Maternal and Child Health: Social factors in prevention of postpartum emotional problems

Gordon, Richard E.; Gordon, Katherine K.

doi:10.1097/00006199-196000940-00072

Cited by 24 publications

(32 citation statements)

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“…Antenatal and Postnatal Classes (Table 3) In a pioneering study, Gordon and Gordon conducted a quasi-experimental study to evaluate the effect of antenatal classes on the prevention of postpartum emotional problems (28). In the study, 161 pregnant US women were allocated to either standard antenatal classes (n = 76) or standard antenatal classes plus 2 additional sessions (n = 85).…”

Section: Psychosocial Interventionsmentioning

confidence: 99%

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Dennis

2004

Can J Psychiatry

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A pproximately 13% of women from diverse cultures will experience postpartum depression (PPD) within the first 12 weeks after childbirth (1). This hidden morbidity has well-documented health consequences for the mother, child, and family. While women who have suffered from PPD are twice as likely to experience future episodes of depression over a 5-year period (2), infants and children are particularly vulnerable. PPD can cause impaired maternal-infant interactions (3) and negative perceptions of infant behaviour (4), which have been linked to attachment insecurity (5,6), Results: Twenty-nine studies that met criteria were examined. These included studies evaluating interpersonal psychotherapy, cognitive-behavioural therapy, psychological debriefing, antenatal classes, intrapartum support, supportive interactions, continuity of care, antenatal identification and notification, early postpartum follow-up, flexible postpartum care, educational strategies, and relaxation with guided imagery. Conclusions:While this review demonstrates that no specific approach can be strongly recommended for clinical practice, many explicit research implications have been highlighted. To further address PPD as a public health problem, it is critical to include ethnically and socioeconomically diverse women in research efforts examining the differences among depression symptoms, intervention response rates, and health service use.( Can J Psychiatry 2004;49:526-538) Information on funding and support and author affiliations appears at the end of the article. Clinical Implications· Translating risk-factor research into predictive screening protocols and preventive interventions has met with limited success; complex interactions of biopsychosocial risk factors with individual variations need to be contemplated. · No specific approach can be strongly recommended for clinical practice. · It is critical to include ethnically and socioeconomically diverse women in research efforts examining the differences among depression symptoms, intervention response rates, and health service use. Limitation· Descriptive studies were excluded.

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Section: Psychosocial Interventionsmentioning

confidence: 99%

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Dennis

2004

Can J Psychiatry

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“…Elliott described how regular antenatal and post-natal educational and support group meetings (Elliott et al 1988) reduced the prevalence of post-natal depression. Other attempts to conduct prevention trials used inadequate randomization (Gordon & Gordon, 1960) or suffered from very low attendance (Stamp et al 1995). Limited evidence that depression is preventable has been claimed in one published randomized trial in adolescents (Clarke et al 1995).…”

Section: Introductionmentioning

confidence: 99%

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

et al. 2000

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Background. Social support theory and observational risk factor studies suggest that increased antenatal psychosocial support could prevent post-natal depression. We used empirical knowledge of risk and protective factors for post-natal depression not employed previously in order to develop and evaluate an antenatal preventive intervention. Methods. We conducted a pragmatic randomized controlled trial in antenatal clinics. We screened 1300 primiparous women and 400 screened positive, 69 screen-positive women were untraceable or not eligible. Of 292 women who completed baseline assessment, 209 consented to randomization, of these 190 provided outcome data 3 months post-natally. ' Preparing for Parenthood ', a structured antenatal risk factor reducing intervention designed to increase social support and problem-solving skills, was compared with routine antenatal care only. We compared the percentage depressed at 3 months after childbirth using the self-completion General Health Questionnaire Depression scale and Edinburgh Post-natal Depression Scale (EPDS), and the Schedules for Clinical Assessment in Neuropsychiatry a systematic clinical interview. Results. Assignment to the intervention group did not significantly impact on post-natal depression (odds ratio for GHQ-Depression 1n22 (95 % CI 0n63-2n39), P l 0n55) or on risk factors for depression. Forty-five per cent of the intervention group women attended sufficient sessions to be likely to benefit from intervention if effective. Attenders benefited no more than non-attenders. Conclusions. Prevention services targeting post-natal depression should not implement antenatal support programmes on these lines until further research has demonstrated the feasibility and effectiveness of such methods. The development of novel, low cost interventions effective in reducing risk factors should be completed before further trial evaluation.

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“…The link between negative feelings about the various aspects of femininity and self-ideal discrepancies noted in the present study highlights the importance of helping pregnant women work towards achieving a realistic perception of themselves and of motherhood. Such work might take place within the normative framework of discussions in natural childbirth classes and antenatal support groups aimed at the prevention of postnatal depression (Elliott et al, 1988;Gordon and Gordon, 1960), as well as in the clinical setting.…”

Section: Discussionmentioning

confidence: 99%

Self-acceptance and attitudes towards pregnancy and femininity among primiparae

Dimitrovsky

David-fuchs

Itskowitz

1989

Journal of Reproductive and Infant Psychology

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Maternal and Child Health: Social factors in prevention of postpartum emotional problems

Cited by 24 publications

References 0 publications

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Preventing Postpartum Depression Part II: A Critical Review of Nonbiological Interventions

Pragmatic randomized trial of antenatal intervention to prevent post-natal depression by reducing psychosocial risk factors

Self-acceptance and attitudes towards pregnancy and femininity among primiparae

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