mental health assessment was introduced without ensuring that identified needs would be managed consistently. Care pathways and practices need to encompass identification, subsequent referral and management of mental illhealth, and ensure effective communication with patients and between health professionals.

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A qualitative study of mild to moderate psychological distress during pregnancy

Cited by 88 publications

References 33 publications

‘Me and my Bump’: An interpretative phenomenological analysis of the experiences of pregnancy for vulnerable women

‘Me and my Bump’: An interpretative phenomenological analysis of the experiences of pregnancy for vulnerable women

Apego materno-fetal, ansiedade e depressão em gestantes com gravidez normal e de risco: estudo comparativo

Antenatal mental health referrals: Review of local clinical practice and pregnant women׳s experiences in England

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