Patient-centered care in Russian maternity hospitals: Introducing a new approach through professionals’ agency

Borozdina, Ekaterina; Novkunskaya, Anastasiia

doi:10.1177/1363459320925871

Cited by 16 publications

(14 citation statements)

References 30 publications

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“…In Russia, modern evidence-and ethics-based obstetric practices are still in their infancy, while the maternity healthcare system largely follows the conservative Soviet approach (Borozdina & Novkunskaya, 2020). e conservative approach includes a paternalistic style of communication, lack of ethical concern, outdated medical practices, and overall medicalization of birth, with medical personnel focusing primarily on the bureaucratic demands rather than on the patient's needs and psychological comfort (Temkina, 2014).…”

Section: Introductionmentioning

confidence: 99%

Postpartum Depression and Birth Experience in Russia

Yakupova

Suarez

2021

Psych. Rus.

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Background. In European countries, postpartum depression (PPD) occurs in 13–19% of women. The statistics indicate that postpartum depressive disorders affect up to 300,000 women in Russia annually. There is still an extremely acute lack of psychological comfort provided to women during labor in Russia. Objective. To our knowledge, ours is the first study that examines the association between childbirth experience and the risk of PPD in Russia. Design. We collected data from 190 Russian-speaking mothers, ages 19 to 46, (M = 32 +4.3) two months after their delivery. Results. Birth satisfaction and physical well-being two months after delivery were significantly inversely associated with PPD. Birth satisfaction negatively correlated with the perceived severity and unpredictability of labor, and positively correlated with physical well-being two months after delivery. The presence of a partner and a personal midwife or doula at birth was associated with higher birth satisfaction. Conclusion. Our results emphasize the significance of childbirth satisfaction in the context of PPD and suggest the importance of individual professional support during labor.

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Section: Introductionmentioning

confidence: 99%

Postpartum Depression and Birth Experience in Russia

Yakupova

Suarez

2021

Psych. Rus.

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“…A traumatic birth experience with intensive pain is associated with higher postpartum depression risk [ 26 ]. In Russia, most births take place in a maternity hospital solely in the presence of hospital staff, and unaccompanied by a partner or individual assisting specialists [ 27 ].…”

Section: Introductionmentioning

confidence: 99%

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Yakupova

Liutsko

2021

IJERPH

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Background: Over 300,000 women in Russia face perinatal depressive disorders every year, according to the data for middle-income countries. This study is the first attempt to perform a two-phase study of perinatal depressive disorders in Russia. The paper examines risk factors for perinatal depressive symptoms, such as marital satisfaction, birth experience, and childcare sharing. Methods: At 15–40 gestational weeks (M = 30.7, SD = 6.6), 343 Russian-speaking women, with a mean age of 32 years (SD = 4.4), completed the Edinburgh Postnatal Depression Scale, Couples Satisfaction Index, Birth Satisfaction Scale, and provided socio-demographic data. Two months after childbirth, 190 of them participated in the follow-up. Results: The follow-up indicated that 36.4% of participants suffered from prenatal depression and 34.3% of participants had postnatal depression. Significant predictors of prenatal depression were physical well-being during pregnancy (β = −0.25; p = 0.002) and marital satisfaction during pregnancy (β = −0.01; p = 0.018). Birth satisfaction (β = −0.08; p = 0.001), physical well-being at two months after delivery (β = −0.36; p < 0.01), and marital satisfaction during pregnancy (β = 0.01; p = 0.016) and after delivery (β = −0.02; p < 0.01) significantly predicted postnatal depression at 2 months after delivery. Conclusion: Our study identified that physical well-being during pregnancy and marital satisfaction during pregnancy significantly predicted prenatal depression. Birth satisfaction, physical well-being at 2 months after delivery, and marital satisfaction during pregnancy and after delivery significantly predicted postnatal depression. To our knowledge, this is the first study of perinatal depressive disorders in the context of marital satisfaction and birth satisfaction in the Russian sample. The problem of unequal childcare sharing is widely spread in Russia. Adjusting spousal expectations and making arrangements for childcare may become the focus of psychological work with the family. The availability of psychological support during pregnancy and labor may be important in the context of reducing perinatal depression risks.

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“…These procedures might also disrupt physical comfort, which is found to be an important protective factor for PTSD [ 28 , 29 ]. While labor in Russia is medicalized, there is an emerging trend to decrease the number of interventions during labor [ 30 ]. The lower frequency of synthetic oxytocin use during the pandemic may be the reflection of this trend and can be explained by more thorough birth preparation and women’s awareness of their legal rights [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia

Yakupova¹,

Suarez²,

Kharchenko³

2021

IJERPH

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The aim of the study is to investigate the changes in the maternal healthcare system during the pandemic and their associations with maternal mental health in Russia. A sample of Russian women who gave birth during the first year of the COVID-19 pandemic (n = 1645) and matched controls, i.e., women who gave birth before the COVID-19 pandemic (n = 611), completed an anonymous Internet survey about recent childbirth. They were assessed for childbirth-related posttraumatic stress disorder (PTSD) and postpartum depression (PPD). Clinically relevant symptoms of PPD and PTSD were high before the pandemic and showed no significant change during the pandemic (p = 0.48 and p = 0.64, respectively). We found a notable increase in the frequency of obstetric violence (p = 0.015) during the pandemic, which, in turn, has a strong correlation with birth-related PTSD and PPD. The problem of ethical communication with patients among maternal healthcare professionals is acute in Russia, and it has been exacerbated by the pandemic. Family and doula support during labor can be a potential protective factor against obstetric violence.

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Patient-centered care in Russian maternity hospitals: Introducing a new approach through professionals’ agency

Cited by 16 publications

References 30 publications

Postpartum Depression and Birth Experience in Russia

Postpartum Depression and Birth Experience in Russia

Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia

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