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Early postpartum discharge: maternal depression, breastfeeding habits and different follow‐up strategies.

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Title: Early postpartum discharge: maternal depression, breastfeeding habits and different follow‐up strategies.
Authors: Verpe, Hege, Kjellevold, Marian, Moe, Vibeke, Smith, Lars, Vannebo, Unni T., Stormark, Kjell Morten, Søvik, Margaret Ljosnes, Skotheim, Siv
Source: Scandinavian Journal of Caring Sciences. Mar2019, Vol. 33 Issue 1, p85-92. 8p. 1 Illustration, 1 Diagram, 4 Charts, 1 Graph.
Subjects: Postpartum depression, Breastfeeding, Chi-squared test, Child health services, Comparative studies, Habit, Hospital admission & discharge, Patient aftercare, Evaluation of medical care, Psychology of mothers, Postnatal care, Pregnancy, Questionnaires, Research, Research funding, T-test (Statistics), Edinburgh Postnatal Depression Scale, Data analysis software, Descriptive statistics
Geographic Terms: Norway
Abstract: Background: In most maternity wards in Norway, early discharge (<48 hour) is the norm. To monitor newborns' and women's health during the first week after delivery, most maternity wards offer early check‐ups, where families return to the hospital (standard care). However, a few municipalities offer home visits by midwives (domiciliary care) to ensure seamless services for the family. Aim: The primary aim of this study was to explore whether different follow‐up strategies were differently associated with maternal depression and breastfeeding habits, 6 weeks and 6 months postpartum. The secondary aim was to investigate whether families at risk of postpartum depression were included in the home visiting programme in the municipality that offered both follow‐up strategies. Method: This study draws on data from the 'Little in Norway' (LIN) study, which followed families from pregnancy until the child was 18 months. This study used data from two different well‐baby clinics in two municipalities, where one offered standard care (n = 95) and the other domiciliary (n = 64) and standard care (n = 17). The Edinburg Postnatal Depression Scale (EPDS) was used to measure maternal depression. Breastfeeding habits were measured using a self‐report questionnaire. The Life Stress subscale of the Parenting Stress Index (PSI) was used to identify women at risk of postpartum depression. Results: There were no differences in maternal depressive symptoms or breastfeeding habits at neither 6 weeks nor 6 months postpartum between women who received standard or domiciliary care in the two municipalities. Within the municipality that offered both follow‐up strategies, a higher number of women scoring high on prenatal life stress were included in domiciliary – compared to standard care. Conclusion: Differential follow‐up strategies in the first week after birth did not impact on maternal depression or breastfeeding habits. However, domiciliary care seems to be regarded as supportive and nonstigmatising for women at risk of postpartum depression. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Early postpartum discharge: maternal depression, breastfeeding habits and different follow‐up strategies.
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  Data: Background: In most maternity wards in Norway, early discharge (&lt;48 hour) is the norm. To monitor newborns&#39; and women&#39;s health during the first week after delivery, most maternity wards offer early check‐ups, where families return to the hospital (standard care). However, a few municipalities offer home visits by midwives (domiciliary care) to ensure seamless services for the family. Aim: The primary aim of this study was to explore whether different follow‐up strategies were differently associated with maternal depression and breastfeeding habits, 6 weeks and 6 months postpartum. The secondary aim was to investigate whether families at risk of postpartum depression were included in the home visiting programme in the municipality that offered both follow‐up strategies. Method: This study draws on data from the &#39;Little in Norway&#39; (LIN) study, which followed families from pregnancy until the child was 18 months. This study used data from two different well‐baby clinics in two municipalities, where one offered standard care (n = 95) and the other domiciliary (n = 64) and standard care (n = 17). The Edinburg Postnatal Depression Scale (EPDS) was used to measure maternal depression. Breastfeeding habits were measured using a self‐report questionnaire. The Life Stress subscale of the Parenting Stress Index (PSI) was used to identify women at risk of postpartum depression. Results: There were no differences in maternal depressive symptoms or breastfeeding habits at neither 6 weeks nor 6 months postpartum between women who received standard or domiciliary care in the two municipalities. Within the municipality that offered both follow‐up strategies, a higher number of women scoring high on prenatal life stress were included in domiciliary – compared to standard care. Conclusion: Differential follow‐up strategies in the first week after birth did not impact on maternal depression or breastfeeding habits. However, domiciliary care seems to be regarded as supportive and nonstigmatising for women at risk of postpartum depression. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.12604
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 85
    Subjects:
      – SubjectFull: Postpartum depression
        Type: general
      – SubjectFull: Breastfeeding
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Child health services
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Habit
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Patient aftercare
        Type: general
      – SubjectFull: Evaluation of medical care
        Type: general
      – SubjectFull: Psychology of mothers
        Type: general
      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Pregnancy
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      – SubjectFull: T-test (Statistics)
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      – SubjectFull: Edinburgh Postnatal Depression Scale
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      – SubjectFull: Data analysis software
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      – SubjectFull: Norway
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      – TitleFull: Early postpartum discharge: maternal depression, breastfeeding habits and different follow‐up strategies.
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              Text: Mar2019
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