scholarly journals Postpartum Depression and Birth Experience in Russia

2021 ◽  
Vol 14 (1) ◽  
pp. 28-38
Author(s):  
Vera A. Yakupova ◽  
Anna Suarez
Keyword(s):  
Postpartum Depression ◽  
Depressive Disorders ◽  
Well Being ◽  
Professional Support ◽  
Birth Experience ◽  
Perceived Severity ◽  
Childbirth Experience ◽  
Birth Satisfaction ◽  
Childbirth Satisfaction ◽  
Individual Professional

Background. In European countries, postpartum depression (PPD) occurs in 13–19% of women. The statistics indicate that postpartum depressive disorders affect up to 300,000 women in Russia annually. There is still an extremely acute lack of psychological comfort provided to women during labor in Russia. Objective. To our knowledge, ours is the first study that examines the association between childbirth experience and the risk of PPD in Russia. Design. We collected data from 190 Russian-speaking mothers, ages 19 to 46, (M = 32 +4.3) two months after their delivery. Results. Birth satisfaction and physical well-being two months after delivery were significantly inversely associated with PPD. Birth satisfaction negatively correlated with the perceived severity and unpredictability of labor, and positively correlated with physical well-being two months after delivery. The presence of a partner and a personal midwife or doula at birth was associated with higher birth satisfaction. Conclusion. Our results emphasize the significance of childbirth satisfaction in the context of PPD and suggest the importance of individual professional support during labor.

scholarly journals Perinatal Depression, Birth Experience, Marital Satisfaction and Childcare Sharing: A Study in Russian Mothers

2021 ◽  
Vol 18 (11) ◽  
pp. 6086
Author(s):  
Vera Yakupova ◽  
Liudmila Liutsko
Keyword(s):  
Marital Satisfaction ◽  
Postnatal Depression ◽  
Depressive Disorders ◽  
Perinatal Depression ◽  
Depression Scale ◽  
Well Being ◽  
Prenatal Depression ◽  
Birth Experience ◽  
Birth Satisfaction

Background: Over 300,000 women in Russia face perinatal depressive disorders every year, according to the data for middle-income countries. This study is the first attempt to perform a two-phase study of perinatal depressive disorders in Russia. The paper examines risk factors for perinatal depressive symptoms, such as marital satisfaction, birth experience, and childcare sharing. Methods: At 15–40 gestational weeks (M = 30.7, SD = 6.6), 343 Russian-speaking women, with a mean age of 32 years (SD = 4.4), completed the Edinburgh Postnatal Depression Scale, Couples Satisfaction Index, Birth Satisfaction Scale, and provided socio-demographic data. Two months after childbirth, 190 of them participated in the follow-up. Results: The follow-up indicated that 36.4% of participants suffered from prenatal depression and 34.3% of participants had postnatal depression. Significant predictors of prenatal depression were physical well-being during pregnancy (β = −0.25; p = 0.002) and marital satisfaction during pregnancy (β = −0.01; p = 0.018). Birth satisfaction (β = −0.08; p = 0.001), physical well-being at two months after delivery (β = −0.36; p < 0.01), and marital satisfaction during pregnancy (β = 0.01; p = 0.016) and after delivery (β = −0.02; p < 0.01) significantly predicted postnatal depression at 2 months after delivery. Conclusion: Our study identified that physical well-being during pregnancy and marital satisfaction during pregnancy significantly predicted prenatal depression. Birth satisfaction, physical well-being at 2 months after delivery, and marital satisfaction during pregnancy and after delivery significantly predicted postnatal depression. To our knowledge, this is the first study of perinatal depressive disorders in the context of marital satisfaction and birth satisfaction in the Russian sample. The problem of unequal childcare sharing is widely spread in Russia. Adjusting spousal expectations and making arrangements for childcare may become the focus of psychological work with the family. The availability of psychological support during pregnancy and labor may be important in the context of reducing perinatal depression risks.

Between Expectancy and Experience: Testing a Model of Childbirth Satisfaction

2018 ◽  
Vol 43 (1) ◽  
pp. 105-117 ◽  
Author(s):  
Heidi Preis ◽  
Marci Lobel ◽  
Yael Benyamini
Keyword(s):  
Perceived Control ◽  
Positive Emotions ◽  
Well Being ◽  
Underlying Mechanism ◽  
Birth Experience ◽  
Theoretical Frameworks ◽  
Birth Process ◽  
Birth Satisfaction ◽  
Childbirth Satisfaction ◽  
And Control

Childbirth is a pivotal event for many women, and evidence suggests that women possess strong expectations regarding this experience. In a longitudinal study of 330 Israeli first-time mothers, we distinguished between physical, emotional, and cognitive factors and used them to assess the underlying mechanism of satisfaction, based on theoretical frameworks of stress and control. Women completed questionnaires during pregnancy and two months postpartum. The negative association between a more medicalized birth and birth satisfaction was partially mediated by perceived control. In turn, specific emotions mediated the association between perceived control and satisfaction: Greater perceived control over the birth environment predicted more positive emotions, less fear, and better perceived care; while greater perceived control over the birth process predicted more positive emotions, less fear, and less guilt. Greater incongruence between the planned and actual birth experience predicted lower satisfaction, mediated by perceived care and feelings of guilt. This investigation unraveled the association between women’s lived birth experience and their birth satisfaction. The findings underscore the value of helping women achieve satisfying births by discussing their expectations with them, providing them with experiences that meet their needs, and supporting those with a gap between their expectations and experience. Respecting individual preferences while lowering blame may improve women’s health and well-being. Additional online materials for this article are available on PWQ’s website at http://journals.sagepub.com/doi/suppl/10.1177/0361684318779537 .

scholarly journals Childbirth Experience Questionnaire (CEQ): Research Proposal for Translation and Validation into Sinhala Language among a Lankan cohort of women.

2019 ◽  
Author(s):  
Malitha Patabendige
Keyword(s):  
Psychometric Properties ◽  
Validation Study ◽  
Professional Support ◽  
Perceived Safety ◽  
Childbirth Experience ◽  
Birth Satisfaction ◽  
Childbirth Experience Questionnaire ◽  
Self Administered Questionnaire ◽  
Translation And Validation ◽  
Experience Questionnaire

Abstract Introduction: The Childbirth Experience Questionnaire (CEQ) is a Sweden origin, self-administered questionnaire to assess birth satisfaction of women in different aspects of their first labour and birth. It measures four main domains of the woman’s childbirth experience. Those are own capacity, professional support, perceived safety and participation, comprising of 22 items. Objectives: To conduct a linguistic translation, to conduct a validation study and to assess the psychometric properties of the Sinhala version of the CEQ.

scholarly journals Translation and validation of the Childbirth Experience Questionnaire (CEQ) into Sinhala Language in Sri Lanka

2019 ◽  
Author(s):  
Malitha Patabendige ◽  
Thilina S Palihawadana ◽  
Rasika P Herath ◽  
Prasantha S Wijesinghe
Keyword(s):  
Sri Lanka ◽  
Professional Support ◽  
Face Validity ◽  
Sri Lankan ◽  
Birth Experience ◽  
Childbirth Experience ◽  
Postnatal Mothers ◽  
Childbirth Experience Questionnaire ◽  
Experience Questionnaire ◽  
Spontaneous Onset

Abstract Introduction The Childbirth Experience Questionnaire (CEQ) was initially produced to assess women’s perceptions regarding their first birth experience. A robust validated instrument to evaluate first birth experience is currently lacking in Sri Lankan obstetric practice. Objectives Main objectives of our study were to adapt the CEQ among Sri Lankan Sinhala speaking women and to determine the psychometric properties of CEQ. This would yield an opportunity to evaluate childbirth experience among our women. Method Validation study was carried out by translating the English CEQ into Sinhala language following standard methodology comprising of forward and back translation. Total of 390 postpartum women were recruited through convenience sampling method at University Unit, North Colombo Teaching Hospital, Ragama, Sri Lanka, from February 2017 to January 2018. Initially CEQ was given to be completed four weeks after delivery and again two weeks postnatal. Mothers were asked to post the completed CEQ. Face validity was tested among twenty-five postnatal mothers and with seven labour ward staff members. Psychometric properties; internal consistency and validity of the CEQ were evaluated. Known-groups validation was used for construct validity. Results A total of 226 (57.9%) of the recruited postnatal mothers completed the CEQ after one month postpartum. Face validity in Sri Lankan sample was demonstrated with all participants stating that CEQ was easy to understand and complete. Internal consistency was acceptable for the overall score (0.85) and for all four domains in CEQ (0.65, 0.80, 0.70, 0.83 for “own capacity”, “professional support”, “perceived safety” and “participation”, respectively). Women with spontaneous onset of labour (except for “professional support” in women with spontaneous onset of labour) and women with a normal delivery showed significantly higher CEQ scores. However, oxytocin augmentation could not yield a difference in CEQ scores. A weighted kappa of 0.61-0.80 for all 22 items in CEQ demonstrated a good test-retest reliability. Conclusions This study shows that Sinhala version of CEQ can be used as a reliable and valid tool of childbirth experience among Sri Lankan Sinhala speaking women.

Translation and Validation of the Birth Satisfaction Scale-Revised in Urdu for Use in Pakistan

2021 ◽  
pp. IJCBIRTH-D-21-00001
Author(s):  
Shamsa Zafar ◽  
Fareeha Tayyab ◽  
Asma Liaqat ◽  
Siham Sikander ◽  
Caroline J. Hollins Martin ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Discriminant Validity ◽  
Well Being ◽  
Measurement Properties ◽  
Birth Experience ◽  
Reliable Measure ◽  
Satisfaction Scale ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Postnatal Women

BACKGROUNDSatisfaction with the birth experience is increasingly recognized as critical to the well-being of mother and baby and thus accurate assessment of this key dimension is essential. The Birth Satisfaction Scale-Revised (BSS-R) has been shown to be a robust, valid, and reliable measure of birth experience. The current study sought to develop an Urdu version of the measure to be used in Pakistan.METHODSFollowing translation, a cross-sectional design was used to examine the measurement properties of the Pakistan (Urdu)-BSS-R (P-BSS-R). Participants were a purposive sample of Pakistani postnatal women (n = 200). Key psychometric properties were examined using Confirmatory Factor Analysis (CFA), internal consistency evaluation, and known-groups discriminant validity testing.RESULTSThe majority of measurement parameters for clinical application of the P-BSS-R were found to be acceptable with good know-groups discriminant validity and data fit to the tri-dimensional theoretical model of the BSS-R observed. However, some idiosyncratic observations were highlighted, including unexpected low internal consistency.CONCLUSIONSThe P-BSS-R was found to be a generally valid and reliable measure of the experience, a caveat being low internal consistency warranting further investigation.

scholarly journals Reproducing normative femininity: Women’s evaluations of their birth experiences analysed by means of word frequency and thematic analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agneta Westergren ◽  
Kerstin Edin ◽  
Monica Christianson
Keyword(s):  
Thematic Analysis ◽  
Well Being ◽  
Reciprocal Relationship ◽  
Birth Experience ◽  
Optimal Care ◽  
Gender Perspective ◽  
Negative Experiences ◽  
Childbirth Experience ◽  
Care Organisation ◽  
The Impact

Abstract Background Given the significance of the birth experience on women’s and babies’ well-being, assessing and understanding maternal satisfaction is important for providing optimal care. While previous research has thoroughly reviewed women’s levels of satisfaction with the childbirth experience from a multitude of different angles, there is a dearth of papers that use a gender lens in this area. The aim of this study is to explore through a gender perspective the circumstances attributed to both women’s assessment of a positive birth experience and those which contribute to a lack of satisfaction with their birth experience. Methods Through the use of a local birth evaluation form at a Swedish labour ward, 190 women gave written evaluations of their birth experiences. The evaluations were divided into groups of positive, ambiguous, and negative evaluations. By means of a latent and constructionist thematic analysis based on word count, women’s evaluations are discussed as reflections of the underlying sociocultural ideas, assumptions, and ideologies that shape women’s realities. Results Three themes were identified: Grateful women and nurturing midwives doing gender together demonstrates how a gender-normative behaviour may influence a positive birth experience when based on a reciprocal relationship. Managing ambiguous feelings by sympathising with the midwife shows how women’s internalised sense of gender can make women belittle their negative experiences and refrain from delivering criticism. The midwifery model of relational care impeded by the labour care organisation describes how the care women receive during labour and birth is regulated by an organisation not always adapted to the benefit of birthing women. Conclusions Most women were very satisfied, predominantly with emotional support they received from the midwives. The latent constructionist thematic analysis also elicited women’s mixed feelings towards the birth experience, with the majority of negative experiences directed towards the labour care organisation. Recognising the impact of institutional and medical discourses on childbirth, women’s birth evaluations demonstrate the benefits and challenges of gender-normative behaviour, where women’s internalised sense of gender was found to affect their experiences. A gender perspective may provide a useful tool in unveiling gender-normative complexities surrounding the childbirth experience.

scholarly journals Childbirth Experience Questionnaire (CEQ): Research Proposal for Translation and Validation into Sinhala Language among a Lankan cohort of women.

2019 ◽  
Author(s):  
Malitha Patabendige
Keyword(s):  
Psychometric Properties ◽  
Validation Study ◽  
Professional Support ◽  
Perceived Safety ◽  
Childbirth Experience ◽  
Birth Satisfaction ◽  
Childbirth Experience Questionnaire ◽  
Self Administered Questionnaire ◽  
Translation And Validation ◽  
Experience Questionnaire

Abstract Introduction: The Childbirth Experience Questionnaire (CEQ) is a Sweden origin, self-administered questionnaire to assess birth satisfaction of women in different aspects of their first labour and birth. It measures four main domains of the woman’s childbirth experience. Those are own capacity, professional support, perceived safety and participation, comprising of 22 items. Objectives: To conduct a linguistic translation, to conduct a validation study and to assess the psychometric properties of the Sinhala version of the CEQ.

scholarly journals Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Divya Mehta ◽  
Karen Grewen ◽  
Brenda Pearson ◽  
Shivangi Wani ◽  
Leanne Wallace ◽  
...  
Keyword(s):  
Gene Expression ◽  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Expression Profiles ◽  
Depression Scale ◽  
Well Being ◽  
Health Concern ◽  
Genome Wide ◽  
A Genome ◽  
Genome Wide Gene Expression

AbstractMaternal postpartum depression (PPD) is a significant public health concern due to the severe negative impact on maternal and child health and well-being. In this study, we aimed to identify genes associated with PPD. To do this, we investigated genome-wide gene expression profiles of pregnant women during their third trimester of pregnancy and tested the association of gene expression with perinatal depressive symptoms. A total of 137 women from a cohort from the University of North Carolina, USA were assessed. The main phenotypes analysed were Edinburgh Postnatal Depression Scale (EPDS) scores at 2 months postpartum and PPD (binary yes/no) based on an EPDS cutoff of 10. Illumina NextSeq500/550 transcriptomic sequencing from whole blood was analysed using the edgeR package. We identified 71 genes significantly associated with postpartum depression scores at 2 months, after correction for multiple testing at 5% FDR. These included several interesting candidates including TNFRSF17, previously reported to be significantly upregulated in women with PPD and MMP8, a matrix metalloproteinase gene, associated with depression in a genome-wide association study. Functional annotation of differentially expressed genes revealed an enrichment of immune response-related biological processes. Additional analysis of genes associated with changes in depressive symptoms from recruitment to 2 months postpartum identified 66 genes significant at an FDR of 5%. Of these genes, 33 genes were also associated with depressive symptoms at 2 months postpartum. Comparing the results with previous studies, we observed that 15.4% of genes associated with PPD in this study overlapped with 700 core maternal genes that showed significant gene expression changes across multiple brain regions (P = 7.9e-05) and 29–53% of the genes were also associated with estradiol changes in a pharmacological model of depression (P values range = 1.2e-4–2.1e-14). In conclusion, we identified novel genes and validated genes previously associated with oestrogen sensitivity in PPD. These results point towards the role of an altered immune transcriptomic landscape as a vulnerability factor for PPD.

scholarly journals AB0177 ANXIETY-DEPRESSIVE SPECTRUM IN PATIENTS WITH RHEUMATOID ARTHRITIS AND ANKYLOSING SPONDILITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 1114.2-1114
Author(s):  
M. Letaeva ◽  
M. Koroleva ◽  
J. Averkieva ◽  
O. Malyshenko ◽  
T. Raskina
Keyword(s):  
Rheumatoid Arthritis ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Well Being ◽  
Depressive Syndrome ◽  
Depression Screening ◽  
Anxiety And Depression ◽  
Control Group ◽  
Subjective Well Being ◽  
Anxiety Depression

Objectives:to assess the frequency of occurrence of the anxiety-depressive spectrum in patients with rheumatoid arthritis and ankylosing spondylitis.Methods:A survey was conducted of 44 patients aged from 21 to 57 years (average age - 42.3 ± 6.7 years), who were treated at GAUZ KO OKGVV. All patients had a verified diagnosis of RA and AS according to the ACR criteria and received treatment with basic drugs. The control group consisted of 40 people comparable in age and sex, without concomitant pathology of RA and AS.The depression screening card, the subjective well-being scale, and the hospital anxiety and depression scale (HADS) were used to assess and detect anxiety-depressive syndrome. The assessment of the condition is carried out over the last 2 weeks, which corresponds to the temporary diagnostic criterion for depression.The Depression Screening Scale is a 35-item self-questionnaire that assesses 7 categories of signs: sleep and appetite disorders, anxiety, emotional instability, cognitive impairment, loss of self, guilt, and suicidal tendencies. A total score of 65 and above indicates a high likelihood of depression.The Subjective Well-Being Scale is a psychodiagnostic screening tool for measuring the emotional component of subjective well-being or emotional comfort.Hospital Anxiety and Depression Scale Zigmond A.S., Snaith R.P. was developed for the primary detection of depression and anxiety in a general medical practice. The HADS scale consists of 14 statements with 4 possible answers and includes two parts: anxiety and depression. The sum of points of 8 or more is regarded as “subclinically expressed anxiety / depression”, 11 or more points - “clinically expressed anxiety / depression”.Results:According to the results of the depression screening questionnaire, 34 (77.3%) patients with RA and AS showed signs of depression, while in the control group only 6 (15%) patients tested positive for the presence of depressive disorders. According to the data obtained when assessing the scale of well-being in the main group, 26 (59.1%) patients showed signs of emotional discomfort (the indicator was 80% or more), in the control group - in 6 (15%). Using the hospital scale of anxiety and depression HADS, anxiety-depressive syndrome was detected in 36 (81.8%) patients with RA and AS: 16 (44.4%) patients had anxiety, 20 (55.6%) - depression, of them, subclinically expressed anxiety and depression were observed in 10 (27.7%) and 12 (33.3%) people, respectively. Anxiety-depressive syndrome in the control group, according to the HADS questionnaire, was detected only in 8 (20%) patients, of whom 4 (10%) patients had subclinical anxiety and 4 (10%) had signs of depression. No clinically pronounced anxiety and depression were registered in the control group.Conclusion:In most patients with rheumatoid arthritis and ankylosing spondylitis, anxiety-depressive disorders have been identified, which can directly affect both the course of the disease itself and the development of various complications. Timely diagnosis of mental disorders and close cooperation of rheumatologists, psychiatrists and psychologists in the selection of adequate therapy can improve the course and prognosis of the disease.Disclosure of Interests:None declared

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