When should women be screened for postnatal depression?

Bick, Debra; Howard, Louise M.

doi:10.1586/ern.09.156

Cited by 16 publications

(8 citation statements)

References 23 publications

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“…Antenatal disorders (including depression and anxiety disorders, eating disorders, and psychoses) are associated with adverse effects on the fetus including low birth weight and pre-term delivery [1]–[3], perinatal and infant death [4]–[6], and postnatal psychopathology [7]–[9], with the last associated with subsequent behavioural/emotional problems in the child and adolescent [10]. Risk factors for most perinatal mental disorders are generally similar to those for mental disorders outside the perinatal period and include a family and personal history of mental disorders [11],[12].…”

Section: Introductionmentioning

confidence: 99%

Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis

et al. 2013

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Section: Introductionmentioning

confidence: 99%

Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis

et al. 2013

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“…It is possible that the women in the current study did not consider emotional health a priority when a hospital in-patient, that in the short space of time prior to discharge they did not consider their feelings, or care to identify these outcomes was not sufficiently different pre and post intervention. Mental health disorders among women following birth are an important area for consideration, and the need to review strategies to prompt early identification and management is recognised [33,34]. The trial by MacArthur et al [30,31] remains the only universal intervention to have impacted on maternal mental health outcomes and highlights the potential benefit of planned, effective midwifery care.…”

Section: Discussionmentioning

confidence: 99%

Revising acute care systems and processes to improve breastfeeding and maternal postnatal health: a pre and post intervention study in one English maternity unit

Bick

Murrells

Weavers

et al. 2012

BMC Pregnancy Childbirth

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BackgroundMost women in the UK give birth in a hospital labour ward, following which they are transferred to a postnatal ward and discharged home within 24 to 48 hours of the birth. Despite policy and guideline recommendations to support planned, effective postnatal care, national surveys of women’s views of maternity care have consistently found in-patient postnatal care, including support for breastfeeding, is poorly rated.MethodsUsing a Continuous Quality Improvement approach, routine antenatal, intrapartum and postnatal care systems and processes were revised to support implementation of evidence based postnatal practice. To identify if implementation of a multi-faceted QI intervention impacted on outcomes, data on breastfeeding initiation and duration, maternal health and women’s views of care, were collected in a pre and post intervention longitudinal survey. Primary outcomes included initiation, overall duration and duration of exclusive breastfeeding. Secondary outcomes included maternal morbidity, experiences and satisfaction with care. As most outcomes of interest were measured on a nominal scale, these were compared pre and post intervention using logistic regression.ResultsData were obtained on 741/1160 (64%) women at 10 days post-birth and 616 (54%) at 3 months post-birth pre-intervention, and 725/1153 (63%) and 575 (50%) respectively post-intervention. Post intervention there were statistically significant differences in the initiation (p = 0.050), duration of any breastfeeding (p = 0.020) and duration of exclusive breastfeeding to 10 days (p = 0.038) and duration of any breastfeeding to three months (p = 0.016). Post intervention, women were less likely to report physical morbidity within the first 10 days of birth, and were more positive about their in-patient care.ConclusionsIt is possible to improve outcomes of routine in-patient care within current resources through continuous quality improvement.

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“…Research reveals degrees of clinical severity, as well subclinical psychological symptoms, and there is a lack of consensus about precise criteria (Horan- Smith & Gullone, 1998). It is important to recognise impairment but equally important to avoid over-pathologising the perinatal experience (Bick & Howard, 2010;Paulson & Bazemore, 2010). Milder postnatal psychological difficulties are deserving of attention in their own right or as pathways to more serious dysfunction.…”

Section: Overview and Rationale For The Current Studymentioning

confidence: 99%

Shedding Light on the Difficulties and Challenges Experienced by Mothers of Infants

Marshall

Thompson

2014

Australian Psychologist

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Adjustment to life with a newborn presents a variety of challenges, and some mothers experience postnatal disorders. It may be more normative for mothers to face less severe but nevertheless troubling difficulties. In this qualitative study, seven mothers (32-42 years) participated in individual interviews about the stresses and difficulties that they experienced with their infants. An interpretive analytical approach was used to identify the manifest difficulties and make sense of them in terms of three underlying psychological issues: (1) effectiveness as a mother; (2) relationship dynamics; and (3) sense of self. In spite of facing difficulties, mothers evaluated their overall experience as positive. We report on the main adjustments and changes that facilitated their way through the challenges.

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When should women be screened for postnatal depression?

Cited by 16 publications

References 23 publications

Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis

Domestic Violence and Perinatal Mental Disorders: A Systematic Review and Meta-Analysis

Revising acute care systems and processes to improve breastfeeding and maternal postnatal health: a pre and post intervention study in one English maternity unit

Shedding Light on the Difficulties and Challenges Experienced by Mothers of Infants

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