Mental and Behavioural Disorders Pregnancy and Childbirth
Conditions
Interventions
ABC Workshop
Bereavement Champions and perinatal bereavement care group
Peer Support
Usual care
Perinatal Bereavement Support
Sponsors
Liverpool School of Tropical Medicine
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Women, birthed or received in-patient postnatal care in the included facility: - Outcome of the index pregnancy was a stillbirth (e.g., WHO antenatal or intrapartum fetal death = 28 weeks’ gestation or national definition) or neonatal death (live birth at any gestation, baby(ies) died up to 28 days following birth in the facility. - Over 16 years* at time of recruitment (whilst 18 years is age of majority, women over 16 years old who are pregnant, married, have a child or cater for their own livelihood are considered emancipated minors for the purposes of research(22), 16-18 year olds have high rates of adverse pregnancy outcomes including stillbirth and neonatal death and may benefit from the intervention and research. - Able to speak Luganda, English or Kiswahili.
Exclusion criteria
Exclusion criteria: Women who had a multiple birth, where one baby was liveborn and is still living.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome measure for effectiveness will be maternal grief intensity, measured using a Kiswahili or Luganda version of the Perinatal Grief Intensity Scale (PGIS), assessed 8-12 weeks after birth | — |
Secondary
| Measure | Time frame |
|---|---|
| - Maternal anxiety using Generalised anxiety disorder 7 item scale (GAD-7) to assess generalised anxiety including in pregnancy and the postnatal period - Maternal postpartum depression using The Edinburgh Postnatal Depression Score (EPDS) 10-item tool developed to assess depressive symptoms for postnatal use and validated for use to identify anxiety and depressive symptoms in pregnancy - Diagnosis and treatment of maternal mental health conditions (via self-report), examples anxiety, depression, PTSD and psychosis, 8-12 weeks after birth - Maternal perception of social support using Multidimensional Scale of Perceived Social Support (MPSS) a 12 item measure of perception of adequacy of social support from three sources family, friends and significant others | — |
Countries
Kenya, Uganda
Contacts
Public ContactTracey Mills
Senior Lecturer in Maternal and Newborn Health
Outcome results
None listed