Baby blues, postnatal depression and anxiety

2021 ◽  
pp. 96-107
Author(s):  
Dilys Daws ◽  
Alexandra de Rementeria
2019 ◽  
Author(s):  
Jacqueline Anne Boyle ◽  
Suzanne Willey ◽  
Rebecca Blackmore ◽  
Christine East ◽  
Jacqueline McBride ◽  
...  

BACKGROUND Identifying mental health disorders in migrant and refugee women during pregnancy provides an opportunity for interventions that may benefit women and their families. Evidence suggests that perinatal mental health disorders impact mother-infant attachment at critical times, which can affect child development. Postnatal depression resulting in suicide is one of the leading causes of maternal mortality postpartum. Routine screening of perinatal mental health is recommended to improve the identification of depression and anxiety and to facilitate early management. However, screening is poorly implemented into routine practice. This study is the first to investigate routine screening for perinatal mental health in a maternity setting designed for refugee women. This study will determine whether symptoms of depression and anxiety are more likely to be detected by the screening program compared with routine care and will evaluate the screening program’s feasibility and acceptability to women and health care providers (HCPs). OBJECTIVE The objectives of this study are (1) to assess if refugee women are more likely to screen risk-positive for depression and anxiety than nonrefugee women, using the Edinburgh Postnatal Depression Scale (EPDS); (2) to assess if screening in pregnancy using the EPDS enables better detection of symptoms of depression and anxiety in refugee women than current routine care; (3) to determine if a screening program for perinatal mental health in a maternity setting designed for refugee women is acceptable to women; and (4) to evaluate the feasibility and acceptability of the perinatal mental health screening program from the perspective of HCPs (including the barriers and enablers to implementation). METHODS This study uses an internationally recommended screening measure, the EPDS, and a locally developed psychosocial questionnaire, both administered in early pregnancy and again in the third trimester. These measures have been translated into the most common languages used by the women attending the clinic and are administered via an electronic platform (iCOPE). This platform automatically calculates the EPDS score and generates reports for the HCP and woman. A total of 119 refugee women and 155 nonrefugee women have been recruited to evaluate the screening program’s ability to detect depression and anxiety symptoms and will be compared with 34 refugee women receiving routine care. A subsample of women will participate in a qualitative assessment of the screening program’s acceptability and feasibility. Health service staff have been recruited to evaluate the integration of screening into maternity care. RESULTS The recruitment is complete, and data collection and analysis are underway. CONCLUSIONS It is anticipated that screening will increase the identification and management of depression and anxiety symptoms in pregnancy. New information will be generated on how to implement such a program in feasible and acceptable ways that will improve health outcomes for refugee women. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/13271


2017 ◽  
Vol 41 (S1) ◽  
pp. S143-S143
Author(s):  
V.R. Enatescu ◽  
M. Craina ◽  
I. Papava ◽  
R.S. Romosan ◽  
O. Balazs ◽  
...  

IntroductionAntepartum depression has garnered wide recognition from the scientific community in recent years. This has led to the replacement of the term postpartum with perinatal in the 5th edition of the DSM with regards to pregnancy associated depression. Personality may play a significant role in the susceptibility for developing perinatal depression.ObjectivesThe current research aimed to analyze the role of different facets of personality in mediating the occurrence of both, perinatal depression and perinatal anxiety, in women who gave birth in our region.MethodsA prospective survey was conducted at “Bega” Clinic Timisoara in 118 women being monitored during their antepartum period. Of these, 80 women attended to the second assessment between 6 to 8 weeks of their postpartum period. Postnatal depression was assessed by the Edinburgh Postnatal Depression Scale using a cut-off > 13. Personality was assessed by using the NEO-FFI Inventory that is five-factor model based.ResultsThe presence of antepartum depression was identified in 28 (23.7%) of pregnant women while postpartum depression was detected in 7 new mothers (8.8%). Among the NEO-FFI Inventory factors only Neuroticism had significant higher mean scores in both antepartum and postpartum depressive women (P = 0.003 and P = 0.016 respectively). There were also significant correlations between Neuroticism and antepartum and postpartum levels of both trait and state anxiety.ConclusionsIn the psychological management and approach of delivering women Neuroticism should be taken into account as a possible mediating factor for both depression and anxiety during their perinatal period.


2020 ◽  
Author(s):  
Eva Hobeika ◽  
Miguella Outayek ◽  
Diana Malaeb ◽  
Elie Hobeika ◽  
Pascale Salameh ◽  
...  

Abstract Background The last study conducted in Lebanon about postpartum depression dates back to 2014, whereas no studies have been conducted to assess postpartum anxiety (PPA). The shortage of research in this field and the potential opportunities to provide different aspects of postpartum care that respond to women's needs require a deeper understanding of the various problems faced by postpartum women. The study objectives were to delineate some factors associated with postnatal depression and anxiety among a sample of Lebanese women 4-6 weeks after delivery and validate the Edinburgh Postnatal Depression Scale (EPDS) and Perinatal Anxiety Screening Scale (PASS) in Arabic language in that sample.Methods This cross-sectional study, carried out between July 2018 and March 2019, enrolled 295 participants who came for a postnatal checkup to four clinics.Results Higher postpartum anxiety (Beta=0.25), higher insomnia (Beta=0.11) and having complications during delivery (Beta=1.81) were associated with higher postpartum depression. Higher postpartum depression score (Beta=1.38) and a premature baby birth compared to those born at term with normal weight (Beta=4.25) were associated with higher postpartum anxiety. The factor analysis for the EPDS and the PASS scales was run over the whole sample. The EPDS and PASS scales items converged over a solution of three and seven factors that had an Eigenvalue over 1 respectively, explaining a total of 64.73% and 65.12% of the variance respectively. High Cronbach’s alpha values were found for the EPDS (0.826) and PASS (0.920) scales.Conclusion Depression and anxiety prevalence rates in the Lebanese population is higher compared to other countries which may in part be due to differences of regional, social, and environmental culture. Different etiological factors could contribute to both depression and anxiety in the postpartum period, which could adversely affect both the mother and the infant.


2015 ◽  
Vol 19 (2) ◽  
pp. 63-75 ◽  
Author(s):  
Pamela D. Pilkington ◽  
Thomas A. Whelan ◽  
Lisa C. Milne

2017 ◽  
pp. 1
Author(s):  
Medine Tasar ◽  
Ayse Tapci ◽  
Ilyas Cakir ◽  
Aylin Baydar ◽  
Yildiz Dallar

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