Preview

nursing childbearing

Powerful Essays
Open Document
Open Document
1759 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
nursing childbearing
bs_bs_banner

316

doi: 10.1111/j.1365-3016.2012.01286.x

Development of a Prenatal Psychosocial Screening Tool for
Post-Partum Depression and Anxiety ppe_1286 316..327

Sheila McDonalda, Jennifer Walle, Kaitlin Forbesa, Dawn Kingstond, Heather Kehlerc, Monica Vekveda,c and Suzanne Tougha,b
Departments of aPaediatrics and bCommunity Health Sciences, Faculty of Medicine, University of Calgary, cPublic Health Innovation and
Decision Support, Population and Public Health, Alberta Health Services, Calgary, dFaculty of Nursing, University of Alberta, Edmonton,
Alberta, and eFaculty of Law, University of Toronto, Toronto, Ontario, Canada

Abstract
Correspondence:
Sheila McDonald, Child
Development Centre, Alberta
Children’s Hospital, c/o 2888
Shaganappi Trail, NW,
Calgary, Alberta, Canada T3B
6A8.
E-mail: sheilaw.mcdonald@ albertahealthservices.ca McDonald S, Wall J, Forbes K, Kingston D, Kehler H, Vekved M, Tough S. Development of a prenatal psychosocial screening tool for post-partum depression and anxiety.
Paediatric and Perinatal Epidemiology 2012; 26: 316–327.
Background: Post-partum depression (PPD) is the most common complication of pregnancy in developed countries, affecting 10–15% of new mothers. There has been a shift in thinking less in terms of PPD per se to a broader consideration of poor mental health, including anxiety after giving birth. Some risk factors for poor mental health in the post-partum period can be identified prenatally; however prenatal screening tools developed to date have had poor sensitivity and specificity. The objective of this study was to develop a screening tool that identifies women at risk of distress, operationalized by elevated symptoms of depression and anxiety in the post-partum period using information collected in the prenatal period.
Methods: Using data from the All Our Babies Study, a prospective cohort study of pregnant women living in Calgary, Alberta (N = 1578), we developed an

You May Also Find These Documents Helpful

  • Powerful Essays

    A short-lived peiod of depression accompanied by emotional fragility is common in the first few weeks postpartum. Continued depression needs further investigation…

    • 1437 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Publisher says, postpartum depression is a common disorder after birth, but if continuous, can escalate to dangerous levels. (Moms who kill 1-9).…

    • 714 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Andrea Yates Case Studies

    • 2049 Words
    • 9 Pages

    2012). Each one is a disaster waiting to happen (Muraskin, R. 2012). They may go from a very mild form of depression to a full blown extreme case (Muraskin, R. 2012). They are known as baby blues, postpartum depression, and postpartum psychosis, who among us haven’t suffered from (Muraskin, R. 2012). “Oh my how can I manage all that needs to be done after our baby is born (Muraskin, R. 2012)?” Where we get into trouble is not asking for help when we need it (Muraskin, R. 2012). Today there is help as soon as you get ready to come home, if you need it (Muraskin, R. 2012). We used it because it had been 18 years since my mom and grandma had taken care of a baby and I lived with them and they were helping me. You really do need help. This condition of such uneasiness and unpreparedness is called the baby blues (Muraskin, R. 2012). More than half of new mothers will fit into this category (Muraskin, R. 2012). It is a very short length of time, maybe 10 days; thank goodness (Muraskin, R. 2012). Doctors think this is caused by a hormonal change after the baby is born (Muraskin, R.…

    • 2049 Words
    • 9 Pages
    Good Essays
  • Powerful Essays

    Postpartum psychosis tends to have a rapid onset within the first four weeks after giving birth, whereas postpartum depression has a slower onset occurring around weeks six through twelve after childbirth (Williams, 2002). In postpartum psychosis, the symptoms include mood changes, delusional thoughts, paranoia and hallucinations. Symptoms can intensify or lessen. Women suffering are often afraid to ask for help due to the paranoia and guilt felt surround the disorder. Left to manage symptoms themselves, tragedies often occur as affected women committing suicide or infanticide. When such crimes occur, people debate how to deal with the women accused.…

    • 1775 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Bowlby, J. (1951). Maternal Care and Mental Health. World Health Organization Monograph. Retrieved from http://www.simplypsychology.org/bowlby.html…

    • 4623 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Bringing a new baby into the world and family can be a wonderful experience for most parents. All mothers and fathers have been faced with challenges when dealing with a newborn affecting them both mentally and physically, and it is natural to experience joy one minute and feeling depressed the next. These mood swings can be known as “baby blues” and usually, subside after birth. However, some women aren’t so lucky, and the feelings of depression dwell and don’t go away. This is when it is referred to as postpartum depression. Women aren’t the only ones who can suffer from this, new fathers as well may be susceptible. Postpartum depression describes maternal depression occurring after birth, with symptoms occurring within the first month of…

    • 336 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Each day, there are approximately 361,000 babies born throughout the world. For each child, there is a mother that carried a new life inside of her body for almost a year of their own life. What many people do not realize is that this can be an overwhelming experience leading to devastating consequences. Postpartum depression in new mothers is becoming more and more common each day.…

    • 1272 Words
    • 6 Pages
    Better Essays
  • Better Essays

    A new baby, a new family member is usually a very exciting thing. Although many changing are taking place in mom and dad’s life, normally these are all good and positive things, and they are overjoyed with excitement. However, many mothers begin to experience scary negative feelings soon after the birth or their baby. This condition, if extreme, is called Postpartum Depression. Postpartum Depression is a terrible disorder because it can affect the mother’s health in a negative way, it can cause many problems for the new family, and worse yet put the new family member’s health and well-being at risk.…

    • 1973 Words
    • 8 Pages
    Better Essays
  • Good Essays

    Valerie Raskin said in their book “This Isn’t What I expected: Overcoming Postpartum Depression” (Bantam 1994), “…Women are rarely informed about the range of emotions that can develop after the birth of their baby. When they experience difficulty, they are often silenced by well-intentioned healthcare providers or family members: “All mothers experience this,” or “find a hobby.” This advice doesn’t work. In…

    • 1458 Words
    • 6 Pages
    Good Essays
  • Good Essays

    There are about a million and one “firsts” in a person’s life, and as a parent you dream and plan about all of your child’s firsts. You dream about your baby’s first steps, first day of school, the first tooth they’ll lose, the first time you take them Disney World, and so on until they die seventy-some years later. The problem is, most of the “firsts” in a child’s life happen weeks, even years after the baby is born. When a baby is born, some moms experience postpartum depression (PPD), which is caused by low hormonal levels. For some people, depression only lasts for a couple days, for some it can lasts weeks, months and if left untreated, years. About 950,000 women suffer from PPD, and the symptoms get more detrimental the longer the…

    • 786 Words
    • 4 Pages
    Good Essays
  • Best Essays

    One out of five women will experience postpartum depression (Albert, 2002). Beck explored the concept of PPD…

    • 2864 Words
    • 12 Pages
    Best Essays
  • Good Essays

    Mezzacappa, E. S., & Katkin, E. S. (2002). Breastfeeding is associated with reduced perceived stress and negative mood in mothers. Health Psychology, (21), 187-193.…

    • 699 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Postpartum depression is an illness that consists of severe mood swings and feelings of inadequacy that occur within six months to a year after giving birth. These symptoms may be so severe that they may cause suicidal thoughts or an inability for a mother to care for her newborn. According to Diana Barnes (2008), “50 to 80% of mothers will experience some change in mental health within the first year after delivery…10 to 15% are at risk for postpartum depression” (para. 2). The risk for postpartum depression increases if there is a history of depression, a weak support system, an unplanned or unwanted pregnancy, or a stressful situation (marital conflict, illness, or pregnancy complication). The etiology of postpartum depression is unknown. According to Smith and Jaffe (2007), within 48 hours after delivery there is a dramatic decrease in estrogen, progesterone, cortisol, and thyroid gland hormones, along with changes in the immune system, metabolism, and blood pressure that may all trigger depression. Emotional factors include feeling less attractive, struggling with a new identity, feeling a loss of control, and anxiety about caring for the newborn. Some…

    • 1255 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    Nursing

    • 12029 Words
    • 49 Pages

    Patients with diabetes need to understand what diabetes is. Patients who understand what diabetes is and the complicated process associated with the disease are more likely to comply with the prescribed regimen. Diabetes Mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate (Davis, 2001). Diabetes is a chronic progressive disease that requires lifestyle changes, especially in the areas of nutrition and physical activity. The overall goal of medical and nutritional therapy is to assist persons with diabetes in making self-directed behavioral changes that will improve their overall health (Franz, 2012). Blood glucose monitoring and goals of blood glucose monitoring…

    • 12029 Words
    • 49 Pages
    Powerful Essays
  • Best Essays

    There is increasing awareness of perinatal mental health as a public health issue. The Government is keen for midwives to further develop their role in public health. Midwives need to be adequately prepared to take on a more developed role in perinatal mental health if practice improvements are to be made. I am aware that death from psychiatric causes has been the leading cause of maternal death for the last few years. Although the most recent Confidential Enquiry into Maternal and Child Health indicated that this is no longer a leading cause, mental health problems before and after childbirth have a significant impact on the health of women, family relationships and children’s subsequent development. I believe that midwives need to be able to detect women with current mental health problems and those at high risk of a serious mental illness following delivery, in order to improve the care and support offered to them throughout their contact with maternity services. One of the most serious areas where we see ongoing harm is in adult mental health. Recent research shows that a large proportion of adult mental health problems can be laid at the door of early childhood. We need to consider the likely future effects of not breaking the cycle while these people are young. The ACE Study estimates that 54 per cent of current depression and 58 percent of suicide attempts in women can be attributed to adverse childhood experiences, which also correlate with later high levels of alcohol and drug consumption. In order to screen systematically and sensitively, and to enable them to refer on appropriately, I feel that midwives need to understand why they are asking questions about mental health; how to encourage women to disclose past and current problems; what the risks of recurrence and relapse are; and what services are available in their area of practice.…

    • 1774 Words
    • 8 Pages
    Best Essays