The Malaysian Women's Experience of Care and Management of Postnatal Depression

Arifin, Siti Roshaidai Binti Mohd; Cheyne, Helen; Maxwell, Margaret; Yousuf, Abdilahi

doi:10.2174/1745017902117010010

Cited by 4 publications

(3 citation statements)

References 38 publications

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“…The strong social support received by postpartum mothers from the people around them such as partners, parents, family, friends, and the surrounding environment greatly affect the minimization of the incidence of postpartum depression in mothers after giving birth. This explanation is in line with research by Arifin et al, (2021) which states that one way to overcome postpartum depression is to create a stress coping strategy, which strategy can be structured with the help and support of partners and people around the mother. Another study stated that the weak social support that mothers received after giving birth could increase the incidence of postpartum depression (aOR= 1.79; 95% CI= 0.92 to 3.48) (Sheeba et al, 2019).…”

Section: Resultssupporting

confidence: 80%

“…The etiology of postpartum depression is a decrease in estrogen and progesterone as well as epigenetic and neuroendocrine changes. Symptoms include depression, loss of interest, lack of energy, insomnia or hypersomnia, difficulty concentrating, persistent doubts, changes in appetite, lethargy, suicidal ideation or attempts, feelings of unworthiness and guilt (Arifin et al, 2021).…”

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confidence: 99%

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Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers

Nugrahaeni

Untari

Veibiani

2022

J Epidemiol Public Healt

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Background: Depression is one of the contributors to the disease that is the focus of public health in the world. The most common depression is postpartum depression. The postpartum period is a period of adaptation between mother and baby to optimize bonding attachment, so they need physical, emotional, and mental support from partners, families, and socially. This study was aimed to estimate the magnitude of the incidence of postpartum depression in postpartum mothers with the influence of social and family support, with a meta-analysis of the main study conducted by previous authors. Subjects and Method: This was a systematic review and meta-analysis with PICO, population: postpartum mothers. Intervention: strong social support. Comparison: weak social support. Outcome: postpartum depression. The articles used were obtained from several databases, namely Google Scholar, Pubmed, SpingerLink and Science Direct. Search keywords for articles were "Postnatal Depression" OR "Postpartum Depression" AND "Family Support" OR "Social Support" AND "Postpartum Mother". The inclusion criteria for research articles were full-text articles using a cross-sectional observational study design, postpartum mothers who received intervention in the form of family and social support, the results of the study were postpartum/postnatal depression, multivariate analysis with Adjusted Odds Ratio (aOR) to measure estimates effect. Data were analyzed using the Review Manager application (RevMan 5.3). Results: A total of 10 cross-sectional articles were selected for a systematic review and metaanalysis with 8,930 postpartum mothers from Asia and Africa. Mothers giving birth without social support can contribute to the worsening of the postpartum mother's condition to cause postpartum depression (OR= 3.12; 95%CI 1.95 to 4.99; p= 0.009). Conclusion: Social support can increase the prevention of postpartum depression in postpartum mothers.

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Section: Resultssupporting

confidence: 80%

mentioning

confidence: 99%

Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers

Nugrahaeni

Untari

Veibiani

2022

J Epidemiol Public Healt

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“…Among the symptoms reported by the women were 'loss of excitement', 'easily irritated', and 'feeling of not being normal.' Somatic symptoms such as loss of appetite and weight stated in the DSM-V were not widely reported [15]. Meanwhile, Vanderkruik et al [2] reported that the clinical features of postnatal psychosis were mood-incongruent delusions, hallucinations or delusions of control which were often associated with infant and self-harm.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Views of Healthcare Practitioners on Postnatal Mental Illness Screening Among Malaysian Women

Arifin¹,

Daud²,

Ruslan³

et al. 2022

MJMHS

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Introduction: Healthcare practitioners involved in the maternity care provision should be equipped with adequate knowledge and skills in the screening of postnatal mental illness. The promotion of a screening tool for this purpose can enhance these skills among the healthcare providers. In Malaysia, there is a lack of fundamental knowledge among healthcare practitioners regarding postnatal mental illness and their perceptions are not fully understood, thus hindering the development of relevant screening tools. This study aimed to explore the views of Malaysian healthcare practitioners on the indicators and potential mechanisms for the screening of postnatal mental illness. Method: This qualitative study was conducted using semi-structured interviews involving 28 healthcare practitioners at maternal and child health clinics, psychiatric departments, and obstetrics and gynaecology departments across 18 maternal and child health clinics and six government hospitals in the states of Pahang, Terengganu, Perak, Negeri Sembilan, and Kuala Lumpur. The data were analysed using framework analysis. Results: The healthcare practitioners’ views on postnatal mental illness were reflected in three themes, namely perceived causes of postnatal mental illness, indicators of postnatal mental illness, as well as screening and intervention mechanisms for postnatal mental illness. According to the respondents, the existing screening tools available within the clinical practice were less sensitive in assessing postnatal mental illness. Conclusion: The introduction of a relevant screening tool in addressing the common symptoms of postnatal mental illness can improve its the detection among Malaysian women.

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Exploring Asian maternal experiences and mHealth needs for postpartum mental health care

Kamarudin,

Idris,

Ahmad

et al. 2024

DIGITAL HEALTH

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Background Mental health care during the postpartum period is notably underexplored within Asian demographics, with barriers such as stigma, privacy concerns, logistical challenges, and a shortage of mental health professionals that limits access to optimal mental healthcare. Previous studies found that mobile health (mHealth) technology has been offering a promising solution to these issues. However, the perspectives of mothers on existing mental health services and their mHealth needs are still not well understood and warrant further exploration. Objective This study aimed to explore the postpartum experiences of Malaysian mothers with postpartum depression (PPD) symptoms and their perspectives on using an mHealth technology to improve mental health care during the postpartum period. Methods We carried out in-depth interviews with six mothers, which were transcribed verbatim and thematically analysed. Collaborative discussions and consensus were employed to enhanced reliability. Findings Five main themes related to mothers’ postpartum experiences and perspectives emerged, namely, the existing circumstances of mothers, psychosociological reactions, maternal needs, innovation of care, and suggestions for pragmatic mHealth elements. These themes emphasized the emotional challenges of meeting societal, cultural, and personal expectations. The essential resources identified to be included in the mHealth technology were education on PPD, professional guided self-care, cognitive restructuring, validation of diverse infant feeding practices, and fostering partner support. Furthermore, interactive mHealth features such as mood trackers, notifications, platforms to share, and motivational tools aimed at elevating maternal well-being were also sought. Conclusions Mothers expressed a desire for mHealth services emphasizing the need for these educational tools to be culturally sensitive, accommodating local language and religious practices, and offering support during confinement, to effectively address the unique needs of postpartum mothers. This study highlights the importance of prioritizing practical mHealth interventions as strategic support services to enhance positive postpartum mental care in resource-stricken countries.

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The Malaysian Women's Experience of Care and Management of Postnatal Depression

Cited by 4 publications

References 38 publications

Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers

Meta Analysis: The Effect of Social Support in Preventing Postpartum Depression in Postpartum Mothers

Exploring the Views of Healthcare Practitioners on Postnatal Mental Illness Screening Among Malaysian Women

Exploring Asian maternal experiences and mHealth needs for postpartum mental health care

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