Influence of parity and infant age on maternal self‐efficacy, social support, postpartum anxiety, and postpartum depression in the first six months in the Maritime Provinces, Canada

Birth ◽  
2021 ◽  
Author(s):  
Justine Dol ◽  
Brianna Richardson ◽  
Amy Grant ◽  
Megan Aston ◽  
Douglas McMillan ◽  
...  
2021 ◽  
Author(s):  
Justine Dol ◽  
Megan Aston ◽  
Douglas McMillan ◽  
Gail Tomblin Murphy ◽  
Marsha Campbell-Yeo

BACKGROUND Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message program that seeks to educate and support women during the first 6 weeks postpartum. OBJECTIVE The primary effectiveness objective is to compare the effectiveness of the Essential Coaching for Every Mother program on maternal psychosocial outcomes (self-efficacy, social support, postpartum depression, and postpartum anxiety) immediately after the intervention and 6 months postpartum, collectively as well as stratified by parity. The primary implementation objective is to evaluate the implementation extent and quality of the Essential Coaching for Every Mother program. METHODS This will be a hybrid type 1 effectiveness-implementation randomized controlled trial. A total of 140 mothers-to-be or new mothers from Nova Scotia will be recruited and randomized to the intervention or control arm, stratified by parity. The intervention arm will receive the Essential Coaching for Every Mother program, which consists of 53 messages sent twice a day for the first 2 weeks and daily for weeks 3 through 6. The control group will receive usual care. Messages are personalized based on the infant’s age and the woman’s self-selected preference for breastfeeding or formula feeding and tailored with the infant’s name and gender. Women can enroll in the program if they are ≥37 weeks pregnant or within 10 days postpartum, with the first message designed to be sent on the second evening after birth. The actual number of messages received will vary based on the timing of enrollment and the infant’s date of birth. Participants will complete questionnaires assessing self-efficacy, social support, and postpartum depression and anxiety at baseline (enrollment after birth) and 6 weeks (postintervention) and 6 months postpartum. Implementation data will be collected throughout the trial, and evaluation feedback will be collected at 6 weeks from women who received the intervention. RESULTS Recruitment for this study started on January 5, 2021, and is currently ongoing, with an anticipated date of recruitment completion of January 2022. CONCLUSIONS This study will assess the effectiveness of a postpartum text message program to improve maternal self-efficacy and social support while decreasing postpartum depression and anxiety. It will also shed light on the implementation effectiveness of the program. CLINICALTRIAL ClinicalTrials.gov NCT04730570; https://clinicaltrials.gov/ct2/show/NCT04730570 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/27138


Author(s):  
Khitam I. Mohammad ◽  
Hanan Sabbah ◽  
Mohammed Aldalaykeh ◽  
Mohammed ALBashtawy ◽  
Kholoud Abuobead ◽  
...  

2021 ◽  
Author(s):  
Justine Dol ◽  
Brianna Richardson ◽  
Megan Aston ◽  
Douglas Mcmillan ◽  
Gail Tomblin murphy ◽  
...  

AbstractObjectivesTo (1) compare changes in self-efficacy, social support, postpartum anxiety and postpartum depression in Canadian women collected before (Cohort 1) and during the COVID-19 pandemic (Cohort 2); (2) explore the women felt related to having a newborn during the pandemic; and (3) explore ways that women coped.MethodsPrior to the pandemic (October 1, 2019-January 1, 2020), an online survey was conducted with women had given birth within the past six months in one of the three Eastern Canadian Maritime provinces (Cohort 1). A second, similar survey was conducted between August 1, 2020 and October 31, 2020 (Cohort 2) during a period of provincial pandemic response to COVID-19.ResultsFor Cohort 1, 561 women completed the survey and 331 women in Cohort 2. Cohorts were similar in terms of age of women, parity, and age of newborn. There were no significant differences for self-efficacy, social support, postpartum anxiety, and depression between the cohorts. Difficulties that women reported as a result of COVID-19 restrictions included lack of support from family and friends, fear of COVID-19 exposure, feeling isolated and uncertain, negative impact on perinatal care experience, and hospital restrictions. Having support from partners and families, in-person/virtual support, as well as self-care and the low prevalence of COVID-19 during the summer of 2020 helped women cope.ConclusionWhile there was no significant difference in pre-pandemic and during pandemic psychosocial outcomes, there were still challenges and negative impacts that women identified. Consideration of vulnerable populations is important when making public health recommendations.What is already known on this subject?Previous work has shown the importance of social support in the postpartum transition in developing parenting self-efficacy and decreasing postpartum anxiety and depression. However, during the COVID-19 pandemic, women’s mental health, particularly during the perinatal period, has seen an increases in rates of postpartum anxiety and depression.What this study adds?This study is able to compare self-efficacy, social support, postpartum anxiety and depression between two cohorts of postpartum women living in Eastern Canada – pre-COVID-19 pandemic and during. While there was no significant difference in pre-pandemic and during pandemic psychosocial outcomes, there were still challenges and negative impacts that women identified.


2020 ◽  
Vol 41 (5) ◽  
pp. 662-676
Author(s):  
Tomoko Minamida ◽  
Atsuko Iseki ◽  
Hiroko Sakai ◽  
Masumi Imura ◽  
Tadaharu Okano ◽  
...  

10.2196/27138 ◽  
2021 ◽  
Vol 10 (3) ◽  
pp. e27138
Author(s):  
Justine Dol ◽  
Megan Aston ◽  
Douglas McMillan ◽  
Gail Tomblin Murphy ◽  
Marsha Campbell-Yeo

Background Women experience changes both physically and psychologically during their transition to motherhood. The postnatal period is a critical time for women to develop maternal self-efficacy. Mobile health interventions may offer a way to reach women during this critical period to offer support and information. Essential Coaching for Every Mother is a text message program that seeks to educate and support women during the first 6 weeks postpartum. Objective The primary effectiveness objective is to compare the effectiveness of the Essential Coaching for Every Mother program on maternal psychosocial outcomes (self-efficacy, social support, postpartum depression, and postpartum anxiety) immediately after the intervention and 6 months postpartum, collectively as well as stratified by parity. The primary implementation objective is to evaluate the implementation extent and quality of the Essential Coaching for Every Mother program. Methods This will be a hybrid type 1 effectiveness-implementation randomized controlled trial. A total of 140 mothers-to-be or new mothers from Nova Scotia will be recruited and randomized to the intervention or control arm, stratified by parity. The intervention arm will receive the Essential Coaching for Every Mother program, which consists of 53 messages sent twice a day for the first 2 weeks and daily for weeks 3 through 6. The control group will receive usual care. Messages are personalized based on the infant’s age and the woman’s self-selected preference for breastfeeding or formula feeding and tailored with the infant’s name and gender. Women can enroll in the program if they are ≥37 weeks pregnant or within 10 days postpartum, with the first message designed to be sent on the second evening after birth. The actual number of messages received will vary based on the timing of enrollment and the infant’s date of birth. Participants will complete questionnaires assessing self-efficacy, social support, and postpartum depression and anxiety at baseline (enrollment after birth) and 6 weeks (postintervention) and 6 months postpartum. Implementation data will be collected throughout the trial, and evaluation feedback will be collected at 6 weeks from women who received the intervention. Results Recruitment for this study started on January 5, 2021, and is currently ongoing, with an anticipated date of recruitment completion of January 2022. Conclusions This study will assess the effectiveness of a postpartum text message program to improve maternal self-efficacy and social support while decreasing postpartum depression and anxiety. It will also shed light on the implementation effectiveness of the program. Trial Registration ClinicalTrials.gov NCT04730570; https://clinicaltrials.gov/ct2/show/NCT04730570 International Registered Report Identifier (IRRID) DERR1-10.2196/27138


2021 ◽  
Vol 3 (1) ◽  
pp. 16-26
Author(s):  
Ikha Muflikha ◽  
Rosmita Nuzuliana ◽  
Sri Lestari

Background: In Indonesia, the incidence of postpartum depression accounts for 50% to 70% of postpartum women. Therefore, ladies within the postnatal amount would like a social support from individuals around them to adapts to their new role as mothers. The lower the social support provided, the upper the postnatal depression. Research objective: Collection of articles discussing social support for postpartum mothers with postpartum depression Method: Five stages were wont to conduct scoping a review. The 5 stages embrace characteristic analysis queries, characteristic relevant studies, choosing studies, charting knowledge, and an aggregation, summarizing and reportage the results.Result: It was found that 9 selected literature had Grade A and B. 4 themes emerged as a result of the scoping review comprising of husband support, family support, friend support and self-efficacy for mothers experiencing postpartum depression. The literature was obtained from quantitative and qualitative research originating from developed and developing countries. Conclusion: Social support obtained from husband, family, friends, and self-efficacy is very important to reduce the rate of postpartum depression. The research gap was used as a reference in future research. It is hoped that researchers can develop research on the factors correlated to postpartum depression.


Sign in / Sign up

Export Citation Format

Share Document