Improving knowledge, attitudes and beliefs: a cross-sectional study of postpartum depression awareness among social support networks during COVID-19 pandemic in Malaysia (original) (raw)
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Global Health: Science and Practice, 2021
Pregnant, laboring, and postpartum women are navigating the challenges inherent to the perinatal period against the backdrop of a global pandemic but without a key protective factor-social support. n Formal and informal social support systems for mothers need to be prioritized, even during pandemics, and failure to do so will greatly affect mothers, their infants, and their whole households. n When determining policies to mitigate the spread of coronavirus disease (COVID-19), policy makers should take a harm reduction approach that incorporates feasible and innovative strategies to ensure the continuation of maternal social support. n Policy makers need to engage and empower mothers as well as the associated professional communities to voice their needs and to inform and participate in the policy formulation process to ensure the creation of policies that are better suited to maternal social support needs during the pandemic. The perinatal period, which includes both the gestational and postpartum phases, is characterized by substantial biological changes and major life adjustments that can result in various degrees of emotional distress. 8,9 Globally, a significant portion of perinatal women develop symptoms of depression and anxiety. In high-income countries (HICs), the prevalence of depression ranges
Nurse Media Journal of Nursing
Background: Postpartum depression is a common psychological problem that occurs after birth. It has become especially prevalent in the era of the COVID-19 pandemic. Several factors contribute to postpartum depression. However, a limited study evaluated factors contributing postpartum depression among mothers during the COVID-19 pandemic, particularly in Indonesia.Purpose: This study aimed to explore postpartum depression among mothers and its contributing factors during the COVID-19 pandemic.Methods: This study adopted a cross-sectional design. A total of 110 postpartum mothers were recruited by accidental sampling with the following inclusion criteria: mothers between one month and one year after birth, married, a singleton birth and the baby alive, and the mother is healthy with no complications. The Edinburgh Postnatal Depression Scale was used to measure postpartum depression. Descriptive statistics, t-test, Fisher exact test, one-way ANOVA, and logistic regression were performe...
Postnatal Depression in Malaysia: Perspectives of Stakeholder on Awareness Medium
IIUM Medical Journal Malaysia
INTRODUCTION: Postnatal depression is a highly prevailing illness, yet underdiagnosed. Untreated, it carries a transgenerational impact, and therefore promoting awareness for it has to be of high priority. This research explored the elements of an educational tool to develop awareness for postnatal depression as preferred by stakeholders. MATERIALS AND METHOD: A descriptive qualitative approach using semi-structured face-to-face interviews were conducted, where nine participants were recruited via purposive sampling from a university hospital in Malaysia. Interviews with each participant were audio-recorded and transcribed to verbatims. Emergent themes were identified during the analysis. RESULTS: Four consistent themes regarding elements for an educational tool were derived as follows: Foundations of the tool, Illness circumstances, Support bases, and Matters of perspective. CONCLUSION: An educational video within the local setting should involve the usage of a short emotionally dr...
Prevalence and Factors of Postpartum Depression During the COVID-19 Pandemic: A Review
Current Psychology
The COVID-19 (Coronavirus Disease 2019) pandemic has led to several mandatory prevention regulations, changes in healthcare services, unprecedented unemployment rates, financial stress, and emotional worries. Given the increasing cases of COVID-19, coupled with the drastic physical and psychological changes within postpartum mothers during the postpartum period, this paper aims to present an overview of the postpartum depression (PPD) among postpartum women during the COVID-19 pandemic. The postpartum period is characterized by drastic physical changes and substantial demands on parental role adjustment, and it places enormous stress on the mothers and makes them vulnerable to mental health problems. A literature search was conducted in four electronic databases (ScienceDirect, Scopus, Wiley, and SAGE) with different combinations of keywords were used. As the result, 25 articles that involved 10,515 postpartum women from 14 countries were extracted. Results have recorded PPD prevalence ranged from 6.4% to 56.9% during the COVID-19 pandemic. Limited social support, social isolation, fear of COVID-19 exposure, or infection for themselves, newborns, have worsening PPD symptoms among postpartum women. In brief, early detection, appropriate and timely intervention is needed to prevent and identify PPD among postpartum women during the COVID-19 pandemic.
Pregnancy and COVID-19 Pandemic Perception in Malaysia: A Cross-Sectional Study
International Journal of Environmental Research and Public Health, 2021
Pregnant women are susceptible to COVID-19 complications due to gestation-related physiological changes. We aimed to evaluate the level of maternal knowledge, perception, and practice during the pandemic. A cross-sectional study was conducted during the Malaysian Movement Control Order (MCO) between April and June 2020. A self-administered electronic questionnaire that included the knowledge and practice domains was distributed. A newly designed set of questions was used to evaluate (1) women’s perception of MCO and (2) maternal experience, which was subdivided into clinical care provision and maternal anxiety. The survey response rate was 93% with the final number for analysis of 415. The majority of women (95%) demonstrated an adequate level of knowledge on COVID-19, whilst 99% had a good practice. We found that tertiary education (p < 0.001), employment status (p = 0.03), higher household income (p < 0.001), and multiple sources of information (p < 0.001) were independen...
Global Medical & Health Communication (GMHC)
Transmission of COVID-19 in pregnant women and postpartum mothers is potentially high risk. Postpartum mothers implement health protocols influenced by predisposing, enabling, and need factors. This study aimed to analyze the role of midwives and information media in postpartum mothers' knowledge, attitude, and behavior regarding the COVID-19 health protocol. This research was conducted in RSUD Kabupaten Kediri, in August–October 2021. The study used a correlational analytic method. The sample was postpartum mothers using a simple random sampling technique where 100 respondents included in inclusion criteria were given a questionnaire to complete. This study employed Kendall's tau correlation test to analyze the data. The result showed that the role of midwives is mainly in the good category (66%) while the media information is also in the good category (58%). Most of the respondents had sufficient knowledge (37%), the attitude of respondents in implementing the COVID-19 hea...
International Journal of Environmental Research and Public Health
Background: To explore the depression and anxiety symptoms in the postpartum period during the SARS-CoV-2 pandemic and to identify potential risk factors. Methods: A multicentre observational cohort study including 536 women was performed at three hospitals in Spain. The Edinburgh Postnatal Depression Scale (EPDS), the State-Trait Anxiety Inventory (STAI) Scale, the Medical Outcomes Study Social Support Survey (MOS-SSS), and the Postpartum Bonding Questionnaire (PBQ) were assessed after birth. Depression (EPDS) and anxiety (STAI) symptoms were measured, and the cut-off scores were set at 10 and 13 for EPDS, and at 40 for STAI. Results: Regarding EPDS, 32.3% (95% CI, 28% to 36.5%) of women had a score ≥ 10, and 17.3% (95% CI, 13.9% to 20.7%) had a score ≥ 13. Women with an STAI score ≥ 40 accounted for 46.8% (95% CI, 42.3% to 51.2%). A lower level of social support (MOS-SSS), a fetal malformation diagnosis and a history of depression (p = 0.000, p = 0.019 and p = 0.043) were independ...
The Psychological Effects of the Coronavirus Disease 2019 Pandemic on Pregnant and Postpartum Women
Journal of Clinical Gynecology and Obstetrics, 2021
Background: There is little research available regarding the psychological effect of the coronavirus disease 2019 (COVID-19) pandemic on antenatal and postnatal women in the Middle East. This study aimed to evaluate the burden of the pandemic on the mental health of pregnant and postpartum women in Oman. Methods: A cross-sectional study was carried out from July to December 2020 at the Sultan Qaboos University Hospital in Muscat, Oman. A previously validated Arabic version of the Depression, Anxiety, and Stress Scale was distributed to eligible participants via text message. Results: A total of 148 women completed the questionnaire (response rate: 12.8%). Of these, 35 participants (23.6%) reported symptoms of stress, ranging in severity from mild (n = 13, 8.8%) to extremely severe (n = 4, 2.7%); and 44 women (29.7%) reported some level of anxiety, most usually of moderate severity (n = 15, 10.1%). In addition, 46 women (31.1%) reported symptoms of depression, with 16 women (10.8%) having severe or extremely severe depression. Various factors were significantly associated with anxiety and depression levels, including lack of social support due to quarantine restrictions, the presence of an elderly individual at home, and the effect of the pandemic on monthly income (P < 0.05). Conclusions: These findings underscore the importance of finances, family, and social support on the psychological wellbeing of pregnant and postpartum Omani women during this pandemic. In future, healthcare providers should implement awareness campaigns and educational programs to provide additional support to this population group during similar health crises.
Assiut Scientific Nursing Journal (Print), 2022
Background: Because of the physiological changes and a resulting immune-compromised state that render postpartum women more susceptible to COVID-19. Aim: is to assess the levels of postpartum women's knowledge, attitudes and self-protective measures regarding COVID 19. Methods: Descriptive cross sectional study design at Sohag University Hospital on 350 postpartum women by using an interviewing questionnaire, assess postpartum women`s knowledge and Likert scale to assess attitudes toward COVID-19 infection& prevention. Results: About 52.6% of the studied women had a poor knowledge about COVID-19, about 18.6% of the studied women had a highly satisfactory practices regarding COVID-19 and about 64.6% of the studied women had a positive attitude regarding COVID-19. Conclusion: More than half of the women in the study have poor knowledge, close to a quarter have unsatisfactory practices and more than a third have a negative attitude on COVID-19. Recommendations: Promotion of intensive health educational program regarding prevention of COVID19 on at all levels.