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. 2021 May 24;10(2):70-76.
doi: 10.34172/jcs.2021.014. eCollection 2021 May.

The Effect of Midwife-led Psycho-Education on Parental Stress, Postpartum Depression and Parental Competency in High Risk Pregnancy Women: A Randomized Controlled Trial

Leila Chaharrahifard  1 , Alireza Jashni Motlagh  2 , Mahnaz Akbari-Kamrani  3 , Mina Ataee  4 , Sara Esmaelzadeh-Saeieh  5
Affiliations

The Effect of Midwife-led Psycho-Education on Parental Stress, Postpartum Depression and Parental Competency in High Risk Pregnancy Women: A Randomized Controlled Trial

Leila Chaharrahifard et al. J Caring Sci. .

Abstract

Introduction: Women with high-risk pregnancy are at increased risk of depression and anxiety during pregnancy, as well as a less favorable parent-infant interaction. This study aimed to investigate the effect of midwife-led psycho-education intervention on parental stress, competency, and postpartum depression in nulliparous women hospitalized with high-risk pregnancy. Methods: This randomized controlled trial was carried out on 66 nulliparous women admitted to the high-risk pregnancy ward of Kamali Hospital, Karaj, Iran. Using convenient sampling method, the mothers were randomly assigned to control and intervention groups. In addition to routine care, the intervention group received four sessions of midwife-led psycho-education intervention in two group sessions in pregnancy and two individual sessions immediately after delivery. The parental stress, parental competency, and postpartum depression questionnaires were used for data collection before, after, and one month after the intervention. Data were analyzed using SPSS software ver. 13.0. Repeated-measures ANOVA test was used for comparing the mean scores of parenting stress, parental competency, and depression between and within both study groups before, after, and one month after delivery. Results: While postpartum depression and parental stress decreased in intervention group, parental competency increased. Conclusion: Our findings indicated that midwife-led psycho-education was effective on parental stress, competency, and postpartum depression in high-risk pregnancy mothers. Accordingly, prenatal distress in high-risk pregnancies should be assessed routinely.

Keywords: Depression; High risk pregnancy; Parental competence; Postpartum; Stress disorders.

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References

    1. Araújo WS, Romero WG, Zandonade E, Amorim MH. Effects of relaxation on depression levels in women with high-risk pregnancies: a randomised clinical trial. Rev Lat Am Enfermagem. 2016;24(1):2806. doi: 10.1590/1518-8345.1249.2806. - DOI - PMC - PubMed
    1. Zelkowitz P, Papageorgiou A. Easing maternal anxiety: an update. Womens Health. 2012;8(2):205–13. doi: 10.2217/whe.11.96. - DOI - PubMed
    1. Holness N. High-risk pregnancy. Nurs Clin North Am. 2018;53(2):241–51. doi: 10.1016/j.cnur.2018.01.010. - DOI - PubMed
    1. Dunkel Schetter C, Tanner L. Anxiety, depression and stress in pregnancy: implications for mothers, children, research, and practice. Curr Opin Psychiatry. 2012;25(2):141–8. doi: 10.1097/FYCO.0b013e3283503680. - DOI - PMC - PubMed
    1. Kent RA, Yazbek M, Heyns T, Coetzee I. The support needs of high-risk antenatal patients in prolonged hospitalization. Midwifery. 2015;31(1):164–9. doi: 10.1016/j.midw.2014.08.003. - DOI - PubMed

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