Prevention and treatment of post-partum depression: a controlled randomized study on women at risk

2002 ◽  
Vol 32 (6) ◽  
pp. 1039-1047 ◽  
Author(s):  
H. CHABROL, ◽  
F. TEISSEDRE, ◽  
M. SAINT-JEAN, ◽  
N. TEISSEYRE, ◽  
B. ROGÉ ◽  
...  
Keyword(s):  
At Risk ◽  
Treatment Group ◽  
Rating Scale ◽  
Post Partum ◽  
Control Group ◽  
Post Partum Depression ◽  
Cognitive Behavioural ◽  
Post Natal Depression ◽  
Prevention And Treatment ◽  
Probable Depression

Background. Research is needed to evaluate the efficacy of prevention and treatment for post-partum depression.Method. Subjects were screened with the Edinburgh Post-natal Depression Scale (EPDS) at the obstetric clinic. Mothers at risk (N = 258) (EPDS scores [ges ]9) were randomly assigned to a prevention/treatment group or a control group. The prevention group received one cognitive-behavioural prevention session during hospitalization. At 4 to 6 weeks post-partum, subjects were screened again with the EPDS, after drop-out rates (refusals plus no return of the second EPDS) of 25.4% (33/130) in the intervention group and 10.9% (14/128) in the control group. Mothers with probable depression (EPDS scores [ges ]11) were assessed using the Hamilton Depression Rating Scale (HDRS) and the Beck Depression Inventory (BDI). Mothers with major depression continued in the treatment group (N = 18) or in the control group (N = 30). Treated subjects received a cognitive-behavioural programme of between five and eight weekly home-visits.Results. Compared with the control group, women in the prevention group had significant reductions in the frequency of probable depression (30.2% v. 48.2%). Recovery rates based on HDRS scores of <7 and BDI scores of <4 were also significantly greater in the treated group than in the control group.Conclusions. The study suggests that this programme for prevention and treatment of post-partum depression is reasonably well-accepted and efficacious.

scholarly journals Effect of supportive therapy on the incidence of post-partum depression

2018 ◽  
Vol 7 (6) ◽  
pp. 2106
Author(s):  
Mona Nongmeikapam ◽  
Sruthi Talasila ◽  
Mohan Reddy ◽  
Sheela S. R.
Keyword(s):  
Treatment Group ◽  
Marital Status ◽  
Significant Influence ◽  
Post Partum ◽  
Supportive Therapy ◽  
Depression Score ◽  
Control Group ◽  
Post Partum Depression ◽  
Status Occupation ◽  
The Mean

Background: Postpartum non-psychotic depression (PND) is the most common complication of childbirth with approximately 10-42% prevalence across the globe. Especially in rural south Indian population, fear of stigma, superstitions, poverty and poor medical access by the pregnant women leads to a large number of un-diagnosed and poorly treated cases of post-partum depression. Objective of study was to study the effect of Supportive therapy on the incidence of post-partum depression in women attending the Obstetrics Department of SDUMC, Kolar using the Edinburgh Depression Rating Scale and to compare the findings with that with a control population.Methods: 200 ladies in their second trimester of pregnancy were taken up for the study; 100 out of these were psycho-educated about the risks and signs of Post-partum depression and subjected to supportive therapy sessions. On the 5th day after their delivery, they were assessed using the Edinburgh Postnatal Depression Scale (EPDS). The other 100 patients (control group) were directly interviewed using the EPDS on day 5 post-partum.Results: The overall depression among treatment group (17 %) is significantly lower when compared to the control group (41 %). The Mean depression score of treatment group (5.41) was significantly lower when compared to control group (8.65) which is statistically significant. Amongst the treatment group, marital status, occupation, education and bad obstetric history were found to have a significant influence on depression.Conclusions: The overall depression among treatment group (17 %) is significantly lower when compared to the control group (41 %). The Mean depression score of treatment group (5.41) was significantly lower when compared to control group (8.65) which is statistically significant. Amongst the treatment group, marital status, occupation, education and bad obstetric history were found to have a significant influence on depression.

scholarly journals Donepezil for mild cognitive impairment in Parkinson’s disease

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Kyoungwon Baik ◽  
Seon Myeong Kim ◽  
Jin Ho Jung ◽  
Yang Hyun Lee ◽  
Seok Jong Chung ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Treatment Group ◽  
Outcome Measures ◽  
Rating Scale ◽  
Secondary Outcome ◽  
Control Group ◽  
Significant Difference

AbstractWe investigated the efficacy of donepezil for mild cognitive impairment in Parkinson’s disease (PD-MCI). This was a prospective, non-randomized, open-label, two-arm study. Eighty PD-MCI patients were assigned to either a treatment or control group. The treatment group received donepezil for 48 weeks. The primary outcome measures were the Korean version of Mini-Mental State Exam and Montreal Cognitive Assessment scores. Secondary outcome measures were the Clinical Dementia Rating, Unified Parkinson’s Disease Rating Scale part III, Clinical Global Impression scores. Progression of dementia was assessed at 48-week. Comprehensive neuropsychological tests and electroencephalography (EEG) were performed at baseline and after 48 weeks. The spectral power ratio of the theta to beta2 band (TB2R) in the electroencephalogram was analyzed. There was no significant difference in the primary and secondary outcome measures between the two groups. However, the treatment group showed a significant decrease in TB2R at bilateral frontotemporoparietal channels compared to the control group. Although we could not demonstrate improvements in the cognitive functions, donepezil treatment had a modulatory effect on the EEG in PD-MCI patients. EEG might be a sensitive biomarker for detecting changes in PD-MCI after donepezil treatment.

Group Treatment for Postpartum Depression: A Pilot Study

1996 ◽  
Vol 30 (6) ◽  
pp. 852-860 ◽  
Author(s):  
Ingrid Meager ◽  
Jeannette Milgrom
Keyword(s):  
Pilot Study ◽  
Postpartum Depression ◽  
Treatment Program ◽  
Group Treatment ◽  
Postpartum Period ◽  
Depression Scale ◽  
Drop Out ◽  
Control Group ◽  
Cognitive Behavioural ◽  
Post Natal Depression

Objective: There are few reports on the efficacy of treatment programs for women with postpartum depression, despite the long-term nature of this disorder. This study describes a pilot evaluation of a treatment program with educational, social support and cognitive-behavioural components. Method: Ten women with persistent depression originating in the postpartum period were offered a 10-week group treatment program and compared to a wait-list control group. Results: Following treatment, a significant improvement in depression was demonstrated on the Edinburgh Post-Natal Depression Scale, Beck Depression Inventory, and Profile of Mood States. Several common factors in women suffering from postpartum depression were also identified, as were drop-out characteristics. Conclusion: These results are encouraging and suggest that a cognitive-behavioural group program might be effective as a treatment for depression in the postpartum period. However, further detailed studies are required to confirm this pilot study.

scholarly journals EFEKTIFITAS PRODUKSI ASI PADA IBU POST PARTUM DENGAN MASSAGE ROLLING (PUNGGUNG)

2018 ◽  
Vol 3 (1) ◽  
pp. 76
Author(s):  
Elvika Fit Ari Shanti
Keyword(s):  
Treatment Group ◽  
Breast Milk ◽  
Milk Production ◽  
Post Partum ◽  
Community Empowerment ◽  
T Test ◽  
Control Group ◽  
Breast Milk Production ◽  
Quasi Experimental ◽  
Postpartum Mothers

Abstrak: Produksi ASI yang kurang dan lambat keluar dapat menyebabkan ibu tidak memberikan ASI pada bayinya dengan cukup. Selain hormon prolaktin, proses laktasi juga bergantung pada hormon oksitosin, yang dilepas dari hipofise posterior sebagai reaksi terhadap penghisapan putting. Rolling massage salah satu terapi relaksasi yang bertujuan menstimulasi saraf pusat pada hipofisis posterior dan anterior sehingga dapat meningkatkan produksi ASI khususnya pada ibu post partum dan memberikan kenyamanan dan rileksasi setelah persalinan. Adapun tujuan penelitian adalah mengetahui efektifitas produksi ASI pada ibu post partum dengan massage rolling (punggung) di BPM Sri Sukeni Sleman. Metode penelitian ini adalah Quasi Experimental Design dengan rancangan penelitian two group post test design. Kelompok kontrol adalah ibu postpartum tanpa dipijat Massage roliing dan kelompok perlakuan adalah kelompok ibu postpartum yang dipijat masssage Roliing. Analisis data menggunakan uji independent t test dan paired sample t test. Hasil penelitian uji t sampel menunjukkan bahwa ada perbedaan yang bermakna (p=0.023<) produksi ASI (berat badan bayi) antara kelompok kontrol ( 2687,07 ± 160,155) dengan kelompok perlakuan (2846,13± 198,968). Perbedaan ini terlihat pada rerata berat badan bayi pada kelompok perlakuan lebih besar dibandingkan dengan kelompok. Massage rolling memengaruhi produksi ASI di BPM Sri Sukeni Sleman Tahun 2017. Abstract: The inadequate, slow production of breast milk makes mothers unable to provide enough breast milk to their babies. Besides the prolactin hormone, the lactation process also depends on oxytocin hormone which is secreted from the posterior hypophysis as a reaction on nipple suckling. Rolling massage is one of the relaxation therapy which aims to stimulate the central nerve on posterior and anterior hypophysis, so the breast milk production can be increased, particularly in the postpartum mothers, and comfort and relaxation after childbirth can be provided. This research aims to investigate the effectiveness of breast milk production in the postpartum mothers with massage rolling (back) in Sri Sukeni Community Empowerment Agency, Sleman. The methodology in this research is Quasi-Experimental Design with two-group posttest design. The control group is postpartum mothers without massage rolling and the treatment group is postpartum mother treated with the massage rolling. Data analysis used the independent t-test and the paired sample t-test. The research shows the result that in samples of t-test, there is a meaningful difference (p = 0.023<) in breast milk production (weight of baby) between control group (2,687.07 ± 160.155) and treatment group (2,846.13 ± 198.968). This difference is shown in the average weight of baby in treatment group which is higher compared with the control group. Massage rolling affects breast milk production in Sri Sukeni Community Empowerment Agency, Sleman in 2017.

scholarly journals The Effectiveness of Passion Fruit Juice Consumption as Pain Reliever for Bruise Trauma in Pencak Silat Athletes

2017 ◽  
Vol 12 (2) ◽  
pp. 212-217
Author(s):  
Roy Januardi Irawan
Keyword(s):  
Treatment Group ◽  
Pain Intensity ◽  
Fruit Juice ◽  
Rating Scale ◽  
The Body ◽  
Passion Fruit ◽  
Intensity Difference ◽  
Control Group ◽  
Significant Difference ◽  
Quasi Experimental

Pencak Silat is a martial art that has a risk of causing micro-trauma due to physical impact. This trauma will stimulate the secretion of prostaglandin, a compound in the body which is a mediator of pain and inflammatory response that promote pain in bruised trauma. Passion fruit contains high level of anti-inflammatory and antioxidant substances. The objective of this study was to understand the effectiveness of passion fruit juice consumption in reducing bruised trauma pain in Pencak Silat athletes of PSHT Belotan Magetan. The research design is a quantitative descriptive with quasi-experimental. The pretest and posttest group of 20 people PSHT Belotan Magetan Pencak Silat athletes with an average age of 13.4 0.94 years were divided into treatment group (K1) and control group (K0) with 10 subjects respectively. Each treatment group (K1) subject was given the juice twice a day for 10 consecutive days. We used paired sample T-test to assess the mean variance of the group. The result showed that there was a decrease of pain intensity in both the treatment group and the control group. The pain intensity difference assessed by a Bourbonnais Rating Scale in the treatment group showed a significant difference with the t value of 7,216 and a probability value of 0,000, while the control group showed t value of 3,000 and probability value of 0,015. There was a decrease in the athletes muscle soreness who were given passion fruit juice twice a day for 10 days. The athletes pain intensity was in middle category.

scholarly journals The Effect Of Mother-Baby Massage On Bounding Attachment

2020 ◽  
Vol 16 (1) ◽  
pp. 01-06
Author(s):  
Anis Nikmatul Nikmah ◽  
Galuh Pradian Yanuaringsih
Keyword(s):  
Treatment Group ◽  
Post Partum ◽  
Control Group ◽  
Control Group Design ◽  
Healthy Baby ◽  
Normality Test ◽  
Touch Therapy ◽  
Parental Affection ◽  
Massage Treatment ◽  
And Control

Baby massage is a touch therapy in infants. It is the simplest and easiest way of communication, which makes contact between mother and her baby. The touch and the view of parental affection on her baby will drain the strength of love between the two. The results showed that the baby massage applied in a structured parenting program could decrease the incidence of post partum blues, the symptoms of mother depression, increasing the interaction between mothers and infants. The research method uses quasyexperimental with non rondom design pretests and posttest with control group design. The population is a pospartum mother and a healthy baby at the age of 2 weeks-1 month. Sampling techniques use acidental sampling with a large sample of 32 respondents divided into treatment and control groups. The process of data collection is done by giving a pre ters bounding atachment then given the next massage treatment done postest bounding atachment. Data analysis is used in pairs and no paired sample of the normality test. Based on the results of the analysis, there is an effect of a mother-baby massage on bounding attachment in the treatment group, and there is a difference in the result of bounding score attachment between the treatment group and the control group. Parental touches are the fundamental for the development of communication that will lead to reciprocal love. The baby massage will give more benefits to the mother and baby.

scholarly journals INTERVENSI EMOTIONAL FREEDOM TECHNIQUE (EFT) UNTUK MENGURANGI NYERI POST OPERASI SECTIO CAESARIA (SC)

2018 ◽  
Vol 1 (1) ◽  
pp. 53
Author(s):  
Lutfatul Latifah ◽  
Dian Ramawati
Keyword(s):  
Treatment Group ◽  
Rating Scale ◽  
Numeric Rating Scale ◽  
Pain Scale ◽  
Control Group ◽  
P Value ◽  
Control Group Design ◽  
Significant Difference ◽  
Before And After ◽  
Mother And Child

Introduction: Every woman who undergo Sectio Caesaria (SC) surgery for delivery their babies often complain about pain after the surgery and it become very distrubing. The effect of the pain cause mobilisation limitation, interrupting bonding attachment between mother and child, and postponning breastfeeding inititation. This study conduct EFT or tapping as the pain management in women post SC surgery.The aim of this study is to identify the effect of EFT or tapping for reducing pain after SC surgery. Methods: Quasy experimental with pre-post non randomized control group design was used in this study. The data been colleted using Numeric Rating Scale (NRS) to measure the pain in participants before and after EFT or tapping treatment. The number of participants was 30 mothers with 15 women in control and treatment group respectively. The t-test was used to analize the effect of the EFT. Results: The mean of pain scale before treatment in control group was 5.20 dan 6.20 for the treatment group. The pain scale after treatment in control group was 5.00 and 4.27 in treatment group. There was a significant difference between the reducing pain scale in treatment group with p value = 0,000 (α = 0.05). Discussion: EFT or tapping can be one of many non farmacologic treatment as complementer therapy to reduce pain after SC surgery. Keywords: post SC pain, EFT, pain scale decline, non farmacologic therapy

scholarly journals Intravenous methylcobalamin effectively ameliorated painful diabetic neuropathy: A randomized double-blind placebo controlled trial

2021 ◽  
Vol 20 (3) ◽  
pp. 335-341
Author(s):  
Thomas Eko Purwata ◽  
◽  
I Putu Eka Widyadharma ◽  
Made Rudy ◽  
Andreas Soejitno ◽  
...  
Keyword(s):  
Treatment Group ◽  
Diabetic Neuropathy ◽  
Rating Scale ◽  
Controlled Trial ◽  
Control Group ◽  
Painful Diabetic Neuropathy ◽  
Double Blind ◽  
Entire Study ◽  
Double Blind Placebo ◽  
And Control

Objective. Painful diabetic neuropathy (PDN) is a prevalent debilitating consequence of diabetes mellitus with lack of satisfactory therapeutic options. Methylcobalamin (MeCbl) is one of vitamin B12 analogs with known neurotrophic effects. We aimed to determine if MeCbl can relieve PDN. Materials and methods. This was a randomized (1:1) double-blind placebo-controlled trial involving PDN patients. Treatment and control group received daily 12.5 mg oral amitriptyline bid with either 500 µg of intravenous MeCbl or saline injection given on alternating days, respectively, for a 9-consecutive day period. PDN was assessed with douleur neuropathique 4 (DN4) questionnaire. Numeric pain rating scale (NPRS) was used to monitor pain intensity and treatment response. All investigators and patients were kept blinded throughout the study period. Outcomes. 42 patients, 21 on each arm had completed the study. The NPRS reduction can already be observed as early as day 2 post-intervention. Both the treatment and control group demonstrated sustained reduction of NPRS by almost one point per each time point of evaluation in the first three days (p<0.001). NPRS reduction remained until the end of the study period. The treatment group had a significantly lower NPRS score by 1.29 than that of the control group during the entire study period (95% CI -1.84 – -0.75; p < 0.001). Treatment group experienced significantly higher NPRS reduction when compared with control (4.19±1.54 vs. 2.1± 0.83; 95% CI 1.32-2.87; p < 0.001), i.e. 62.6% from baseline. Conclusions. MeCbl significantly and safely relieved PDN in a relatively rapid onset.

scholarly journals EFEKTIFITAS BREAST CARE POST PARTUM TERHADAP PRODUKSI ASI

2016 ◽  
Vol 8 (02) ◽  
Author(s):  
Titik Wijayanti ◽  
Atik Setiyaningsih
Keyword(s):  
Treatment Group ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
T Test ◽  
Control Group ◽  
Purposive Sampling ◽  
Increase Milk Production ◽  
Breast Care ◽  
Postpartum Mothers

ABSTRAKPerawatan payudara masa nifas (Breast Care Post Partum) merupakan suatu kebutuhan bagi ibu nifas. Dimana dengan perawatan payudara akan sangat membantu pengeluaran ASI yang berimbas pada peningkatan produksi ASI. Dengan produksi ASI yang berlimpah, bayi akan mendapatkan ASI Eksklusif. Cakupan ASI Eksklusif di kab. Semarang  pada tahun 2014 masih dibawah target  yaitu 44,3 %, demikian juga di Susukan hanya sebesar 24,8 % (Profil Kesehatan Kabupaten Semarang tahun 2014). Banyak faktor yang mempengaruhi rendahnya cakupan ASI Eksklusif, salah satunya adalah faktor rangsangan yang berupa perawatan payudara. Apabila seorang ibu nifas diberi rangsangan berupa metode breast care secara rutin akan membantu meningkatkan produksi ASI sehingga ibu bisa menyusui secara eksklusif. (Soetjiningsih, 2010). Penelitian yang digunakan adalah penelitian quasi eksperimen dengan pendekatan non equvalentcontrol group desain yaitu suatu penelitian yang terdapat kelompok perlakukan dan kelompok kontrol. (Notoatmodjo, 2005). Kelompok kontrol adalah ibu nifas yang tidak dilakukan breast care dan kelompok perlakuan adalah ibu nifas dengan breast care. Responden adalah ibu nifas hari ke-1 sampai hari ke-7. Untuk kelompok perlakuan diberikan breast care 2x sehari (pagi dan sore)  kemudian diobservasi produksi ASI-nya pada hari ke-8. Responden sejumlah 36 ibu nifas, diambil dengan tehnik purposive sampling terdiri dari 18 ibu nifas dengan breast care  dan 18 ibu nifas tidak diberikan breast care. Hasil perhitungan independent t-test diketahui bahwa besarnya nilai t-hit (16.40) > t-tab (1.691). Dengan demikian dapat disimpulkan bahwa Breastcare Postpastum efektif meningkatkan produksi ASI pada ibu menyusui.Kata Kunci : Produksi ASI, Breast Care post partum..POSTPARTUM BREASTCARE EFFECTIVENESS OF PRODUCTION ASI ABSTRACTBreast Care Post Partum is a requirement for postpartum mothers. Where to breast care will greatly assist ASI expenditures which impact on the increase in milk production. With the abundant production of milk, the baby will be breastfed exclusively. Scope of exclusive breastfeeding in the district. Semarang in 2014 was still below target at 44.3%, so in Susukan only by 24.8% (Semarang District Health Profile 2014). Many factors affect the low coverage of exclusive breastfeeding, one of which is a factor stimulation in the form of breast care. If a given stimulus in the form of postpartum mothers breast care routine methods will help increase milk production so that mothers can breastfeed exclusively. (Soetjiningsih, 2010). Study is a quasi-experimental research with non equvalentcontrol approach to the design of a study group contained treatment group and the control group. (Notoatmodjo, 2005). The control group was postpartum mothers who do not breast care and the treatment group was puerperal women with breast care. Respondents are postpartum mothers day 1 to day 7. For the treatment group given breast care 2x a day (morning and evening) and then observed their milk production on the 8th day. Respondents number 36 puerperal women, taken by purposive sampling technique consisted of 18 puerperal women with breast care and 18 postpartum mother was not given breast care. Results of independent t-test calculation is known that the value of t-hit (16:40) > t-tab (1.691). It can be concluded that Breastcare Postpastum effectively increase milk production in nursing mothers.Keywords: milk production, post partum Breast Care.

Blood Profile of Vitamin A and β-Carotene During Post-Partum Period in Surti Goats

2017 ◽  
Vol 12 (3) ◽  
Author(s):  
Sandhya S. Chaudhary ◽  
Tanvi D. Manat ◽  
Virendra Kumar Singh ◽  
Sanjay B. Patel
Keyword(s):  
Treatment Group ◽  
Vitamin A ◽  
Post Partum ◽  
Control Group ◽  
Blood Collection ◽  
Blood Profile ◽  
Significant Difference ◽  
Post Partum Period ◽  
Β Carotene

The present study was undertaken to study levels of vitamin A and β-carotene in blood of postpartum Surti goats. 40 Surti goats were selected comprising of 20 goats with recent parturition (treatment group) and 20 non-pregnant animals (control group). Blood collection was done on 0, 7, 14, 21, 30 and 45 day post-kidding (treatment group) and once from control group and analyzed for Vitamin A and β-carotene. Both the analytes were significantly low on 0 day. Significant difference (P Less Than 0.05) in vitamin A as well as β-carotene (P Less Than 0.01) was observed between 0 and 21st day postpartum followed by non-significant difference in vitamin A after 21 days. However, β-carotene values at 21st day significantly differed from those at 30th and 45th day. Non–significant difference between control and treatment group from 7th day onwards was observed in vitamin A. β-carotene values of treatment group were significantly lower at 0 and 21st day postpartum as compared to control. It was concluded that on the day of kidding there is decrease in circulatory levels of vitamin A and β-carotene and this decrease can be used as an indicator of stress.

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