Effects of redesigned community postnatal care on womens' health 4 months after birth: a cluster randomised controlled trial

MacArthur, Christine; Winter, Heather; Bick, Debra; Knowles, H; Lilford, Richard; Henderson, Christine; Lancashire, Robert J.; Braunholtz, David; Gee, Harold

doi:10.1016/s0140-6736(02)07596-7

Cited by 245 publications

(212 citation statements)

References 18 publications

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“…support score was calculated based on women's responses to five items: the amount of help they receive from their partner; the availability of a friend or relative to contact if needed; a local contact who has an infant; the availability of practical help at home; and the duration of residence in the locality. 16 Those randomised to the exercise intervention completed a series of open-ended questions about their experiences during the intervention. Participants were offered the opportunity to return these evaluations anonymously.…”

Section: How This Fits Inmentioning

confidence: 99%

Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial

Daley¹,

Winter²,

Grimmett³

et al. 2008

Br J Gen Pract

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Postnatal depression is a serious mental health problem that may be reduced by exercise. AimThis study examined the feasibility of an exercise intervention for women with postnatal depression, and assessed which methods of recruitment are most effective. Design of studyRandomised controlled trial. SettingGeneral practice and the community. MethodParticipants were recruited from various sources and randomised to an exercise intervention or usual care with follow-up at 12 weeks. As well as assessing feasibility, other trial outcomes included exercise participation and self-efficacy for exercise. Levels of depression were assessed but the study was not powered to show a difference in this. ResultsThe recruitment rate of eligible patients was 23.1%. The highest recruitment rate was via referral from the psychiatric mother and baby unit (9/28; 32.1%), followed by invitation letters from GPs (24/93; 25.8%). Thirty-eight eligible participants were randomised. At follow-up there was no significant difference in exercise participation between groups. The intervention group reported significantly higher selfefficacy for exercise compared to usual care, but depression scores did not differ. ConclusionExercise participation over the 12-week period was not significantly increased, possibly because it is difficult to motivate women with postnatal depression to exercise, or the intervention was not sufficiently intensive. Eligible patients were recruited into this study but response rates were low. Optimum methods of recruitment in this difficult-to-reach population are required prior to a substantive trial. Further research is imperative given poorly-evidenced recommendations by the National Institute for Health and Clinical Excellence to consider this treatment.

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Section: How This Fits Inmentioning

confidence: 99%

Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial

Daley¹,

Winter²,

Grimmett³

et al. 2008

Br J Gen Pract

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“…However, despite the fact that intervention in the early postnatal period has been documented as highly relevant, few studies have addressed this issue. [24][25][26] The study by Chabrol et al was based on intervention at multiple levels, mixing educational, support-based and cognitivebehavioral approaches. [25] An interview was held within 72 hours of giving birth.…”

Section: Stressmentioning

confidence: 99%

“…MacArthur and her team state that "guidance for health professionals on how to provide such care, however, may be necessary". [24] As we have seen, several studies have shown the importance of implementing personalized care to respond to mothers' specific needs and improve their adaptation during the early postpartum period. However, models of care to achieve this aim are lacking.…”

Section: Stressmentioning

confidence: 99%

Postpartum psycho-educational interviews to promote adaptation in new mothers: A preliminary study

Razurel

Avignon

Gerdy

et al. 2016

JNEP

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Objective: Adapting to the birth of a child can be stressful for new mothers. Caregivers (nurses and midwives) lack the tools to adequately assist with this adaptation. A perinatal psycho-educational interview was developed and systematically implemented on a daily basis for all mothers hospitalized postpartum in the maternity ward of our institution. Our first objective was to assess whether this psycho-educational interview was used systematically by care personnel, and whether it provided them with a greater sense of purpose in their professional role. Our second objective was to assess whether use of this interview decreased new mothers' perceptions of stress and improved their perceived adaptations to motherhood. Methods: An assessment before (T1) and after (T2) implementation of the psycho-educational interview (intervention) was carried out with 60 caregivers and 250 mothers. Results:The results show 41% of mothers in this study received two or more interviews during their hospital stay. Caregivers' job satisfaction was seen to increase (t = -3.2; p < .05), and feelings of frustration towards their work decreased (t = 2.65; p < .05). Mothers felt less stressed and less worried in T2 (t = -2.4; p < .05). Conclusions: These encouraging results show an increase in the use of this treatment in the postpartum setting, with desirable effects. Further studies should be carried out to consolidate these preliminary results.

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“…However, university education and friends's support appear to be important protective factors (Grussu P 2009). Public postnatal care lowered the risk of postnatal depression (McArthur 2002). Early discharge from the maternity wards (Hickey AR 1997) , young age (Inandi T 2002, Irfan N 2003, being single (Bjerke SEY 208, Kendell RE 1987), high parity (Danaci AE 2002), low education and illeteracy (Inandi T 2002, Irfan N 2003, birth of a daughter when a son was desired (Chandran M 2002, Patel V 2002, lack of physical help (Chandran M 2008), as well as being an immigrant (Danaci AE 2002, Small R 2003 have also been reported as risk factors for postnatal depression.…”

Section: Risk Factors Of Postnatal Depressionmentioning

confidence: 99%

Risk Factors of Postnatal Depression Among Immigrants in Norway

Yap¹,

Stray‐Pedersen²

2012

Perinatal Depression

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Effects of redesigned community postnatal care on womens' health 4 months after birth: a cluster randomised controlled trial

Cited by 245 publications

References 18 publications

Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial

Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial

Postpartum psycho-educational interviews to promote adaptation in new mothers: A preliminary study

Risk Factors of Postnatal Depression Among Immigrants in Norway

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