Examining the Social Patterning of Postpartum Depression by Immigration Status in Canada: an Exploratory Review of the Literature

Saad, Megan

doi:10.1007/s40615-018-0526-6

Cited by 5 publications

(2 citation statements)

References 43 publications

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“…According to Gheorghe et al 23 (p247) one in four women who gave birth in Canada between January 1 and June 30, 2018, reported symptoms consistent with PPA or PPD ve to thirteen months postpartum". Similarly, Saad 24 illustrated that the literature reveals an increased prevalence of postpartum depression in immigrant women in Canada mediated by risk factors linked to social determinants of health such as social support, socioeconomic status, and life stressors. About this point, we cannot provide statistical data among our participants, but we can highlight that mental health was identi ed as a main theme for our project due to frequent mentions of related issues and experiences among our sample which underline the relevance of addressing mental health issues during pregnancy and postpartum.…”

Section: Discussionmentioning

confidence: 99%

Patient and Family Experiences of Adverse Pregnancy Events in Canada from a Multicultural Perspective

Nielssen,

Nabil,

Seyoum

et al. 2024

Preprint

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Background: Maternal morbidity can be conceptualized in multiple and unique ways by healthcare professionals, and patients. For pregnant persons and their families, adverse events in pregnancy can often extend beyond the scope of clinical diagnoses. This patient-led, peer-to-peer study aimed to understand how pregnant persons and their families described and understood adverse events in pregnancy in Canada using a multicultural perspective. Methods: The Patient and Community Engagement Research (PaCER) program is program offered through the University of Calgary. Students are patient and community researchers trained in qualitative health research and committed to finding innovative ways of engaging patients in the health care research that matters to them. Focus groups and individual interviews were used to understand the experiences and perspectives of patient and community members who self-identified as experiencing adverse events in pregnancy. Data was collectively and iteratively analysed using thematic and narrative analysis. Results: Thirteen participants from diverse backgrounds and with a range of pregnancy experiences participated in focus groups and individual semi-structured interviews. Five key themes emerged and were defined as: (1) access to appropriate, timely, coordinated care and follow up; (2) lack of transparent communication from healthcare providers and the ways power differentials and need for urgent action affected shared decision making; (3) cultural differences between participants’ traditions, and Canadian pregnancy care practices; (4) mental health impacts as participants struggled to access diagnosis for conditions that “didn’t feel right” and to understand “why” adverse events happened (5) supports and resources participants felt were missing that would have been most helpful to managing the morbidity. Our team also identified five actionable recommendations for dissemination and implementation of study findings. Conclusions: This study demonstrates that people with lived pregnancy experience may not perceive pregnancy-related morbidity as a list of adverse clinical conditions, but instead as negative consequences resulting from lack of transparent communication with pregnancy-care providers, and access to timely and culturally appropriate care, supports and resources. Our findings identify key research priorities and provide unique insights into designing best practices for more person-centred, culturally cognisant, and responsive maternal health policy and care going forward.

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Section: Discussionmentioning

confidence: 99%

Patient and Family Experiences of Adverse Pregnancy Events in Canada from a Multicultural Perspective

Nielssen,

Nabil,

Seyoum

et al. 2024

Preprint

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“…Women's migratory status and language spoken at home were associated with mentor type. In a narrative review of mechanisms underlying social patterning of PPD in immigrant women, Saad (30) reported that loss of previous support networks and challenges forming new networks after immigration may underlie increased rates of postnatal depression among immigrant women. This mechanism may apply to women who relocate within a country and lose previous social networks and sense of community belonging.…”

Section: Discussionmentioning

confidence: 99%

Association between Social Relationship of Mentors and Depressive Symptoms in First- Time Mothers during the Transition from Pregnancy to 6-Months Postpartum

Gasperowicz

Benzies

2023

Preprint

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Background First-time motherhood is characterized by high psychosocial distress, which untreated, has serious consequences. Informal social support provided by specially trained mentors may be protective against postpartum depressive symptoms but may vary by women’s social relationship with the mentor. The objective of this study was to evaluate the association of types of mentors on women’s depressive symptoms between late pregnancy to 6-months postpartum and the characteristics of women associated with mentor type. Methods This study was a secondary analysis of data from a community sample of 312 primiparous women from a single-group, longitudinal intervention study of Welcome to Parenthood. Welcome to Parenthood provided education and mentorship for women during the transition from pregnancy to postpartum. Women completed the Edinburgh Postnatal Depression Scale (EPDS) in late pregnancy, and 2- and 6-months postpartum. Results Women who recently relocated were less likely to be mentored by their mothers and more likely to be mentored by friends or volunteers. Women who were mentored by their mothers or sisters scored the lowest on the EPDS; those mentored by their mothers-in-law scored the highest. Women who were mentored by other family, friends, or volunteers scored between the two extremes. EPDS scores of women mentored by each type of mentor decreased from pregnancy to 6-months postpartum; only for mother-, sister-, and volunteer-mentored groups was this decrease significant. Conclusions During transition to parenthood, support provided by mothers or sisters is best for women’s mental health but may not always be available to women who have recently relocated. In such situations, specially trained community volunteers may be the second-best option.

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Parity and Psychosocial Risk Factors Increase the Risk of Depression During Pregnancy Among Recent Immigrant Women in Canada

Vaillancourt

Lane

Ditto

et al. 2021

J Immigrant Minority Health

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Examining the Social Patterning of Postpartum Depression by Immigration Status in Canada: an Exploratory Review of the Literature

Cited by 5 publications

References 43 publications

Patient and Family Experiences of Adverse Pregnancy Events in Canada from a Multicultural Perspective

Patient and Family Experiences of Adverse Pregnancy Events in Canada from a Multicultural Perspective

Association between Social Relationship of Mentors and Depressive Symptoms in First- Time Mothers during the Transition from Pregnancy to 6-Months Postpartum

Parity and Psychosocial Risk Factors Increase the Risk of Depression During Pregnancy Among Recent Immigrant Women in Canada

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