Dissertations / Theses on the topic 'Post-partum depression'
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Johansson, Jessica. "Effekt av SSRI läkemedel vid post partum depression." Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-31906.
Full textHighet, Nicole. "Evaluation of community treatments for post partum depression." Thesis, Highet, Nicole (1998) Evaluation of community treatments for post partum depression. Professional Doctorate thesis, Murdoch University, 1998. https://researchrepository.murdoch.edu.au/id/eprint/52313/.
Full textKane, Heather Lynne Kleinman Sherryl. "Emotion work, labeling, and gender in post-partum and post-adoptive depression." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2006. http://dc.lib.unc.edu/u?/etd,615.
Full textTitle from electronic title page (viewed Oct. 10, 2007). "... in partial fulfillment of the requirements for the degree of Doctor of Philosophy in the Department of Sociology." Discipline: Sociology; Department/School: Sociology.
CAVALIERI, ANNA PAOLA. "Associazione tra positività agli anticorpi antiperossidasi in gravidanza e depressione post partum." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2009. http://hdl.handle.net/2108/808.
Full textYet even though the relationship between depressive mood and the puerperium has been documented since the time of Hippocrates, fewer than half of all the cases of postpartum depression are adequately diagnosed. Therefore the question arises as to whether markers exists for PPD; in other words, can we identify women at higher risk? The thyroid is surely not the primary cause of PPD, but evidences suggests that thyroid hormones cannot be ignored as important factors in the cascade of biological events leading to the onset of PPD. In this work we investigated whether the presence of thyroperoxidase antibodies (TPO Abs) during pregnancy could be a marker for an increased risk for postpartum depression. In this prospective observational work a sample of 162 healthful pregnant women was studied. We excluded women with a personal history of depression and psychiatric disorders. During the first trimester TSH, free thyroxine and TPO Abs testing was performed; in the same period the women also completed the State Trait Anxiety Inventory and the Beck Depression Inventory. In the post partum period, at 7/10 and 30 days after delivery, the women completed the Edinburgh Post Partum Depression Scale (EPDS). Multiple logistic regression was performed to determine independent risk factors for post partum depression. The statistical analysis showed that the presence of TPOAbs at the first trimester of pregnancy is significantly associated with depressive symptoms at 7 and 30 postpartum day. Women who are positive to TPOAbs in early gestation are prone to postpartum depression, independently of thyroid dysfunction. The relationship between autoimmune thyroid disease and depressive mood remains undecided. The depression may be related to the general malaise associated with an autoimmune condition (positive thyroid antibody status) or to subtle fluctuations in thyroid hormones. This study suggests that the presence of TPOAbs during gestation could be regarded as an indipendent marker for the occurrence of PPD. This finding may helps the gynaecologist to identify women at risk for PPD, in the context of other well known risk factors.
Gerde, Karen D. "Feline odor-induced anxiety in post-partum female rats." Pullman, Wash. : Washington State University, 2010. http://www.dissertations.wsu.edu/Thesis/Spring2010/k_gerde_061810.pdf.
Full textTitle from PDF title page (viewed on July 23, 2010). "Graduate Program in Pharmacology and Toxicology." Includes bibliographical references (p. 25-30).
Rick, Linda. "BVC-sköterskans reflektioner och erfarenheter av att stödja mammor med Post partum depression : Intervjustudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-21261.
Full textIntroduction: Postpartum depression is the most common psychiatric disorders that may occur following childbirth. Approximately 13% of all new mothers suffer or shows signs of depression. The purpose: The purpose of this study was to describe the child health care nurse´s reflections and experiences to support mothers with post partum depression. Method: Descriptive design with a qualitative approach. Eight child health care nurses at five health-centers participated. Semi-structured interviews were conducted and analyzed by qualitative content analysis. Results: EPDS was an adequate instrument in order to find mothers with PPD and to initiate positive conversations with mothers. Difficulties emerged when mothers didn’t speak Swedish. It was important to see the mother, not just the child and to give time for support and conversations. Mothers were followed-up by telephone made frequent visits to the clinic when necessary. It was difficult when mothers didn’t accept help even though the child health care nurse found it necessary. Mothers who had PPD symptoms were referred to a psychologist by the child health care nurse. The child health care nurse’s perceived deficient knowledge providing therapeutic conversations but could listen and provide support by being there for the mothers. Conclusion: EPDS is an adequate tool for early identification of mothers with PPD, the instrument is a good help when talking to the mother. It is important to focus on the mother and not just on the child and allow enough time for conversation aside providing support. More guidance and training is needed within the topic PPD for improved support to mothers, but also fathers.
Svensson, Linda, and Malin Vester. "BVC-sjuksköterskors erfarenheter av att ge stöd till mödrar med post partum depression." Thesis, Högskolan i Skövde, Institutionen för vård och natur, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-6842.
Full textBackground: A mother who is suffering from post partum depression has difficulties with the attachment to her child. As a result of this, the child’s cognitive and emotional development can be harmed. It is important to detect these mothers at an early stage, to offer support in order to shorten the time of suffering. Aim: The aim of this study was to illustrate child health care nurses’ experiences of giving support to mothers with postpartum depression. Method: The data were analyzed using qualitative content analysis technique with inductive approach. Eight interviews with child health care nurses’ who work with childrens’ health care were performed. Results: Six categories emerged from the analysis; Responsive to the needs of the mother, offer advice and guidance, build awareness of postpartum depression, initiate collaboration around the mother, sense of their own inadequacy, communication problem and 14 subcategories. Conclusion: In order to offer the mother optimal support needs a relationship between the child health care nurse and the mother be created, which is built on trust. Communication is an important tool to build trust, which is essential for the relationship.
Al-joumeyli, Jasmin Rim, and Vivi-Ann Landén. "Riskfaktorer för Post Partum Depression i samband med graviditet och förlossning – en litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-270533.
Full textHallberg, Emma, and Lisa Lundmark. "Moderskapets oväntade reaktioner." Thesis, Umeå universitet, Institutionen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-73551.
Full textBenech-Plaire, Gaëlle. "La dépression postnatale et l'étude MATQUID : revue de la littérature, présentation du PHRC A 1995, étude prospective d'une cohorte de 135 femmes sur 6 mois." Bordeaux 2, 1998. http://www.theses.fr/1998BOR23060.
Full textGamble, Jennifer Anne, and n/a. "Improving Emotional Care For Childbearing Women: An Intervention Study." Griffith University. School of Nursing, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030904.154204.
Full textPeraudeau, Laure Guillemot-Mortagne Flore. "La dépression du post-partum l'Edinburgh Postnatal Depression Scale, un moyen efficace de dépistage précoce ? /." [S.l.] : [s.n.], 2008. http://castore.univ-nantes.fr/castore/GetOAIRef?idDoc=52051.
Full textBARBOLOSI, OBERLE CHRISTINE. "Pathologie depressive du post-partum : 3eme partie enquete exposes/non exposes concernant 4 facteurs de risque : resultats preliminaires." Saint-Etienne, 1991. http://www.theses.fr/1991STET6403.
Full textSANTORO, ELENA. "GLI EFFETTI DELL'EXPRESSIVE WRITING SUI SINTOMI DEPRESSIVI ETRAUMATICI DA STRESS POST-PARTUM." Doctoral thesis, Università Cattolica del Sacro Cuore, 2015. http://hdl.handle.net/10280/6213.
Full textOne hundred forty women participated in the present randomized intervention study. Right after giving birth women were assigned to the Expressive Writing (EW) intervention group or to the non-emotional neutral writing (NW) condition. The aim was to investigate the effects in the childbirth experience of expressive writing both on psychological functioning - depression and post-partum traumatic stress symptoms - (Study 1a), and on parental functioning - the stress experienced by mothers in their parental role and in the interaction with the newborn - (Study 2) at a three-month follow-up after delivery. Individual differences were investigated as moderators and psycholinguistic mechanisms as mediators associated with positive changes following expressive writing (Study 1b). Results indicate that depression and intrusive symptoms related to the trauma decreased in EW women compared to NW women, and that acute post-partum symptom women benefited the most (Study 1a). Cognitive elaboration of the childbirth traumatic experience taking place during writing sessions is the key mechanism responsible for the beneficial effects on postnatal depression symptoms (Study 1b). Finally, the third study indicated a positive effect of expressive writing on the quality of mother-child interaction. The effect resulted moderated by some individual characteristics.
Dalbos-Bouillard, Barbara. "Facteurs de risque de la dépression du post-partum : matquid, 1995." Bordeaux 2, 2000. http://www.theses.fr/2000BOR23073.
Full textKogima, Elisabeth Octaviano. "Depressão puerperal em adolescentes cadastradas na estratégia saúde da família do município de Embu Guaçu - SP." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/6/6136/tde-24022011-103426/.
Full textMajor Depression has been considered common, recurrent and debilitating, especially in adolescence. When adolescent girls become pregnant at this stage of the life cycle, situation becomes a public health problem. Adolescence itself is already a changing process, physical and psychological, much more when a pregnancy is experienced. Its a very difficult decision having a baby, with complexes factors involved, what suggests the need of support from the families involved. Motherhood presents itself as a relevant factor in the development of female depression, often related to stress. Objective: To set the prevalence of depressive disorder in post partum adolescents who are enrolled at Family Health Strategy and characterize those who have great probability of developing depressive disorders. Methods: Post partum adolescents were screened through EPDS and characterized by a Socioeconomic and obstetric questionnaire constructed by the researcher. Analysis: Quantitative variables were described by measures of central tendency, and variability of the confidence interval. Qualitative variables were presented as frequencies and proportions. Results: 39 per cent (n = 18) of adolescents had postpartum depression symptoms, with scores greater than or equal to twelve, with CI95 per cent (25, 54). 15.21 per cent (7) of the adolescent mothers scored higher than or equal to 9 and less than 12, which represents moderate possibility of developing a depressive disorder. The teenagers seem to be younger than their partners, their babies have about five months, most of them live together with partners, are white, with incomplete secondary education. Slightly more than half have incomes of up to 400 dollars, most use some kind of medication and does not use drugs or illegal substances
Blomqvist, Erik. "The association between experiences of Intimate Partner Violence and Post Partum Depression : a study within the BASIC cohort." Thesis, Uppsala universitet, Medicinska fakulteten, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-207664.
Full textBjuvéus, Maria, and Tanja Temonen. "BVC-sjuksköterskans erfarenheter av att stödja samspelet mellan mor och barn vid post partum depression : En kvalitativ intervjustudie." Thesis, Högskolan i Borås, Institutionen för Vårdvetenskap, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-19142.
Full textProgram: Specialistsjuksköterskeutbildning med inriktning mot distriktssköterska
Uppsatsnivå: D
Gamble, Jennifer Anne. "Improving Emotional Care For Childbearing Women: An Intervention Study." Thesis, Griffith University, 2003. http://hdl.handle.net/10072/365390.
Full textThesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Nursing
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Barbosa, Maria Aparecida Rodrigues da Silva. "Vivências e significados da depressão pós-parto de mulheres no contexto da família." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-16042015-160037/.
Full textIntroduction: Post-partum depression has been treated over time as a womens problem and few studies have addressed the impact of this event on family relationships. Objectives: To understand the experiences and meanings of maternal post-partum depression for the woman and her family; To develop a theoretical model representative of the woman and her familys experience when facing post-partum depression. Method: It is a qualitative study that had as a guiding theoretical referential the Symbolic Interactionism and as a methodological referential the Grounded Theory. The participants of this study were women who had post-partum depression and their families, recruited through public hospitals and basic health units in the municipality of Cuiabá-MT. The data were collected through in-depth interviews with the woman and family. The number of families who participated was being configured according to the analysis and the emergent theory, totalizing ten families. Results: The data analysis allowed the theoretical model to be identified Oscillating between the support and the need to maintain control which represents the perceptions and strategies present in the experience of the woman and her family aiming at adapting family life to the circumstances of life affected by depression. Three categories structure the experience under study: Struggling with maternity, Losing herself in the middle of feelings in the struggle with the unknow and Taking control. Conclusions: The study allowed identifying a psychosocial process in which the control and support constitute the core symbolic elements of how the woman with post-partum depression and her family deal with the experience from the onset of the symptoms until the results of the diagnosis. The theoretical model contributed to the understanding of the constructed meanings and the conditions that affect the woman and her family, and guide the family organization and communication.
Weiss, Julie. "The Interaction of Post-Partum Depression and Maternal Knowledge of Infant Development on Change in Sensitive and Responsive Parenting during Early Infancy." ScholarWorks@UNO, 2013. http://scholarworks.uno.edu/td/1774.
Full textPranal, Marine. "Hémorragies du post-partum immédiat : Estimations visuelles des pertes sanguines par les sages-femmes et les étudiants sages-femmes et prévalence des troubles psychologiques en cas d'hémorragie du post-partum immédiat : Etude PSYCHE." Thesis, Université Clermont Auvergne (2017-2020), 2019. http://www.theses.fr/2019CLFAS008.
Full textObjectives: The objectives were to assess the accuracy of visual estimates of blood loss (EVPS) by midwives and midwifery students (Part 1) and secondly to assess the psychological consequences after postpartum haemorrhage (PPH) (Part 2). Part 1: We performed a multicenter cross-sectional study (n = 16,656). French practicing midwives and midwifery students were asked to estimate eight photographs of the volume of blood loss via online survey. Each photograph was duplicated and randomly ordered in the questionnaire with a reference 50 mL. We observed that the overall percentage of exact estimates of the volume of losses proposed was low in both groups of respondents (34.1%). PPH threshold was always successfully diagnosed but identified in less than half of the cases for severe PPH. Intra-observer agreement was better for the extreme values (100 mL and 1500 mL) with higher agreement (weighted kappa ≥ 0.8) for the highest values (1000 mL and 1500 mL). Midwives tended to underestimate the amount of blood loss but to a lesser extent than students. Regardless of respondent category or diagnosis (HPP or severe PPH), the specificity of the EVPS as a diagnostic test was greater than its sensitivity. Part 2: Our second component was a monocentric cross-sectional descriptive and etiologically oriented study on a cohort of women who gave birth at Clermont-Ferrand University Hospital [n = 1298; 528 women with HPP = exposed (GE) and 770 women without HPP = unexposed (GNE)]. The prevalence of depression in women after immediate PPH (<24 hours) was assessed at postpartum M2, M6 and M12 using the EPDS questionnaire. Anxiety was assessed at the same time with the STAI-YA and GAD-7 questionnaires and post-traumatic stress disorder (PTSD) via the IES-R. All questionnaires were self-reported. The overall participation of women at M2 was 63,7% (GE: 63% and GNE: 64,1%). We found prevalences in exposed patients of 24,1% for DPP (vs. GNE: 18,3%), 20,4% anxiety (vs. GNE: 13,4%) and 12,9% TSPT (vs. GNE: 7,8%). After adjustment, only the risk of having PTSD at M2 remained significantly increased in women who had PPH (ORa = 2,11, 95% CI: 1,14-4,00). Analyzes at M6 and M12 will be carried out when the follow-up is completed. Conclusion: Part 1: Students midwives tended to underestimate the amount of blood loss more often than midwives despite using a standard measure. HPP (≥ 500 ml) was always identified but severe PPH (≥ 1000 ml) was identified in less than half of the cases. The difficulty of the EVPS must be emphasized during the initial training of the students and during professional’s trainings. Part 2: DPP, anxiety, and PTSD are common in the postpartum period including women who have not had PPH. The occurrence of PTSD is to be monitored at M2 in women with PPH. It is important to identify these disorders in all postpartum women in order to implement adapted and individualized follow-up of these women and thus to promote the mother-child bond
FERRO, VALENTINO. "Disagio e depressione perinatali durante la crisi della maternità. Impatto sulla relazione madre-bambino." Doctoral thesis, Università degli Studi di Milano-Bicocca, 2017. http://hdl.handle.net/10281/143711.
Full textBackground. The transition to the motherhood is a important moment in woman life and it is also a developmental crisis, in most cases this transition has a positive outcome. Motherhood in some cases is negatively influenced by woman mental illness (Milgrom et al., 2001). Post-partum depression is one of these perinatal mental illness and its incidence is 13%, it has a multifactorial etiology and it influence the woman well-being, the mother-child relationship, the dyadic emotional regulation and the relationship with partner (Karney & Bradbury, 1995; O’Hara & McCabe, 2013; Pearson et al., 2013). Postpartum depression often is associated with depressive symptoms during pregnancy and this predict worse consequences on the mother's psychological well-being (Grigoriadis et al., 2013). The perinatal anxiety often occurs in comorbidity with depressive symptoms both in pregnancy and in the postpartum, the incidence of anxiety is higher in pregnant between 18% and 25% than in the post-partum period 4.7% (Figueiredo & Conde, 2011 Sherry et al., 2014). The perinatal anxiety has negative influence on mother-infant relationship, these mothers are more intrusive and their children have excessive crying, difficult temperament and less shared positive states (Austin et al., 2008; Feldman, 2007; Reck et al., 2012). Another perinatal mental distress is parenting stress that may occur in the transition to parenthood (Abidin, 1990), but there are few studies on the relationship of parenting stress, post-partum depression and anxiety. Aims. This paper is divided in three studies investigating different themes, like: the incidence of postpartum depression, the variables who predict postpartum depression, the relationship between anxiety postpartum depression and parenting stress and how these variables influence the relationship styles and emotional regulation of the mother-child dyad. Methods. The women who participated in the research were contacted in ASL2 of Savona between pregnancy and first months of post-partum. In all three studies post-partum depression has been investigated with EPDS (Cox et al., 1987), anxiety with STAI-Y (Spielberger, 1983), parenting stress wih PSI (Abidin, 1987), dyadic adjustment with partner with DAS (Spanier, 1976), the relationship styles with the video coding system CARE INDEX (Crittenden, 1994) and the emotional regulation of the mother-child with the video coding system ICEP (Weinberg & Tronick, 1999; Riva Crugnola et al., 2013). Results. The three studies underline different results, like: anxiety during pregnancy is predictor of post-partum depression; mothers who have a lot of psychosocial risk factors have more probability to develop depressive symptoms in pregnancy and in the post-partum period; the effect of this risk factors is pejorative in depression symptomatology in the transition to the motherhood; maternal depression, anxiety and parenting stress are associated, anxiety is a grater predictor than depression of less adequate styles of mother-infant emotion regulation; post-partum depression affects the dyadic adjustment with partner and dysfunctional relationship styles of mother-child dyad. Conclusions. The results of these studies highlight the importance of doing early screening and well-timed and preventive intervention programs to help the mother wellbeing.
Folino, Cristiane da Silva Geraldo. "Sobre dores e amores: caminhos da tristeza materna na elaboração psíquica da parentalidade." Universidade de São Paulo, 2014. http://www.teses.usp.br/teses/disponiveis/47/47131/tde-02102014-161452/.
Full textGestation and the first times in a babys life are fundamental to the establishment of bonds with the parents; apart from guaranteeing their survival, it provides the basis for the webs of their psychism, forming the ground on which their relationships will develop throughout their life. Concomitant to this construction, the parents go through an analogue process, gradually building themselves in this condition as they relate to the child. However, these first times may have a strong impact on who generates and cares for the baby. Thus, the aim of this study is to enlighten the womans post-partum psychic experiences and to verify the resources developed to cope with the psychic work necessary to face the grieves and to build and exercise parenthood. Through a qualitative research theoretically bound by psychoanalysis, five mother-baby pairs were studied. There were a minimum of four encounters with each pair: at least one on gestation e three post-partum (one-week, one-month and two-month old). The gestational meetings took place at a location chose by the participant and the puerperium encounters, at her home. With psychoanalysis instrumental, semi-guided interviews and observation of the relationship established by the mother with the baby and with the researcher took place. Each case was separately analyzed and possible confluences between them were verified. Taking into account the specificity of the psychic maternal functioning and the impact of the demands of a child on who must help them live, the research revealed the importance of considering the amplitude of the carrying and caring phenomena. This role, that all mothers must play, was experienced, at least at first, as brutal and disorganizing not only by the woman, but by the whole family. The difficulties of metabolizing these experiences and the losses inherent to the process for instance, the ideal baby, idealized motherhood, narcissism, the previous rhythm and the routine, among others may damage the construction and the exercise of parenthood and even thwart the overcoming of the baby blues, eventually unfolding depressive phenomena (manifest or covered). The real gains resulting from the babys arrival may be lived from this contact with the losses and its elaboration. It was also concluded that prevention and care mechanisms for the family must be built in these first times of the baby\'s life, with collaboration between the various disciplines involved and with public health policies. Amongst the issues raised to this purpose, an alert is made to the risk of neglecting or, on the other end, pathologizing the pains inherent to the delicate construction of parenthood
Gruss, Stephanie Mayes. "Is Safe Haven Legislation an Efficacious Policy Response to Infant Abandonment: A Biopsychosocial Profile of the Target Population." VCU Scholars Compass, 2006. http://scholarscompass.vcu.edu/etd/1362.
Full textLoyal, Déborah. "Déterminants Psychosociaux et Culturels du Burnout Maternel et des Symptômes Dépressifs Périnataux." Thesis, Bordeaux, 2017. http://www.theses.fr/2017BORD0821/document.
Full textWhereas a happy motherhood is a collective aspiration, it is known that many women are reporting psychological distress during the perinatal period. Yet, women’s psychological health can not be considered regardless of their roles in society and norms associated. This research work aims to test a psychosocial and cultural model to understand adjustment disorder regarding motherhood (postpartum depressive symptoms and burnout). In a first study, various steps with different populations (N = 250, 22, 474, 249 and 231) have led to the validation in French of a scale assessing beliefs associated with the maternal role. Then, a longitudinal follow up was settled with women who were seen during late pregnancy and at 2 and 4 months postpartum (N = 129). This work has served to demonstrate the convergent, predictive and construct validity of maternal burnout. Furthermore, the impact of motherhood psychosocial and normative characteristics in the development of depressive and burnout symptoms have been explored. Finally, cluster analyses were conducted to identify more or less adaptive patterns regarding articulation of investment in motherhood and working life. This research work has opened research avenues regarding maternal burnout in the postpartum period and considerations of socio-normative aspects of the mothering role regarding prevention and care of those troubles
Thevenoux, Gaillard Isabelle. "Etude des interactions entre le tempérament du nourrisson et la dépression maternelle : enquête auprès de 78 dyades mère-enfant." Bordeaux 2, 2001. http://www.theses.fr/2001BOR23012.
Full textBuil, Aude. "Amélioration du soin peau-à-peau en médecine néonatale par l'installation en Flexion Diagonale Soutenue (FDS) : impact sur le grand prématuré, sa mère et la construction de leur espace de communication Kangaroo supported diagonal flexion positioning: new insights into skin-to-skin contact for communication between mothers and very preterm infants Kangaroo supported diagonal flexion positioning: positive impact on maternal stress and postpartum depression risk and on skin-to-skin practice with very preterm infants Impact de l’installation en flexion diagonale soutenue sur le maternage tactile spontané lors de la première séance de peau-à-peau en réanimation néonatale Changer l’installation du soin peau à peau en néonatalogie pour une communication précoce de qualité Une installation innovante lors du peau à peau en néonatologie." Thesis, Sorbonne Paris Cité, 2018. http://www.theses.fr/2018USPCB095.
Full textContext: nowadays, skin-to-skin care is common practice in neonatal medicine services. It provides a unique relational opportunity that can be offered shortly after premature birth and it has already shown many benefits for the premature new-born and his/her parents. Like other care practices, skin-to-skin care can still be improved and adjusted to the high-technology environment of industrialized countries, in order to create an optimal sensorimotor and relational niche. Objective: the objective of the research-action of this doctoral thesis was precisely to test the benefit of a change of positioning during skin-to-skin care in NICU. Our hypothesis was that the innovative positioning in Supported Diagonal Flexion ('SDF') would allow improvements in the opportunity for individualized parent-new-born interactions, but also provide support to the construction of parenthood, plagued by premature birth, and improve postural and motor prevention in the premature new-born. Methods: we conducted a prospective monocentric interventional control-case study. Forty-two very premature infants, born between 27 and 32 weeks of gestation, and their mothers were included from may 2015 to july 2016. They were allocated to two groups: group 1 with skin-to-skin installation as it is commonly carried out in situ, which is 'Vertical' with a nursing pillow ('Vertical' group) and group 2 with Sustained Diagonal Flexion ('FDS' group), observed consecutively and matched with group 1 according to the term and weight of the children included. The study looked at the very premature infant, his/her mother et their multimodal communication (vocal, visual, tactile and smile) at five stages: at birth, during the first skin-to-skin, 15 days later, at term corrected age and at three months corrected age, thus on a six to seven months' time-span for each dyad. Results: from the very first skin-to-skin, mothers installed in 'FDS' displayed more affective, active and varied spontaneous tactile mothering, and immediately offer a more dense and musical sound cocoon. Mother in the 'FDS' group had a significantly lower risk of post-partum depression after 15 days of skin-to-skin practice and at term corrected age, they naturally lengthened the duration of skin-to-skin sessions and developed more variability when carrying their infant in their arms. When installed in 'FDS' during hospitalization, the two partners dispayed more multimodal behaviours and the infant's behaviours were contingent (1 s) to the mother's in greater proportion. At term corrected age, these differences partly reversed, but we observed a better investment of the calm awake state, with the child's visual engagement more focused on his/her mother's face. At term corrected age, premature infants in the 'FDS' group showed less postural deformations and a better organization in spontaneous motricity. Conclusion: this doctoral thesis demonstrates that skin-to-skin practice can be improved through the 'SDF' positionning, by physically supporting the new-born, psychologically supporting his/her mother, and finally allowing richer multi-modal mother-child communication by offering the early opportunity to be more sensitive to one another as a basis for the relationship
BRANCATO, VALERIA. "Neuropsicoendocrinologia dell'allattamento: depressione post-partum ed allattamento." Doctoral thesis, Università degli Studi di Roma "Tor Vergata", 2008. http://hdl.handle.net/2108/629.
Full textThe aim of this study was to evaluate the relationship between breastfeeding and post-partum depression. Particularly I want to evaluate the presence of depressive symptoms in the post-partum period at 7 days, 1 month, 3 months, 6 months and 12 months after delivery and the presence of a relationship between those ones and breastfeeding. Materials and Methods The study was realized on a pool of n. 240 patients in pregnancy attending to the Casa di Cura Città di Roma for Prenatal Course in the period between January 2006 and March 2008. Inclusion Criteria: patients in pregnancy between 22 and 34 weeks at the first meeting; maternal age between 20 and 40 years. Exclusion Criteria: pathology of pregnancy, PIH, cronic hypertension, gestational diabetes, preterm labor, fetal patholgy or malformations diagnosed in utero. The first meeting was realized between 22 and 34 weeks of gestation, during the Prenatal Courses. The evaluation of depressive symptoms was realized between 22 and 34 weeks GA, by the administration of the Beck test (BDI) and, after delivery, at 7 days, 1 month, 3 months, 6 months and 1 year, by the administration of the Edinburgh Depression Post-natal Scale (EPDS). Evaluation of breastfeeding was realized at 7 days, 1 month, 3 months, 6 months and 12 months after delivery using the OMS Classification of Infant Feeding. Results The patients were partitioned in two groups: 1° group: group of control: n. 74 patients negative ante partum to the Beck test, and after delivery to the EPDS. 2° group: group of patients positive to the EPDS: n. 88 patients positive to the EPDS at 7 days after delivery, 1 month, 3 months, 6 months and 1 year. The breastfeeding percentage varies between group 1 and group 2. Between the woman of group 1 the pecentage of breastfeeding is major than in group 2, along all the observation period. This result is more evident at 7 days, 1 month, e and 6 months after delivery, while at 1 year the percentage of breastfeeding are the same in the two groups, such as the other feeding modalities. Conclusions The data obtained in this study show that the women positive to the EPDS in the post-partum period have less likelihood to breastfeed their own babies, yet immediately in post-partum. This difference is evident up to 6 months after delivery. The results at 1 year have got to be evaluated carfully because of the poorly numerousness of the campion at 1 year of follow-up. Of major importance is that ,all women at risk of post-partum depression, should be promoted to breastafeed their babies, and should recieve the social supporte to begin and continue the breastfeeding opportunity.
Almeida, Eduardo Farina de. "Efeito antidepressivo e ansiolítico do extrato metanólico de Hibiscus tiliaceus em modelo animal de depressão pós-parto." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2012. http://hdl.handle.net/10183/67656.
Full textPostpartum affective disorders are rarely modeled. The depressive-like behavior of hormone withdrawal following hormone-simulated "pregnancy" was described in Long-Evans and Sprague Dawley rats. Our aim was to evaluate the validity of hormone withdrawal following hormonesimulated "pregnancy" method in Wistar rats as a model of depression and/or anxiety. Recently, it was demonstrated an antidepressant-like profile of methanol extract of Hibiscus tiliaceus L., a plant used in postpartum disorders, in adult male Swiss albino mice, then, we also investigated the antidepressant and anxiolytic-like activities of the methanol extract of H. tiliaceus flowers using this animal model of postpartum disorder. Ovariectomized rats received daily injections of the vehicle or hormones (estradiol and progesterone) to simulate the 23-day gestational period in the rat. Days 24-27 were considered the ''post-partum'' period, where the methanolic extract of H. tiliaceus or vehicle were administered by gavage. Rats were submitted to forced swimming, elevated plus-maze test and lightdark box tests. Rats submitted to ''post-partum depression model'' increased the immobility time in forced swimming. The methanolic extract of H. tiliaceus administration did not alter the immobility time in the forced swim test. In the light-dark box test, rats submitted to post-partum depression model showed decreases in number of rearing in dark compartment. In conclusion, our data indicate that Wistar rats may be an adequate model postpartum affective disorders, showing ''depressive-like'' symptoms in the forced swim test without any anxiogenic effect. Besides, we could suggest that decrease on number of rearing in the dark compartment may indicate the motivational state.
Dugravier, Romain. "CAPEDP : une étude longitudinale périnatale évaluant une intervention à domicile de prévention de la dépression postnatale et des troubles de la relation mère-enfant auprès d'une population de femmes présentant des critères de risque psychosociaux." Thesis, Paris 6, 2014. http://www.theses.fr/2014PA066227/document.
Full textPostnatal maternal depression (PND) is a significant risk factor for infant mental health. Although often targeted in perinatal home-visiting programs with vulnerable families, little impact on PND has been observed. CAPEDP is the first French randomized controlled trial for multi-risk families evaluating the impact on PND symptomatology of a home-visiting intervention using psychologists in a sample of women presenting risk factors.440 women were recruited at their seventh month of pregnancy. All were first-time mothers, under 26, with at least one of three additional psychosocial risk factors: low educational level, low income, or planning to raise the child without the father. Participants were randomized into either the intervention or the control group. The intervention consisted of intensive multifocal home visits through to the child’s second birthday. The control group received care as usual. PND symptomatology was assessed at baseline and three months after birth using the Edinburgh Postnatal Depression Scale (EPDS).At three months postpartum, mean EPDS scores were 9.4 (5.4) for the control group and 8.6 (5.4) for the intervention group (p = 0.18). The intervention group had significantly lower EPDS scores than controls in certain subgroups of women: with few depressive symptoms at inclusion (EPDS<8), who were planning to raise the child with the child’s father, with a higher educational level.CAPEDP failed to demonstrate an overall impact on PND. However, post-hoc analysis reveals the intervention was effective in subgroups of women without certain risk factors. Effective overall reduction of PND symptomatology may require more tailored interventions
Michel, Estelle. "Les antidépresseurs chez la femme enceinte et allaitante." Bordeaux 2, 1998. http://www.theses.fr/1998BOR2P007.
Full textGoutaudier, Nelly. "Prématurité : vécu maternel, état de stress posttraumatique et dépression du postpartum." Thesis, Toulouse 2, 2013. http://www.theses.fr/2013TOU20122.
Full textSTUDY 1- Trauma of premature birth and c-section, feelings of guilt, anxiety, ambivalence towards the infant, the medical staff and the infant’s hospital discharge, were all part of their perception. Furthermore, difficulties for mothers to define themselves as such and the importance of sharing with women who have been through the same experience were evidenced. Postpartum depression and PTSD symptoms were also highlighted. STUDY 2- 53% of participants scored above the cut-off for probable PTSD. Increased postpartum depressive symptoms (ß = 0.40, p< .05), difficulties during pregnancy (ß= 0.20, p< .05), maternal perception of infant vulnerability (ß = 0.17, p< .05), decreased satisfaction with delivery (ß = -0.13; p< .05) and cognitions relating to role change (ß = -0.12, p< .05) were independently associated with PTSD symptoms. STUDY 3- 3 profiles were highlighted: “depressive”, “low level of symptoms” and “anxious-depressive-traumatized” mothers. Our findings also evidenced a high comorbidity between anxious and depressive symptoms as well as a negative impact of postpartum depression on mother-infant bond. STUDY 4- 64.3% of our sample reported a score on the EPDS highlighting a probable postpartum depression. Having an infant who experienced ventilator support (ß = 0.23, p< 0,05), type of prematurity (ß= 0.16, p< 0,05), and decreased quality of marital relationship (ß = -0.39, p< 0,05) were independently associated with the intensity of postpartum depressive symptoms
Murday, Nasah. "La transmission de l'obésité selon les aspects psychiques et émotionnels." Thesis, Sorbonne Paris Cité, 2019. http://www.theses.fr/2019USPCC055.
Full textBeginning with the genesis of obesity and studies carried out on its multiple factors of transmission, directly and indirectly, we examine the basic theoretical concepts in order to point out the psychic and emotional features involved in this process. The driving world of the obese remains governed by the primary process because of his narcissistic fragility and his inefficient protective shield. The overflowing impulses associated with a defect in the engram constitution of hunger and satiety, plus other factors (isolation, socio-economic situation, ...) motivate compulsive behaviors with anti-emptiness, anti-depressive and anti-traumatic, aspects. In support of the direct observation of food interactions between six obese mothers/five non-obese mothers and their babies, we identify potentially obesigenic and traumatic features within the relationship. Maternal control, the lack of child’s exploration, poor emotional exchanges and the maternal difficulty to tune up with her baby, testify to her defensive strategies at play, harmful to the intersubjectivity bond
CRISAFI, Cettina. "Fattori di rischio psicosociale ed evolutivo per la depressione post partum." Doctoral thesis, Università degli Studi di Palermo, 2014. http://hdl.handle.net/10447/90896.
Full textChabrol, Henri. "Les interactions precoces dans les depressions du post-partum : etude des interactions mere-bebe, pere-mere-bebe dans 10 familles de meres deprimees dans le post-partum et dans 10 familles temoins." Toulouse 2, 1994. http://www.theses.fr/1994TOU20039.
Full textMother-infant, father-infant and father-mother-infant interactions were studied in 10 families with a postpartum depressed mother and in 10 control families when the infants were 3 to 6 months of age. Face-to-face interactions were videotaped during 2 minutes each and were coded using behavioral descriptions and a 1s. Time base. Mother-infant, father-infant and father-mother-infant interactions were as positive in the 2 groups. On the other hand, the comparison of dyadic and triadic interactions in each groups showed some distinctive features of depressed mothers'group
Douteaud, Stéphanie. "Déterminants et effets des trajectoires de stress prénatal sur les issues de la grossesse et la dépression postpartum." Thesis, Montpellier 3, 2014. http://www.theses.fr/2014MON30099.
Full textIntroduction : In France, as well as in other countries, the prevalence of postpartum depression (PPD) (about 10% of women) is not more important than other forms of depression, but it is a major problem of screening, because women less consult, making prevention difficult. Researches to improve the prevention of DPP are essentially based on two models, the stress-vulnerability model and the bio-psycho-social model. The both models describe the prenatal psychological stress as an important determinant of the PPD. However, if stress is frequently assessed, it is usually measured only once and late in pregnancy. So, by now, it is not possible to know its evolution or to know its effects on PPD. Accordingly, a primary objective of this doctoral work is to identify and characterize trajectories of stress to assess their effects on the DPP. Moreover, some researches showed that obstetric complications during childbirth have a deleterious effect on the psychological health of postpartum women. Others proved that prenatal stress increases the risk of obstetric complications. So we assume that an elevated stress associated with obstetric complications in childbirth significantly increases the risk of PPD. Neverthless it differs from one woman to another depending on the level of stress determinants.Method: The health of mothers, their anxiety-trait level and socio-economic variables were recorded among 164 women before the end of two months of pregnancy (T0). Perceived stress, state anxiety, social support and coping strategies were evaluated at 2, 6 and 9 months of pregnancy for 163 women and at 1 and 6 months postpartum for 91 of them. Moreover, the results of prenatal screening for fetal pathologies, the term of pregnancy, baby's birth weight, results of Apgar and type of delivery (dystocic versus eutocic) were recorded. Finally, the measurement of the PPD was performed 6 months after delivery. We calculated trajectories of stress and we measured the effect of these trajectories on the variables related to childbirth for 163 women and on DPP for 91 of them.Results: Three trajectories were identified in prepartum and postpartum. A first trajectory where the stress is low in early pregnancy, increases until early postpartum and decreased slightly at the end of the postnatal period. A second where the stress is moderate in early pregnancy decreases until the middle of pregnancy, increases in late pregnancy and postpartum. A final trajectory where stress is high in early pregnancy and then decreases until the end of pregnancy and continues to decrease in postpartum. When the stress follows the paths 2 and 3, the gestation period is shorter, F(2,138) = 3.45, p <0.05, η2 = 0.048, the use of cesarean section is more common, OR = 2.62, p < 0.05, CI 95% = [1.01- 6.75] as well as dystocic labor, OR = 3.54, p <0.005, CI 95% = [1.18-10.52]. In contrast, the trajectories of stress does not have an effect on the PPD.Discussion: Our results are encouraging and show that the perception of stress during pregnancy has an effect on the duration of pregnancy, obstetric complications and the use of cesarean section. However it has no effect on the DPP, but our results suggest that stress may have an effect only among vulnerable women and that the DPP would fit into a depressive continuum, while adjacent to the vulnerability to stress. In conclusion, future researches should assess the link between trajectories of stress and depression from early pregnancy to late postpartum to test this hypothesis
Panagiotou, Danai. "Évaluation de l'impact de l'Accompagnement Personnalisé en Réseau Coordonné (APRC) des femmes enceintes souffrant de troubles anxiodépressifs et bipolaires et leurs bébés." Thesis, Bourgogne Franche-Comté, 2019. http://www.theses.fr/2019UBFCC019.
Full textIntroduction: Maternal depression is a major public mental health issue. Its impact on pregnancy, the pre- and postnatal development of the infant and the mother-infant relationships are well established. Besides, studies show that women with anxio-depressive and bipolar troubles are at high risk of developing perinatal depression.The last decades, several non-pharmaceutic interventions have been created. In France, the Personalized Interdisciplinary Network Care (PINC) is an example. Even if it is considered as the paradigm of perinatal care for vulnerable parents for more than 40 years, its efficacy has yet to be assessed with a quantitative and qualitative method.Primary objective: to assess the PINC efficacy in limiting adverse maternal and infant outcomes for women with anxio-depressive and bipolar disorders and their babies.Secondary objectives: to assess a) the PINC effects, b) their sustainability at 3, 6 and 9 months postpartum, c) their link to the different intra- (psychopathology, obstetric antecedents, personal resources) and interpersonal (supports) risk and protection factors.Methods: A comparative, longitudinal and prospective study with a mixed protocol in two timepoints:1) Comparison of two groups of women and their infants who received either PINC (clinical group, N=40) or classic obstetric/midwife care (control group, N=30) at 3 months postpartum. For the quantitative part, we measured postpartum depression (EPDS, PDSS, HADS) and anxiety (STAI-Y), general mental health (GHQ) and postpartum post-traumatic stress (PPQ), the infants’ psychomotor development (BLR) and sustained relational withdrawal (ADBB). In addition, we investigated the personal resources (PBI), the social support (SSQ), the dyadic, parental and family relationships (DAS, PAI, QSC, PES, FRI) and the parental efficiency. For the qualitative part, we utilized semi-structured clinical interviews and observations.2) Evaluation of the mother-infant evolution for the clinical group at 3,6 and 9 months postpartum with the same tools and mixed approach as described above.Results: 1) Intergroup comparative analysis: Women and infants whose mothers received PINC showed significantly better outcomes at most measures. At 3 months postpartum, 40% of the PINC mothers developed a postpartum depression (PPD), compared to 73.3% of the controls. Only 22.5% antenatally depressed women of the clinical group developed a PPD, compared to 40% of the controls. Regression analysis showed that the postpartum post-traumatic stress disorder and the antenatal depression were more predictive of PPD for the controls than for the clinical group, while prior history of depression was predictive only for the former. Overall, the babies of the clinical group presented higher scores for the BLR and lower for the ADBB compared to the controls, less psychomotor delay (10% vs 40%) and relational withdrawal (17.5% vs 40%). No correlation was found between the maternal depression and disturbances in the infant’s development for the clinical group.2) Longitudinal follow-up of the clinical group: The maternal symptomatology was improved at all the depression and anxiety-state measures. The positive maternal evolution was reflected on their babies, too (their scores were significantly reduced at the ADBB and increased at the BLR)
Karkun, Sandhya. "Occupational role performance and post-partum depression A pilot exploratory study /." 2005. http://proquest.umi.com/pqdweb?did=1014311391&sid=13&Fmt=2&clientId=39334&RQT=309&VName=PQD.
Full textTitle from PDF title page (viewed on May. 03, 2006) Available through UMI ProQuest Digital Dissertations. Thesis adviser: Nochajski, Susan M. Includes bibliographical references.
Smith, Jeremy W., J. R. Seckl, A. Tudor Evans, Brenda Costall, and James W. Smythe. "Gestational stress induces post-partum depression-like behaviour and alters maternal care in rats." 2004. http://hdl.handle.net/10454/3639.
Full textGestational stress (GS) produces profound behavioural impairments in the offspring and may permanently programme hypothalamic¿pituitary¿adrenal (HPA) axis function. We investigated whether or not GS produced changes in the maternal behaviour of rat dams, and measured depression-like behaviour in the dam, which might contribute to effects in the progeny. We used the Porsolt test, which measures immobility in a forced-swim task, and models depression in rodents, while monitoring maternal care (arched-back nursing, licking/grooming, nesting/grouping pups). Pregnant rats underwent daily restraint stress (1 h/day, days 10¿20 of gestation), or were left undisturbed (control). On post-parturition days 3 and 4, dams were placed into a swim tank, and time spent immobile was measured. GS significantly elevated immobility scores by approximately 25% above control values on the second test day. Maternal behaviours, in particular arched-back nursing and nesting/grouping pups, were reduced in GS dams over post-natal days 1¿10. Adult offspring showed increased immobility in the Porsolt test, and also hypersecreted ACTH and CORT in response to an acute stress challenge. These data show that GS can alter maternal behaviour in mothers, and this might contribute to alterations in the offspring. GS may be an important factor in maternal post-natal depression, which may in turn detrimentally effect the offspring because depressed mothers do not sufficiently care for their offspring.
Ahmed, Sherief. "Association between asthma during pregnancy and postpartum depression." Thèse, 2016. http://hdl.handle.net/1866/19548.
Full textThere is evidence from several epidemiological studies on the increased risk of depression among women with asthma outside of pregnancy. However, we found no studies designed to investigate the association between asthma during pregnancy and postpartum depression. Therefore, the purpose of this study was to assess the association between asthma during pregnancy and postpartum depression. Based on Quebec administrative databases, we constructed a cohort of 35,520 pregnancies from asthmatic women and 197,057 pregnancies from non-asthmatic women who delivered between 1998 and 2009. Asthmatic women were identified using a validated operational definition. Postpartum depression was defined and specified with diagnostic codes for depression from the definition of Statistics Canada recorded in the RAMQ or MED-ECHO databases and assessed 1 year postpartum. A generalized estimating equation model was used to estimate the crude and adjusted odds ratios (ORs) of postpartum depression and 95% confidence intervals (CI) comparing women with and without asthma during pregnancy. The proportion of postpartum depression 1 year after delivery was higher among asthmatic compared to non-asthmatic pregnant women (6.1% vs. 2.9%). After adjusting for potential confounders, we observed that women with asthma were 58% more likely to have postpartum depression (adjusted OR: 1.58; 95%CI, 1.50-1.67) than women without asthma during pregnancy. The findings of our study suggest an increased risk of postpartum depression among asthmatic women. Attention should be given to depressive symptoms in asthmatic women in the year postpartum to detect postpartum depression more rapidly and intervene more efficiently.