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Dissertations / Theses on the topic 'Postpartum'

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Published: 4 June 2021
Last updated: 28 July 2024

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1

Sondell, Hanna, and Eva Löfström. "Postpartum depression." Thesis, Mid Sweden University, Department of Health Sciences, 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-136.

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Att bli förälder är en viktig händelse för alla kvinnor liksom deras män. Men några kan känna sig oförberedda, känslomässigt labil, oroliga och osäkra under den första tiden efter förlossningen. Nya åtaganden och ansvar som medföljer föräldraskapet kan påverka det psykiska välbefinnandet och kan utvecklas till en postpartum depression (PPD). PPD drabbar cirka 13 procent av alla kvinnor som har fött barn. Det som kännetecknar PPD är nedstämdhet, irritabilitet, känsla av hopplöshet, orkeslöshet, sömnproblem, koncentrationssvårigheter, ångest attacker, osäkerhet, likgiltighet och suicidtankar. Litteraturstudiens syfte var att undersöka vikten av en tidig upptäckt av PPD hos kvinnor och skapa kunskap i syfte att förbättra omvårdnaden. Blivande föräldrar behöver inte bara information om själva förlossningen utan också de förändringar som sker tiden efter partus.

Databassökningen gjordes i Cinahl, PubMed, och PsycInfo. Sjutton vetenskapliga artiklar inkluderades och granskades med hjälp av SBU-granskningsmall. Analysen resulterade i tre kategorier, vikten av tidig upptäckt, hur familjens hälsa påverkas och hur vårdpersonal kan hjälpa. PPD har negativa effekter, inte bara på kvinnan själv, utan även på hela familjen. Det framkom tydligt hur viktigt kunskapsutvecklingen hos vårdpersonalen är för att kunna bryta PPD i ett tidigt skede. PPD är fortfarande ett relativt ”bortglömt tillstånd” då den nyförlösta kvinnan behöver kunnig vårdpersonal för att identifiera och förstå svårigheterna vid PPD.

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2

Mulic-Lutvica, Ajlana. "Postpartum Ultrasound." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2007. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-7830.

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3

Chotai, Shivani. "Postpartum psychosis and beyond : exploring mothers' experiences of postpartum psychosis and recovery." Thesis, Staffordshire University, 2016. http://eprints.staffs.ac.uk/2649/.

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The aim of this thesis is to provide an understanding of motherhood and the mother-infant relationship within the context of postnatal distress. To facilitate this, it is necessary to understand universal experiences of motherhood as well as mental health difficulties following childbirth. Part of this understanding includes mothers’ experiences and management of distressing, repetitive thoughts of infant harm. Therefore, paper one consists of a literature review in which 10 empirical studies regarding thoughts of intentional infant harm (TIIHs) were critically appraised and synthesised. These thoughts were experienced in clinical and non-clinical samples. Common themes were found in terms of cognitive, emotional and behavioural responses to TIIHs and understood within the context of the parenting role. This review differentiated TIIHs between psychotic and non-psychotic difficulties and identified the need to understand such thoughts within mothers’ experiences of postpartum psychosis (PP). Paper two is a qualitative study exploring mothers’ experiences of PP and recovery. Purposive sampling was used to interview eight women across the United Kingdom. Transcripts were analysed using Interpretative Phenomenological Analysis (Smith, Flowers, & Larkin, 2009) and four super-ordinate themes were identified: ‘becoming unrecognisable’, ‘mourning losses’, ‘recovery as an ongoing process’ and ‘post-traumatic growth’. These themes demonstrated the need for physical and psychological space to facilitate recovery following childbirth. Paper three provides a personal reflective account of completing this thesis. The dynamic process of transitioning to a qualified psychologist is likened to the transformative process of motherhood. Ethical issues and the recent surge in perinatal mental health awareness are presented.
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4

Guarin, Yeny. "A Postpartum Support Group for Women Experiencing Postpartum Depression| A Grant Proposal." Thesis, California State University, Long Beach, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10262344.

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Postpartum depression (PPD) is a social problem that affects as many as 1 out of 8 women in the United States. Though this mental illness is not a cause and effect phenomena, there are risk factors that increase the likelihood of a mother experiencing PPD. Some risks include hormonal fluctuations, family history of mental health conditions, sleeping patterns, and birth experience. This mental health condition can be an isolating experience due to the stigma associated with maternal depression. Due to this, it is essential to develop a PPD support group to help decrease PPD symptoms, increase coping skills, and expand social support networks. With funds provided by Hearst Foundation, the objective of this grant proposal was to provide an evidence-based support group at Presbyterian Intercommunity Hospital Health for prenatal and within a year postpartum women experiencing PPD. The actual submission and funding of this grant were not required for the successful completion of the project.

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5

Smith, Mary Patricia. "Postpartum concerns of mothers." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26135.

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Using a questionnaire developed by M. Gruis in 1974, this study determines (a) the major concerns of primiparous and multiparous mothers one month postpartum, and (b) the resources used in meeting identified concerns. The sample was composed of 19 primiparas and 22 multiparas who delivered their babies in a large tertiary care maternity centre in Vancouver, B. C, in January and February of 1987. The most frequently identified major concerns of primiparas were feeding, fatigue, breast soreness, infant behavior, and return of the figure. The most frequently identified major concerns of multiparas were fatigue, regulating demands, emotional tension, jealousy of other children, and the labor and delivery experience. The vast majority of major concerns were dealt with effectively. The women used a variety of resources, and their partners were particularly helpful. However, for 64% of the multiparas in this study, the hospital stay did not provide preparation for the first weeks at home with their new babies. It is recommended that hospital nurses assess the learning needs of postpartum mothers individually, and place more attention on (a) the rest and recuperation of mothers from the birthing process, and (b) ensuring that mothers are able to thoroughly review their labor and delivery experiences. Public health or community health nurses should see their postpartum clients as soon as possible after discharge from hospital. Teaching sessions can occur in the home, and in accordance with individual concerns.
Applied Science, Faculty of
Nursing, School of
Graduate
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6

Runquist, Jennifer Jo. "Persevering Through Postpartum Fatigue." Diss., Tucson, Arizona : University of Arizona, 2006. http://etd.library.arizona.edu/etd/GetFileServlet?file=file:///data1/pdf/etd/azu%5Fetd%5F1458%5F1%5Fm.pdf&type=application/pdf.

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7

Regus, Pamela J. "Postpartum Depression: Standardizing Motherhood?" Digital Archive @ GSU, 2012. http://digitalarchive.gsu.edu/sociology_diss/64.

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Postpartum Depression: Standardizing Motherhood? by Pamela J. Regus Under the Direction of Wendy S. Simonds ABSTRACT An expansion of the medicalization of Postpartum Depression (PPD) is evident in increased screening for maternal depression that begins in pregnancy and continues in the postpartum period, and in the growing number of medical professionals alerted to watch for signs of maternal distress. Although a definitive etiology ofPPDremains elusive, the scientific and medical fields – highly imbued with authority to create knowledge in Western society – promote essentialist views of motherhood that espouse “natural” attributes such as maternal instincts and tendencies to nurture. Mothers who struggle with these standards of motherhood are then defined as being ill and become patients under the care of the medical profession until they can perform adequately in their motherhood roles, or they face social condemnation and legal repercussions for being “bad” mothers. Because characteristics of the “normal” postpartum period are said to be similar to symptoms of general depression, how do some women come to identify their postpartum experiences as depression while others do not? Does the choice of traditional obstetrics or an alternative, such as midwifery, make a difference in the incidence of postpartum depression? And what changes in the social support network occur in a woman’s life as a result of a diagnosis ofPPD? Using Foucault’s theory of docility, critical constructionism, and postmodern feminism as the theoretical focus, and in-depth interviews as the research method, I compare the postpartum experiences of mothers who have been diagnosed with postpartum depression with mothers who have not been diagnosed. The sample includes mothers who gave birth with the assistance of obstetrics and mothers who gave birth with the assistance of certified nurse-midwives. In order to examine the differences in approaches to and treatment of postpartum depression, I also interview a sample of obstetricians and certified nurse-midwives. Findings show that medical professionals use gender-normative assessments, such as physical appearance, language, and nurturing tendencies to determine whether the mother is performing as expected; if not, she is defined as ill and treated with antidepressant medication. Although the majority of mothers in the sample experienced feelings of depression in the postpartum period, many resisted diagnosis and medication. Mothers found the greatest support in their peers, rather than those closest to them, citing the ability to talk candidly about the struggles they face in their motherhood roles as the way to avert or heal from PPD. This finding highlights the enforcement of normative motherhood within the social institutions of the family and medicine; thus, cultural change from ideological representations of motherhood may come about through peer relationships. INDEX WORDS: Postpartum depression, Motherhood, Medicalization, Expansion of medical control, Maternal behavior, Childbearing years, Normative motherhood
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8

Lewis-Roach, Janet. "Pitocin and Postpartum Hemorrhage." Thesis, Grand Canyon University, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13807514.

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Postpartum hemorrhage is the leading cause of maternal mortality and morbidity globally and affects women with a gestational age of 20 weeks and above. To determine whether the utilization of synthetic Pitocin in the intra-partum period has any association to postpartum hemorrhage, the primary investigator encouraged clinicians to continuously utilize the Triton OR to quantify the blood loss for 24 hours after vaginal delivery. The project also entailed chart review of 30 women who labored and delivered at a local hospital in the State of Georgia. One group was given synthetic Pitocin to induce and or augment their labor while the other group did not. Two clinical questions guided the project. What is the difference in the amount of blood loss within 24 hours of vaginal delivery between women who had their labor induced and or augmented with synthetic Pitocin compared to those who spontaneously labored and delivered? Is there any association between the utilization of synthetic Pitocin for the induction and or augmentation of labor, and post-partum hemorrhage within 24 hours of vaginal delivery? Jean Watson theory of human caring guided guide the project. A quantitative comparative design was utilized for the project. The mean blood loss for those women who received synthetic Pitocin was 279.20 milliliters, while that of women who did not receive synthetic Pitocin was 293.67 milliliters; hence there was no association between the utilization of synthetic Pitocin in the intra-partum period and postpartum hemorrhage (p >.05). Conducting the project on a larger scale is paramount in determining whether there is any association between synthetic Pitocin utilization in the intra-partum period and postpartum hemorrhage.

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9

Brown, Lydia. "Amning vid postpartum depression." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-8933.

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Flera studier visar amningens fysiska och psykiska hälsofördelar för mor och barn, dock avvänjer kvinnor som lider av postpartum depression amning tidigt om de presenteras med utmaningar under amningen. Syfte med denna studie är därför att beskriva hur kvinnor som lider av postpartum depression upplever amning. Nio kvinnor deltog i studien, fem förstföderskor och fyra omföderskor, varav 5 intervjuades och 4 erhöll semistrukturerade frågeformulär med öppna svarsalternativ. En reflekterande livsvärldsansats som baserar på fenomenologi användes under datainsamling och dataanalys. Resultatet visar att amningen som fenomen är komplex och innebär en utmaning för kvinnan. Den essentiella innebörden av fenomenet beskrivs som ”amning som en kraftkälla, där den har potential att vara både kraftgivande och stärkande samt riskerar vara kraftdränerande”. Detta beskrivs vidare utifrån fyra innebördselement: ”att knyta kontakt med och lära känna sitt barn”, amning som återhämtning”, ”amning som energikrävande” och ”att känna sig ömtålig och utsatt”. Vårdande av kvinnor som lider av postpartum depression under amning innebär att assistera kvinna att möta sin osäkerhet och stärka hennes förtroende för att lita på sin förmåga att amma sitt barn. När amningen fungerar bra har den potentialen att inge kraft och stärka kvinnan i moderskapet. Fungerar amningen däremot inte bra riskerar den att dränera kraft och strävan efter samhörighet och bekräftelse sätts på spel vilket späder på kvinnans redan sköra situation och gör henne ännu mer sårbar i förhållande till barnet och sig själv.
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Stordy, Catherine. "The postpartum concerns of mothers and fathers at ten to twenty days postpartum." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0018/MQ57330.pdf.

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11

Bergvik, Anna, and Katrin Sölvestål. "Postpartum depression : Påverkan på familjen." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-15686.

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12

Forslin, Anna-Maria, and Maria Åkesson. "Kvinnors upplevelse vid postpartum depression." Thesis, Högskolan i Gävle, Akademin för hälsa och arbetsliv, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-13379.

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Syfte: Syftet med föreliggande studie har varit att beskriva kvinnors upplevelse av att drabbas av en postpartum depression(PPD). Metod: Examensarbetet som föreligger gjordes som en litteraturstudie med deskriptiv design. Studien baserar sig på resultatet av 12 vetenskapliga artiklar. De 12 valda artiklarna hämtades från PubMed och CINAHL. Huvudresultat: Det som visade sig vara utmärkande för en PPD var att kvinnorna kände sig kluvna inför moderskapet. De hamnade i en gråzon mellan vad de hade förväntat sig och hur verkligheten såg ut. Det visade sig att många kvinnor känner allt annat än lycka som nybliven förälder. Det handlade om känslor som misslyckande, sorg, förlust, rädsla, ensamhet och skam. Många ansåg att informationen om tillståndet i föräldrautbildningen var alldeles för liten. Känslorna pendlade mellan kärlek och hat gentemot det lilla spädbarnet. En rad kvinnor beskrev tankar de haft som gick ut på att faktiskt skada det lilla spädbarnet. Många ansåg däremot att när de väl fick adekvat hjälp kändes det som en lättnad. Det blev då mer legitimt för dem att vara ledsna och att slippa eftersträva bilden av den perfekta mamman. En annan viktig faktor för dessa kvinnor visade sig vara det sociala stödet men även förståelse från de närmsta anhöriga. Det framkom även att det fanns väldigt många kvinnor som led i tysthet.
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13

Scannell, Claire. "Psychosocial factors in postpartum depression." Thesis, University of Canterbury. Psychology, 1995. http://hdl.handle.net/10092/6552.

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This study examined 214 New Zealand women, both during pregnancy and in the postpartum, in order to determine the influence of infant-related stressors, unplanned pregnancy, social support and the role of the marital relationship in the development of postpartum depression. The relationship of demographic factors, the woman's feelings about having a new baby in the family and previous history of depression were also analyzed. The prevalence of depressive symptomatology was 30.8% during pregnancy and 39.7% in the postpartum. Postpartum depression was predicted by depression during pregnancy, by poorer postpartum marital adjustment and by lower levels of postpartum social support. The strongest predictor of the change in depression scores over time was depression during pregnancy. The important role of depression during pregnancy in the etiology of postpartum depression, suggests that postpartum depression is a continuation of depression during pregnancy. Women who were more depressed during pregnancy tended to be younger, of lower socio-economic status, and to have a reported history of depressive episodes prior to their pregnancies. Higher levels of prepartum depression were also related to women's feelings of being unhappier about having a new baby in the family, to poorer marital adjustment, and to lower levels of social support during pregnancy. Depression during pregnancy was found to be more likely to have a negative effect on marital adjustment than poor marital adjustment on depression. Similarly, depression during pregnancy was found to be more likely to have a negative effect on social support, than vice versa. However, further regression analyses, showed that postpartum marital adjustment and postpartum social support had a strong relation to postpartum depression, irrespective of the levels of prepartum marital adjustment, prepartum social support, and prepartum depression. Contrary to predictions, neither infant temperament, nor infant risk were related to postpartum depression.
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Belachew, Johanna. "Retained Placenta and Postpartum Haemorrhage." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-246185.

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The aim was to explore the possibility to diagnose retained placental tissue and other placental complications with 3D ultrasound and to investigate the impact of previous caesarean section on placentation in forthcoming pregnancies. 3D ultrasound was used to measure the volumes of the uterine body and cavity in 50 women with uncomplicated deliveries throughout the postpartum period. These volumes were then used as reference, to diagnose retained placental tissue in 25 women with secondary postpartum haemorrhage. All but three of the 25 women had retained placental tissue confirmed at histopathology. The volume of the uterine cavity in women with retained placental tissue was larger than the reference in most cases, but even cavities with no retained placental tissue were enlarged (Studies I and II). Women with their first and second birth, recorded in the Swedish medical birth register, were studied in order to find an association between previous caesarean section and retained placenta. The risk of retained placenta with heavy bleeding (>1,000 mL) and normal bleeding (≤1,000 mL) was estimated for 19,459 women with first caesarean section delivery, using 239,150 women with first vaginal delivery as controls. There was an increased risk of retained placenta with heavy bleeding in women with previous caesarean section (adjusted OR 1.61; 95% CI 1.44-1.79). There was no increased risk of retained placenta with normal bleeding (Study III). Placental location, myometrial thickness and Vascularisation Index were recorded on 400 women previously delivered by caesarean section. The outcome was retained placenta and postpartum haemorrhage (≥1,000 mL). There was a trend towards increased risk of postpartum haemorrhage for women with anterior placentae. Women with placenta praevia had an increased risk of retained placenta and postpartum haemorrhage. Vascularisation Index and myometrial thickness did not associate (Study IV). In conclusion: 3D ultrasound can be used to measure the volume of the uterine body and cavity postpartum, but does not increase the diagnostic accuracy of retained placental tissue. Previous caesarean section increases the risk of retained placenta in subsequent pregnancy, and placenta praevia in women with previous caesarean section increases the risk for retained placenta and postpartum haemorrhage.
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Santesson, Karolina. "Mödrars upplevelser av postpartum depression." Thesis, Sophiahemmet Högskola, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-2111.

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Bakgrund: Föräldraskapet förknippas med glädje, självförverkligande och hopp om framtiden. Ibland blir inte den första tiden med barnet vad den nyblivna modern tänkt sig, en del kvinnor känner sig nedstämda medan andra upplever att de inte är förberedda för allt vad föräldraskapet innebär. Kvinnan kan bli rädd för att inte behärska den nya rollen som mor. I Sverige drabbas varje år cirka 10000 kvinnor av depression de första månaderna efter barnets födelse. Symtomen är nedstämdhet, känsla av att vara värdelös, oro, trötthet, svårt att känna glädje för sitt barn och tankar på att skada barnet. Inom hälso- och sjukvården har barnmorskan en viktig roll att screena för postpartum depression, mot bakgrund av att av psykosociala eller psykologiska insatser kort efter förlossningen kan förebygga depression. Postpartum depression påverkar inte bara kvinnan utan även barnet och kvinnans partner. Syfte: Syftet var att belysa mödrars upplevelser av en postpartum depression. Metod: Metoden som användes var en litteraturöversikt. Sexton kvalitativa vetenskapliga artiklar inkluderades och analyserades genom en beskrivande metasyntes som metod. Resultat: I resultatet identifierades fem teman omställning till föräldraskap, de upplevda symtomen, relationen till barnet, upplevelse av stöd, att komma tillbaka. Resultatet visade att tiden som nybliven mor innebar förändringar som kvinnorna inte kände sig förberedda på. Tiden efter barnets födelse präglades av oro inför att skada sitt barn, saknat självförtroende och känslor av att tappa bort sig själva. Kvinnorna upplevde avsaknad av stöd och rädsla inför att anförtro sig till sjukvården med konsekvensen att ses som en inkompetent mor och bli fråntagen sitt barn.
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Luca, Patricia R. "Postpartum depression post Andrea Yates /." Lynchburg, VA : Liberty University, 2007. http://digitalcommons.liberty.edu.

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Jones, Jackie Denise. "Postpartum Mothers' Attitudes Toward Breastfeeding." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4639.

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Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from women who delivered a viable infant between January and March 2017 at a large urban teaching hospital. Mothers completed the 17-question 5-point Likert scale instrument, the Iowa Infant Feeding Attitude Scale, and demographic information before discharge from the hospital. Mothers who planned to breastfeed and mothers who did not plan to breastfeed scored above the midpoint on the scale; however, women who intended to breastfeed after discharge scored significantly higher (p < .001). Demographic variables were not significant with the exception of education level. Women with higher education levels scored higher on the scale and were more likely to plan to breastfeed after discharge than women with lower levels of education. Findings may promote social change through development and implementation of tailored nursing interventions, such as community prenatal education and clinical reinforcement, which will support initiation of breastfeeding in the hospital setting and exclusivity of breastfeeding upon discharge.
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Hendricks, Katherine Elizabeth May. "Reproductive strategies in the postpartum dairy cow with reference to anovulation and postpartum uterine health." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0007013.

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Thesis (M.S.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 176 pages. Includes Vita. Includes bibliographical references.
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Wilkinson, Jarrod Robert Charles. "The biostimulatory effect of bulls on postpartum follicular wave development in postpartum, anestrous, suckled beef cows." Thesis, Montana State University, 2009. http://etd.lib.montana.edu/etd/2009/wilkinson/WilkinsonJ0809.pdf.

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The objective of this experiment was to determine if bull exposure influences follicular wave dynamics in primiparous, postpartum, anestrous, suckled, beef cows exposed to bulls. In Experiment 1, cows were exposed (continuously 24 h/d), (EB; n = 5) to bulls or not exposed to bulls (NE; n = 5) throughout the experimental period. In Experiment 2, cows were exposed to bulls for either 12 h, (EB12; n = 15), 6 h, (EB6; n =14) or not exposed to bulls (NE; n = 10) from the start to the end of the experimental period. In Experiments 1 and 2, cows were 67 d ± 3.8 (mean ± SE) and 51.5 ± 2.3 d postpartum at the start of the experiment. Follicular characteristics of each cow were examined by transrectal ultrasonography. In Experiment 1, interwave interval for wave 3 was shorter in EB than NE cows. Maximum dominant follicle (MDF) diameter tended to be greater during wave 2 for EB than NE cows, while wave 3 was greater for EB than NE cows. However, MDF diameter for wave 6 was greater for NE than EB cows. In Experiment 2, EB12 cows had fewer follicular waves to the resumption of luteal activity (RLA) than NE cows, while the number of waves to RLA for EB6 cows did not differ from that of EB12 or NE cows. Normalizing follicular waves to the time of RLA for cows within the EB12 and EB6 indicated that those cows at RLA had larger MDF diameters for the wave that produced the ovulatory follicle than cows that did not RLA. These data show the effects of bull exposure in altering follicular growth and developmental patterns, shortening the inter-wave interval and increasing the MDF diameter. Though the mechanism through which bull exposure alters postpartum follicular development is not entirely understood, these data provide new understanding.
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Stephens, Rose, Andrea D. Clements, and Beth A. Bailey. "The Relationship Between Breastfeeding Practices and Postpartum Depressive Symptoms at Six Months Postpartum in Appalachian Women." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/7243.

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Introduction: Postpartum Depression and postpartum depressive symptoms have been found to have a strong association with breastfeeding duration in a significant portion of women across a variety of geographical locations. The aim of this study was to explore the correlation between postpartum depressive symptoms at 6 months postpartum and total duration of breastfeeding measured at 15 months postpartum in Appalachian women. Methods: A longitudinal study was conducted in which 1,063 mostly low socioeconomic status women were recruited across 6 prenatal practices in Appalachia. At 6 weeks, 6 months, and 15 months postpartum, depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS). From the original sample, 134 completed a self-report measure of breastfeeding initiation and duration at 15 months postpartum. Results: EPDS score did not predict whether or not women breastfed, only their duration of breastfeeding. Women who scored in the clinically significant range (13 or higher) on the EPDS at 6 months postpartum breastfed a significantly shorter length of time (Mean = 1.75 months, SD = 2.70) than women who scored below 13 on the EPDS (Mean = 4.48 months, SD 5.22; t(133) = 3.61, p = .001). Conclusion: Clinically significant Edinburgh Postnatal Depression Scale scores were predictive of shorter duration of breastfeeding.
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Magnusson, Sara, and Sponton Malin Grindefors. "Postpartum depression : Sjuksköterskans roll i omvårdnadsarbete." Thesis, Mid Sweden University, Department of Health Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-11408.

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Bakgrund: 13 procent av alla kvinnor drabbas av postpartum depression (PPD) efter förlossningen. PPD påverkar inte bara modern som individ utan även barnet och resten av familjen. Syfte: Syftet med denna litteraturstudie var att belysa sjuksköterskans roll i omvårdnadsarbetet med familjer som drabbats av postpartum depression. Metod: Litteraturstudie. Databaserna Pubmed och Cinahl har använts i studien. Tre kvantitativa artiklar har använts och tolv kvalitativa. Resultat: Första mötet mellan sjuksköterskan och kvinnan med PPD har stor betydelse. Mödrarna känner sig trygga och vågar öppna sig mer om de har en bra relation med sjuksköterskan. Mödrarna anser att det är lättare att ta emot råd från en sjuksköterska de har god relation med. Diskussion/Slutsats: God kommunikation, information och kontinuitet bör förbättras i vården. Sjuksköterskorna behöver mer kunskap om PPD för att kunna ge familjerna bästa tänkbara vård. Har sjuksköterskorna god kunskap kommer även relationen med familjen att stärkas.

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Mantha, Shannon. "Maternal confidence during the postpartum period." Thesis, University of Ottawa (Canada), 2005. http://hdl.handle.net/10393/26970.

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Purpose. To determine the relationship between maternal confidence, maternal characteristics and experiences with nursing support during pregnancy, birth and the postpartum period. Additionally, to describe and compare the maternity experiences of women with low and high confidence levels. Results. Multiparas were significantly more confident in the postpartum period than primiparas (p < 0.0001), although confidence increased over time for primiparas (p < 0.0001) and decreased over time for multiparas (p < 0.0005). Mothers who spoke a language other than English or French were significantly less confident caring for themselves at home (p < 0.0005) and caring for their baby at home (p < 0.0001). Mothers' rating of breastfeeding support in-hospital was significantly positively correlated with confidence breastfeeding upon discharge (p < 0.0001). Significant negative correlations were found between number of community services received or sought-out and all confidence measures (p ≤ 0.001). Women indicated that they would have liked more support from nurses for breastfeeding, infant and self-care. Women with low confidence commented more often on the need for teaching and education in the postpartum period when compared to women with high confidence. Both women with low and high confidence reported lack of nursing support for breastfeeding, although women with low confidence perceived the problem to be related to conflicting nursing advice, and women with high confidence perceived the problem to be related to pressure from nursing staff to breastfeed.
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Brunnander, Erika, and Ivar Kronqvist. "Omvårdnad vid postpartum depression : En litteraturstudie." Thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-339890.

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Background: Every year 8-15% of Swedish women is diagnosed with a postpartum depression after giving birth, this translates to 10 000 women every year. These depressions can continue for weeks up to years and does not only affect the well-being of the mother but also the development of the child due to lack of bonding between the mother and the child. Aim: The aim of this study is to investigate if there is any evidence based nursing that can be given during the postpartum depression and if there is; compile current research of what evidence based nursing that can be given to women during postpartum depression. Method: A review design was used where ten articles were analyzed. The articles were found in the CINAHL and PubMed database. Results: Primarily the study showed that there is evidence that healthcare personnel provided with an extended mental health education was more effective at giving care to women with low risk of PPD. There is no evidence that higher rates of nursing would help women with low risk of PPD develop PPD. There is also evidence that women who had an initial high EPDS score received a lower EPDS score over time if they received either help with group therapy or home visits by mental health professionals. Evidence also show that it helps with telephone support by peers who at some point in there life have had an experience with postpartumdepression. The training given to the staff showed how to use the EPDS scale, basic principles in person-centered care, cognitive behavior and identification of various risk factors and symptoms. Conclusion: There is some research concerning care for postpartum depression. The research shows that care given by healthcare personnel with an extended training in mental health care gives the best results. There is one study that also shows that telefone based peer support given by people with self experienced postpartumdepression also helps. Some findings also indicate that the frequency of meeting with healthcare workers does not affect the wellbeing of the mother.
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Hordacre, Ann-Louise. "Anxiety and depression in postpartum women." Title page, abstract and contents only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phh811.pdf.

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"31 May 2002" Bibliography: leaves 232-255. Using cross-sectional and longitudinal analysis to compare childbearing women with matched controls, this study aimed to identify whether depression in postpartum women differed quantitavely or qualitatively to depression experienced at other times. Postpartum women were not found to be at increased risk of depression. However, a consistent but insignificant peak, which was not evident in control group responses, was noted in levels of nonsomatic depression, anxiety and stress in the early postpartum months.
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25

Josefsson, Ann. "Postpartum Depression : Epidemiological and Biological Aspects." Doctoral thesis, Linköping : Univ, 2003. http://www.ep.liu.se/diss/med/07/81/index.html.

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26

Webster, Barbara Anne. "Maternal fatigue during the postpartum period." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=22528.

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The purpose of this study was to describe maternal fatigue during the first six weeks postpartum. Forty-eight healthy, primiparous mothers who experienced uncomplicated vaginal births in a large urban hospital were asked to complete the Maternal Piper Fatigue Scale during their hospital stay, and at two and six weeks postpartum. Fatigue intensity was relatively high at two days and two weeks, but had significantly declined to a relatively "normal" level by six weeks postpartum. However, 25% of the mothers were still reporting "severe" fatigue at six weeks. The contributing factors most frequently identified by the mothers were labour and delivery issues (2 days), sleep pattern disturbances, and infant care issues (2 & 6 weeks). Rest, sleep, and instrumental support were consistently identified by mothers as helping alleviate their fatigue during the first six weeks postpartum.
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Haiek, Laura N. "Postpartum weight loss and infant feeding." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55447.

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It is not yet clear whether women who lactate lose the weight gained during pregnancy faster than their nonlactating counterparts. The primary objective of this study was to look for any important differences in the rate of postpartum weight loss in the first 9 months postpartum according to method of infant feeding.
Two hundred thirty-six women attending two public health clinics in Montreal were weighed in one to four encounters occurring at different stages of the postpartum period but no later than the 9th month postpartum. A questionnaire assessing the method of infant feeding (predominantly breastfeeding, mixed feeding or predominantly bottlefeeding) and potential confounders was administered by telephone after each weighing. An unbalanced multivariate repeated measures analysis revealed no statistically significant differences in the rate of weight loss by category of infant feeding. Gestational weight gain, postpartum smoking and maternal birthplace were important predictors of postpartum weight change.
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Cheng, Man-wai, and 鄭敏惠. "Does breastfeeding affect maternal postpartum mood?" Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2014. http://hdl.handle.net/10722/206925.

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Breastfeeding is well known to be beneficial to both the mother and the baby. To the baby, it is associated with decreased short-term health problems such as diarrhea and respiratory infections, as well as decreased long-term health consequences such as type 2 diabetes, obesity, and raised blood cholesterol levels. To the mother, it is suggested to reduce type 2 diabetes, breast cancer, as well as ovarian cancer. Increasing exclusive breastfeeding rate, in which higher proportion of infants are given breast milk only, could also benefit the society as a whole. It is shown to reduce health care cost and premature deaths. Despite the gradual elevation of ever breastfeeding rate in Hong Kong up to 83% in 2013, the exclusive breastfeeding rate at 2 months postpartum remained relatively low at 21.7%. On the other hand, postpartum depression is a debilitating condition to both the mother and the baby. The prevalence was about 10-15%. And it could lead to deteriorated quality of life to the mother and increased maternal suicidal rate. It could also affect the long-term development of the baby. Previous studies showed controversial results on the association between breastfeeding and postpartum depression. Some suggested breastfeeding being protective against postpartum depression, while other studies did not show significant results. However, there was still no formal study in the local Chinese population about the issue. In view of that, the current study aimed at assessing the association between breastfeeding and postpartum depressive symptoms in the local Chinese population. This was a cross-sectional study which included 600 mothers with data retrieved from MCHCs’ database. Demographic data and breastfeeding status were included in binary logistic regression analysis with Edinburgh Postnatal Depression Scale (EPDS) result of either screened positive or negative as the outcome. The odds ratio of being screened positive in EPDS with more depressive symptoms for mothers with exclusive breastfeeding, compared with mothers not on breastfeeding (OR=0.42, 95% CI=0.19, 0.93) and mothers with non-exclusive breastfeeding (OR=0.40, 95% CI=0.19, 0.85) were both statistically significant after adjusted for the demographic data. Subgroup analysis on those intended for exclusive breastfeeding shortly after delivery also showed significant results. Those who succeeded in maintaining exclusive breastfeeding at 6-8 weeks postpartum were significantly less likely to be screened positive in EPDS (OR=0.07, 95% CI=0.01, 0.41) compared to those who could not maintain exclusive breastfeeding. This study proposed to assess whether there is an association between breastfeeding and decreased maternal postpartum depressive symptoms in local Chinese population. The results reiterated the advantages of breastfeeding and warranted more intense efforts in promoting and protecting breastfeeding. The large effect shown in the subgroup analysis highlighted the importance of maintaining exclusive breastfeeding. Since this study could only establish association, the results could not show causation and future studies should focus on establishing the temporality of causation between breastfeeding and decreased maternal postpartum depressive symptoms. Stricter adjustment for potential confounders should also be achieved with a prospective study better designed to control for temporality and time-varying confounders in the future.
published_or_final_version
Public Health
Master
Master of Public Health
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29

Kalina, Emily Jean. "Standardized Postpartum Depression Screening and Treatment." Diss., North Dakota State University, 2015. http://hdl.handle.net/10365/24837.

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Postpartum depression affects 7 to 20% of women in the first year after giving birth. Unfortunately, over 50% of women experiencing postpartum depression go untreated due to lack of detection, placing the woman and child at risk for detrimental consequences. One of the most common barriers in detecting and treating postpartum depression is the low incidence of screening performed at primary care and obstetrical visits during the postpartum period. Efforts have focused on improving identification of postpartum depression through the use of a valid screening tool performed throughout the first year. The purpose of the practice improvement project is to implement routine screening using the Patient Health Questionaire-2 (PHQ-2) at the four-to-six week and six month postpartum visits at a Community Clinic in a Midwestern City. The two question tool, assesses both sad mood and inability to experience pleasure from activities usually found enjoyable. If a patient answers yes to one or both of the questions, further clinical assessment should be performed to consider diagnosis. Once a patient is diagnosed, treatment through mental health counseling and/or medication should be ordered and consistent follow-up should be provided through phone calls and office visits. The practice improvement project was implemented in September, 2014 and evaluation took place three months post-implementation. Evaluation consisted of data collection, through chart audit and review, of all postpartum women, ages 18-49 years, who were seen by one of the three OB/GYN providers in the past year. The chart audits identified how many patients were seen overall, including demographic information. Chart audits also identified patients who were diagnosed with depression three months prior to implementation and three months post-implementation to determine a difference. Chart reviews further analyzed treatment and follow-up methods performed. Results of the project found an increase of postpartum depression detection from 8% to 15% and an increase in treatment methods. Inconsistency with follow-up methods were found and recommendations were made to address them. It was concluded that routine screening for postpartum depression, using the PHQ-2, provided a means to identify and treat postpartum depression in the primary care setting.
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30

Polaha, Jodi. "Postpartum Depression in Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/6677.

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31

Bergman, Karin, and Larsen Elina Hjort. "Bäckenbottenträning postpartum : Kvinnors upplevelser och erfarenheter." Thesis, Högskolan i Borås, Akademin för vård, arbetsliv och välfärd, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hb:diva-24918.

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Vården för kvinnor efter en förlossning är ett aktuellt ämne. Problem som kan uppstå för en kvinna efter en förlossning är bland annat urinläckage, smärtor i underlivet och svårigheter med samlivet vilket i sin tur kan leda till en sänkt livskvalitet. Bäckenbottenträning är en metod för att stärka muskulaturen i bäckenet och detta kan minska besvär av urininkontinens eller andra besvär i underlivet. För att ta reda på och om möjligt förbättra vården postpartum var syftet med studien att undersöka kvinnors upplevelse och erfarenheter av bäckenbottenträning postpartum. Åtta kvinnor intervjuades i samband med deras kontroll efter förlossning på barnmorskemottagningen. Majoriteten av informanterna var förstföderskor med en grad 1 eller grad 2 bristning. Genom kvalitativ innehållsanalys kondenserades och kodades materialet och delades sedan upp i kategorier. I resultatet framkom tre huvudkategorier: Låg prioritering av bäckenbottenträning, varierande kunskap och information kring bäckenbottenträning och bäckenbottenträning är ett intimt område. Informanterna uttryckte att bäckenbottenträning prioriterades bort då vården av det nyfödda barnet låg i fokus. De uttryckte även en osäkerhet kring vad bäckenbottenträning var och hur och när den skulle utföras trots att de alla fått information. Informationen de fått var ofta skriftlig med varierande kvalitet och vissa hade även fått eller själva tagit initiativ till en mer praktisk information. En enhetlig och evidensbaserad kunskap hos barnmorskor och förståelse för kvinnors behov och prioritering av bäckenbottenträning borde eftersträvas för att öka motivation och följsamhet hos kvinnor postpartum.
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Cammaroto, Laura J. "Unexpected : identity transformation of postpartum women /." Full-text of dissertation on the Internet (3.19 MB), 2009. http://www.lib.jmu.edu/general/etd/2009/Masters/Cammaroto_LauraJ/cammarlj_masters_12-11-2009.pdf.

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33

Evans, Heather L. "Postpartum Depression: Do Intrapartum Events Matter?" Diss., The University of Arizona, 2008. http://hdl.handle.net/10150/195740.

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Approximately 500,000 women in the US suffer from postpartum depression (PPD) every year. Yet only half of women affected seek treatment. PPD affects the entire family unit, altering parenting behaviors and increasing prevalence of depression among male partners of women suffering from PPD. In addition, infants whose mothers suffer from PPD have a higher risk of Sudden Infant Death Syndrome (SIDS) and more frequent hospitalization as well as cognitive and behavioral delays. Despite the significance of PPD to the health of women and families, most research has focused on the identification and treatment of PPD. Research pertaining to intrapartum events as possible risk factors for PPD has been contradictory and variable in quality. The purpose of this study is to examine possible relationships between intrapartum events and subsequent incidence of postpartum depression.The Diathesis-Stress Model provides the foundation for this proposed research, in which a combination of vulnerability factors (diatheses) in the context of life events (stress) results in psychopathology (PPD). Vulnerability factors such as previous history of depression, prenatal anxiety, or low self esteem may interact with intrapartum stressors such as cesarean section, induction of labor, or use of pain medication to increase PPD symptomatology. This study will examine the stress component of the Diathesis-Stress Model.The study design was a retrospective descriptive design aimed at identifying relationships between intrapartum events and PPD. A chart review was performed to identify intrapartum events and scores on the Edinburgh Postnatal Depression Scale (EPDS) at two- and six- weeks postpartum. The sample consisted of 102 women who delivered at a specified rural New England birthing center during 2007.Nurses commonly interface with women in health care settings and are uniquely poised to educate them about PPD. Nurses have the unique opportunity to alert women to the potential risk for PPD and encourage them to report signs and symptoms early. Increased reporting of symptoms can reduce the number of unidentified cases and promote interventions that avert some of the devastating emotional, physical, and economic consequences.
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Belmonte, Chari. "Postpartum Depression Tool in Burmese Women." Thesis, The University of Arizona, 2013. http://hdl.handle.net/10150/281152.

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A Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
Background: In the United States, the prevalence of postpartum depression is 10-15%. There is limited study on the appropriate postpartum screening tool for Burmese refugees in the United States. Hypothesis: The Burmese and Karenni versions of Edinburgh Postnatal Depression Scale (EPDS) are appropriate to use as a tool for screening postpartum depression in Burmese refugees. Aims: This study examines the views of Burmese refugees on the questions of Edinburgh Postnatal Depression Scale as a routine screening for postnatal depression and their opinion and experiences on postpartum depression. Methods: A qualitative approach was chosen to complete this study. A medical student and a Burmese interpreter participated in a one-on-one interview with 30 Burmese women sharing their views and opinions on translated EPDS and postpartum depression. Results: Thirty Burmese women were interviewed in the Phoenix area. The qualitative analysis indicate that the EPDS screening turned out to be a useful and culturally appropriate tool for the Burmese refugees to screen postpartum depression in this specific population. Conclusions: Without consistent and culturally appropriate screening for Burmese women, it would be hard to treat Burmese women for postpartum depression. Our study shows that acceptability for routine screening with a translated EPDS amongst health visitors is possible to achieve. Using the Edinburgh Postnatal Depression Scale in Burmese and Karenni language should be considered when seeing Burmese refugees in the clinic.
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35

Medoh, Lisa N. "Prevention and Management of Postpartum Hemorrhage." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4465.

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Postpartum hemorrhage (PPH) remains a major traumatic event that can occur after delivery. All expectant women are considered to be at risk of PPH and its effects. PPH is a preventable condition and primary interventions including active management of the 3rd stage of labor, use of uterotonics, and uterine massage. Analysis of the project site showed that PPH affected approximately 15% of all deliveries that occurred between 2014 and 2015. The overarching aim of the project was to determine how a nursing-focused educational intervention would affect staff nurse knowledge regarding PPH to decrease the incidence rate. The goal of the project was to develop an educational module for obstetric and postpartum nurses about prevention and management of PPH, decrease the PPH incidence rate from 15% to 10%, and evaluate the obstetric and postpartum nurses' attitudes toward the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) guideline used to decrease the risk of PPH. Bandura's social learning and self-efficacy theories were used to guide the development and implementation of the educational intervention. A paired t test was used to analyze the differences in the staff nurses' knowledge of PPH before and after the educational intervention. The group's mean score preintervention was 53.65% and 90% postintervention, representing a 36.35% increase in the knowledge scores. The PPH rate decreased from 15% to 0% after implementation of the project. Social change will occur through a better understanding of the physiology of PPH and the positive adaptation of the use of AWHONN guidelines in managing PPH as such, may decrease mortality.
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Davies, Lori M. "Evaluation of a Postpartum Hemorrhage Protocol." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7792.

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Postpartum hemorrhage is a leading cause of maternal death, yet many deaths related to hemorrhage might be prevented with early recognition and intervention. The birthing unit of a U.S. community hospital formed an interprofessional task force to plan and implement a postpartum hemorrhage protocol that would provide the obstetric team with the knowledge, skills, and tools needed for early identification and quick action when hemorrhage occurred. Lewin's model of change provided a framework for protocol implementation. The purpose of this doctoral project was to evaluate this quality improvement project. Secondary data internal to the organization were collected and analyzed to answer the practice-focused question, Is there a relationship between implementation of a postpartum hemorrhage protocol and the incidence of postpartum hemorrhage? To determine the incidence of postpartum hemorrhage, the number of hemorrhages with and without blood transfusion was divided by the number of deliveries and recorded monthly. The chi-square test was used to analyze the rates of hemorrhage pre- and post-implementation. A statistically significant decrease in hemorrhage was noted post-implementation, suggesting that there was a relationship between implementation of a protocol and the incidence of postpartum hemorrhage. This project supported the Walden University mission by working towards optimal health outcomes for women. Eliminating preventable harm related to hemorrhage benefits women, families, and communities. Lessons learned from the implementation and evaluation of this quality improvement project are expected to be utilized by nursing leaders to address other challenges identified in the obstetric setting.
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Jolley, Sandra. "Maternal adaptation from pregnancy to postpartum : focus on the relationship beween the hypothalamic-pituitary-adrenal axis and mood /." Thesis, Connect to this title online; UW restricted, 2004. http://hdl.handle.net/1773/7187.

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38

Mackenzie, Janelle Ellen. "Mothers' sleepiness and driving in the postpartum period." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/95190/1/Janelle_Mackenzie_Thesis.pdf.

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The postpartum period is typically a time of increased sleepiness, however little research has investigated mothers' sleepiness whilst driving during this period. The research presented in this thesis details three studies systematically designed to assess postpartum mothers' sleepiness and driving, followed by the utilisation of this information in the development of an information-based program designed to convey pertinent evidence-based information about postpartum sleepiness, sleep, and sleepy driving.
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Barnes, Clara Lee. "What Postpartum Depression Looks Like For Men: A Phenomenological Study." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6774.

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Abstract Postpartum depression (PPD) has been identified as a mental health condition that impacts women, men, and families. PPD has been shown to be prevalent in both women and men following the birth of a child; it has been associated with marital conflict, insecure attachment, and poor infant-child outcomes. While PPD has been studied extensively in women, paternal PPD often goes understudied, undetected, and untreated. The purpose of the present research was to explore the lived experiences of men who have experienced PPD through the lens of self-perception theory using a qualitative phenomenological study. Six men who have experienced PPD shared their lived experiences with PPD, including how they recognized they had a problem and what alerted them to get help. Data were analyzed using coding and the development of themes; the findings for this study showed that men's lived experiences with PPD included feelings of sadness, anger, fear, confusion, and being in denial. The men tended to not seek help for their experiences of PPD, and they were not previously informed about the disorder of paternal PPD. The present study provides a better understanding of PPD for fathers, information for healthcare providers who deal with expectant fathers, and significant others such as mothers of the child, and other family members and coworkers regarding how to respond to paternal PPD. Better understanding of PPD will provide fathers with more of the support they need to successfully make the journey through PPD.
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Lindberg, Inger. "Postpartum care in transition : parents' and midwives' expectations and experience of postpartum care including the use of videoconferencing /." Luleå : Division of nursing, Luleå University of Technology, 2007. http://epubl.ltu.se/1402-1544/2007/20/.

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41

De, La Cruz Cara. "A Mixed Method Study on the Peripartum Experience and Postpartum Effects of Emergency Hysterectomy Due To Postpartum Hemorrhage." Scholar Commons, 2011. http://scholarcommons.usf.edu/etd/3423.

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Background: Little is known about the experience and psychological outcomes for women who experience emergency peripartum hysterectomy (EPH). The objective of this study was to explore women's experiences of EPH and to determine if women who experience EPH were more likely to experience mental health sequelae. Methods: This mixed method design involved a quantitative and a qualitative phase. The quantitative phase used a retrospective cohort design. Women were sampled through on-line communities, including an EPH support group, and a larger website for mothers. Women completed on-line surveys covering sociodemographic, obstetric/gynecological/ and psychiatric information, including screens for depression and Post-Traumatic Stress Disorder (PTSD). Logistic regression was used to calculate the independent risk that exposure to EPH has on screening positive for PTSD. Participants from the EPH support group who completed the on-line interview were then selected to participate in the second phase. In-depth telephone interviews were conducted and analyzed using Constant Comparative Analysis. Results: 74 exposed women and 355 non-exposed women completed the survey. In the adjusted logistic regression model, women who experienced EPH were over 6 times more likely to screen positive for current PTSD compared to women who did not experience EPH (adjusted Relative Risk (aRR): 6.76; 95% CI: 4.24, 8.88). When women recalled their psychological state at 6 months postpartum, exposed women were 11 times more likely to screen positive for current PTSD (aRR: 11.35; 95% CI: 8.43, 12.95). In the qualitative phase, 15 women participated and 7 major themes were identified: fear, pain, death and dying, numbness or delay in emotional reaction, bonding with baby, communication and the need for information. A major finding is the need for additional follow-up visits to address the emotional after-effects and to fill in gaps in women's understanding and memory of what had occurred. Conclusion: Understanding women's experiences and sequelae can help providers address not only women's initial complications but provide needed long-term support.
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Malkin, Jesse D. "The postpartum mandate estimated costs and benefits /." Santa Monica, CA : Rand, 1998. http://books.google.com/books?id=Uw_bAAAAMAAJ.

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43

Sandberg, Duarte Hilda, and Anna Forsberg. "Postpartum depression- Ur ett patientperspektiv : En litteraturstudie." Thesis, University of Kalmar, School of Human Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hik:diva-976.

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Bakgrund: Postpartum depressioner (PPD), en förlossningsdepression, drabbar kvinnor i hela världen. En långvarig postpartum depression hos kvinnan kan ha avgörande konsekvenser för utvecklingen av hennes barn och relationen till hennes partner. Många kvinnor lider i tystnad då de inte vet att det finns en förklaring till känslorna de genomgår eller att de skäms för att inte klara av att leva upp till bilden av den ”perfekta mamman”. Syfte: Att beskriva upplevelser av postpartum depression hos vuxna kvinnor diagnostiserade med PPD.

Metod: Sju vetenskapliga artiklar användes för att genomföra denna systematiska litteraturstudier med en induktiv ansats. Resultat: Utifrån frågan ”vilka gemensamma upplevelser genomgår kvinnor med PPD”? Framkom sju teman: misslyckande, stress, ensamhet, inre strid, förlust av kontroll, rädsla och skam. Slutsats: Hälso- och sjukvårdspersonal inom MHV (Mödrahälsovård) och BHV (Barnahälsovård) kan lättare upptäcka tidiga symtom och tecken hos nyblivna mammor med postpartum depression genom att förstå deras upplevelser av PPD, och därmed förhindra en långvarig depression.

 

 

 

 

 

 

 

 

 

 

 

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Sylvén, Sara M. "Biological and Psychosocial Aspects of Postpartum Depression." Doctoral thesis, Uppsala universitet, Obstetrik & gynekologi, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-170818.

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Postpartum depression (PPD) is one of the most common complications of childbirth around the world. Despite several studies on the underlying mechanisms, the pathophysiology remains elusive. The aims of this thesis were to assess possible associations between the risk for self reported PPD and serum levels of leptin, the season of delivery, the gender of the newborn, and the history of premenstrual symptoms, respectively. A population based cohort of 2318 newly delivered women in Sweden were screened five days, six weeks and six months postpartum, using the Edinburgh Postnatal Depression Scale. This cohort comprised 60% of the total population, and the prevalence of self reported PPD was 11.1% six weeks after the delivery. A negative association between leptin levels at delivery and self reported PPD at six weeks and six months postpartum was evident, even after adjusting for confounding factors.  An increased risk for self reported PPD was noted among women delivering during the last three months of the year, compared to those giving birth in April through June. This is of clinical importance, since women delivering at the end of the year could benefit from a closer follow-up after delivery.  Despite previous varying findings – depending on study population and consequently different cultural settings – in our study, no association between infant gender and self reported PPD could be detected at six weeks or six months postpartum. However, women giving birth to baby boys had a higher risk for postpartum blues.   Lastly, an increased risk for self reported PPD among women with a history of premenstrual symptoms was noted. Interestingly, after stratification for parity, the association between PPD and premenstrual symptoms remained only among multiparas. The association between PPD and premenstrual symptoms might shed light on the many possible routes by which hormonal changes may influence mood in women. In conclusion, this population based study strengthens the notion that PPD is a complex multifactorial disorder, with biological, social and psychological parameters shaping each individual’s risk.  Further research is needed in this field, in order to investigate underlying pathophysiological mechanisms, propose more effective diagnostic tests and assess therapeutic interventions.
UPPSAT
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Skatt, Ylva, and Camilla Furuskär. "Mödrars upplevelse av postpartum depression : en litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-8667.

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Postpartum depression (PPD) är ett begrepp som används vid depressioner upp till ett år efter förlossningen. Syftet med studien var att beskriva mödrars upplevelse av PPD. Examensarbetet är en litteraturstudie med deskriptiv design. De 15 kvalitativa vetenskapliga artiklarna som ligger till grund för resultatet är hämtade ur databaserna PubMed samt CINAHL. Känslor vid PPD kan förklaras i termer av lidande, förluster och förändringar. Många drabbade var rädda att anses som olämpliga mödrar. De betraktade sig vara fångade i klyftan mellan verkligheten och förväntningarna. Mödrarna anklagade sig själva då dessa inte uppfylldes. Upplevelse av ensamhet var vanligt samt att de inte visste var och till vem de skulle vända sig för att få hjälp. Förtroendet för sjuksköterskan är viktigt för att modern ska våga söka hjälp. Flera kvinnor upplevde ångest och beskrev att känslorna för barnet varierade mellan kärlek och hat. En del kvinnor såg ingen annan utväg än självmord och/eller barnamord, tankar som dessa uppkom särskilt i samband med att ångesten blev för övermäktig att hantera. Det är viktigt att förstå komplexiteten av PPD eftersom symptomen tenderar att hållas dolda. Ett lidande då förväntningarna inte uppfylldes tog sig uttryck i form av känslor av misslyckanden och att känna sig som en oduglig mor.
Postpartum depression (PPD) is a term used for depression up to one year after childbirth. The aim with the study was to describe mothers' experience of PPD. The thesis is a literature review with a descriptive design. The 15 qualitative scientific articles that form the basis of the results are taken from PubMed and CINAHL. Emotions from PPD can be explained in terms of suffering, losses and changes. Many affected were afraid to be regarded as unfit mothers. They considered themselves to be trapped in the gap between reality and expectations. Mothers accused themselves when expectations were not met. Experiences of loneliness were common and they did not know where and who to turn to for help. The mother’s confidence for the nurses was important to dare to seek help. Several women experienced anxiety and described that the feelings for the child varied between love and hate. Some women saw no alternative but suicide and / or infanticide, these thoughts arose particularly in connection with when anxiety became too overwhelming to handle. It is important to understand the complexity of PPD as the symptoms tend to be kept hidden. Suffering when expectations were not met was expressed in form of feelings of failure and feeling like a unfit mother
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46

Bång, Malin, and Birgitta Larsson. "Postpartum depression - olika faktorers betydelse, en litteraturstudie." Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-14686.

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Bakgrund: 13 procent av alla kvinnor drabbas av postpartum depression (PPD). PPD påverkar inte bara kvinnan som individ utan även barnet och resten av familjen. Syfte: Att belysa de faktorer som på olika sätt har betydelse vid postpartum depression. Metod: Litteraturstudie. Artiklar har sökts i databaserna Cinahl, PsychInfo och PubMed. Arton kvantitativa artiklar har använts i studien. Resultat: Visade att kvinnor med tidigare depressions- och ångestsjukdomar löpte störst risk att drabbas av PPD. Mätinstrumenten som prövats för att förutse PPD under graviditet visade sig ha en känslighet för upptäckt på mellan 40-78%. Det visade sig även att förebyggande insatser för kvinnor i riskzonen inte hade någon effekt på utvecklandet av depressionssymtom postnatalt. Slutsats: Även om vi inte kan förhindra uppkomsten av PPD så är det ändå av vikt att vara medveten om de riskfaktorer som finns. Med den kunskapen kan vi tidigt upptäcka dessa kvinnor. Det ger möjlighet till ett ökat stöd och adekvata hjälpinsatser vilket kan begränsa omfattningen av sjukdomen.
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47

Holford, Nia Caitlin. "The impact of postpartum psychosis on partners." Thesis, Cardiff University, 2016. http://orca.cf.ac.uk/93735/.

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Postpartum Psychosis is a severe mental health problem following childbirth, with a psychotic element and associated mood disturbance. Research to date has primarily focused on mothers’ experiences, and on identifying risk factors, aetiology, and intervention efficacy. Within both research and clinical communities, there has been little acknowledgement of partners’ experiences of Postpartum Psychosis, nor the important support role that partners can provide. The aim of this study was to consider the lived experiences of partners of women who have had Postpartum Psychosis, and the impact that it has had on their lives and relationships. Participants were partners recruited through the charity Action for Postpartum Psychosis. Partners were asked to complete an online questionnaire to provide basic demographic and contextual information, followed by an in-depth, semi-structured interview regarding their experiences of Postpartum Psychosis. Interpretative Phenomenological Analysis was used to analyse the interview transcripts. Partners reported a lack of support being provided to them, and typically perceived a deterioration in the quality of their couple relationship during, and following, the episode of Postpartum Psychosis. Seven superordinate themes were extracted from the interview data: powerlessness; united vs. individual coping; hypothesising and hindsight; barriers to accessing care and unmet needs; managing multiple roles; loss; and positive changes from Postpartum Psychosis. These findings provide a rich illustration of the experiences of partners, and highlight areas in which support could be provided for partners. Limitations of the study, and implications for future research and clinical practice, are discussed.
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48

Ross, Elisabeth R. "Postpartum depression, adaptation of culture-bound phenomenon?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape2/PQDD_0011/MQ49584.pdf.

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49

Wittman, Laura Marie. "Doulas, social support, and postpartum depressive symptoms." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ64754.pdf.

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50

Hampson, Edward George. "Postpartum self experiences of first time fathers." Click here for text online. The Institute of Clinical Social Work Dissertations website, 1997. http://www.icsw.edu/_dissertations/hampson_1997.pdf.

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Dissertation (Ph.D.) -- The Institute for Clinical Social Work, 1997.
A dissertation submitted to the faculty of the Institute of Clinical Social Work in partial fulfillment for the degree of Doctor of Philosophy.
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