Journal articles on the topic 'Postnatal Women'

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1

Singh, Amrita. "Postnatal Health Care among Urban Women." Contemporary Social Sciences 27, no. 2 (April 1, 2018): 132–40. http://dx.doi.org/10.29070/27/57474.

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2

Aderibigbe, Y. A., Oye Gureje, and O. Omigbodun. "Postnatal Emotional Disorders in Nigerian Women." British Journal of Psychiatry 163, no. 5 (November 1993): 645–50. http://dx.doi.org/10.1192/bjp.163.5.645.

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One hundred and sixty-two women were evaluated for psychiatric morbidity in the second trimester of pregnancy and also six to eight weeks postnatally. A sizeable proportion of the women also had a second prenatal assessment in their third trimester and in the lying-in ward shortly after giving birth. Assessments were conducted with the 28-item GHQ. This was initially validated using a subsample of 106 women, taken from the original group, who were interviewed with the PAS. Thirty per cent of the women were ‘cases' at the first prenatal assessment, while only 14% were ‘cases' six to eight weeks postnatally. Thus, even though there was an overlap between prenatal and postnatal morbidity, there was also substantial difference between the groups that were symptomatic at both periods. This observation was reinforced by the low correlation between the mean GHQ scores at both periods. Both prenatal and postnatal morbidities were associated with recent adverse life events, with the latter more likely to be associated with marital and family events. This observation is in support of the view that neurotic problems, prenatally or postnatally, are caused mainly by psychosocial factors.
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Thwaites, Annette, Louise Logan, Anthony Nardone, and Sue Mann. "Immediate postnatal contraception: what women know and think." BMJ Sexual & Reproductive Health 45, no. 2 (November 21, 2018): 111–17. http://dx.doi.org/10.1136/bmjsrh-2018-200078.

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IntroductionPostpartum women are at risk of rapid repeat, unplanned pregnancy with associated adverse outcomes for mother and child. We aimed to better understand their contraceptive needs to improve delivery of services and prevent unplanned pregnancies.MethodsA cross-sectional survey of women on the postnatal ward of an inner-city hospital was administered over a 6-week period in June and July 2017 to determine their level of knowledge, intentions and preferences regarding postnatal contraception.Results272 women were surveyed: 86% of all women on the postnatal ward during the study period. 10% (26/272) had never used any method of contraception previously and 22% (59/272) had ever used a long-acting reversible contraception (LARC) method. 18% (48/272) recalled a health professional speaking to them about contraception at any point during their pregnancy and 32% (87/272) said they needed more information to decide on their postnatal contraceptive method. 54% (147/272) of women did not think any LARC methods were safe immediately postnatally, rising to 71% (194/272) if breastfeeding. However, 47% (129/272) of women said that they would prefer to get their contraception from the ward before discharge and 46% (126/272) were likely to accept LARC, if safe, in this setting.ConclusionsAlmost half the women in our survey would welcome provision of postnatal contraception, including LARC, on the postnatal ward but the women surveyed currently lack the knowledge to make informed choices in this setting. There is therefore a need for effective, tailored contraceptive choices discussions with every woman during pregnancy, as well as integrated planning for postnatal provision of the woman’s chosen method.
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Pritchett, Ruth, Kate Jolly, Amanda J. Daley, Katrina Turner, and Caroline Bradbury-Jones. "Women’s experiences of exercise as a treatment for their postnatal depression: A nested qualitative study." Journal of Health Psychology 25, no. 5 (September 7, 2017): 684–91. http://dx.doi.org/10.1177/1359105317726590.

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Women with postnatal depression are often reluctant to take medication postnatally and access to psychological therapies is limited. Exercise offers a freely available treatment option but depressed mothers’ experience of exercise has not been investigated. We conducted a qualitative study nested within a randomised trial of an exercise intervention for women with postnatal depression. Women described deterioration in their sense of identity postnatally and through experiencing depression and described the positive impact exercise had on their sense of self. Views of exercise as treatment for postnatal depression ranged from doubts about its practicality to positive comparisons with other traditional treatments and to improved recovery.
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5

Comerasamy, Huguette. "Supporting Postnatal Women into Motherhood." Journal of Obstetrics and Gynaecology 28, no. 7 (January 2008): 763. http://dx.doi.org/10.1080/01443610802534031.

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6

Robinson, Jean. "Postnatal depression: why women lie." British Journal of Midwifery 11, no. 11 (November 2003): 679. http://dx.doi.org/10.12968/bjom.2003.11.11.11833.

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7

Kapaya, Habiba, Lucy May, Richard Jacques, and Priya Madhuvrata. "Sensitivity of postnatal fasting plasma glucose in identifying impaired glucose tolerance in women with gestational diabetes – 25 Years’ data." Obstetric Medicine 10, no. 3 (May 12, 2017): 125–31. http://dx.doi.org/10.1177/1753495x17702786.

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Objective To assess the uptake of postnatal oral glucose tolerance test and to determine the sensitivity of fasting postnatal blood sugar in predicting 2-h impaired glucose tolerance. Methods Retrospective study of 1961 women diagnosed with gestational diabetes mellitus. All women were offered oral glucose tolerance test six weeks post-delivery. Results Of 1961 women, 1090 (56%) returned for postpartum oral glucose tolerance test. A fasting plasma glucose of ≥6.1 mmol/l identified only 76 of 167 women with impaired glucose tolerance detected by a 2-h oral glucose tolerance test (sensitivity of 45.5%; 95%CI: 38.1–53.1). We observed a normal fasting glucose but an impaired 2-h glucose tolerance in 91 out of 968 (9.4%) women. Asian ethnicity, admission on special care baby unit and antenatal insulin therapy strongly predicted 2-h impaired postnatal blood glucose levels (P < 0.05). Conclusion Although fasting plasma glucose is a convenient method, it lacks sensitivity in identifying women with impaired glucose tolerance postnatally.
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8

Smith, Holly Christina, Sonia Saxena, and Irene Petersen. "Postnatal checks and primary care consultations in the year following childbirth: an observational cohort study of 309 573 women in the UK, 2006–2016." BMJ Open 10, no. 11 (November 2020): e036835. http://dx.doi.org/10.1136/bmjopen-2020-036835.

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ObjectiveTo describe women’s uptake of postnatal checks and primary care consultations in the year following childbirth.DesignObservational cohort study using electronic health records.SettingUK primary care.ParticipantsWomen aged 16–49 years who had given birth to a single live infant recorded in The Health Improvement Network (THIN) primary care database in 2006–2016.Main outcome measuresPostnatal checks and direct consultations in the year following childbirth.ResultsWe examined 1 427 710 consultations in 309 573 women who gave birth to 241 662 children in 2006–2016. Of these women, 78.7% (243 516) had a consultation at the time of the postnatal check, but only 56.2% (174 061) had a structured postnatal check documented. Teenage women (aged 16–19 years) were 12% less likely to have a postnatal check compared with those aged 30–35 years (incidence rate ratio (IRR) 0.88, 95% CI 0.85 to 0.91) and those living in the most deprived versus least deprived areas were 10% less likely (IRR 0.90, 95% CI 0.88 to 0.92). Women consulted on average 4.8 times per woman per year and 293 049 women (94.7%) had at least one direct consultation in the year after childbirth. Consultation rates were higher for those with a caesarean delivery (7.7 per woman per year, 95% CI 7.7 to 7.8). Consultation rates peaked during weeks 5–10 following birth (11.8 consultations/100 women) coinciding with the postnatal check.ConclusionsTwo in 10 women did not have a consultation at the time of the postnatal check and four in 10 women have no record of receiving a structured postnatal check within the first 10 weeks after giving birth. Teenagers and those from the most deprived areas are among the least likely to have a check. We estimate up to 350 400 women per year in the UK may be missing these opportunities for timely health promotion and to have important health needs identified following childbirth.
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COOPER, CARLY, LISA JONES, EMMA DUNN, LIZ FORTY, SAYEED HAQUE, FEMI OYEBODE, NICK CRADDOCK, and IAN JONES. "Clinical presentation of postnatal and non-postnatal depressive episodes." Psychological Medicine 37, no. 9 (March 12, 2007): 1273–80. http://dx.doi.org/10.1017/s0033291707000116.

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ABSTRACTBackgroundThe relationship of postnatal (postpartum) depression (PND) to episodes of depression occurring at other times is not well understood. Despite a number of studies of clinical presentation, there is little consistency in the literature. We have undertaken within- and between-individual comparisons of the clinical presentation of postnatal (PN) and non-postnatal (NPN) depressive episodes in women with recurrent depression.MethodIn a sample of well-characterized, parous women meeting DSM-IV and ICD-10 criteria for recurrent major depressive disorder, the clinical presentation of episodes of major depression with onset within 4 weeks of giving birth (PND group, n=50) were compared with (i) the non-postnatal episodes of women with PND, and (ii) episodes of major depression in parous women who had not experienced episodes of mood disorder in relation to childbirth (NPND group, n=132). In addition, the non-postnatal episodes of the PND group of women were compared with the depressive episodes of the NPND group.ResultsThe small number of differences found between PN and NPN depressive episodes, such as reduced early morning wakening in postnatal episodes, are likely to be explicable by the context of having a new baby rather than by any difference in the nature of the underlying depression.ConclusionsThe results do not point to substantial differences in clinical presentation between episodes of major depression occurring in relation to childbirth and at other times. Other avenues of research are therefore required to demonstrate a specific relationship between childbirth and depression.
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McLeish, Jenny, Merryl Harvey, Maggie Redshaw, Jane Henderson, Reem Malouf, and Fiona Alderdice. "First-Time Mothers’ Expectations and Experiences of Postnatal Care in England." Qualitative Health Research 30, no. 12 (September 17, 2020): 1876–87. http://dx.doi.org/10.1177/1049732320944141.

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Postnatal care is the aspect of maternity care with which women in England are least satisfied. Little is known about first-time mothers’ expectations of postnatal care, or how these expectations relate to their experiences and appraisal of care. Thirty-two first-time mothers took part in a longitudinal qualitative descriptive study, based on two semi-structured interviews—the first in pregnancy, and the second 2 to 3 months after birth. Trajectory analysis was used to identify the thematic patterns in the relationships between postnatal care expectations, needs, experiences, and confidence. Five trajectories were identified, showing that mothers’ satisfaction with postnatal care and confidence were primarily influenced not by the extent to which their expectations were met but the varied extent to which their individual postnatal needs were met. Rapid and responsive assessment of needs both antenatally and postnatally, and appropriate adjustment of care, is key in supporting women effectively at this time.
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11

Goga, Ameena Ebrahim. "Infant feeding and HIV." Southern African Journal of HIV Medicine 10, no. 4 (December 14, 2009): 20. http://dx.doi.org/10.4102/sajhivmed.v10i4.258.

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Recent studies on antiretroviral prophylaxis during breastfeeding show that maternal HAART (alone or with 1,4 or 24 weeks infant prophylaxis) or infant prophylaxis alone (with limited maternal prophylaxis) for 6, 14 or 24 weeks reduces HIV transmission through breastmilk (postnatal transmission). Maternal postnatal regimens appear to be as efficacious as infant postnatal regimens, although one study shows a trend favouring infant nevirapine over maternal HAART (both used from 1 week to 6 months post-delivery). These new findings necessitate a review of existing PMTCT interventions, and the immediate implementation of regimens that reduce postnatal transmission - where this is feasible – to save children’s lives. In the public sector, whilst stakeholders engage in discussions about which is the best regimen to minimise postnatal transmission SSSUPPORT should be given to all HIV-positive women, as explained below, to improve infant outcomes and reduce postnatal transmission: Screen all women for HIV, Send off CD4 cell counts on all HIV-positive women, Screen all HIV-positive women for AFASS using a standardised tool (e.g. Table 3); Understand the woman’s personal and socio-cultural context; Promote exclusive or predominant breastfeeding if all AFASS criteria are not met; Promote exclusive formula feeding if all AFASS criteria are met; Organise supplies of formula milk and cotrimoxazole; Review mothers and infants in the first 3 days post-delivery, in the first two weeks postnatally and monthly thereafter, and review health and feeding practices, regardless of feeding choice, at every visit; lastly Treat all pregnant women with HAART if they meet national criteria for HAART initiation.
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Ludermir, Ana Bernarda, Ricardo Araya, Thália Velho Barreto de Araújo, Sandra Alves Valongueiro, and Glyn Lewis. "Postnatal depression in women after unsuccessful attempted abortion." British Journal of Psychiatry 198, no. 3 (March 2011): 237–38. http://dx.doi.org/10.1192/bjp.bp.109.076919.

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SummaryA population-based cohort study investigated postnatal depression in Brazilian women who attempted an abortion. Participants' views and actions on abortion were assessed during pregnancy and postnatal depression was evaluated with the Edinburgh Postnatal Depression Scale. An unsuccessful abortion attempt was associated with postnatal depression (adjusted OR = 1.6, 95% CI 1.0–2.5). In Brazil abortion is illegal under most circumstances.
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13

Mitchell-Jones, Nicola, Kim Lawson, Shabnam Bobdiwala, Jessica Alice Farren, Aurelio Tobias, Tom Bourne, and Cecilia Bottomley. "Association between hyperemesis gravidarum and psychological symptoms, psychosocial outcomes and infant bonding: a two-point prospective case–control multicentre survey study in an inner city setting." BMJ Open 10, no. 10 (October 2020): e039715. http://dx.doi.org/10.1136/bmjopen-2020-039715.

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ObjectivesTo assess if there is any association between hyperemesis gravidarum (HG), psychological morbidity and infant bonding and to quantify any psychosocial consequences of HG.DesignTwo-point prospective case–control, multicentre survey study with antenatal and postnatal data collection.SettingThree London hospitals.ParticipantsPregnant women at ≤12 completed weeks gestation recruited consecutively over 2 years. Women with HG were recruited at the time of admission; controls recruited from a low risk antenatal clinic. 106 women were recruited to the case group and 108 to the control. Response rates at antenatal data collection were 87% and 85% in the case and control groups, respectively. Postnatally, the response rate was 90% in both groups.Primary and secondary outcome measuresPrimary outcomes were psychological morbidity in the antenatal and postnatal periods, infant bonding in the postnatal period and psychosocial implications of HG. Secondary outcomes were the effects of severity and longevity of HG and assessment of correlation between Edinburgh Postnatal Depression Scale scores and maternal-to-infant bonding scores.ResultsAntenatally, 49% of cases had probable depression compared with 6% of controls (OR 14.4 (5.29 to 39.44)). Postnatally, 29% of cases had probable depression versus 7% of controls (OR 5.2 (1.65 to 17.21)). There was no direct association between HG and infant bonding. 53% of women in the HG group reported needing four or more weeks of sick leave compared with 2% in the control group (OR 60.5 (95% CI 8.4 to 2535.6)).ConclusionsLong-lasting psychological morbidity associated with HG was evident. Significantly more women in the case group sought help for mental health symptoms in the antenatal period, however very few were diagnosed with or treated for depression in pregnancy or referred to specialist perinatal mental health services. HG did not directly affect infant bonding. Women in the case group required long periods off work, highlighting the socioeconomic impact of HG.
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14

Barry, Domini. "Dramatherapy for Women with Postnatal Depression." Dramatherapy 28, no. 3 (December 2006): 3–9. http://dx.doi.org/10.1080/02630672.2006-2007.9689701.

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15

Ozdemir, Hakan, Nilufer Ergin, Kerem Selimoglu, and Nazan Bilgel. "Postnatal depressive mood in Turkish women." Psychology, Health & Medicine 10, no. 1 (February 2005): 96–107. http://dx.doi.org/10.1080/135485005123315407.

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16

Lee, Dominic T. S., S. K. Yip, Helen F. K. Chiu, Tony Y. S. Leung, Kathy P. M. Chan, Irene O. L. Chau, Henry C. M. Leung, and Tony K. H. Chung. "Detecting postnatal depression in Chinese women." British Journal of Psychiatry 172, no. 5 (May 1998): 433–37. http://dx.doi.org/10.1192/bjp.172.5.433.

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BackgroundWe evaluated the utility of the Chinese version of the Edinburgh Postnatal Depression Scale (EPDS) and measured the prevalence of major depression six weeks after confinement among Chinese women in Hong Kong.MethodA prospective cohort of 145 women completed the EPDS, the 12-item General Health Questionnaire (GHQ) and the Beck Depression Inventory (BDI) six weeks after giving birth. They were then assessed with the Structured Clinical Interview for DSM–III–R, non-patient version (SCID–NP) to establish psychiatric diagnosis. The criterion validity of EPDS was tested against this clinical diagnosis, and the concurrent validity against the GHQ and BDI scores was also evaluated. The internal consistency of the scales was measured by Cronbach's α coefficient.ResultsThe Chinese EPDS had satisfactory psychometric properties and a cut-off score of 9/10 is recommended for screening depressive illness in a general postnatal population. At six weeks postpartum, 5.5% of the study population suffered from major depression.ConclusionsThe Chinese EPDS will be useful for screening for postnatal depression.
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Stamp, Georgina E., Anne Sved Williams, and Caroline A. Crowther. "Predicting Postnatal Depression Among Pregnant Women." Birth 23, no. 4 (December 1996): 218–23. http://dx.doi.org/10.1111/j.1523-536x.1996.tb00498.x.

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18

Smith, Janet. "Supporting Postnatal Women into MotherhoodSupporting Postnatal Women into Motherhood Bertram Lynn Radcliffe 214 £21.95 1857757330 1857757330." Mental Health Practice 12, no. 7 (April 28, 2009): 9. http://dx.doi.org/10.7748/mhp.12.7.9.s13.

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Bratt, Ewa-Lena, Stina Järvholm, Britt-Marie Ekman-Joelsson, Antje Johannsmeyer, Sven-Åke Carlsson, Lars-Åke Mattsson, and Mats Mellander. "Parental reactions, distress, and sense of coherence after prenatal versus postnatal diagnosis of complex congenital heart disease." Cardiology in the Young 29, no. 11 (September 16, 2019): 1328–34. http://dx.doi.org/10.1017/s1047951119001781.

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AbstractIntroduction:A diagnosis of congenital heart disease (CHD) in offspring triggers psychological distress in parents. Results of previous studies have been inconsistent regarding the psychological impact of a prenatal versus a postnatal diagnosis. The aim of this study was to evaluate the influence of the time of diagnosis on levels of parental distress.Methods:Pregnant women and their partners with a fetus diagnosed with complex CHD, parents of children with postnatally diagnosed CHD, and pregnant women and their partners with uncomplicated pregnancies were invited to participate. Data were collected during pregnancy and 2–6 months after delivery using the Hospital Anxiety and Depression Scale, sense of coherence, life satisfaction, and Dyadic Adjustment Scale.Results:During pregnancy, the prenatal group scored lower sense of coherence compared to controls (p=0.044). Postnatally the prenatal group scored lower on sense of coherence compared to the postnatal group and controls (p=0.001; p=0.001). Postnatally, the prenatal and postnatal groups had higher levels of anxiety compared to controls (p=0.025; p=0.0003). Life satisfaction was lower in the prenatal group compared to that in the postnatal group and in controls (p=0.000; p=0.0004).Conclusion:Parents with a prenatal diagnosis of CHD in offspring report a low sense of coherence already during pregnancy which decreased further at follow-up. The same group reported a lower satisfaction with life compared to parents of a child with postnatal diagnosis of CHD and parents of a healthy child. This motivates further efforts to improve counselling and support during pregnancy and for parents after a prenatal diagnosis.
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Turegeldieva, A. S., and S. A. Amitov. "Identification, systematization and analysis of the reasons for postnatal depression in women." BULLETIN Series of Sociological and Political sciences 70, no. 2 (June 25, 2020): 57–64. http://dx.doi.org/10.51889/2020-2.1728-8940.09.

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This article is aimed at identifying, systematizing and analyzing the causes of postnatal depression in women. Despite the seeming limitations, this is a rather serious problem of a socio-psychological nature. Indeed, the manifestations of postnatal depression significantly affect not only the woman herself, but also her child, her other children, her husband, i.e. for the whole family. The feeling of social isolation in women who gave birth is very sharply reflected in her psyche, especially among successful women.
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Kammerer, M., A. Taylor, N. Khalife, K. O’Donnell, M. Marks, and V. Glover. "Diurnal pattern of cortisol and amylase output in postnatal depression." European Psychiatry 26, S2 (March 2011): 1099. http://dx.doi.org/10.1016/s0924-9338(11)72804-8.

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ObjectiveThis study investigated the diurnal output of saliva cortisol and saliva amylase in women with symptoms of depression postnatally.MethodTwenty one depressed and 30 non depressed women at 7.5 weeks postpartum, and 21 non perinatal controls, collected saliva at waking, 30 minutes, and three and twelve hours post waking.ResultsWomen who were not depressed postnatally showed a pattern of cortisol secretion over the day similar to non perinatal controls. There was a significant difference in diurnal pattern between postnatally depressed and postnatally non depressed women, due to a difference in the first two time points (waking and +30 mins): compared to the other two groups who each had a significant increase in cortisol levels from waking to +30 minutes, the depressed women had significantly higher cortisol levels at waking and no increase at +30 minutes. Analyses of amylase are underway and will be presented.ConclusionThe lack of a morning rise in the depressed women is similar to that reported for Post-traumatic Stress Disorder and chronic fatigue syndrome and may reflect a response, in vulnerable women, to the marked cortisol withdrawal that occurs after delivery. Alternatively it could be a trait marker for women at risk of developing postnatal depression.
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Reardon, Rhona, and Sarah Grogan. "Talking about smoking cessation with postnatal women: exploring midwives' experiences." British Journal of Midwifery 27, no. 12 (December 2, 2019): 760–66. http://dx.doi.org/10.12968/bjom.2019.27.12.760.

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This study explores midwives' experiences of talking to postnatal women about smoking cessation. Face-to-face, semi-structured interviews were held with seven midwives based in the UK. Thematic analysis identified themes which provided understanding as to factors determining discussion of smoking cessation. Six themes were identified, namely postnatal women factors, midwife factors, providing information, involving others, priorities, and whole family approach. Implications for midwives working with postnatal women are discussed, including the need to increase the involvement of other healthcare professionals in supporting postnatal women to stop smoking.
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Cox, J. "Validation of the Edinburgh postnatal depression scale (EPDS) in non-postnatal women." Journal of Affective Disorders 39, no. 3 (July 29, 1996): 185–89. http://dx.doi.org/10.1016/0165-0327(96)00008-0.

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Faria-Schützer, Débora Bicudo, Fernanda Garanhani Surita, Larissa Rodrigues, Daiane Sofia de Morais Paulino, and Egberto Ribeiro Turato. "Self-care and Health Care in Postpartum Women with Obesity: A Qualitative Study." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 42, no. 01 (January 2020): 019–25. http://dx.doi.org/10.1055/s-0039-3400456.

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Abstract Objective To explore the experiences of women with obesity regarding self-care and the care provided by their families and health team after childbirth. Methods A clinical qualitative study performed at the Postnatal Outpatient Clinic of Hospital da Mulher, Universidade Estadual de Campinas, Brazil. The sample was selected using the saturation criteria, with 16 women with obesity up to 6 months after childbirth. Results The analysis comprised three categories: 1) postnatal self-care; 2) family support for woman after childbirth; and 3) postnatal health care service for women with obesity. Conclusion Women with obesity need support from the health team and from their families after childbirth, when they are overwhelmed by the exhausting care for the newborn. The present study reveals how important it is for health care professionals to broaden their perception and care provided after childbirth for women with obesity so they may experience an improvement in their quality of health and of life.
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Jones, Lisa, Jan Scott, Caroline Cooper, Liz Forty, Katherine Gordon Smith, Pak Sham, Anne Farmer, Peter McGuffin, Nick Craddock, and Ian Jones. "Cognitive style, personality and vulnerability to postnatal depression." British Journal of Psychiatry 196, no. 3 (March 2010): 200–205. http://dx.doi.org/10.1192/bjp.bp.109.064683.

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BackgroundOnly some women with recurrent major depressive disorder experience postnatal episodes. Personality and/or cognitive styles might increase the likelihood of experiencing postnatal depression.AimsTo establish whether personality and cognitive style predicts vulnerability to postnatal episodes over and above their known relationship to depression in general.MethodWe compared personality and cognitive style in women with recurrent major depressive disorder who had experienced one or more postnatal episodes (postnatal depression (PND) group, n=143) with healthy female controls (control group, n=173). We also examined parous women with recurrent major depressive disorder who experienced no perinatal episodes (non-postnatal depression (NPND) group, n=131).ResultsThe PND group had higher levels of neuroticism and dysfunctional beliefs, and lower self-esteem than the control group. However, there were no significant differences between the PND and NPND groups.ConclusionsEstablished personality and cognitive vulnerabilities for depression were reported by women with a history of postnatal depression, but there was no evidence that any of these traits or styles confer a specific risk for the postnatal onset of episodes.
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Murray, Declan, John L. Cox, Gail Chapman, and Peter Jones. "Childbirth: Life Event or Start of a Long-Term Difficulty?" British Journal of Psychiatry 166, no. 5 (May 1995): 595–600. http://dx.doi.org/10.1192/bjp.166.5.595.

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BackgroundThis paper reports further data from the Stoke study of postnatal depression and examines whether psychosocial characteristics and symptom profiles differ between postnatal and control depression.MethodTwo hundred and thirty-two postnatal and non-postnatal control women were screened with the Edinburgh Postnatal Depression Scale; all high scorers and a sample of low scorers were interviewed with the Standardised Psychiatric Interview and modified Social Maladjustment Schedule. Depression was diagnosed using the Research Diagnostic Criteria.ResultsPostnatal but not control depression was associated with a poor relationship with the woman's own mother and greater occupational instability. Depression in control women was associated with low income, having three or more children, performing manual work and occupational dissatisfaction, but postnatal depression was not. There were no differences in the symptom profiles of the postnatal and control women nor between early and late onset postnatal depression.ConclusionDepression is a common and socially disabling disorder affecting mothers of young children. Postnatal depression is more contingent on acute biopsychosocial stresses caused by the arrival of a new family member. Depression in women with older children is more closely related to longer term social adversity.
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Al Rawahi, Aisha, Maisa H. Al Kiyumi, Raya Al Kimyani, Iman Al-Lawati, Sathiya Murthi, Robin Davidson, Abdullah Al Maniri, and Mohammed Al Azri. "The Effect of Antepartum Depression on the Outcomes of Pregnancy and Development of Postpartum Depression: A prospective cohort study of Omani women." Sultan Qaboos University Medical Journal [SQUMJ] 20, no. 2 (June 28, 2020): 179. http://dx.doi.org/10.18295/squmj.2020.20.02.008.

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Objectives: This study aimed to identify the relationship between antenatal depression and pregnancy outcomes, including the risk of developing postpartum depression in Oman. Methods: This follow-up prospective longitudinal cohort study included pregnant women attending primary healthcare institutions in Muscat, Oman from January to November 2014. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for antenatal and postnatal depression. Pregnant Omani women with a gestational age ≥32 weeks attending 12 local health centres for antenatal care in Muscat were invited to participate. Recruited women were followed-up at 6–8 weeks after delivery. The following pregnancy outcomes were assessed: mode of delivery (normal or Caesarean section [CS]), gestational age at delivery (preterm or fullterm), baby’s birth weight and development of postnatal depression. Results: A total of 959 women participated in this study (response rate: 97.3%). In total, 233 women (24.4%) had antenatal depression with a score of ≥13 on the EPDS. Of the 592 participants (61.7%) who attended postnatal clinics at 6–8 weeks post-delivery, 126 (21.3%) were positive for postnatal depression. Logistic multivariate regression analysis showed that antenatal depression was associated with increased risk of CS (odds ratio [OR] = 1.79; 95% confidence interval [CI]: 1.20–2.66) and postnatal depression (OR = 8.63; 95% CI: 5.56–13.39). Conclusion: Screening women for antenatal depression and providing appropriate management may reduce adverse pregnancy outcomes and the risk of developing postnatal depression.Keywords: Depression; Postnatal depression; Women Health Services; Maternal Health Services; Pregnancy; Primary Health Care; Oman.
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Pascal, Marie C., and Caroline S. E. Homer. "Models of Postnatal Care for Low-Income Countries: A Review of the Literature Abstract." International Journal of Childbirth 6, no. 2 (2016): 104–32. http://dx.doi.org/10.1891/2156-5287.6.2.104.

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PURPOSE:This review aims to identify the key features of effective models of postnatal care involving midwifery personnel and to determine which models may be appropriate for implementation in low-income countries.STUDY DESIGN:A narrative synthesis of English language, peer-reviewed articles from 2004 to 2014 was undertaken. Four online library databases were searched. Inclusion/exclusion criterion and a quality appraisal were applied.MAJOR FINDINGS:Twenty-two studies were included in the review, but only 4 were from low-income countries. Midwifery-led models of postnatal care are cost-effective to provide high-quality care in every settings for every women in respect of 2 core components of quality care that are woman-centered care and continuity of care. Midwifery postnatal care is provided at hospital, in community settings, and at home, all presenting different strengths and weaknesses. Combinations of models of midwifery postnatal care and collaboration between stakeholders have had positive impacts on the quality of postnatal care. To be completely effective, this requires a better management and support of midwifery personnel though. Women and midwifery personnel’s satisfaction needs to be considered to identify the local means and needs and to plan a suitable model of midwifery postnatal care at each location.MAIN CONCLUSION:Low-income countries could develop a midwifery-led model of postnatal care. This will require identifying women and midwifery personnel’s needs and the available resources and involving the stakeholders collaboratively to provide a suitable model of midwifery postnatal care. Education and practice will need to be addressed as well as promotion to the population. There is a need to conduct more research on midwifery postnatal care in low-income countries to evaluate how to best use them and what aspect of the midwifery postnatal care can be strengthened.
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Webster, M. Louise, John M. D. Thompson, Edwin A. Mitchell, and John S. Werry. "Postnatal Depression in a Community Cohort." Australian & New Zealand Journal of Psychiatry 28, no. 1 (March 1994): 42–49. http://dx.doi.org/10.3109/00048679409075844.

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A community cohort of 206 European and Maori women completed a questionnaire screening for postnatal depression at 4 weeks postpartum. The prevalence of major depressive disorder amongst the women was 7.8% with a further 13.6% of women experiencing more minor depressive symptoms. Postnatal depression was more likely to occur in women who were single, were less than 20 years old at the birth of their first child, were unhappy with their relationship with their partner, had a history of previous psychiatric hospitalisation, and were Maori. Women who were depressed were more likely to show a lack of enjoyment of and less positive attitude towards their infant. The study highlights the value of screening for postnatal depression with a simple questionnaire, as few depressed women would have been otherwise recognised.
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Munro, Kerry, Anwen Gorry, and Samantha Montes. "387. Postnatal hypertension – What do women want?" Pregnancy Hypertension 13 (October 2018): S141—S142. http://dx.doi.org/10.1016/j.preghy.2018.08.421.

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Kit, Lee Kick, Grace Janet, and Ravindran Jegasothy. "Incidence of Postnatal Depression in Malaysian Women." Journal of Obstetrics and Gynaecology Research 23, no. 1 (February 1997): 85–89. http://dx.doi.org/10.1111/j.1447-0756.1997.tb00811.x.

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Reynolds, Shelley I. "Deep vein thrombosis: are postnatal women aware?" British Journal of Midwifery 12, no. 10 (October 2004): 636–40. http://dx.doi.org/10.12968/bjom.2004.12.10.16102.

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Cassell, D. M., and R. M. Coleman. "Care of women with postnatal mental illness." BMJ 303, no. 6796 (July 27, 1991): 250. http://dx.doi.org/10.1136/bmj.303.6796.250-b.

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Neupane, Subas, and David Doku. "Utilization of Postnatal Care Among Nepalese Women." Maternal and Child Health Journal 17, no. 10 (January 5, 2013): 1922–30. http://dx.doi.org/10.1007/s10995-012-1218-1.

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Sinclair, Dana, and Lynne Murray. "Effects of postnatal depression on children's adjustment to school." British Journal of Psychiatry 172, no. 1 (January 1998): 58–63. http://dx.doi.org/10.1192/bjp.172.1.58.

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BackgroundLittle is known of the behavioural adjustment of children of postnatally depressed mothers. Previous studies have relied on maternal reports, and have produced inconsistent findings.MethodIn a prospective, longitudinal study of the five-year-old children of a community sample of postnatally depressed and well women, evidence was collected concerning the children's adjustment in the context of school, teachers being asked to complete questionnaires after the children had finished their first term.ResultsFamily social class and the child's gender had the most pervasive influences on adjustment. However, both postnatal and recent maternal depression were associated with significantly raised levels of child disturbance, particularly among boys and those from lower social class families.ConclusionsThe findings indicate a persistent effect of postnatal depression on child adjustment. They highlight the need for resources devoted to supporting mothers of young children and particularly routine screening and treatment for postnatal mood disorder.
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Han, Jeong-Won, and Da-Jung Kim. "Longitudinal Relationship Study of Depression and Self-Esteem in Postnatal Korean Women Using Autoregressive Cross-Lagged Modeling." International Journal of Environmental Research and Public Health 17, no. 10 (May 25, 2020): 3743. http://dx.doi.org/10.3390/ijerph17103743.

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Individuals with low self-esteem are vulnerable to depression. Depressed individuals process information related to themselves in a distorted way, thereby negatively affecting their self-esteem. The purpose of this study was to examine the relationship between depression and self-esteem in postnatal Korean women using longitudinal data and an autoregressive cross-lagged analysis. This study was conducted in postpartum women who had consistently participated in the Panel Study on Korean Children (PSKC) from Wave 1 through to Wave 8. The study results showed that depression and self-esteem in postnatal women had a significant positive correlation over time. Moreover, the longitudinal relationship between depression and self-esteem in postnatal women was affected by weight gain during pregnancy. This study overcomes the limitations of cross-sectional studies by using longitudinal data on the correlations between depression and self-esteem in postnatal women; the study findings may be used in developing weight control programs for pregnant and postnatal women.
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Kumar, Suman, Ayesha Ahmad, and Tamkin Khan Rabbani. "Epilepsy: Special Consideration in Women." International Journal of Infertility & Fetal Medicine 6, no. 1 (2015): 11–14. http://dx.doi.org/10.5005/jp-journals-10016-1094.

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ABSTRACT Epilepsy is one of the most common chronic neurological disorder complicating pregnancy. The article reviews various management issues in women in preconceptional, antenatal and postnatal period. An online search was carried out for articles on epilepsy in women and different aspects relating to contraception, conception, antenatal, intranatal and postnatal management. The available guidelines on the subject were also reviewed. How to cite this article Ahmad A, Rabbani TK, Kumar S. Epilepsy: Special Consideration in Women. Int J Infertil Fetal Med 2015; 6(1):11-14.
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Hall, Sonia. "Supporting postnatal women into motherhood Lynn Bertram Supporting postnatal women into motherhood Radcliffe Publishing 214pp £21.95 9781857757330 1857757335." Primary Health Care 19, no. 5 (June 6, 2009): 11. http://dx.doi.org/10.7748/phc.19.5.11.s12.

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Gill, Poonam, Amrita Gaurav, Kavita Khoiwal, Om Kumari, Anupama Bahadur, Aanchal Agarwal, Sandipan Chowdhuri, and Jaya Chaturvedi. "Cervical Cancer Screening in Pregnancy and Postpartum: A North Indian Hospital Based Prospective Observational Study." Asian Pacific Journal of Cancer Biology 5, no. 3 (September 15, 2020): 99–106. http://dx.doi.org/10.31557/apjcb.2020.5.3.99-106.

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Introduction: In India, cervical cancer stands as the 2nd most common female cancer and it is the 2nd most leading cause of deaths in women aged 15 to 44 years. The first visit to the gynecologist for most of the women in India is during pregnancy, thereby making it a fair opportunity for the screening of premalignant and malignant cervical disease. Methods: A prospective observational study was conducted in the Department of Obstetrics and Gynaecology, AIIMS, Rishikesh, Uttarakhand, India from January 2018 to January 2019. The Pap smear testing of 237 spontaneously conceived antenatal women, aging between 20 to 35 years was performed. The same women were followed up for postnatal testing after 6 weeks of delivery. Results: Out of 237, 8 women were reported positive for pre malignant lesions of cervix in the antenatal testing, 5 cases of ASCUS, 1 case of AGC, 1 case of ASC-H & 1 case of HSIL. In the postnatal Pap smear testing, 37 women were lost to follow-up including 1 case of ASCUS. Postnatal Pap smear testing of the remaining 200 women showed that 193 women who were reported NILM in the antenatal period remained unchanged in the postnatal screening too. Out of the 7 women who tested positive, 4 cases of ASCUS, 1 case of AGC and 1 case of ASC-H showed regression, giving result as NILM in the postnatal screening test. Out of the 7 positive antenatal tests, 1 case which was reported as HSIL in the antenatal screening, remained unchanged in the postnatal period.Conclusion: The study concluded that there is significant regression (p<0.01) of Positive Pap smear findings from antenatal to postnatal period. Hence, it is imperative to repeat Pap smear test in postnatal period.
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Mohammad, Khitam, Eqbal Al-Farajat, Debra Creedy, and Jenny Gamble. "Sociocultural factors associated with the development of postnatal anxiety symptoms." British Journal of Midwifery 27, no. 6 (June 2, 2019): 362–67. http://dx.doi.org/10.12968/bjom.2019.27.6.362.

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Background Postnatal anxiety is relatively common when transitioning to parenthood; however, there are relatively few studies assessing postnatal anxiety in Middle Eastern women. Aim To identify the prevalence of postnatal anxiety among Jordanian women and associated sociocultural factors. Method A descriptive cross-sectional design was used with 324 women. Participants completed the Depression, Anxiety, and Stress Scale (DASS) and Maternity Social Support Scale at 6-8 weeks postpartum in addition to a sociodemographic data form. Findings Some 45.4% of women scored above ‘mild’ on the DASS scale. Postnatal anxiety was significantly associated with low levels of support, giving birth to a female baby, financial difficulties, and having four or more children. Findings revealed a high level of postnatal anxiety among Jordanian women. Conclusion There is a need for routine assessment, ongoing support, counselling and emotional care, which are important to enhance maternal satisfaction and psychological wellbeing.
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G., Rashmi A., and Shubhashri N. S. "Validation of Edinburgh post natal depression scale in post-natal woman from a tertiary referral center in South India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 9, no. 8 (July 23, 2020): 3439. http://dx.doi.org/10.18203/2320-1770.ijrcog20203338.

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Background: Pregnancy and childbirth are two most important life-changing events. Post-partum depression can affect mother and has a wide spectrum of presentation depending upon various social factors. Studies suggest that the incidence of postnatal depression among women of high social strata is 13-19% while the incidence is 11-42% among women with limited social support. The present study aims to study postnatal depression and its causes in a postnatal mother in all the aspects of social, physical, cultural and psychiatric grounds in the Indian scenario with the help of the Edinburgh postnatal depression scale (EPDS).Methods: From 1st July 2019 to 31st December 2019, a total 300 postnatal women between 1 to 6 weeks of the postpartum period participated and during their stay in the hospital responded to EPDS. The study was purposive sampling, and full consent of the study subjects was taken before the start of the study.Results: In this study, we found 20.1% of a woman affected by post-partum in South India. The higher percentage of severe depression was seen in the primary gravida (20%). The risk factors such as availability of postnatal care (with NICU admission), the woman with medical complications, late childbirth or delayed childbirth after marriage, multiparity, delivery via caesarean and nuclear family showed significant relationship (p<0.005) with depression.Conclusions: The present study, with a Post-natal depression of 20.1% along with the enumerated risk factors, suggest that the causes for postpartum depression (PPD) among working Indian woman, reflect a change to an urban-centric lifestyle. Further evaluation of these risk factors needs to be made and a routine screening of Postpartum depression (PPD) can help in improving maternal and child health.
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Sutter-Dallay, A. L., V. Giaconne-Marcesche, E. Glatigny-Dallay, and H. Verdoux. "Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort." European Psychiatry 19, no. 8 (December 2004): 459–63. http://dx.doi.org/10.1016/j.eurpsy.2004.09.025.

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AbstractObjective– Studies have suggested that women with pregnancy anxiety may be at greater risk of postnatal depression (PND). However, due to the high comorbidity between anxiety and depressive disorders, this finding may be confounded by the association between prenatal depression and postnatal depression. The aim of the present prospective study was to assess whether anxiety disorder (AD) during pregnancy is an independent predictor of intensity of postnatal depressive symptoms.Method.– The MATQUID cohort survey was conducted on pregnant women (n = 497) attending a state maternity hospital. Psychiatric status during pregnancy was assessed during the third trimester using a structured diagnostic interview. Intense postnatal depressive symptoms at 6 weeks post-partum were defined by a score >12 on the Edinburgh Postnatal Depression Scale (EPDS).Results.– Nearly one out of four women (24.1%) presented with at least one pregnancyAD, and 29 (5.8%) presented with a score >12 on the EPDS. After adjustment for presence of major depression during pregnancy and other confounding factors, women with pregnancy AD were nearly three times more likely to present with intense postnatal depressive symptoms (OR = 2.7, 95%CI 1.1-6.3, P = 0.03).Conclusion.– Promoting the recognition and management of AD in pregnant women may be of interest for the prevention of postnatal depression.
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Peltzer, K., and M. E. Shikwane. "Prevalence of postnatal depression and associated factors among HIV-positive women in primary care in Nkangala district, South Africa." Southern African Journal of HIV Medicine 12, no. 4 (December 1, 2011): 24. http://dx.doi.org/10.4102/sajhivmed.v12i4.168.

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Background. The prevalence of postpartum depression in South Africa is high, but there is lack of prevalence data on postnatal depression among HIV-infected women. Aim. The aim of this study was to determine the prevalence of depressed mood and associated factors in postnatal HIV-positive women in primary care facilities in Nkangala district, Mpumalanga, South Africa. Methods. This cross-sectional study was carried out on 607 HIV-positive postnatal women in 48 primary health care clinics and community health centres in Nkangala district. Postnatal women were recruited by systematic sampling (every consecutive patient over a period of 2 months). Demographic and other data were obtained from all the women who responded to a questionnaire in the local language on male involvement, HIV test disclosure, delivery and infant profile, infant HIV diagnosis, stigma, discrimination, postnatal depression, attendance of support groups and social support. Results. Overall, 45.1% of women reported a depressed mood in the postnatal period. Depressed mood in a multivariable analysis was significantly associated with internalised stigma (odds ratio (OR) 1.12, 95% confidence interval (CI) 1.05 - 1.19; p=0.000), discrimination experiences (OR 1.22, CI 1.03 - 1.46; p=0.023), lack of social support (OR 0.86, CI 0.74 - 0.99; p=0.037) and having had an STI in the past 12 months (OR 2.22, CI 1.21 - 4.04; p=0.010). There were no statistically significant correlations between the Edinburgh Postnatal Depression Scale (EPDS) scores of the women and age, marital status, level of education, employment status and number of own children. Conclusion. Depressed mood is common among HIV-positive postpartum women. This is significantly associated with lack of social support, stigma and discrimination. Routine screening to identify those currently depressed or at risk of depression should be integrated into postnatal care settings to target those most needing intervention.
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Dessie, Dereje Bekele, and Abay Sahle Nigussie. "Bayesian Multilevel Analysis of Postnatal Care Utilization in Ethiopia." International Journal of Applied Research in Bioinformatics 11, no. 1 (January 2021): 12–21. http://dx.doi.org/10.4018/ijarb.2021010102.

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The postnatal period is defined as the first six weeks after birth; it is critical to the health and survival. The study was conducted to determine the key factors of maternal postnatal care using Bayesian multilevel analysis using 7,192 mothers aged between 15-49 of EDHS 2016 data. Descriptive statistics revealed that 675 (9.4%) women received postnatal care. The Bayesian multilevel model used to analyze postnatal care utilization of woman. The predictor variables like mother's age, region, place of residence, media exposure, religion, wealth index, parents' education level, and mothers' occupation were found to be significant determinants of variation in women postnatal care utilization in Ethiopia. The Bayesian multilevel logistic regression analysis also estimates the variance of random effect at the regional level. Thus, the value of var (u0j) = δ2= 0.127 is significant at the 5% level of significance. In order to convey policies, it is important not only to comprehend the effect of reforms on the issues, but also on the how it diverges with demographic and economic characteristics.
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Nduka, Ijeoma. "Factors Associated with the Utilisation of Postnatal Care Services in a Rural Community in Abia State." Pakistan Journal of Public Health 11, no. 1 (May 31, 2021): 40–46. http://dx.doi.org/10.32413/pjph.v11i1.705.

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Background: Postnatal period is as important as pregnancy and childbirth. Half of all postnatal deaths occur during the first week after birth. During postnatal period, the mother’s body undergoes major changes from pregnancy. Therefore, there is need for continuity of care after birth to prevent and manage complications that may arise during postnatal. This study was carried out to determine factors associated with the utilisation of postnatal care services in a rural community in Abia state. Methods: This was a descriptive cross-sectional study conducted from March 2019 to May 2019 among women living in Amuvi community in Arochukwu Local Government Area (LGA)of Abia state. The study participants were women of reproductive age group (15-49 years) who had at least been pregnant once, carried pregnancy to full maturity and delivered at term. Data was collected using pre-tested semi-structured interviewer-administered questionnaire. Results: Four hundred and sixty-seven (467) women participated in the study. Four hundred and forty-three (95.1%) women attended postnatal visits while 23 (4.7%) did not. Reasons given for attending postnatal care by respondents were; routine check-ups, counselling on family planning, appointment with health workers 54 (11.7%), same day appointment as child’s immunisation, child was sick. Respondents who were married were 2 times (AOR=2.587, 95% CI:-0.878-0.120) more likely to use postnatal care services than single mothers. Mothers who had an occupation were 2 times (AOR=2.897, 95% CI: 0.051-0.267) more likely to use postnatal care services than those who did not. Husband’s occupation was statistically significant with utilisation of postnatal services. Conclusion: Utilisation of postpartum care services was high among women in Amuvi community of Abia state. PNC services utilisation were associated with marital status, mother’s occupation and husband’s educational status.
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Baral, Om Prasad. "Educational Status and Postnatal Care Practices among Dalit and Janajati Women of Nepal." Academic Voices: A Multidisciplinary Journal 5 (September 30, 2016): 22–27. http://dx.doi.org/10.3126/av.v5i0.15847.

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This paper deals with educational status and postnatal care practices and the association of educational status and postnatal care practices of Dalit and Janajati women of Nepal. The result shows that literacy rate of respondents was 51.4 percent which is lower than the national level women literary rate 57.4 percent of Nepal. PNC (Postnatal Care) visit of Dalits and Janajatis women who visited three times during postnatal period were found to be 36 percent in survey area. PNC visit of respondents is less frequent than the national level PNC checkup (55 percent). Thus, it is recommended that Dalit and Janjati mothers who come for antenatal check up should be provided with adequate information about availability of safe delivery incentive, incentive for postnatal checkup and free health services provided by government of Nepal.Academic Voices Vol.5 2015: 22-27
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Shrivastava, Saurabh R., Prateek S. Shrivastava, and Jegadeesh Ramasamy. "Antenatal and postnatal depression: A public health perspective." Journal of Neurosciences in Rural Practice 6, no. 01 (January 2015): 116–19. http://dx.doi.org/10.4103/0976-3147.143218.

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ABSTRACTDepression is widely prevalent among women in the child-bearing age, especially during the antenatal and postnatal period. Globally, post-partum depression has been reported in almost 10% to 20% of mothers, and it can start from the moment of birth, or may result from depression evolving continuously since pregnancy. The presence of depression among women has gained a lot of attention not only because of the rising incidence or worldwide distribution, but also because of the serious negative impact on personal, family and child developmental outcomes. Realizing the importance of maternal depression on different aspects-personal, child, and familial life, there is a crucial need to design a comprehensive public health policy (including a mental health strategy), to ensure that universal psychosocial assessment in perinatal women is undertaken within the primary health care system. To conclude, depression during pregnancy and in the postnatal period is a serious public health issue, which essentially requires continuous health sector support to eventually benefit not only the woman, but also the family, the community, and health care professionals.
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Mandal, Shubha Kamana, Leesa Hooker, Hassan Vally, and Angela Taft. "Partner violence and postnatal mental health: cross-sectional analysis of factors associated with depression and anxiety in new mothers." Australian Journal of Primary Health 24, no. 5 (2018): 434. http://dx.doi.org/10.1071/py17174.

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Intimate-partner violence and poor mental health are common, harmful issues for women of childbearing age. Although the prevalence and correlates of postpartum depression are well established, far less is known about postpartum anxiety. We aimed to investigate the association between postnatal depression and anxiety, and intimate-partner violence among women attending Victorian Maternal and Child Health services, using data from a randomised control trial: Improving Maternal and Child Health care for Vulnerable Mothers (MOVE). These data included postnatal women who had given birth between May and December 2010. Multiple logistic regression was used to estimate the association between intimate partner violence (using the Composite Abuse Scale) and postnatal depression and anxiety (Depression, Anxiety and Stress Scale), controlling for participant socio-demographic characteristics. Findings showed that abused women were more likely to report postnatal depressive and anxiety symptoms. There was an almost two-fold (odds ratio (OR) 1.76, 95% CI 1.03–3.01) and three-fold (OR 2.6, 95% CI 1.58–4.28) increase in the odds of reporting depressive and anxiety symptoms respectively, among abused compared with non-abused women. Abused women are at a higher risk of mental health problems. This study validated findings that intimate-partner violence is strongly associated with an increased risk of postnatal depression and highlighted the previously under-reported relationship with postnatal anxiety.
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Babatunde, Titilayo, and Carlos Julio Moreno-Leguizamon. "Daily and Cultural Issues of Postnatal Depression in African Women Immigrants in South East London: Tips for Health Professionals." Nursing Research and Practice 2012 (2012): 1–14. http://dx.doi.org/10.1155/2012/181640.

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Postnatal depression has profound effects on the quality of life, social functioning, and economic productivity of women and families. This paper presents the findings of an earlier exploration of the perception of postnatal depression in African women immigrants in South East London. The aims of this research were twofold: firstly, to establish cultural elements related to postnatal depression through women’s narratives regarding their daily life situations, including the nuances and complexities present in postnatal depression, and secondly, to help health professionals understand and acknowledge postnatal depression signs in these immigrant women and some of the cultural ambiguities surrounding them. The study used a qualitative approach mainly through the implementation of two focus groups. Thematic analysis of the women’s narratives suggested that almost half of the participants in the study struggle with some signs of postnatal depression. The women did not perceive the signs as related to illness but as something else in their daily lives, that is, the notion “that you have to get on with it.” The study also highlights the fact that the signs were not identified by health visitors, despite prolonged contact with the women, due to the lack of acknowledgement of women’s silence regarding their emotional struggle, household and family politics, and intercultural communication in health services.
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T., Heera Shenoy, Remash K., and Sheela Shenoy T. "Prevalence and determinants of postnatal depression in a tertiary care teaching institute in Kerala, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 9 (August 26, 2019): 3757. http://dx.doi.org/10.18203/2320-1770.ijrcog20193811.

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Background: Pregnancy and childbirth produce a variety of physiological, psychological and social consequences. Attitudes toward pregnancy and childbirth vary from culture to culture. Prevalence estimates range from 13 to 19% in resource-rich settings and 11 to 42% in resource- limited settings PND has a significant impact on the mother, the family, her partner and mother-infant interaction. This research aims to aid the early diagnosis of postnatal depression and the socio-demographic, obstetric, family dynamics, neonatal characteristics and psychiatric determinants of depression using EPDS among postnatal women in a tertiary hospital in Kerala state, India.Methods: 119 women between 2 to 6 weeks of postpartum period were subjected to a pre-tested pre-structured standard questionnaire. Diagnosis of depression was made using the Edinburgh postnatal depression scale. Possible depression is values >13 or more are invariably associated with depression.Results: Young age at marriage (p-value 0.022), love marriage (p-value 0.040) and low social support inadequate relationship with the in-laws was significantly associated with PND (p-0.003). Low birth weight was a significant determinant of PND (p-value-0.018). Gender of the new-born, fear and preference towards any particular gender and order of female child in multiparous woman had no association in determining postnatal depression. Childcare stress (p-value-0.011), psychiatry history in family and personal history of depression and mothers with low self-esteem (p-value-0.001) had odds of developing postnatal depression in the study.Conclusions: Early screening of the women and counselling of women and their family will reduce the maternal morbidity and adverse child outcomes.
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