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Postpartum Education

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1. An educational intervention for NICU staff decreased maternal postpartum depression. (Full text)

An educational intervention for NICU staff decreased maternal postpartum depression. Mothers of preterm infants are at increased risk for postpartum depression, which may disturb parenting and child development. Strategies for prevention are needed. Therefore, we evaluated how an educational intervention for neonatal staff affected depression symptoms among mothers of preterm infants.The Close Collaboration with Parents intervention was implemented in the NICU at Turku University Hospital (...) difference was 2.54 points (95% CI, 1.24-3.83), p < 0.001. A total of 10.3% of the mothers in the pre-intervention cohort and 2.1% in the post-intervention cohort exceeded the threshold for depression, p = 0.066.The Close Collaboration with Parents intervention decreased depression symptoms among the mothers of very preterm infants. Systematic educational intervention targeted to the whole NICU staff can potentially prevent postnatal depression among mothers of preterm infants.

2019 Pediatric Research PubMed

2. Perspectives of health educators and interviewers in a randomized controlled trial of a postpartum diabetes prevention program for Latinas: a qualitative assessment. (PubMed)

Perspectives of health educators and interviewers in a randomized controlled trial of a postpartum diabetes prevention program for Latinas: a qualitative assessment. Lifestyle interventions regularly rely on study staff to implement the intervention and collect outcomes data directly from study participants. This study describes the experiences of project staff in two randomized controlled trials of a postpartum lifestyle intervention to reduce risk factors for type 2 diabetes in Latinas (...) . Latinas are the fastest growing minority group in the U.S. and have the highest rates of type 2 diabetes after a diagnosis of gestational diabetes mellitus. The challenges of implementing lifestyle interventions for postpartum women have been poorly documented.A qualitative focus group was conducted with eight staff members (five health educators and three health interviewers) involved in Proyecto Mamá and Estudio Parto. The discussion was audio recorded, transcribed, and coded in NVivo. Focus group

2019 BMC health services research

3. Effect of educational package on lifestyle of primiparous mothers during postpartum period: a randomized controlled clinical trial. (Full text)

Effect of educational package on lifestyle of primiparous mothers during postpartum period: a randomized controlled clinical trial. A healthy lifestyle is important for mothers during the postpartum period. This study was conducted to determine the effects of a lifestyle educational package in primiparous women. This randomized clinical trial was conducted on 220 mothers assigned to two groups using block randomization. In the intervention group, the mothers received face-to-face, phone and SMS (...) counseling and a booklet in addition to routine postpartum training; in the control group, the mothers received only routine training. The Health Behaviors Questionnaire, a Food Frequency Questionnaire and the International Physical Activity Questionnaire were used for data collection. There were no significant differences between the two groups 6 weeks after delivery in terms of physical activity level and nutritional status (P > 0.05) except for the mean consumption of milk and dairy, which was higher

2018 Health education research PubMed

4. Comparing the impact of educational behavioral interventions on maternal sleep between face-to-face and electronic training groups, during the postpartum period (Full text)

Comparing the impact of educational behavioral interventions on maternal sleep between face-to-face and electronic training groups, during the postpartum period The postpartum period is a transition to a critical stage. Moreover, the rapid changes experienced after delivery, expose the mother to unpleasant experiences such as changes in sleep patterns. Trying to an appropriate training method is necessary. This study aims to conduct a comparative study between the impact of face-to-face (...) training and e-training on maternal sleep during the postpartum period.The present study was empirically conducted on 110 postpartum mothers who visited the selected healthcare centers of Isfahan in 2015. Mothers randomly divided into three groups (face to face, electronic and control). Data collection tools included demographic and fertility questionnaire and Pittsburgh Sleep Quality Index. Intervention groups were received training such as mothers with necessary instructions regarding the health

2018 Journal of education and health promotion PubMed

5. Effectiveness of a psycho-educational intervention to prevent postpartum parental distress and enhance infant well-being: study protocol of a randomized controlled trial (Full text)

Effectiveness of a psycho-educational intervention to prevent postpartum parental distress and enhance infant well-being: study protocol of a randomized controlled trial The first months after birth can be challenging for parents, leading to parental distress and decreased well-being. Parents with high levels of distress are found to respond less adequately and sensitively to their infant, which in turn affects infant well-being and health. The goal of this study is to examine the effectiveness (...) of a psycho-educational intervention to prevent postpartum parental distress and enhance the quality of caregiving and infant well-being. In contrast to other interventions, this intervention will be (1) offered already before birth, (2) offered to all parents-to-be, regardless of their risk of postpartum distress, and (3) include fathers. The proposed study examines the effectiveness of this intervention on (1) parenting distress, (2) quality of caregiving, and (3) the infant's well-being.In

2018 Trials PubMed

6. Effect of spiritual care education on postpartum stress disorder in women with preeclampsia (Full text)

Effect of spiritual care education on postpartum stress disorder in women with preeclampsia Posttraumatic stress disorder is an anxiety disorder that occurs after exposure to an event that causes injury or threat. The prevalence of preeclampsia was reported to be 28%. Considering the significant role of spiritual care in physical and psychological outcomes of patients, this study was conducted to determine "the effect of spiritual care education on postpartum stress disorder in women (...) with preeclampsia".In this randomized clinical trial, 72 pregnant women (36 in each group) were selected in a convenient way between the ages of 34 and 38 weeks who had preeclampsia and admitted to two public hospitals in Mashhad. The questionnaires such as Duke University Religion Index, DASS 21, the Posttraumatic Stress Disorder Checklist (PCL), and Prenatal Posttraumatic Stress Questionnaire (PPQ) were used at the beginning in two groups. In the intervention group, first, women were educated each day based

2018 Journal of education and health promotion PubMed

7. Gender-informed psycho-educational programme to promote respectful relationships and reduce postpartum common mental disorders among primiparous women: long-term follow-up of participants in a community-based cluster randomised controlled trial (Full text)

Gender-informed psycho-educational programme to promote respectful relationships and reduce postpartum common mental disorders among primiparous women: long-term follow-up of participants in a community-based cluster randomised controlled trial What Were We Thinking (WWWT) is a gender-informed, psychoeducational programme to promote respectful relationships and skilled management of unsettled infant behaviours and thereby reduce postpartum common mental disorders. It comprises a highly (...) care from WWWT-trained nurse and print materials).The WWWT programme has a significant sustained beneficial impact on postnatal generalised anxiety among primiparous women compared with usual care. The in-person seminar is the most influential component of the intervention. Psycho-educational programmes integrated into primary care appear promising as a strategy to reduce postpartum common mental disorders.

2018 Global mental health PubMed

8. Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting. (Full text)

Clinical performance and patient outcome after simulation-based training in prevention and management of postpartum haemorrhage: an educational intervention study in a low-resource setting. Postpartum haemorrhage (PPH) is a major cause of maternal mortality. Prevention and adequate treatment are therefore important. However, most births in low-resource settings are not attended by skilled providers, and knowledge and skills of healthcare workers that are available are low. Simulation-based (...) training effectively improves knowledge and simulated skills, but the effectiveness of training on clinical behaviour and patient outcome is not yet fully understood. The aim of this study was to assess the effect of obstetric simulation-based training on the incidence of PPH and clinical performance of basic delivery skills and management of PPH.A prospective educational intervention study was performed in a rural referral hospital in Tanzania. Sixteen research assistants observed all births

2017 BMC Pregnancy and Childbirth PubMed

9. The Challenges of Providing Postpartum Education in Dar es Salaam, Tanzania: Narratives of Nurse-Midwives and Obstetricians. (PubMed)

The Challenges of Providing Postpartum Education in Dar es Salaam, Tanzania: Narratives of Nurse-Midwives and Obstetricians. Postpartum education can save lives of mothers and babies in developing countries, and the World Health Organization recommends all mothers receive three postpartum consultations. More information is needed to better understand how postpartum education is delivered and ultimately improves postpartum health outcomes. The purpose of this qualitative study was to examine how (...) postpartum care was delivered in three postnatal hospital clinics in Dar es Salaam, Tanzania. Semistructured interviews with 10 nurse-midwives and three obstetricians were conducted. Feminist poststructuralism guided the research process. Postpartum education was seen to be an urgent matter; there was a lack of supportive resources and infrastructure in the hospital clinics, and nurse-midwives and obstetricians had to negotiate conflicting health and traditional discourses using various strategies. Nurse

2017 Qualitative Health Research

10. The Effect of Life Style Based Education on the Fathers' Anxiety and Depression During Pregnancy and Postpartum Periods: A Randomized Controlled Trial. (PubMed)

The Effect of Life Style Based Education on the Fathers' Anxiety and Depression During Pregnancy and Postpartum Periods: A Randomized Controlled Trial. Due to the harmful effects of prenatal and postnatal anxiety and depression on fathers, the aim of this study was to determine the impact of lifestyle-based training on paternal depression and anxiety (primary outcomes) during the prenatal and postnatal periods. This single-blind randomized controlled clinical trial was conducted on 126 spouses

2017 Community mental health journal

11. Psycho-education Intervention for Postpartum OCD and it's Influence on Symptom Severity and Treatment Self Referral Rates

Psycho-education Intervention for Postpartum OCD and it's Influence on Symptom Severity and Treatment Self Referral Rates Psycho-education Intervention for Postpartum OCD and it's Influence on Symptom Severity and Treatment Self Referral Rates - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum (...) number of saved studies (100). Please remove one or more studies before adding more. Psycho-education Intervention for Postpartum OCD and it's Influence on Symptom Severity and Treatment Self Referral Rates The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

12. Is Perceived Discrimination in Pregnancy Prospectively Linked to Postpartum Depression? Exploring the Role of Education (Full text)

Is Perceived Discrimination in Pregnancy Prospectively Linked to Postpartum Depression? Exploring the Role of Education Objectives The role of perceived discrimination in postpartum depression is largely unknown. We investigate whether perceived discrimination reported in pregnancy contributes to postpartum depression, and whether its impact varies by education level. Methods Prospective data are a part of European Longitudinal Study of Pregnancy and Childhood, the Czech Republic. Surveys were (...) collected in mid-pregnancy and at 6 months after delivery. Depression was measured using Edinburgh Postnatal Depression Scale. Generalized linear models were estimated to test the effects of perceived discrimination on postpartum depression. Results Multivariate models revealed that among women with low education, discrimination in pregnancy was prospectively associated with 2.43 times higher odds of postpartum depression (p < .01), after adjusting for antenatal depression, history of earlier depression

2017 Maternal and child health journal PubMed

13. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period

Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period INTERIM UPDATE ACOGCOMMITTEEOPINION Number 767 (Replaces Committee Opinion Number 692, September 2017) Committee on Obstetric Practice This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee members Yasser Y. El-Sayed, MD, and Ann E. Borders, MD, MSc, MPH. INTERIM UPDATE: This Committee Opinion (...) is updated as highlighted to align with the American College of Obstetricians and Gynecologists’ guidance on gestational hypertension, preeclampsia, and chronic hypertension in pregnancy. Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period ABSTRACT: Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset

2019 American College of Obstetricians and Gynecologists

14. Primary postpartum haemorrhage

blood clotting analyser is available: o Follow a locally agreed algorithm relevant to the device used o Education and training on use and interpretation of results is essential o Follow quality control activities as per manufacturer’s instructions Refer to online version, destroy printed copies after use Page 16 of 35 Queensland Clinical Guideline: Primary postpartum haemorrhage 3.3 Resuscitation Initial response to PPH requires a multidisciplinary team approach 1,12 to restore the woman’s (...) Primary postpartum haemorrhage Maternity and Neonatal C linical G uideline Queensland Health Primary postpartum haemorrhage Queensland Clinical Guideline: Primary postpartum haemorrhage Document title: Primary postpartum haemorrhage Publication date: March 2018 Document number: MN18.1-V7-R23 Document supplement: The document supplement is integral to and should be read in conjunction with this guideline. Amendments: Full version history is supplied in the document supplement. Amendment date

2019 Queensland Health

15. Immediate postpartum long-acting reversible contraception for women at high risk for medical complications

, medically complex women face barriers to contraceptive use, including sys- temicbarriers,suchasunderinsuranceforwomenatincreasedriskforcomplexmedicalconditionsas wellaslowuptakeofeffectivepostpartumcontraception.Providingcontraceptivecounselingandafull range of contraceptive options, including immediate postpartum long-acting reversible contraception (LARC), is a means of overcoming these barriers. The purpose of this document is to educate all pro- viders, including maternal-fetal medicine (...) not supportive In-service education sessions Inpatient LARC devices not available Prenatal assistance with device procurement Inpatient providers not experienced with placement Dedicated immediate LARC placement teams In-service training of all providers Inpatient LARC placement not permitted Early postpartum LARC placement after hospital discharge Insurance and payment barriers Advocacy and education for Medicaid and private insurers LARC, long-acting reversible contraception. Society for Maternal-Fetal

2019 Society for Maternal-Fetal Medicine

16. Breastfeeding and the Impact on Postpartum Weight: A Focused Practice Question

with the longest period of exposure. BF for 20 1 Adjusted for Maternal age, employment, education, alcohol intake and smoking during pregnancy, nonmedical drug use, primiparity, pre-existing hypertension, marital status, paternal employment and education, household ownership, number of children under age 16, and year of recruitment 2 Adjusted for age, marital status, income, gestational weight gain, food intake, and exercising often 20 M weeks or more has a negative correlation to postpartum weight change (...) to weight at 1 to 2 years postpartum with two exceptions: o Higher weight retention (approximately 1 kg) in underweight nulliparous women who breastfed exclusively for up to 7 months vs 7 no adjustments. unclear reporting of lactation scores in systematic review 8 Intensity of breastfeeding among groups is not reported in systematic review 9 Adjusted for maternal age, race/ethnicity, parity, education, pre-pregnancy obesity, prenatal insurance coverage, postpartum smoking, C-section, infant in ICU

2019 Peel Health Library

17. Schedules for home visits in the early postpartum period. (Full text)

Schedules for home visits in the early postpartum period. Maternal complications including psychological and mental health problems and neonatal morbidity have been commonly observed in the postpartum period. Home visits by health professionals or lay supporters in the weeks following the birth may prevent health problems from becoming chronic with long-term effects on women, their babies, and their families.To assess outcomes for women and babies of different home-visiting schedules during (...) the early postpartum period. The review focuses on the frequency of home visits, the duration (when visits ended) and intensity, and on different types of home-visiting interventions.We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (28 January 2013) and reference lists of retrieved articles.Randomised controlled trials (RCTs) (including cluster-RCTs) comparing different types of home-visiting interventions enrolling participants in the early postpartum period (up to 42 days

2017 Cochrane PubMed

18. Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. (PubMed)

. In the final regression model, which explained 29% of variance, higher severity of maternal emotional neglect in childhood, higher levels of postpartum depression and higher education were significantly related to more postpartum MIB impairment. In contrast, higher severity of maternal physical neglect was significantly associated with less postpartum MIB impairment.This study is the first to explore the relationship between diverse types of maternal childhood maltreatment and postpartum MIB, adjusting (...) Associations of postpartum mother-infant bonding with maternal childhood maltreatment and postpartum mental health: a cross-sectional study. After delivery, some women experience impairment of their mother-infant bonding (MIB), which can lead to long-term disturbances of the mother-child relationship and the child's social-emotional development. Little is known about the association between early maternal bonding problems and mothers' own adverse childhood experiences, even though

2019 BMC Pregnancy and Childbirth

19. Optimizing Postpartum Care

counselors and educators, peer support) • Provides anticipatory guidance and support for breastfeeding • Co-manages complications with pediatric and maternal providers Care coordinator/case manager • Coordinates health and social services among members of postpartum care team Home visitor (eg, Nurse Family Partnership, Health Start) • Provides home visit services to meet specific needs of mother–infant dyad after discharge from maternity care Specialty consultants (ie, maternal–fetal medicine, internal (...) pediatric nurse practitioner) Primary care provider (also may be the obstetric care provider) • May co-manage chronic conditions (eg, hypertension, diabetes, depression) during postpartum period • Assumes primary responsibility for ongoing health care after comprehensive postpartum visit Lactation support (professional IBCLC, certified counselors • Provides anticipatory guidance and support for breastfeeding and educators, peer support) • Co-manages complications with pediatric and maternal care

2018 American College of Obstetricians and Gynecologists

20. Employment Considerations During Pregnancy and the Postpartum Period

photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400. American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920 Employment considerations during pregnancy and the postpartum period. ACOG Committee Opinion No 733. American College of Obstetricians and Gynecologists. Obstet Gynecol 2018;131:e115–23. This information is designed as an educational resource to aid clinicians in providing (...) Employment Considerations During Pregnancy and the Postpartum Period VOL. 131, NO. 4, APRIL 2018 OBSTETRICS & GYNECOLOGY e115 Employment Considerations During Pregnancy and the Postpartum Period ABSTRACT: In the United States, it is common for women, including mothers and pregnant women, to work outside the home. Working during pregnancy is generally safe. For those in high-risk occupations or with medi- cally complicated pregnancies, work accommodations often can allow for continued safe

2018 American College of Obstetricians and Gynecologists

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