Scholarly record
A MOTHERS AUTONOMY AND RESPECT DURING BIRTH IN ASSOCIATION WITH POSTPARTUM DEPRESSION
Abstract
Aim: The purpose of the study was to explore whether the mother's autonomy in decision making during birth and the mother's respect during birth are associated with the symptoms of postpartum depression. Methods: The study participants included 240 women 6-8 weeks postpartum (mean age 30.4, SD=4.8; 47.1% primiparas; 75.4% vaginal birth). The online questionnaire was used in the data collection process, consisting of the MADM scale (Mother's Autonomy in Decision Making), Edinburgh Postnatal Depression Scale (EPDS), and the selfdesigned 6-item Scale of Mother's Respect During Birth. Pearson's correlational analysis and the Student's t-test were employed. Results: Statistically significant association was found between depression symptoms and the level of mother's autonomy in decision making (p= 0.01), as well as between levels of depression and mother's respect during birth (p= 0.001). Higher levels of mother's autonomy and respect during birth were associated with lower levels of postpartum depression symptoms. Women with a high risk of postpartum depression (identified as EPDS score 13) had lower scores in autonomy (t=2,43; p= 0.05) and respect during birth (t=2,19; p= 0.05) compared to women without risk of depression. Vaginal birth was associated with lower MADM levels (p= 0.05), but higher respect levels during birth (p= 0.001) compared to operative birth. Primiparity was associated with lower levels of respect during birth (p= 0.05). Conclusion: The findings of our study showed that the mother's respect during birth and autonomy in decision-making are associated with the worse mental well-being, particularly the symptoms of postpartum depression.
Publication Impact Profile
- Captures
- Mendeley - Readers: 3
Publication details
References15
Woody C.A., Ferrari A.J., Siskind D.J., Whiteford H.A., Harris M.G, A systematic review and meta-regression of the prevalence and incidence of perinatal depression, Journal of Affective Disorders. 2017, vol. 219, p 86–92.
O'Hara M.W.,McCabe J.E., Postpartum depression:current status and future directions, Annual Review of Clinical Psychology. 2013, vol. 9, p 379-407.
Hutchens B.F., Kearney J.J., Risk Factors for Postpartum Depression: An Umbrella Review, Journal of Midwifery and Womens Health. 2020. vol. 65, p. 96- 108.
Lawson A., Murphy K.E., Sloan E., Uleryk E., Dalfen A., The relationship between sleep and postpartum mental disorders: A systematic review, Journal of Affective Disorders. 2015, vol. 176, p. 65-77.
Warfa N., Harper M., Nicolais G., Bhui K., Adult attachment style as a risk factor for maternal postnatal depression:a systematic review, BMC Psychology. 2014, vol. 2, p. 56.
Bell A.F.,Andersson E., The birth experience and women's postnatal depression A systematic review, Midwifery. 2016, vol. 39, p. 112-123.
WHO, WHO recommendations: Intrapartum care for a positive childbirth experience, 2018, https://www.who.int/reproductivehealth/publications/intrapartumcare-guidelines/en/ [accessed 11.07.2022].
Miller S., Abalos E., Chamillard M., Ciapponi A., Colaci D., Comande D., Diaz V., Geller S., Hanson C., Langer A., Manuelli V., Millar K., Morhason-Bello I,. Castro C.P., Pileggi V.N., Robinson N., Skaer M., Souza J.P., Vogel J.P., Althabe F., Beyond too little, too late and too much, too soon: a pathway towards evidence-based, respectful maternity care worldwide, Lancet. 2016, vol. 388, p. 2176–292.
Hresanova E., Nobody in a maternity hospital really talks to you: socialist legacies and consumerism in Czech women’s childbirth narratives, Czech Sociological Review. 2014, vol. 50, p. 961–985.
Begley C., Sedlicka N., Daly D., Respectful and disrespectful care in the Czech Republic: an online survey, Reproductive Health. 2018, vol. 15, p. 1-11.
Vedam S., Stoll K., Khemet Taiwo T., Rubashkin N., Cheyney M., Strauss N., McLemore M., Cadena M., Nethery E., Rushton E., Schummers L., Declercq E., the GVtM-US Steering Council, The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States, Reproductive Health. 2019, vol. 16. P 77.
Vedam S., Stoll K., Martin K., Rubashkin N., Partridge S., Thordarson D., Jolicoeur G., Changing Childbirth in BC Steering Council, The Mother's Autonomy in Decision Making (MADM) scale: Patient-led development and psychometric testing of a new instrument to evaluate experience of maternity care, PLoS ONE. 2017, vol. 12, p. e0171804.
Tsuno K., Okawa S., Matsushima M., Nishi D., Arakawa Y., Tabuchi T., The effect of social restrictions, loss of social support, and loss of maternal autonomy on postpartum depression in 1 to 12-months postpartum women during the COVID-19 pandemic, Journal of Affective Disorders. 2022, vol. 15, p. 206-214.
Scandurra C., Zapparella R., Policastro M., Continisio G.I., Ammendola A., Bochicchio V., Maldonato N.M., Locci M., Obstetric violence in a group of Italian women: socio-demographic predictors and effects on mental health, Culture, Health & Sexuality. 2021, vol. 23, p. 1-15.
van der Pijl M.S.G., Kasperink M., Hollander M.H., Verhoeven C., Kingma E., de Jonge A., Client-care provider interaction during labour and birth as experienced by women: Respect, communication, confidentility and autonomy, PLoS ONE. 2021, vol. 16, p. e0246697.
View or Download full articleAccess options
SWS access login
Login as SWS Scientific CommitteeLogin as SWS Scientific PartnerLogin as SWS AuthorAuthors and approved SWS contributors will read and export their own linked papers after identity matching by SWS profile, email and SGEM GlobalID.
For librarian assistance: [email protected]
Purchase Instant Access
- Article can be downloaded after successful payment.
- Article may be used according to SWS library access terms.
- Article cannot be redistributed.