The Effect of Peers Support on Postpartum Depression: A Single-Blind Randomized Clinical Trial

Kamalifard, Mahin; Yavarikia, Parisa; Kheiroddin, Jalil Babapour; Salehi‐Pourmehr, Hanieh; Iranagh, Rogayyeh Iraji

doi:10.5681/jcs.2013.029

Cited by 11 publications

(5 citation statements)

References 18 publications

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“…The counties where responding hospitals were located differed in respect to their social vulnerability, with majority-BIPOC rural counties being more socially vulnerable across all dimensions of the SVI when compared to majority-White rural counties. The availability of evidence-based supports, programs and interventions that have been shown to improve maternal and infant health outcomes [ 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 27 , 28 , 29 , 30 , 31 , 32 ] also differed, with more vulnerable counties having significantly less access to these resources. This inequitable access is noteworthy given known health inequities for rural BIPOC birthing people and their infants [ 56 , 76 ].…”

Section: Discussionmentioning

confidence: 99%

“…Models of care that are person- or family-centered, such as perinatal care with certified nurse-midwives [ 16 , 17 ], prenatal care offered in a group setting (often called group prenatal care) [ 18 , 19 ], and dedicated birth support from doulas (trained non-clinical birth support personnel) [ 20 , 21 ] have been associated with improved maternal and infant health outcomes, particularly for families who are at higher risk for poor outcomes [ 17 , 22 , 23 , 24 , 25 , 26 ]. Community supports in the form of postpartum [ 27 ] and breastfeeding peer support groups [ 27 , 28 , 29 ], childbirth education classes [ 30 ], and nutrition support programs for vulnerable families (Special Supplemental Nutrition Program for Women, Infants, & Children-WIC) [ 31 , 32 ] also have strong evidence in the literature for improving maternal and infant health outcomes.…”

Section: Introductionmentioning

confidence: 99%

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Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents

et al. 2022

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Rural residents in the United States (US) have disproportionately high rates of maternal and infant mortality. Rural residents who are Black, Indigenous, and People of Color (BIPOC) face multiple social risk factors and have some of the worst maternal and infant health outcomes in the U.S. The purpose of this study was to determine the rural availability of evidence-based supports and services that promote maternal and infant health. We developed and conducted a national survey of a sample of rural hospitals. We determined for each responding hospital the county-level scores on the 2018 CDC Social Vulnerability Index (SVI). The sample’s (n = 93) median SVI score [IQR] was 0.55 [0.25–0.88]; for majority-BIPOC counties (n = 29) the median SVI score was 0.93 [0.88–0.98] compared with 0.38 [0.19–0.64] for majority-White counties (n = 64). Among counties where responding hospitals were located, 86.2% located in majority-BIPOC counties ranked in the most socially vulnerable quartile of counties nationally (SVI ≥ 0.75), compared with 14.1% of majority-White counties. In analyses adjusted for geography and hospital size, certified lactation support (aOR 0.36, 95% CI 0.13–0.97), midwifery care (aOR 0.35, 95% CI 0.12–0.99), doula support (aOR 0.30, 95% CI 0.11–0.84), postpartum support groups (aOR 0.25, 95% CI 0.09–0.68), and childbirth education classes (aOR 0.08, 95% CI 0.01–0.69) were significantly less available in the most vulnerable counties compared with less vulnerable counties. Residents in the most socially vulnerable rural counties, many of whom are BIPOC and thus at higher risk for poor birth outcomes, are significantly less likely to have access to evidence-based supports for maternal and infant health.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents

et al. 2022

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“…22 Kamalifard et al provided peer support to make at least one call a week with the mother under their support, give emotional support during calls, and share experiences of pregnancy, childbirth, and after delivery. 37 Kocak et al used the postpartum mobile support application features, a consultancy service to assist mothers at any time. Additionally, the application sends notifications at intervals of 5-10 hours to provide motivation for mothers.…”

Section: Breastfeeding Support and Postpartum Depressionmentioning

confidence: 99%

The Relationship between Breastfeeding Practices and Support with Severity of Postpartum Depression: A Systematic Review and Meta-analysis

Adjie,

Kayika,

Pusponegoro

et al. 2024

Journal of South Asian Federation of Obstetrics and Gynaecology

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Introduction: Some evidence indicates that breastfeeding could offer protection in case of postnatal depression and support recovery from symptoms. This study investigates the relationship to identify which practices and forms of support prove beneficial. Materials and methods: Literature search was carried out in databases, such as Cochrane, EBSCOhost, EMBASE, ProQuest, PubMed, and Science Direct from 2013 to recent years. The criteria for inclusion are: (1) Randomized controlled trial or observational studies; (2) Study population, postpartum women at risk or having symptoms of postpartum depression (PPD); (3) Intervention, breastfeeding practice or breastfeeding support; (4) Comparison, women without breastfeeding practices or breastfeeding support; (5) Outcome, severity of PPD.Results: Nineteen studies were included in this review; 5 studies about breastfeeding practices and 14 studies about breastfeeding support. These studies were conducted in 11 countries, included a total of 79,303 participants. Breastfeeding exclusivity, duration, satisfaction, and early initiation contributed to the reduction of PPD severity. Breastfeeding educational (MD = -0.59 [95% CI, -0.62, -0.56]; p < 0.01), psychosocial (MD = -2.85 [95% CI, -4.03, -1.68]; p < 0.01; I 2 = 0%), and medication support (MD -1.66 [95% CI, -2.48, -0.83], p = 0.38; I 2 = 0%) reduced the severity of PPD. Moreover, educational support also decreases the risk of developing PPD (RR 0.84 [95% CI, 0.71-1.00], p = 0.05; I 2 = 20%). Conclusion: Breastfeeding practices have been shown to diminish the grading of PPD and serve as a preventive measure against the risk of depressive symptoms throughout the postpartum period. Additionally, breastfeeding support has been found to alleviate the severity of postnatal depression. It is worth noting that psychosocial support is recommended in this regard, further underscoring the importance of holistic support systems for new mothers. Therefore, early initiation of exclusive breastfeeding and maintaining mother satisfaction are beneficial to be encouraged and educated since pregnancy. Clinical significance: Breastfeeding has a vital role in reducing the severity of PPD and preventing the symptoms after childbirth. Supporting mothers through education and encouragement to start breastfeeding since pregnancy proves the importance of providing holistic care for mothers.

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“…Connecting with others who empathize with their struggles can help alleviate feelings of isolation and provide a sense of belonging. Support groups may also incorporate educational components, guest speakers, and therapeutic activities to enhance coping skills and resilience [54].…”

Section: Support Groupsmentioning

confidence: 99%

Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants

Saharoy,

Potdukhe,

Wanjari

et al. 2023

Cureus

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Postpartum depression (PPD) is a common and debilitating mental health condition affecting many mothers worldwide. This review article aims to explore the complex effects of PPD on mothers and infants, focusing on maternal care. The transition to motherhood is a critical period characterized by numerous physical, psychological, and social changes, making women vulnerable to the onset of PPD. Consequently, PPD can significantly impact a mother's ability to provide optimal care for her infant, leading to potential adverse consequences for both parties. The article synthesizes existing research literature on the topic, encompassing studies from various disciplines, including psychology, psychiatry, obstetrics, and pediatrics. It begins by providing an overview of the prevalence and risk factors associated with PPD, emphasizing the importance of early detection and intervention. The impact of PPD on maternal caregiving behaviors, such as bonding, sensitivity, and responsiveness, is then examined, highlighting the potential disruptions in the mother-infant relationship. Furthermore, the article delves into the potential consequences of impaired maternal care on infant development, including emotional, cognitive, and social domains. Several factors contributing to the complex interplay between PPD and maternal care are discussed, including hormonal changes, psychosocial stressors, and the influence of social support networks. The review also addresses the bidirectional nature of the mother-infant relationship, whereby infant characteristics and behaviors can exacerbate or mitigate the effects of PPD on maternal care. Moreover, the article explores the role of healthcare providers and the importance of implementing effective screening, assessment, and treatment strategies for PPD to promote optimal maternal-infant outcomes. By consolidating current knowledge on the topic, this review article provides valuable insights into the multifaceted effects of PPD on both mothers and infants. Recognizing the significance of maternal care and understanding the mechanisms through which PPD disrupts it can inform the development of targeted interventions to promote early detection, effective treatment, and supportive interventions for mothers experiencing PPD. Ultimately, improving maternal mental health and enhancing maternal-infant relationships can yield long-term positive effects on mothers' and infants' well-being and development.

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The Effect of Peers Support on Postpartum Depression: A Single-Blind Randomized Clinical Trial

Cited by 11 publications

References 18 publications

Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents

Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents

The Relationship between Breastfeeding Practices and Support with Severity of Postpartum Depression: A Systematic Review and Meta-analysis

Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants

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