Antenatal interventions to reduce maternal distress: a systematic review and meta‐analysis of randomised trials

Fontein-Kuipers, Yvonne; Nieuwenhuijze, Marianne; Ausems, Marlein; Budé, Luc; Vries, Raymond De

doi:10.1111/1471-0528.12500

Cited by 80 publications

(69 citation statements)

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“…A systematic review of psychosocial and psychological preventive interventions reported a beneficial effect on the prevention of depressive symptomatology, especially in the short term (Dennis, 2013). In contrast, a meta-analysis, did not find that maternal distress was significantly reduced by preventive interventions (Fontein−Kuipers et al, 2014). Antenatal interventions have the potential to help not only the mother, but her infant in the longer term (Glover, 2014).…”

Section: Introductionmentioning

confidence: 99%

“…Effective treatments are available for PND, but it is less clear whether strategies for preventive interventions in pregnancy are effective for both mothers (Dennis and Allen, 2008) and their infants and whether those interventions should be targeted towards women who are at greater risk of developing PND (Fontein−Kuipers et al, 2014). A systematic review of psychosocial and psychological preventive interventions reported a beneficial effect on the prevention of depressive symptomatology, especially in the short term (Dennis, 2013).…”

Section: Introductionmentioning

confidence: 99%

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Perceptions and experiences of interventions to prevent postnatal depression. A systematic review and qualitative evidence synthesis

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Morrell

Sutcliffe

et al. 2017

Journal of Affective Disorders

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Perceptions and experiences of interventions to prevent postnatal depression. A systematic review and qualitative evidence synthesis

Scope

Morrell

Sutcliffe

et al. 2017

Journal of Affective Disorders

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“…There has been an increase in research into antenatal psychological techniques which aim to reduce anxiety and improve maternal satisfaction and perinatal mental health, and reduce pain, medical interventions and requests for caesarean sections (Fontein-Kuipers et al, 2014). These techniques include yoga, meditation, mindfulness, hypnosis, and psychoeducational therapies.…”

Section: Introductionmentioning

confidence: 99%

“…These techniques include yoga, meditation, mindfulness, hypnosis, and psychoeducational therapies. A recent meta-analysis of such antenatal interventions showed a small but significant reduction in maternal distress in at-risk women (Fontein-Kuipers et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ attitudes, knowledge and self-efficacy levels regarding the use of self-hypnosis in childbirth: A prospective questionnaire survey

et al. 2017

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“…Taking the limitations of the meta-analysis into account, the results showed that universal preventive strategies, for a general sample of healthy pregnant women, have no observed beneficial effect in reducing maternal distress (six trials, n = 2793, standardized mean difference, SMD -0.06; 95% confidence interval, 95% CI -0.14 to 0.01). However, a subgroup analysis of a selected sample of pregnant women with characteristics that made them more vulnerable to develop maternal distress showed a small but significant reduction of maternal distress as a result of preventive strategies (three trials, n = 1410; SMD -0.25; 95% CI -0.37 to -0.14).Interventions for the treatment of existing maternal distress also showed a small but significant reduction of maternal distress (three trials, n = 270; SMD -0.29, 95% CI -0.54 to -0.04) [33]. These results guided the focus of the intervention development towards selective and indicated prevention strategies.…”

mentioning

confidence: 98%

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

Fontein-Kuipers¹

2016

Women Heal Int

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IntroductionPregnancy is not solely a physical process. The many emotional and social changes and the challenges and demands that accompany pregnancy mark it as a psychosocial process as well. These changes, challenges and demands can affect a woman's emotional wellbeing during pregnancy and for some women this effect is more profound than it is for others [1,2]. Affected emotional wellbeing accompanied by psychological signs and symptoms during pregnancy is defined as maternal distress. Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Prevalence rates of maternal distress among Dutch healthy pregnant women vary from 2 % to 30 % [3][4][5][6][7][8][9][10][11][12][13][14] measured with psychometric measures of depression and/ or (pregnancy-related) anxiety with scores above set cut-off points. Maternal distress can be caused by either pregnancy itself or non-pregnancy related factors [1][2][3]. Maternal distress can be regarded as a spectrum. This is consistent with a broad approach to antenatal maternal emotional health and wellbeing, as opposed to a one-dimensional view that emphasizes distinct psychological constructs such as depression and anxiety. A broad approach can be interpreted as viewing all aspects of health and wellbeing without emphasizing a specific construct [15,16]. There does not seem to be a need to prioritize or select between the above-mentioned mood disorders, as there is a recognized interrelation between them [17]. Maternal distress can be a predictor for negative birth outcomes and short or long-term post partum health problems for both mother as well as child [18][19][20][21].In the Netherlands, midwives are the main providers of antenatal care [22], making them the default healthcare practitioners for the identification of women who are at-risk to develop maternal distress or who experience maternal distress [23]. A timely antenatal intervention in midwife-led care may prevent or reduce maternal distress. To prevent or reduce maternal distress an intervention must be based on an understanding of the factors that can promote positive change, factors that consider not only the situation of pregnant women, but also the abilities of the midwives who will provide the intervention [24]. "Promoting Healthy Pregnancy" And the Development of the InterventionThe "Promoting Healthy Pregnancy" project (2011Pregnancy" project ( -2015 was funded and launched as a response to the Department of Health concerns about maternal distress and to midwives' uncertainty about their specific role and responsibilities in providing care for women with maternal distress [25]. The aim of the "Promoting Healthy Pregnancy" project was to gather evidence that could be used to create an antenatal intervention for the prevention or reduction of maternal distress during pregnancy for women receiving midwife-led care, i.e. women with healthy pregnancies.The Intervention Mapping protocol [24] was use...

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Antenatal interventions to reduce maternal distress: a systematic review and meta‐analysis of randomised trials

Cited by 80 publications

References 41 publications

Perceptions and experiences of interventions to prevent postnatal depression. A systematic review and qualitative evidence synthesis

Perceptions and experiences of interventions to prevent postnatal depression. A systematic review and qualitative evidence synthesis

Healthcare professionals’ attitudes, knowledge and self-efficacy levels regarding the use of self-hypnosis in childbirth: A prospective questionnaire survey

An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish

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