Can we prevent postnatal depression? A randomized controlled trial to assess the effect of continuity of midwifery care on rates of postnatal depression in high-risk women
| Autor: | M. N. Marks, K. Siddle, C. Warwick |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Patient Dropouts Randomization MEDLINE Context (language use) Midwifery law.invention Depression Postpartum Randomized controlled trial Pregnancy Risk Factors law London medicine Humans Depression (differential diagnoses) Obstetrics business.industry Mental Disorders Obstetrics and Gynecology Continuity of Patient Care medicine.disease Clinical trial Pediatrics Perinatology and Child Health Major depressive disorder Female business |
| Zdroj: | The Journal of Maternal-Fetal & Neonatal Medicine. 13:119-127 |
| ISSN: | 1476-4954 1476-7058 |
| DOI: | 10.1080/jmf.13.2.119.127 |
| Popis: | To evaluate the effectiveness of continuous midwifery care in reducing rates of postnatal depression in women with histories of depression.Fifty-one women from a sample of 98 pregnant women with histories of major depressive disorder were randomly allocated, at antenatal booking, to continuous midwifery care. The remaining 47 women received standard maternity care. A total of 87 women (44 treatment, 43 control) completed baseline assessments (after randomization) and outcome assessments (at 3 months postpartum).Of the women allocated to continuous midwifery care, 88% complied in full with their allocated treatment protocol. Forty-nine percent of women had an episode of illness in pregnancy (DSM-III-R case of major or minor depression), 26% developed a new episode of illness after antenatal booking, and 23% were depressed in the first 3 months postpartum. There were no differences between treatment conditions in total rates, or rates within the context of social adversity, of antenatal depression, depressions which occurred post-booking, postnatal depression, and the duration of depressive episodes.While continuous midwifery care had no impact on psychiatric outcome, it was highly successful at engaging women in treatment and therefore has an important contribution to make in the care of child-bearing women with mental health problems. |
| Databáze: | OpenAIRE |
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