Perceptions of postnatal depression by healthcare practitioners in Malaysia

Background: Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. It is recommended that healthcare practitioners (HCPs) should have appropriate skills to assess psychological distress in w...

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Main Authors: Mohd Arifin, Siti Roshaidai, Cheyne, Helen, Maxwell, Margaret
Format: Proceeding Paper
Language:English
English
Published: 2016
Subjects:
Online Access:http://irep.iium.edu.my/53505/
http://irep.iium.edu.my/53505/1/RPG%20CONFERENCE_SITI_2220291_23032016-NEW_2.pdf
http://irep.iium.edu.my/53505/7/Conference%202016%20concurrent%20sessions_PGRC.pdf
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author Mohd Arifin, Siti Roshaidai
Cheyne, Helen
Maxwell, Margaret
author_facet Mohd Arifin, Siti Roshaidai
Cheyne, Helen
Maxwell, Margaret
author_sort Mohd Arifin, Siti Roshaidai
building IIUM Repository
collection Online Access
description Background: Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. It is recommended that healthcare practitioners (HCPs) should have appropriate skills to assess psychological distress in women attending for antenatal and postnatal healthcare. However, little is known about the perceptions of Malaysian HCPs towards PND – and its assessment. The aims of this study were to: (i) explore the knowledge and perceptions of Malaysian HCPs about PND, (ii) explore how they currently manage PND and what helps and (iii) explore potential interventions for women with PND in Malaysia. Methods: A total of 18 HCPs involved with postnatal care in purposively selected clinics and a psychiatric ward in Kuala Lumpur, Malaysia were individually interviewed. Data were analysed using Framework Analysis. Results: The HCPs’ conceptualisations of PND do not reflect medical diagnostic criteria but are based on their professional experience and judgement of mainly the mother’s behaviour and childcare actions. The perceived causes for PND were explained by a psychosocial model reflecting the women’s own experiences (anxiety during pregnancy, psychological unreadiness for parenthood, childbirth experience, and roles and identity of being a mother), and contextual or cultural influences (traditional postnatal practices, cultural background and esoteric factors, lack of social support, and financial constraints) and the interplay between these two. There was a general lack of formal knowledge about PND among HCPs limiting detection of PND. Care practices were often limited to providing help with practical ‘mothering’ tasks. Conclusion: HCPs in maternal and child health require training in detection and management of PND. There is potential to prevent, educate and support women with PND through community-based interventions as agreed by the HCPs in this study.
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spelling iium-535052017-02-21T08:04:19Z http://irep.iium.edu.my/53505/ Perceptions of postnatal depression by healthcare practitioners in Malaysia Mohd Arifin, Siti Roshaidai Cheyne, Helen Maxwell, Margaret RG Gynecology and obstetrics RT Nursing Background: Postnatal depression (PND) is considered to be a serious mental health problem for many women worldwide; contributing to increased maternal morbidity and mortality. It is recommended that healthcare practitioners (HCPs) should have appropriate skills to assess psychological distress in women attending for antenatal and postnatal healthcare. However, little is known about the perceptions of Malaysian HCPs towards PND – and its assessment. The aims of this study were to: (i) explore the knowledge and perceptions of Malaysian HCPs about PND, (ii) explore how they currently manage PND and what helps and (iii) explore potential interventions for women with PND in Malaysia. Methods: A total of 18 HCPs involved with postnatal care in purposively selected clinics and a psychiatric ward in Kuala Lumpur, Malaysia were individually interviewed. Data were analysed using Framework Analysis. Results: The HCPs’ conceptualisations of PND do not reflect medical diagnostic criteria but are based on their professional experience and judgement of mainly the mother’s behaviour and childcare actions. The perceived causes for PND were explained by a psychosocial model reflecting the women’s own experiences (anxiety during pregnancy, psychological unreadiness for parenthood, childbirth experience, and roles and identity of being a mother), and contextual or cultural influences (traditional postnatal practices, cultural background and esoteric factors, lack of social support, and financial constraints) and the interplay between these two. There was a general lack of formal knowledge about PND among HCPs limiting detection of PND. Care practices were often limited to providing help with practical ‘mothering’ tasks. Conclusion: HCPs in maternal and child health require training in detection and management of PND. There is potential to prevent, educate and support women with PND through community-based interventions as agreed by the HCPs in this study. 2016-04-23 Proceeding Paper NonPeerReviewed application/pdf en http://irep.iium.edu.my/53505/1/RPG%20CONFERENCE_SITI_2220291_23032016-NEW_2.pdf application/pdf en http://irep.iium.edu.my/53505/7/Conference%202016%20concurrent%20sessions_PGRC.pdf Mohd Arifin, Siti Roshaidai and Cheyne, Helen and Maxwell, Margaret (2016) Perceptions of postnatal depression by healthcare practitioners in Malaysia. In: Postgraduate Research Conference 2016, 23rd March 2016, Stirling Avenue, University of Stirling. (Unpublished)
spellingShingle RG Gynecology and obstetrics
RT Nursing
Mohd Arifin, Siti Roshaidai
Cheyne, Helen
Maxwell, Margaret
Perceptions of postnatal depression by healthcare practitioners in Malaysia
title Perceptions of postnatal depression by healthcare practitioners in Malaysia
title_full Perceptions of postnatal depression by healthcare practitioners in Malaysia
title_fullStr Perceptions of postnatal depression by healthcare practitioners in Malaysia
title_full_unstemmed Perceptions of postnatal depression by healthcare practitioners in Malaysia
title_short Perceptions of postnatal depression by healthcare practitioners in Malaysia
title_sort perceptions of postnatal depression by healthcare practitioners in malaysia
topic RG Gynecology and obstetrics
RT Nursing
url http://irep.iium.edu.my/53505/
http://irep.iium.edu.my/53505/1/RPG%20CONFERENCE_SITI_2220291_23032016-NEW_2.pdf
http://irep.iium.edu.my/53505/7/Conference%202016%20concurrent%20sessions_PGRC.pdf