scholarly journals Midwives' Experiences of Working with Highly Anxious Childbearing Women

2021 ◽  
Author(s):  
◽  
Maureen Elizabeth Hammond
Keyword(s):  
Mental Health ◽  
Clinical Supervision ◽  
Maternal Mental Health ◽  
Midwifery Education ◽  
Effective Care ◽  
Client Relationship ◽  
Making A Difference ◽  
Normal Human ◽  
Recommendations For Practice ◽  
Childbearing Women

<p><b>Anxiety is a normal human phenomenon. It is fundamental to our survival as a species, allowing us to adjust and plan for the future and prompts us to seek help and security from others. High levels of anxiety during childbearing are associated with poor fetal development, behavioural/emotional problems in children and adolescents, prolonged labours, increased obstetric intervention, impaired lactogenesis and bonding problems.</b></p> <p>Working with highly anxious childbearing women can be a challenging experience for independent lead maternity care midwives. This qualitative investigation guided by the principles of feminist research examined four independent midwives experiences of working with highly anxious childbearing women. Data were collected by interview, and thematic analysis found three themes that encapsulated the experience. The resultant themes were of: 1) challenging partnerships, 2) making a difference and 3) realising own limitations.</p> <p>The midwives, while very committed to their highly anxious clients, experienced considerable stress while endeavouring to provide effective care. This stress is of concern to midwives and midwifery as it makes midwives vulnerable to burnout. Given the damage that high levels of unchecked anxiety have on childbearing women and their families, midwifery has to look for safe and effective ways to work with these women.</p> <p>Recommendations for practice are based around negotiating boundaries to the midwife-client relationship, increased help and support for midwives, especially clinical supervision, better midwifery education, and continuous professional development in relation to maternal mental health, and properly resourced and funded maternal mental health services.</p>

scholarly journals Midwives' Experiences of Working with Highly Anxious Childbearing Women

2021 ◽  
Author(s):  
◽  
Maureen Elizabeth Hammond
Keyword(s):  
Mental Health ◽  
Clinical Supervision ◽  
Maternal Mental Health ◽  
Midwifery Education ◽  
Effective Care ◽  
Client Relationship ◽  
Making A Difference ◽  
Normal Human ◽  
Recommendations For Practice ◽  
Childbearing Women

<p><b>Anxiety is a normal human phenomenon. It is fundamental to our survival as a species, allowing us to adjust and plan for the future and prompts us to seek help and security from others. High levels of anxiety during childbearing are associated with poor fetal development, behavioural/emotional problems in children and adolescents, prolonged labours, increased obstetric intervention, impaired lactogenesis and bonding problems.</b></p> <p>Working with highly anxious childbearing women can be a challenging experience for independent lead maternity care midwives. This qualitative investigation guided by the principles of feminist research examined four independent midwives experiences of working with highly anxious childbearing women. Data were collected by interview, and thematic analysis found three themes that encapsulated the experience. The resultant themes were of: 1) challenging partnerships, 2) making a difference and 3) realising own limitations.</p> <p>The midwives, while very committed to their highly anxious clients, experienced considerable stress while endeavouring to provide effective care. This stress is of concern to midwives and midwifery as it makes midwives vulnerable to burnout. Given the damage that high levels of unchecked anxiety have on childbearing women and their families, midwifery has to look for safe and effective ways to work with these women.</p> <p>Recommendations for practice are based around negotiating boundaries to the midwife-client relationship, increased help and support for midwives, especially clinical supervision, better midwifery education, and continuous professional development in relation to maternal mental health, and properly resourced and funded maternal mental health services.</p>

scholarly journals Maternal mental health: Making a difference

2016 ◽  
Vol 23 (3) ◽  
pp. 31-37
Author(s):  
Sally Phillips ◽  
Lesley Pitt
Keyword(s):  
Mental Health ◽  
Group Work ◽  
Maternal Mental Health ◽  
Recovery Process ◽  
Informal Support ◽  
Health Board ◽  
Evidence Based ◽  
Secure Attachment ◽  
District Health ◽  
Making A Difference

This research project explores what makes a difference in women’s recovery from postpartum distress. As postpartum distress can interfere in the establishment of secure attachment the need for early intervention is vital. This project, based on principles of feminist research, used questionnaires and interviews to canvas women who had accessed the mainstream maternal mental health service of Taranaki District Health Board. The women in this study felt they had benefited from individual and group work alongside medication, but crucial to their recovery was also informal support from family and friends and self care. While evidence-based practice is a dominant discourse in health at present, what these women told us was that kind, non judgemental support helped them recover. When women didn’t have this kind of support from their families, friends or professionals the recovery process was impeded. 

scholarly journals COVID-19 and maternal mental health: Are we getting the balance right?

2020 ◽  
Author(s):  
Anastasia Topalidou ◽  
Gill Thomson ◽  
Soo Downe
Keyword(s):  
Mental Health ◽  
Maternal Mental Health ◽  
Health Concern ◽  
Care And Support ◽  
Increased Risk ◽  
Psychological Impacts ◽  
Postnatal Women ◽  
Negative Impacts ◽  
The Impact ◽  
Childbearing Women

AbstractThis paper presents a rapid evidence review into the clinical and psychological impacts of COVID-19 on perinatal women and their infants. Literature search revealed that there is very little formal evidence on the impact of COVID-19 on pregnant, labouring and postnatal women or their babies. The clinical evidence to date suggests that pregnant and childbearing women, and their babies are not at increased risk of either getting infected, or of having severe symptoms or consequences than the population as a whole. There is no evidence on the short- and longer-term psychological impacts of restrictive practices or social and personal constraints for childbearing women during COVID-19 in particular, or infection pandemics in general. The potential for adverse mental health consequences of the pandemic should be recognised as a critical public health concern, together with appropriate care and support to prevent and ameliorate any negative impacts.

Parenthood, maternal mental health, early interactions and child development in the context of maternal perinatal cancer

2012 ◽  
Author(s):  
J. Wendland ◽  
E. Lemoine ◽  
M. Cazenave ◽  
E. Gacoin ◽  
C. Lasseron ◽  
...  
Keyword(s):  
Mental Health ◽  
Child Development ◽  
Maternal Mental Health

Multicultural Considerations in Telepsychology

2020 ◽  
pp. 372-386
Author(s):  
Jasmine A. Mena ◽  
Kyle A. Faust ◽  
Nathan E. Cook ◽  
David Faust ◽  
Ryan Holt
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Mental Illness Stigma ◽  
Minority Populations ◽  
Multicultural Psychology ◽  
Health Treatment ◽  
Access To Health ◽  
Positive Treatment ◽  
Potential Benefits ◽  
Recommendations For Practice

Although an expanding body of research demonstrates the potential benefits of telepsychology, little is known about its application with ethnoracial minority populations. Research with ethnoracial minority populations points to various factors that predict positive treatment outcomes; thus, it should be considered in multiculturally sensitive telepsychology practice. In this chapter, the authors discuss the multicultural telepsychology literature and provide recommendations for practice and research. The respective literature in multicultural psychology and telepsychology and their intersection suggest that multicultural telepsychology offers substantial promise for improving the lives of vulnerable and underserved ethnoracial minority populations by increasing access to health information and mental health treatment and reducing mental illness stigma. The chapter ends by discussing potentially fruitful avenues for research.

Exclusive Breastfeeding Moderates the Association Between Prenatal and Postpartum Depression

2021 ◽  
pp. 089033442199105
Author(s):  
Bárbara Figueiredo ◽  
Tiago Miguel Pinto ◽  
Raquel Costa
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Postpartum Depression ◽  
Exclusive Breastfeeding ◽  
Maternal Mental Health ◽  
Prenatal Depression ◽  
Depression Symptoms ◽  
Public Health Services ◽  
Wide Range ◽  
Prospective Longitudinal

Background Exclusive breastfeeding has a wide range of benefits for maternal health. However, the benefit of exclusive breastfeeding for maternal mental health needs to be further explored. Research Aim To determine the moderating role of exclusive breastfeeding at 3 months on the association between prenatal and postpartum depression. Methods This study had a prospective, longitudinal, and comparative design with two groups and three assessment waves. The sample comprised 334 participants (70 depressed and 264 non-depressed) recruited at public health services in northern Portugal. Participants completed a measure of depression symptoms between the second and the third trimester of pregnancy and between 3 and 6 months, and a measure of breastfeeding status at 3 months. Results Exclusive breastfeeding at 3 months moderated the association between prenatal and postpartum depression. Participants with prenatal depression who were exclusively breastfeeding at 3 months showed fewer symptoms of depression and lower rates of depression between 3 and 6 months postpartum, compared to participants with prenatal depression who were not exclusively breastfeeding. Participants without prenatal depression who were exclusively breastfeeding at 3 months showed similar depression symptoms and similar rates of depression between 3 and 6 months postpartum, compared to participants without prenatal depression who were not exclusively breastfeeding. Conclusion Exclusive breastfeeding has a potential protective influence on postpartum depression among women with prenatal depression. Public health policies targeting women with prenatal depression should be implemented and include practices to promote and support exclusive breastfeeding in order to enhance women’s exclusive breastfeeding and mental health.

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