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Landman A, Ngameni EG, Dubreucq M, Dubreucq J, Tebeka S, Dubertret C. Postpartum blues: a predictor of postpartum depression, from the IGEDEPP Cohort. Eur Psychiatry 2024; 67:e30. [PMID: 38555958 PMCID: PMC11059245 DOI: 10.1192/j.eurpsy.2024.1741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2024] [Revised: 03/16/2024] [Accepted: 03/18/2024] [Indexed: 04/02/2024] Open
Abstract
BACKGROUND To identify the different factors associated with postpartum blues and its association with postpartum depression, from a large French cohort. METHODS We conducted an analysis of the Interaction Gene Environment in Postpartum Depression cohort, which is a prospective, multicenter cohort including 3310 women. Their personal (according to the Diagnostic and Statistical Manual, fifth edition [DSM-5]) and family psychiatric history, stressful life events during childhood, pregnancy, and delivery were collected. Likewise, the French version of the Maternity Blues Scale questionnaire was administered at the maternity department. Finally, these women were assessed at 8 weeks and 1 year postpartum by a clinician for postpartum depression according to DSM-5 criteria. RESULTS The prevalence of postpartum blues in this population was 33%, and significant factors associated with postpartum blues were found as personal (aOR = 1.2) and family psychiatric history (aOR = 1.2), childhood trauma (aOR = 1.3), obstetrical factors, or events related to the newborn, as well as an experience of stressful life events during pregnancy (aOR = 1.5). These factors had a cumulative effect, with each additional factor increasing the risk of postpartum blues by 31%. Furthermore, adjustment for sociodemographic measures and history of major depressive episode revealed a significant association between postpartum blues and postpartum depression, mainly at early onset, within 8 weeks after delivery (aOR = 2.1; 95% CI = 1.6-2.7), but also at late onset (aOR = 1.4; 95% CI = 1.1-1.9), and mainly if the postpartum blues is severe. CONCLUSION These results justify raising awareness among women with postpartum blues, including reassurance and information about postpartum depression, its symptomatology, and the need for management in case of worsening or prolongation of postpartum blues.
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Affiliation(s)
- Alexandra Landman
- Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France
| | | | - Marine Dubreucq
- Centre Referent de Rehabilitation Psychosociale, GCSMS REHACOOR 42, Saint-Étienne, France
- INSERM U1290 (Research on Healthcare Performance (RESHAPE)), University Lyon 1, Lyon, France
| | - Julien Dubreucq
- Department of Child and Adolescent Psychiatry, University Hospital of Saint-Étienne, Saint-Priest-en-Jarez, France
- CNRS 5229 (Institute of Cognitive Neuroscience), University Lyon 1, Lyon, France
| | | | - Sarah Tebeka
- Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France
- Institute of Psychiatry and Neuroscience of Paris (IPNP), Université Paris Cité, INSERM U1266, Team 1, Paris75014, France
| | - Caroline Dubertret
- Department of Psychiatry, Louis-Mourier Hospital, AP-HP, Colombes, France
- Institute of Psychiatry and Neuroscience of Paris (IPNP), Université Paris Cité, INSERM U1266, Team 1, Paris75014, France
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Li J, Zhao W, Zhuang Y, Gu N, Wang M, Zheng Y, Wang J. Efficacy of an enhanced recovery nursing plan as a rooming-in practice for women with preeclampsia post-cesarean section. J Clin Hypertens (Greenwich) 2024; 26:197-206. [PMID: 38263686 PMCID: PMC10857475 DOI: 10.1111/jch.14771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2023] [Revised: 01/02/2024] [Accepted: 01/04/2024] [Indexed: 01/25/2024]
Abstract
Our purpose was to develop and evaluate the clinical outcomes of a nursing plan as a rooming-in practice for enhanced recovery of women with preeclampsia following a cesarean section. The authors developed a postoperative enhanced recovery nursing plan as a rooming-in practice for women with preeclampsia based on summarizing evidence-based best practices. The authors used convenience sampling to select women with preeclampsia after a cesarean section from the obstetrics department of a Class A tertiary hospital in Nanjing, China, as the participants in our study. There were 30 women in the experimental group. The postoperative enhanced recovery nursing care plan was formulated for five postoperative time points and incorporated management of blood pressure, temperature, and fluids, as well as monitoring of complications, pain management, activity and rest, diet management, and breastfeeding. The control group consisted of 30 women who received routine nursing care and health education. The authors compared levels of maternal self-efficacy, breastfeeding efficacy, anxiety, pain scores, and deep vein thrombosis (DVT) prevention compliance before and after the intervention. Women in the experimental group had a self-efficacy score of 7.5 ± 0.63, which was higher than that in the control group (5.4 ± 0.85); they had a higher breastfeeding efficacy score of 7.13 ± 0.68 when compared to the control group (4.23 ± 0.86); the anxiety score was 6.7 ± 1.62, which was lower than that in the control group (10.03 ± 1.87); and the pain score was lower at 3.26 ± 0.52 when compared to the control group (3.83 ± 0.83). All the differences were statistically significant (P < 0.05). Postoperative blood pressure was controlled within the target range, and the rate of DVT prevention compliance increased in the experimental group. The implementation of a postoperative enhanced recovery nursing intervention for women with preeclampsia as part of the rooming-in practice was effective in helping manage the blood pressure, pain, and fluids of women with preeclampsia, improved their postoperative self-management ability and breastfeeding efficacy, reduced their anxiety levels, improved their compliance with the prevention of related complications, and ultimately promoted enhanced postoperative recovery, thereby guaranteeing the safety of mothers and newborns.
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Affiliation(s)
- Jing Li
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Wan‐Yuan Zhao
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Ying Zhuang
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Ning Gu
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Meng‐Qin Wang
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Ya‐Ning Zheng
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
| | - Jie‐Xun Wang
- Department of ObstetricsNanjing Drum Tower HospitalAffiliated Hospital of Medical School, Nanjing University, No.321 Zhongshan RoadNanjingChina
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Baldy C, Piffault E, Chopin MC, Wendland J. Postpartum Blues in Fathers: Prevalence, Associated Factors, and Impact on Father-to-Infant Bond. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20105899. [PMID: 37239624 DOI: 10.3390/ijerph20105899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 05/09/2023] [Accepted: 05/18/2023] [Indexed: 05/28/2023]
Abstract
In this study we explored, in men, one of the most common postpartum syndromes in women: the postpartum blues. The aims of the study were (a) to evaluate the prevalence of postpartum blues in fathers, (b) to explore the sociodemographic and perinatal factors that may be associated with its intensity, and (c) to investigate the relationship between the intensity of blues symptoms and the quality of father-to-infant bonding. Three hundred and three French-speaking fathers living in France completed a sociodemographic and obstetrical questionnaire, the Maternity Blues Questionnaire, and the Postpartum Bonding Questionnaire. The fathers were recruited from two maternity hospitals and a Child and Maternal Health Centre within 10 days of their infant's birth, or from online forums devoted to parenting. At least 17.5% of fathers experienced postpartum blues. A high level of education was associated with a higher level of postpartum blues symptoms. Dissatisfaction with the maternity care and significant father involvement during pregnancy and delivery predicted more severe postpartum blues symptoms. Symptoms of postpartum blues were positively correlated with impairment in the father-to-infant bond. This study lends support to the existence of postpartum blues among fathers and highlights its possible consequences on early father-infant relationships.
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Affiliation(s)
- Claire Baldy
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
| | - Eloi Piffault
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
| | - Margaux Chabbert Chopin
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
- Laboratory QualiPsy, University of Tours, F-37000 Tours, France
| | - Jaqueline Wendland
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, F-92100 Boulogne-Billancourt, France
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Tosto V, Ceccobelli M, Lucarini E, Tortorella A, Gerli S, Parazzini F, Favilli A. Maternity Blues: A Narrative Review. J Pers Med 2023; 13:jpm13010154. [PMID: 36675815 PMCID: PMC9863514 DOI: 10.3390/jpm13010154] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2022] [Revised: 01/04/2023] [Accepted: 01/09/2023] [Indexed: 01/15/2023] Open
Abstract
Puerperium is a period of great vulnerability for the woman, associated with intense physical and emotional changes. Maternity blues (MB), also known as baby blues, postnatal blues, or post-partum blues, include low mood and mild, transient, self-limited depressive symptoms, which can be developed in the first days after delivery. However, the correct identification of this condition is difficult because a shared definition and well-established diagnostic tools are not still available. A great heterogenicity has been reported worldwide regarding MB prevalence. Studies described an overall prevalence of 39%, ranging from 13.7% to 76%, according to the cultural and geographical contexts. MB is a well-established risk factor for shifting to more severe post-partum mood disorders, such as post-partum depression and postpartum psychosis. Several risk factors and pathophysiological mechanisms which could provide the foundation of MB have been the object of investigations, but only poor evidence and speculations are available until now. Taking into account its non-negligible prevalence after childbirth, making an early diagnosis of MB is important to provide adequate and prompt support to the mother, which may contribute to avoiding evolutions toward more serious post-partum disorders. In this paper, we aimed to offer an overview of the knowledge available of MB in terms of definitions, diagnosis tools, pathophysiological mechanisms, and all major clinical aspects. Clinicians should know MB and be aware of its potential evolutions in order to offer the most timely and effective evidence-based care.
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Affiliation(s)
- Valentina Tosto
- Department of Obstetrics and Gynecology, Giannina Gaslini Children’s Hospital, 16147 Genova, Italy
| | - Margherita Ceccobelli
- Section of Obstetrics and Gynecology, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
| | - Emanuela Lucarini
- Section of Psychiatry, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
| | - Alfonso Tortorella
- Section of Psychiatry, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
| | - Sandro Gerli
- Section of Obstetrics and Gynecology, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
| | - Fabio Parazzini
- Department of Clinical Sciences and Community Health, Medicine and Surgery Faculty, University of Milano, 20122 Milano, Italy
| | - Alessandro Favilli
- Section of Obstetrics and Gynecology, Department of Medicine and Surgery, University of Perugia, 06156 Perugia, Italy
- Correspondence:
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Durgun SK, Ulaş SC. Knowledge and Practices of Primary Health Care Professionals on Maternal Blues. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00887-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Golež M, Mivšek PA. Pilot study to test the Slovenian version of the Kennerley-Gath Blues questionnaire. Eur J Midwifery 2021; 5:47. [PMID: 34723154 PMCID: PMC8522510 DOI: 10.18332/ejm/142107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Revised: 12/23/2020] [Accepted: 09/09/2021] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Postpartum blues in 20% of cases develops into postnatal depression if it lasts longer than 14 days, so the condition requires attention. To help Slovenian midwives in screening for postpartum blues, we aimed to translate the Kennerly-Garth Blues Questionnaire (BQ). METHODS The blues questionnaire was translated using a double-blind translation method. The Cathedra for Midwifery at the Faculty Health Sciences Ljubljana reviewed the ethics and research design of the study. The online survey was conducted among Slovenian postpartum women who had to be between the 3rd and 15th day postpartum (inclusion criteria). A snowball sampling was used. The online questionnaire was active from January to March 2020. Women voluntarily participated in the survey and were assured of anonymity. RESULTS A total of 101 women participated in the study. More than half (58%) scored ≥7 points in the questionnaire, which is the cut-off score, indicating postpartum blues. More single women obtained a high score (66.6%) than those who were married (63.6%) or in an extramarital relationship (50.9%). High questionnaire scores were more common among women who had had their second child. Cronbach alpha for the Slovenian version of the Blues questionnaire was 0.995. CONCLUSIONS The survey instrument can be used easily and quickly and is a good way to open discussion with women about emotional and mental health in the postnatal period. The Slovenian version of the Blues questionnaire showed a satisfactory level of internal consistency, but a larger study should be conducted to evaluate the cut-off score and the content validity.
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Affiliation(s)
- Mirjam Golež
- Midwifery Department, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.,Celje Maternity Hospital, Celje, Slovenia
| | - Polona A Mivšek
- Midwifery Department, Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia
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