No abstract available.
Postpartum Period* ; Postpartum Thyroiditis*

No abstract available.
Postpartum Hemorrhage ; Postpartum Period

Objectives: In an attempt to offer further insights in the development of counselling skills to population at risk, this counselling program was tested among mothers with postpartum depression (PPD) to determine the effects of Mind-Body Intervention Program (MBIP). Methodology: Utilizing an Embedded Design: Embedded Experimental Model (1), it included 385 postpartum mothers from the Out-Patient Department of De La Salle University Medical Center, City of Dasmarinas, Cavite. These mothers were screened for PPD symptoms through Edinburgh Postnatal Depression Scale (EPDS), and underwent psychiatric assessment, utilizing Hamilton Depression Scale (HAM-D) to clinically diagnose PPD. Results: Out of 385 participants, 42 qualified and underwent permuted block randomization. After the individualized, eight sessions of MBIP, the following were revealed: In the experimental group, the 17 mothers with depression in the pre-test decreased to 2 (11.8%) in the post-test and 1 (5.9%) in the delayed post-test. As to the control group, the 19 mothers with depression in the pre-test decreased to 7 (36.8%) in the post-test and 7 (36.8%) in the delayed post-test. The dropout rates were 19% ( 4/21) and 9 .5% (2/21) for the experimental and control groups, respectively. The t-test result for comparing average post-test score of the experimental group (3.12) and the control group (6.00) had a p-value of 0.074, which means that there was no significant difference between the two groups. This shows that the participants responded positively to both interventions. On the other hand, after two months, the mean delayed post-test score of 1.53 (normal or no depression) with p<0.012 of the experimental group, and mean delayed post-test score of 7 .21 (almost normal or near-mild depression) with p<0.0 12 of the control group was statistically significant (p-value=0.024). This means, those in the experimental group maintained their feelings of well-being more than those from the control group. The t-test results for intention to treat data were the same with the results of t-tests when dropouts were excluded. This finding reveals that the data collected was sufficient to give a valid result. Conclusion Therefore, the findings appear that mind-body intervention program can alleviate mild to moderate post-partum depression for those mothers without psycho-pathologic ailment such as anxiety neuroses, phobias or personality disorders; hence, it can be an option in the absence of pharmacotherapy for this condition.
Depression, Postpartum

Purpose: This study was conducted to bring together studies on the common nursing interventions for postpartum depression (PPD) and their outcomes. It aims to provide interpretation of relevant findings to help further enhance the nursing care of patients with postpartum depression. Design and Methods: A systematic literature review (SLR) approach was utilized to synthesize studies related to the management of postpartum depression and its outcomes. One hundred five studies (105) were initially retrieved from three online databases. Eventually, fifteen studies were included in this review after the screening process on quality and risk of bias assessments. Codes were identified from the included studies and were clustered into themes. A thematic map was formulated to visualize the interconnections of the nursing interventions for postpartum depression and its outcomes. Findings: Nurses caring for patients with postpartum depression usually practice PPD education, perinatal assessment, PPD counseling, nurse-delivered psychotherapy, providing social support, drug administration, complementary and alternative therapy combined with conventional management, and patient referral. These nursing practices for postpartum depression yielded the following outcomes: (1) symptom alleviation, (2) empowerment, (3) positive feedback, and (4) negative outcomes. Conclusions and Recommendations There is a range of nursing interventions for postpartum depression. This review highlights the significant roles of PPD education and nursing assessment and emphasizes these interventions to be practiced not only after childbirth but also during the prenatal period to identify at-risk patients and provide early intervention. This review also emphasizes the need for more coordinated care and a multidisciplinary approach, including patient referral, to achieve better outcomes in the care of postpartum depression patients. This relates to the acknowledgment of the various factors contributing to the development of postpartum depression and its lack of clear etiology.
Depression, Postpartum

No abstract available.
Depression, Postpartum* ; Female ; Postpartum Period*

No abstract available.
Leukemia, Promyelocytic, Acute* ; Postpartum Hemorrhage* ; Postpartum Period*

Introduction: Postpartum depression (PPD) is a major health concern for child-bearing women and has its effects on her children. Advocacies for mental health have paved way for more awareness of conditions such as PPD. Currently, there is no particular screening protocol employed by attending physicians of these women. There is also a lack of data that determines the practices of obstetricians when dealing with patients with PPD or those at risk of developing it. Objective: This descriptive study evaluated the knowledge, attitudes, and practices of OB-GYN consultants and residents on the screening of PPD. Materials and Methods: A validated questionnaire was utilized with some modifications made to tailor fit the targeted population. All affiliated consultants and residents of the Philippine Obstetrical and Gynecological Society-accredited training hospitals in a Region VII were included while those retired were excluded. The Google Form link of the questionnaire was disseminated to the different institutions who gave approval to conduct the study. Anonymity and confidentiality of data acquired were maintained throughout the study. Results: A total of 110 responses were received. The key findings of the study showed that the respondents have above average knowledge on PPD including its risk factors, symptoms, complications, and treatments. They generally have positive beliefs toward their role in the screening and management of PPD. Moreover, majority of them have already tried screening for PPD although not routinely. Conclusion There is a significant relationship between the knowledge, attitude, and practices of the consultants and residents on the screening of PPD. Systems should be put in place to ensure effective treatment and follow-up of patients and thus impact good clinical outcomes.
Depression ; Postpartum Period ; Depression, Postpartum ; Mass Screening

PURPOSE: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. METHODS: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using chi2-test, Fisher's exact test and paired t-test. RESULTS: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice (chi2=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). CONCLUSION: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.
Breast Feeding ; Postpartum Period

No abstract available.
Postpartum Period* ; Stroke*

No abstract available.
Postpartum Period* ; Psychopathology*