Women's Experiences of Seeking and Receiving Psychological and Psychosocial Interventions for Postpartum Depression: A Systematic Review and Thematic Synthesis of the Qualitative Literature

Hadfield, Holly; Wittkowski, Anja

doi:10.1111/jmwh.12669

Cited by 83 publications

(108 citation statements)

References 51 publications

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“…"I think that [PND] As this review identifies (along with Dennis and Chung-Lee, 2006;Hadfield and Wittkowski, 2017;Tobin et al, 2018), the attitudes of HCPs and their relationship with women influence a woman's choice to seek help. With HCPs facing pressures from a number of sources in practice, such as time constraints and lack of continuity, it is possible that professionals are struggling to build a relationship with the women they see.…”

Section: Familymentioning

confidence: 99%

“…Key findings included women's ability to identify their 'problem', their experience with healthcare services and stigma associated with mental health. Hadfield and Wittkowski (2017) reviewed papers relating to women's experience of seeking and receiving interventions for PND. They reported complex and interrelated themes relating to the process of help, relationships with HCPs and the importance of continuity of care as well as education for HCPs regarding PND.…”

Section: Introductionmentioning

confidence: 99%

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What enables or prevents women with depressive symptoms seeking help in the postnatal period?

Newman

Hirst

Darwin

2019

British Journal of Midwifery

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Section: Familymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

What enables or prevents women with depressive symptoms seeking help in the postnatal period?

Newman

Hirst

Darwin

2019

British Journal of Midwifery

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“…Valued aspects of support, such as therapeutic relationships, information and validation of difficult situations and symptoms, were key facilitators to help-seeking behaviours. These barriers and facilitators appeared to be universal across a range of countries, including mothers from different ethnicities in the UK, Canada, Australia and Japan (Hadfield and Wittkowski, 2017).…”

Section: Introductionmentioning

confidence: 99%

Understanding barriers to women seeking and receiving help for perinatal mental health problems in UK general practice: development of a questionnaire

Ford

Roomi

Hugh

et al. 2019

Prim Health Care Res Dev

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Aim: To develop a questionnaire to measure quantitatively barriers and facilitators to women’s disclosure of perinatal mental health problems in UK primary care. To pilot and evaluate the questionnaire for content validity and internal consistency. Background: Around 15% of women develop a mental illness in the perinatal period, such as depression, anxiety or post-traumatic stress disorder. In the United Kingdom, 90% of these women will be cared for in primary care, yet currently in as many as 50% of cases, no discussion of this issue takes place. One reason for this is that women experience barriers to disclosing symptoms of perinatal mental illness in primary care. These have previously been explored qualitatively, but no tool currently exists with which to measure these barriers quantitatively. Methods: Questionnaire items, drawn from qualitative literature and accounts of women’s experiences, were identified, refined iteratively and arranged in themes. The questionnaire was piloted using cognitive debriefing interviews to establish content validity. Women completed a refined version online. Responses were analysed using descriptive statistics. Internal consistency of subscales was calculated using Cronbach’s alpha. Findings: Cognitive debriefing interviews with five women showed the majority of questionnaire items were relevant, appropriate and easy to understand. The final questionnaire was completed by 71 women, and the majority of subscales had good internal consistency. The barrier scoring most highly was fear and stigma, followed by willingness to seek help and logistics of attending an appointment. Family/partner support and general practitioners’ (GPs) reaction were the lowest scoring barriers. Factors facilitating disclosure were GPs being empathetic and non-judgemental and listening during discussions. In the future, this questionnaire can be used to examine which barriers are most important for particular groups of women. This may enable the development of strategies to improve acknowledgement and discussion, and prevent under-recognition and under-treatment, of perinatal mental health problems in primary care.

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“…The professional services provided take different forms and are e cient, for example, postnatal care interventions such as home visits by midwives or public health nurses, phone-based support programmes, and online consultation have been shown to help improve maternal con dence, increase successful breastfeeding, and decrease postpartum fatigue and depression [18][19][20][21]. Mothers particularly value professionals who focus on their needs and the development of trusting relationships, including the opportunity to develop new skills in problem solving [22][23][24].…”

Section: Introductionmentioning

confidence: 99%

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

Nan

Zhang

Nisar

et al. 2020

Preprint

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Abstract Background: Primiparous mothers who lack of experience and knowledge of child caring, are usually overwhelmed by multifarious stressors and challenges. Although professional support is needed for primiparas, there is a gap between the necessary high-quality services and the currently provided poor services. This study aimed to explore Chinese primiparous mothers’ views on professional services, identify barriers to utilizing professional support, and further understand mothers’ expectations of and preferences for the delivery of professional services.Method: A descriptive phenomenological study design was utilized in this study, and semi-structured interviews were conducted with 28 primiparous mothers who had given birth in the first year period before the interview and were selected from two community health centres in Xi’an city, Shaanxi Province, Northwest China. Each conversational interview lasted between 20 and 86 minutes. Colaizzi’s seven-step phenomenological approach was used to analyse the data.Results: Three major themes were identified: (a) dissatisfaction with current professional services for postpartum mothers, (b) likelihood of health care professional help-seeking behaviour, (c) highlighting the demands for new health care services. The related seven sub-themes included being disappointed with current hospital services; distrusting services provided by community health centres, private institutes and commercial online platforms; preferring not seeking help from professionals as their first choice; hesitating to express their inner discourse to professionals; following confinement requirement and family burden prevents mothers from seeking professional help; experiencing urgent needs for new baby-care-related services; and determining the importance of mothers’ needs. The necessity of professional support in the first month after childbirth was strongly emphasized by the participants. Online professional guidance and support were perceived as the best way to receive services in this study.Conclusion: The results of this descriptive phenomenological study suggested that the current maternal and child health care services were insufficient and could not meet primiparous mothers’ need. The results also indicated that identifying barriers and providing services focused on mothers’ needs may be an effective strategy to enhance primiparous mothers’ well-being, and further suggested that feasibility, convenience, and the cultural adaptability of health care services should be considered during the delivery of postpartum interventions.

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Women's Experiences of Seeking and Receiving Psychological and Psychosocial Interventions for Postpartum Depression: A Systematic Review and Thematic Synthesis of the Qualitative Literature

Cited by 83 publications

References 51 publications

What enables or prevents women with depressive symptoms seeking help in the postnatal period?

What enables or prevents women with depressive symptoms seeking help in the postnatal period?

Understanding barriers to women seeking and receiving help for perinatal mental health problems in UK general practice: development of a questionnaire

Professional support during the postpartum period: Primiparous mothers' views on professional services, their expectations, and barriers to utilizing professional help

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