Integrating Services in the Recognition and Management of Postpartum Depression

2000 ◽  
Vol 6 (4) ◽  
pp. 74 ◽  
Author(s):  
Anne Buist ◽  
Jeannette Milgrom ◽  
Carol Morse ◽  
Sarah Durkin ◽  
Colleen Rolls
Keyword(s):  
Child Health ◽  
Postpartum Depression ◽  
Maternal And Child Health ◽  
Control Group ◽  
Study Group ◽  
Lower Socioeconomic ◽  
Intensive Education ◽  
And Control ◽  
Access Services ◽  
And Child Health

Our study, completed in 1999, linking a mother-baby unit with Maternal and Child Health Nurses (MCHNs) with education, liaison and prioritised tertiary assessment and admission is presented, and issues of service delivery and satisfaction are highlighted. Two hundred and forty three women were recruited antenatally and followed to up to nine months postpartum, 133 forming the study group and 110 the control. MCHNs in the study group were offered an intensive education package, with ongoing six weekly liaison meetings. The intervention was welcomed and feedback positive. Women in the study and control group did not differ in their levels of depression throughout the study. Differences, however, in adjustment to motherhood emerged between women in well-supported affluent areas and those in under-resourced lower socioeconomic areas. MCHNs were seen by women in all areas as the key people to turn to. Those in the lower socioeconomic areas reported greater difficulties in providing a service, and women in these areas were less likely to access services external to their region. Implications for the development of further services and the linking of these supports are discussed.

Employment, income, and education and risk of postpartum depression: The Osaka Maternal and Child Health Study

2011 ◽  
Vol 130 (1-2) ◽  
pp. 133-137 ◽  
Author(s):  
Yoshihiro Miyake ◽  
Keiko Tanaka ◽  
Satoshi Sasaki ◽  
Yoshio Hirota
Keyword(s):  
Child Health ◽  
Postpartum Depression ◽  
Maternal And Child Health ◽  
Health Study ◽  
And Child Health

scholarly journals Educational Strategy for Motherhood and Fatherhood: an Experience of Implementation in Soraca, Colombia

2021 ◽  
Author(s):  
Gina Paola Arocha Zuluaga ◽  
Paula Andrea Castro Prieto ◽  
Nancy Haydeé Millán Echeverría ◽  
Ana María Cárdenas ◽  
Zulma Yanira Fonseca Centeno ◽  
...  
Keyword(s):  
Child Health ◽  
Educational Intervention ◽  
Maternal And Child Health ◽  
Intervention Group ◽  
Well Being ◽  
Support Network ◽  
Control Group ◽  
Mother And Child ◽  
Quasi Experimental ◽  
And Child Health

Abstract Background Preconception education is one of the challenges in maternal and child health in Latin America, in countries such as Colombia. That is why the objective of the following research was to develop a pilot educational intervention aimed at pregnant and breastfeeding women, and their support network, to strengthen practices, skills and knowledge, for informed decision-making and the strengthening of self-care behaviors of women and childcare, beyond childbirth preparation in the municipality of Soraca, located in Boyacá, Colombia in 2017. Methods Quasi-experimental study with an intervention group (municipality of Soraca) and a control group (municipalities of Oicata and Sotaquira) which linked a process and impact evaluation to assess prioritized indicators in terms of maternal and child health and nutrition, before, during and after an educational intervention. Results The main results found that women considered the methodologies used in the educational sessions to be appropriate and relevant and recognized the importance of the call and home visit postpartum nurse. The strategy increased the involvement of the support network in training processes. In turn, the proportion of children who were breastfed was higher in the intervention group than in the control group (88% vs. 60% p = 0.037). The proportion of children who received a bottle was higher in the control group compared to the intervention group (57.1% vs. 16% p = 0.006). Conclusion Strategies such as the one developed in Soraca allow for improved health outcomes for the mother and child and their support network. The strategy 123 in Soraca was a clear example of how a prenatal educational intervention generates positive outcomes for mothers, infants, and their support networks in the areas of food and nutrition, emotional well-being, and physical health.

scholarly journals Evaluation protocol to assess maternal and child health outcomes using administrative data: a community health worker home visiting programme

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031780 ◽  
Author(s):  
Samantha Sabo ◽  
Matthew Butler ◽  
Kelly McCue ◽  
Patrick Wightman ◽  
Vern Pilling ◽  
...  
Keyword(s):  
Child Health ◽  
Health Outcomes ◽  
Community Health ◽  
Administrative Data ◽  
Maternal And Child Health ◽  
Home Visiting ◽  
Health Workers ◽  
Control Group ◽  
And Child Health ◽  
Start Program

IntroductionEmerging evidence suggests community health workers (CHWs) delivering preventive maternal and child health (MCH) interventions through home visiting improve several important health outcomes, including initiation of prenatal care, healthy birth weight and uptake of childhood immunisations.Methods and analysisThe Arizona Health Start Program is a behavioral-based home visiting intervention, which uses CHWs to improve MCH outcomes through health education, referral support, and advocacy services for at-risk pregnant and postpartum women with children up to 2 years of age. We aim to test our central hypothesis that mothers and children exposed to this intervention will experience positive health outcomes in the areas of (1) newborn health; (2) maternal health and healthcare utilisation; and (3) child health and development. This paper outlines our protocol to retrospectively evaluate Health Start Program administrative data from 2006 to 2015, equaling 15 576 enrollees. We will use propensity score matching to generate a statistically similar control group. Our analytic sample size is sufficient to detect meaningful programme effects from low-frequency events, including preterm births, low and very low birth weights, maternal morbidity, and differences in immunisation and hospitalisation rates.Ethics and disseminationThis work is supported through an inter-agency contract from the Arizona Department of Health Services and is approved by the University of Arizona Research Institutional Review Board (Protocol 1701128802, approved 25 January 2017). Evaluation of the three proposed outcome areas will be completed by June 2020.

scholarly journals A retrospective study of the impact of health worker strikes on maternal and child health care utilization in western Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael L. Scanlon ◽  
Lauren Y. Maldonado ◽  
Justus E. Ikemeri ◽  
Anjellah Jumah ◽  
Getrude Anusu ◽  
...  
Keyword(s):  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Health Workers ◽  
Child Health Services ◽  
Control Group ◽  
Western Kenya ◽  
The Impact ◽  
And Child Health ◽  
Risk Ratios

Abstract Background There have been dozens of strikes by health workers in Kenya in the past decade, but there are few studies of their impact on maternal and child health services and outcomes. We conducted a retrospective survey study to assess the impact of nationwide strikes by health workers in 2017 on utilization of maternal and child health services in western Kenya. Methods We utilized a parent study to enroll women who were pregnant in 2017 when there were prolonged strikes by health workers (“strike group”) and women who were pregnant in 2018 when there were no major strikes (“control group”). Trained research assistants administered a close-ended survey to retrospectively collect demographic and pregnancy-related health utilization and outcomes data. Data were collected between March and July 2019. The primary outcomes of interest were antenatal care (ANC) visits, delivery location, and early child immunizations. Generalized estimating equations were used to estimate risk ratios between the strike and control groups, adjusting for socioeconomic status, health insurance status, and clustering. Adjusted risk ratios (ARR) were calculated with 95% confidence intervals (95%CI). Results Of 1341 women recruited in the parent study in 2017 (strike group), we re-consented 843 women (63%) to participate. Of 924 women recruited in the control arm of the parent study in 2018 (control group), we re-consented 728 women (79%). Women in the strike group were 17% less likely to attend at least four ANC visits during their pregnancy (ARR 0.83, 95%CI 0.74, 0.94) and 16% less likely to deliver in a health facility (ARR 0.84, 95%CI 0.76, 0.92) compared to women in the control group. Whether a child received their first oral polio vaccine did not differ significantly between groups, but children of women in the strike group received their vaccine significantly longer after birth (13 days versus 7 days, p = 0.002). Conclusion We found that women who were pregnant during nationwide strikes by health workers in 2017 were less likely to receive WHO-recommended maternal child health services. Strategies to maintain these services during strikes are urgently needed.

Dietary folate and vitamins B12, B6, and B2 intake and the risk of postpartum depression in Japan: The Osaka Maternal and Child Health Study

2006 ◽  
Vol 96 (1-2) ◽  
pp. 133-138 ◽  
Author(s):  
Yoshihiro Miyake ◽  
Satoshi Sasaki ◽  
Keiko Tanaka ◽  
Tetsuji Yokoyama ◽  
Yukihiro Ohya ◽  
...  
Keyword(s):  
Child Health ◽  
Postpartum Depression ◽  
Maternal And Child Health ◽  
Health Study ◽  
Dietary Folate ◽  
And Child Health

scholarly journals Effectiveness of Counseling Using MCH Handbook 2017ed to The Knowledge and Attitudes of Mothers About Monitoring Toddler Growth

2020 ◽  
Vol 7 (2) ◽  
pp. 162-171
Author(s):  
Niken Purbowati ◽  
Dewi Nirmala Sari ◽  
Siti Masitoh
Keyword(s):  
Child Health ◽  
Maternal And Child Health ◽  
Child Growth ◽  
Wilcoxon Test ◽  
Control Group ◽  
Growth Chart ◽  
Growth Monitoring ◽  
Knowledge And Attitudes ◽  
Post Test ◽  
And Child Health

Maternal and Child Health Handbook (MCH) is a book that integrates with maternal and child health reporting, has been introduced in Indonesia since 1993. Efforts to optimize child growth, midwives use the 2017 edition of MCH Handbooks for counseling. The MCH Handbook contains early detection information for infant growth, toddlers through the Z score growth Chart height-for-age, and weight-for-height to prevent stunting and to waste in children. The research aims to determine the effectiveness of the counseling using the MCH Handbook 2017 edition of the Book of knowledge and attitudes of mothers on the growth monitoring of toddlers. Research quasi-experiment with pre-test-post test control group design. Sampling techniques randomized assignment in the working area of Tambora District Puskesmas. Data analyzed using the Wilcoxon test, independent T-test, and Mann Whitney Test. There is a meaningful difference in the average knowledge score (P = 0,0001) and the attitude (P = 0,0001) of the mother on the measurement of the post-test-pre test between the treatment group and the control group. There is a higher score difference for the knowledge and attitude of mothers given intensive counseling using the MCH Handbook edition of 2017.

Dietary glycemic index and load and the risk of postpartum depression in Japan: The Osaka Maternal and Child Health Study

2008 ◽  
Vol 110 (1-2) ◽  
pp. 174-179 ◽  
Author(s):  
Kentaro Murakami ◽  
Yoshihiro Miyake ◽  
Satoshi Sasaki ◽  
Keiko Tanaka ◽  
Tetsuji Yokoyama ◽  
...  
Keyword(s):  
Child Health ◽  
Postpartum Depression ◽  
Maternal And Child Health ◽  
Glycemic Index ◽  
Health Study ◽  
Dietary Glycemic Index ◽  
And Child Health

scholarly journals Sociodemographic, Behavioral and Oral Health Factors in Maternal and Child Health: An Interventional and Associative Study from the Network Perspective

2021 ◽  
Vol 18 (8) ◽  
pp. 3895
Author(s):  
Juliana Ribeiro Francelino Sampaio ◽  
Suely Arruda Vidal ◽  
Paulo Savio Angeiras de Goes ◽  
Paulo Felipe R. Bandeira ◽  
José Eulálio Cabral Filho
Keyword(s):  
Oral Health ◽  
High Risk ◽  
Child Health ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Maternal And Child Health ◽  
Control Group ◽  
Healthcare Intervention ◽  
Health Factors ◽  
And Child Health

Oral healthcare during pregnancy needs to be part of the assistance routine given to pregnant women by health professionals as a way to encourage self-care and strengthen the general health of the mother and the baby. The aim of this study was to evaluate the effectiveness of an integrated oral healthcare intervention for pregnant women and to analyze the association of sociodemographic, behavioral, oral health and general maternal and child health factors in prenatal care at usual risk in primary care in a city in the northeast of Brazil, in 2018–2019. A controlled, randomized, single-blinded community trial was conducted. The intervention group (IG) received dental assistance and collective health education actions in conversation circles, while the control group (CG) received the usual assistance. All pregnant women (146 in total, 58 from IG and 88 from CG) that took part in the trial answered a questionnaire and underwent a dental examination at the beginning of prenatal care and at the puerperal visit. To assess the effect of the intervention, a network analysis was used. The results have shown that being in the control group was associated with neonatal complications (0.89) and prematurity (0.54); the use of tobacco and alcohol are associated with high risk in initial and final oral health; lower educational level of the pregnant women implicates high risk for initial oral health (−0.19), final oral health (−0.26), pregnancy complications (−0.13), low birth weight (−0.23), prematurity (−0.19) and complications in the newborn (−0.14). Having a low family income (≤261.36 USD) has shown a high risk for initial oral health (−0.14), final oral health (−0.20) and prematurity (−0.15). The intervention based on integrated oral healthcare for pregnant women indicated that socioeconomic and behavioral factors must be considered as determinants for the quality of women and children’s health and that multi-professional performance during prenatal care contributes to the positive outcomes of pregnancy.

scholarly journals BENTUK PARTISIPASI MASYARAKAT DALAM KEGIATAN POSYANDU KASIH IBU

2021 ◽  
Vol 4 (1) ◽  
pp. 43-48
Author(s):  
Essy Ena Lestari ◽  
Agus Zainal Rachmat
Keyword(s):  
Child Health ◽  
Community Participation ◽  
Maternal And Child Health ◽  
Prevention And Control ◽  
Descriptive Study ◽  
Child Health Services ◽  
Mothers And Children ◽  
Qualitative Descriptive ◽  
And Control ◽  
And Child Health

This study aims to describe the form of community participation in the activities of the Ibu Jaya Posyandu Kasih Ibu Village, Sumber Jaya Village, Kampung Melayu District, Bengkulu City. This study used a qualitative descriptive study with interview, observation, and documentation methods. Checking the validity of the data used triangulation, namely time triangulation, subject triangulation, and technical triangulation. The results showed that there are forms of community participation in the activities of Posyandu Kasih Ibu, Sumber Jaya Village, Kampung Melayu District, Bengkulu City, namely: 1) Money participation. Community voluntary contributions for mutual assistance during maternal and child health activities (KIA), and diarrhea prevention and control activities at the Kasih Ibu Posyandu, 2) Participation of personnel. The community helps cadres in the Kasih Ibu Posyandu, for the purpose of providing maternal and child health services. For example, helping weigh the baby, cleaning up the Posyandu after the activity, etc., and 3) Participation skills. The community is skilled at making ORS, which are given to mothers and children in the prevention and control of diarrhea at the Kasih Ibu Posyandu.

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