Breastfeeding, Postpartum Care, Postpartum Depression, Psychoeducation
Conditions
Keywords
Postpartum depression, Watson model, psychoeducation, breastfeeding
Brief summary
This study was planned to evaluate the effects of psychoeducation intervention for postpartum care on postpartum depression and breastfeeding.
Detailed description
The pregnant women included in the sample were informed about the study and their written informed consent was obtained. Six interviews were conducted with the pregnant women, four at one-week intervals before birth, and one on the tenth day and sixth week after birth. These interviews were conducted with the women one-on-one and face-to-face.Women in the control group were not given any treatment other than routine care at family health centers. The psychoeducation program was applied to the women in the intervention group in six interviews.
Interventions
Psychoeducation Program was composed of nine basic topics (postpartum period and care, adaptation to the role of motherhood and mother-infant bonding, postpartum psychological changes, frequency, causes, symptoms of PPD, effects on mother, child and community health, diagnosis and treatment, preventive practices, social support and suggestions for coping, breast milk and breastfeeding, breast care and practices, nutrition and baby care).
routine care
Sponsors
Study design
Masking description
control group (55) intervention group (55)
Intervention model description
The pregnant women included in the sample were informed about the study and their written informed consent was obtained. Six interviews were conducted with the pregnant women, four at one-week intervals before birth, and one on the tenth day and sixth week after birth. These interviews were conducted with the women one-on-one and face-to-face.Women in the control group were not given any treatment other than routine care at family health centers. The psychoeducation program was applied to the women in the intervention group in six interviews.
Eligibility
Inclusion criteria
* 20-34. Women who are at the gestational age, * over 18 years of age, * planning to breastfeed, * have no visual, * hearing or mental disabilities, * have a healthy fetus on ultrasonography
Exclusion criteria
* Women with depression and other mental illnesses diagnosed by a physician, * those taking medication related to their mental illness, * those who gave birth prematurely, * those with contraindications to breastfeeding and newborns (head and spine anomalies such as anencephaly/spina bifida, having a fetus with brain anomalies such as hydrocephalus/microcephaly, active substance use or HIV diagnosis, etc.), * those who were included in the study in the 3rd trimester but whose birth weight was less than 2500 grams, * those whose babies were taken to the neonatal intensive care unit due to any postpartum complications and those who had premature babies (born before 37 weeks of gestation), * those who did not participate in more than one interview
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Antenatal Breastfeeding Self-Efficacy Scale | 1 day (first meeting during pregnancy) | The scale consists of a total of 20 items. The scale is a 5-point Likert type. The lowest score that can be obtained from the scale is 20 and the highest score is 100. An increase in the score obtained from the scale indicates that the perception of breastfeeding self-efficacy has increased. |
| Edinburgh Postpartum Depression Scale | 1 day (first meeting during pregnancy and at the sixth week postpartum) | It is a 10-item self-report scale that measures maternal depressive symptoms over the past seven days. Higher scores reflect more depressive symptoms. Symptoms are rated on a 4-point Likert scale with scores ranging from 0 to 30. The cut-off score of the scale was determined as ≥13. If the total score of the scale is 12 or less, the participant is not at risk for PPD, but if he scores 13 or more, he is at risk. |
| Postpartum Breastfeeding Self-Efficacy | sixth week postpartum | Breastfeeding Self-efficacy Short Form is a 5-point Likert-type scale. The lowest score that can be obtained from the scale is 14 and the highest score is 70. A higher score indicates higher breastfeeding self-efficacy. |
| Personal Information Form | 1 day (first meeting during pregnancy) | The form created to determine the socio-demographic characteristics of the individuals included in the research was prepared by the researcher in line with the literature. |
Countries
Turkey (Türkiye)