Systematic Review of the Literature on Postpartum Care: Effectiveness of Postpartum Support to Improve Maternal Parenting, Mental Health, Quality of Life, and Physical Health

Shaw, Elizabeth; Levitt, Cheryl; Wong, Sharon; Kaczorowski, Janusz

doi:10.1111/j.1523-536x.2006.00106.x

Cited by 239 publications

(198 citation statements)

References 30 publications

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“…This development is encouraging and necessary, bearing in mind the potential consequences and costs of maternal depression for the affected women, their children, and their families. Reliable and well-validated screening instruments for the identification of women at risk like the Edinburgh Postnatal Depression Scale (Cox et al, 1987) are available, and so are different targeted intervention strategies such as psychotherapy and parental education programs for antenatal and postpartum depression (Dennis and Hodnett, 2007; Dennis et al, 2007; Shaw et al, 2006). A better understanding of the biological underpinnings of gestational and postpartum depression would provide further targets for intervention.…”

Section: Methodological Challenges Future Directions and Translatmentioning

confidence: 99%

Oxytocin pathways in the intergenerational transmission of maternal early life stress

Toepfer

Heim

Entringer

et al. 2017

Neuroscience & Biobehavioral Reviews

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Severe stress in early life, such as childhood abuse and neglect, constitutes a major risk factor in the etiology of psychiatric disorders and somatic diseases. Importantly, these long-term effects may impact the next generation. The intergenerational transmission of maternal early life stress (ELS) may occur via pre-and postnatal pathways, such as alterations in maternal-fetal-placental stress physiology, maternal depression during pregnancy and postpartum, as well as impaired mother-offspring interactions. The neuropeptide oxytocin (OT) has gained considerable attention for its role in modulating all of these assumed transmission pathways. Moreover, central and peripheral OT signaling pathways are highly sensitive to environmental exposures and may be compromised by ELS with implications for these putative transmission mechanisms. Together, these data suggest that OT pathways play an important role in the intergenerational transmission of maternal ELS in humans. By integrating recent studies on gene-environment interactions and epigenetic modifications in OT pathway genes, the present review aims to develop a conceptual framework of intergenerational transmission of maternal ELS that emphasizes the role of OT.

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Section: Methodological Challenges Future Directions and Translatmentioning

confidence: 99%

Oxytocin pathways in the intergenerational transmission of maternal early life stress

Toepfer

Heim

Entringer

et al. 2017

Neuroscience & Biobehavioral Reviews

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“…Por último, las mujeres embarazadas requieren consideración especial (Grella, 1996), ya que la prevalencia y la vulnerabilidad ante la PD es mayor que en no embarazadas; diversas revisiones sistemáticas sobre salud y cuidados perinatales han identificado que esta población muestra una particular vulnerabilidad a presentar trastornos de ansiedad, depresión y trastornos somáticos; además de que el consumo de sustancias y los trastornos mentales incrementan significativamente el riesgo de sufrir complicaciones durante el parto o de que se presenten condiciones que comprometan la salud del producto (por ejemplo síndrome alcohólico fetal) (Bennet, Einarson, Taddio, Koren, & Einarson, 2004;Fisher et al, 2012;Ross, McLean, & Psych, 2006;Shaw, Levitt, Wong, & Kaczorowski, 2006).…”

Section: Implicaciones De Salud Públicaunclassified

Patología dual en poblaciones especiales: una revisión narrativa

Szerman¹,

Marín-Navarrete²,

Fernández-Mondragón³

et al. 2015

RIIAD

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RESUMENIntroducción: la patología dual se refiere a la concurrencia de un trastorno por consumo de sustancias con otro trastorno psiquiátrico. Estudios epidemiológicos en población general reportan una alta prevalencia de patología dual. Sin embargo, la información disponible sobre el tema en poblaciones especiales es limitada. Objetivo: revisar la evidencia disponible sobre la epidemiología, la atención y los aspectos relevantes para la salud pública acerca de la patología dual en las siguientes poblaciones especiales: personas en situación de indigencia, en prisión, con VIH, VHB y VHC, mujeres y adultos mayores. Método: búsqueda en bases de datos bibliográficos (PubMed, Science Direct, EBSCO y OVID) de reportes de investigación enfocados en la prevalencia y el tratamiento de patología dual en las poblaciones mencionadas. Resultados: la prevalencia de la patología dual se presenta de manera diferenciada en estas poblaciones, en comparación con la población general; además está altamente asociada con mayores tasas de morbilidad y mortalidad. La mayoría de los estudios específicos sobre patología dual y las poblaciones especiales, tanto de epidemiología como de tratamientos, se ha realizado en países de alto ingreso. Discusión y conclusiones: se requiere de políticas públicas que contemplen la medición epidemiológica de la patología dual en estas poblaciones, sobre todo en países de mediano y bajo ingreso, e incluyan intervenciones integradas adecuadas a las necesidades específicas de cada población.Palabras clave: patología dual; grupos minoritarios; epidemiología; revisión. ABSTRACTBackground: dual disorders is a term that refers to the co-occurrence of a substance use disorder with other mental disorders. Epidemiological studies have reported a high prevalence of dual disorders in the general population. However, information on dual disorders in special population is limited. Objective: to give an overview of the available evidence on the epidemiology, care and other relevant aspects for public health of dual disorders in the following special populations: homeless, prison inmates, people with sexually-transmitted infections, and the elderly. Method: search in peer-review publication databases (PubMed, Science Direct, EBSCO and OVID) for research reports on the epidemiology and treatment of dual pathology in the aforementioned populations. Results: prevalence of dual disorders in these populations appears to be different than in the general population; and it is highly associated with higher mortality and morbidity rates. The majority of studies aimed specifically on the epidemiology and treatment of dual disorders and special populations has been conducted in high-income countries. Discussion and conclusions: there is a need for public policies that consider the epidemiological assessment of dual disorders in special populations, specially in low-and middle-income countries, and include integrated care interventions adequate to the specific needs of each population.

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“…Home visits may be effective in providing tailored care and increasing patient satisfaction [12]. However, these are less feasible for healthcare services to adopt and implement due to logistics such as manpower and cost [20].…”

Section: Introductionmentioning

confidence: 99%

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

Shorey¹,

Yang²,

Dennis³

2017

Preprint

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Background: Postnatal period poses numerous challenges for new parents. Various educational programmes are available to support new parents during this stressful period. However, the usefulness of educational programmes needs to be evaluated to ascertain their credibility.Objective: The aim of this descriptive qualitative study is to explore the views of parents to newborn with regard to the content and delivery of a mobile-health application based postnatal educational programme. Methods:A qualitative semi-structured interview guide was used to collect data from the 17 participants who belonged to the intervention group of a randomised controlled trail. The intervention, a four-week-long access to a mobile-health application based educational programme, was evaluated. The interviews were carried out in English and at the participants' homes. Thematic analysis was used to analyse the data. Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was used to report the findings. Results:The interviews revealed four main themes: (1) positive features of the mobile-health application, (2) advice from the midwife, (3) experiences gained from using the mobile-health application, and (4) recommendations for the future. The participants evaluated the educational programme to be a good source of information that was tailored to the local context. The different modes of delivery, including audio and video, accentuated the accessibility of information. The parents evaluated that the facilitator of the featured communication platform, a midwife, provided trustworthy advice. Belonging to a virtual community beyond the hospital gave parents the confidence that they were not alone and were supported by other parents and healthcare professionals. Conclusion:The mobile-health application based educational programme effectively supported a multi-ethnic sample of parents during the postnatal period. This signals its potential to be implemented in a wider community of parents in the postnatal period. The effectiveness of the educational programme is a testament of the potential benefits in using telemedicine among new parents postnatally. Resources can also be dedicated towards extending the duration of access to the application beyond one month, and to develop relevant content for parents across the perinatal period.

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Systematic Review of the Literature on Postpartum Care: Effectiveness of Postpartum Support to Improve Maternal Parenting, Mental Health, Quality of Life, and Physical Health

Abstract: No randomized controlled trial evidence was found to endorse universal provision of postpartum support to improve parenting, maternal mental health, maternal quality of life, or maternal physical health. There is some evidence that high-risk populations may benefit from postpartum support.

Cited by 239 publications

References 30 publications

Oxytocin pathways in the intergenerational transmission of maternal early life stress

Oxytocin pathways in the intergenerational transmission of maternal early life stress

Patología dual en poblaciones especiales: una revisión narrativa

A Mobile Health App�Based Postnatal Educational Program (Home-but not Alone): Descriptive Qualitative Study (Preprint)

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