Syfte: Att undersöka på vilket sätt postpartum depression identifieras hos nyblivna föräldrar och på vilket sätt screening med EPDS och påföljande stödjande samtal tillämpas av distriktssköterskor tjänstgörande på BVC i Uppsala län. Metod: Samtliga 98 distriktssköterskor som arbetar med BVC i Uppsala län inkluderades i enkätstudien. Svarsfrekvens utgjorde 60%. Enkäten bestod av 35 frågor. Resultat: Studien fann att EPDS-användning bland BVC-sjuksköterskor var hög, 51 av 59 använde EPDS och visade, bland de som hade besvarat enkäten, att det fanns en signifikant skillnad mellan EPDS-användning och vilken kommun distriktssköterskor arbetade i, och att det fanns ett signifikant samband mellan EPDS-användning och erhållen utbildning. Det fanns inget signifikant samband mellan EPDS-användning och tillgång till handledning. Riktlinjer för screening fanns på de flesta arbetsplatser, dock enbart för svensktalande mödrar. Screening av icke svensktalande mödrar var bristfällig och något strukturerat sätt att identifiera pappornas sinnesstämnings fanns inte. De flesta distriktssköterskor erbjöd mödrar stödjande samtal vid utfall efter screeningen. Avsatt tid och tidpunkten för EPDS-screeningen och avsatt tid för och antal av stödjande samtal varierade något. De flesta distriktssköterskor hade valt att utföra screeningen och stödjande samtalen på mottagningen. Dokumentationen av screeningen och de följande åtgärderna varierade. Slutsats: EPDS och påföljande stödjande samtal tillämpades rutinmässigt av de flesta BVC-sjuksköterskor i Uppsala län. Rutin för screeningen av icke svensktalande mödrar och fäder saknades på merparten av BVC.

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.

Thesis (Ph. D.)--State University of New York at Binghamton, Department of Psychology, Clinical Psychology, 2009. / Includes bibliographical references.

Thesis (MA)--University of Stellenbosch, 2006. / Bibliography. Also available via the Internet.

<p><strong>Bakgrund:</strong> 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”. <strong>Syfte: </strong>Att beskriva upplevelser av postpartum depression hos vuxna kvinnor diagnostiserade med PPD.</p><p><strong>Metod: </strong>Sju vetenskapliga artiklar användes för att genomföra denna systematiska litteraturstudier med en induktiv ansats. <strong>Resultat:</strong> Utifrån frågan ”vilka gemensamma upplevelser genomgår kvinnor med PPD”? Framkom sju teman: misslyckande, stress, ensamhet, inre strid, förlust av kontroll, rädsla och skam. <strong>Slutsats: </strong>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.</p><p> </p><p><p> </p><p> </p></p><p> </p><p> </p><p><p> </p><p> </p></p><p> </p><p> </p><p><p><p> </p><p> </p></p></p>

M.Cur. (Advanced Midwifery and Neonatal Nursing) / The incidence of puerperal depression was explored amongst the Soweto population. A total of 170 women were interviewed at Baragwanath Hospital. 12 satellite clinics. and one private clinic. The women were interviewed during their sixth-week postnatal follow-up with regard to their social and obstetric histories in order to establish the factors which predispose mothers to puerperal depression. A Pitt Depression Inventory was used to assess the postpartum disturbances and depressive symptomatologies experienced by the women. Data analysis revealed that the incidence of postpartum depression is 20.1%. The results of this study are consistent with some of the findings of other researchers. The results revealed a strong relationship between physical stress psychiatric history and depressive symptoms. Other researchers have found puerperal depression to be triggered by social stresses. This was not the case with this study. Guidelines have been given regarding early identification prevention and management of puerperal depression.

Thesis (M.Sc.)--Memorial University of Newfoundland, 2005. / Bibliography: leaves 110-123.

Postpartum depression (PPD) is a medicalized condition that exists on a continuum of postpartum mood disorders. PPD is reported to be experienced by 10-15% of mothers and 10% of fathers during pregnancy or after the birth of a baby. PPD, as experienced by either parent, is considered a serious condition because of its potential short- and long-term negative impacts on the developing child. In this thesis I explore how motherhood and fatherhood are constructed in the context of articles on maternal and paternal PPD in Canadian and American newspapers. Specifically, I focus on how references to the opposite partner were used to position each parent, and how each parent was positioned with respect to the new baby. In the articles on maternal PPD, husbands were either inconsequential to the story, positioned as being absent, or constructed as supporting the mother through instrumental and action-oriented behaviours. In addition, mothers were constructed as lonely and isolated because of self-imposed limitations (e.g., feeling ashamed for not being happy). In the articles on paternal PPD, the mother-father relationship was based on differences and competition. Fathers were constructed as isolated, lonely and misunderstood, most often through mother-blaming, such as by positioning the mother as responsible for the father’s well-being (e.g., causing his PPD), and by labelling PPD “a woman’s domain.” Fathers’ loneliness was presented as being due to imposed limitations of others (e.g., others did not properly prepare fathers for fatherhood). Mothering was constructed as being instinctually skilled, tolerant, and self-sacrificing, with the inherent capability to manage multiple roles and changes. The mother-baby relationship was constructed as naturally joyful, all-important and –consuming. Fathers were not expected to be as skilled or instinctively prepared and tolerant, to engage in chores/childcare, or to be explicitly overjoyed with the baby. Mothers were blamed for their distress in the role, while others were blamed for fathers’ distresses. Gendered stereotypes in the parenting role were perpetuated in these newspaper articles. Parenthood was not constructed as a collaboration, but rather motherhood and fatherhood stood in isolation from each other, with motherhood positioned as the primary role. These constructions continue to maintain fathers in the background of parenthood as an “other,” and to position mothers as responsible for the well-being of her partner, child(ren) and herself.

Postpartal adaptation and vulnerability to depression was assessed in a sample of eighty women during the third and eighth weeks after childbirth. A questionnaire (IPA) was developed to assess postpartal adaptation in five areas: activities of daily living, labor-delivery events, mother-infant interactions, social supports, and construal of self and future. Other questionnaires included a psychological screening inventory (PSI), two depression measurements (Beck's Inventory and Pitt's Questionnaire), and a maternal assessment scale (MAS). Data were processed through the Statistical Package for Social Sciences, developed by Nie and Associates, Version 7 procedure, Northwestern University, Vogelback Computing Center, to obtain correlation analyses. Results suggested several areas of postpartal adaptation to be correlated with depression reactions after childbirth: moods, sleep, eating schedule, energy level, negative emotions toward infant, and items assessing social supports and self-construal.

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.