Reasons for PPD: rape victim, previous depressive or psychotic disorders, or a traumatic event will make bonding more difficult or even non-existent. Bonding occurs between a mother and her newborn. Bonding is referred to a sensitive period of time that occurs right after birth has taken place because both mother and newborn are “naturally programmed to be in contact with each other and do good things to each other” (Sears, 2012).
1) This will be performed with a mandatory questionnaire administered to all mothers before delivery. By identify risk factors before birth, the preparation can occur early. Questions include history of depression or anxiety during pregnancy, socio-economic, stressful recent life events, poor social support, childcare stress, low self-esteem, maternal neuroticism and difficult infant temperament. Other risk factors include single marital status, poor relationship with partners, and lower socioeconomic status including income (Steward, & et al, 2008). 2) Symptoms that suggest PPD include loss of appetite, insomnia, intense irritability, overwhelming fatigue, lack of joy in life, severe mood swings, withdrawal from family and friend, and thoughts of harming oneself or the baby (MayoClinic, 2012). 3) This includes nursing education, encourage breastfeeding, encourage skin-to-skin with mother, and spend more time with the patient to make sure the mother is bonding with her infant.
1) A research group of forty eight mothers and a control group of sixty five mothers were entered into the study. An Edinburgh Postnatal Depression Scale was used to screen for PPD. 2) Both the WWW and TTP influence attachment between mother and infant. This causes an increase of positive involvement, communication, and bonding between mother and infant.
1) Questions will include things such as financial assistance, spousal or family support, living situations 2) A total of ten questions with a score of 13 or above is a high predicament for PPD. (Cox, Holden, & Sagovsky, 1987). 3) This includes helping with breastfeeding and/or bottle-feeding (depending on mother preference). Education on how to change diapers, assist baby with position changes, what to do if baby is crying, and other resources that the mother requires.
Evaluation will be based on what physicians are observing when mothers come back for their post partum appointment. Since it is difficult to see if interventions during hospital stay prevented PPD, a certain time must pass before the mother expresses symptoms of PPD.
Valerie.sporsheva.ppt final (1)
Post-Partum Depression, a Nurses’ Control Valerie Sporsheva Kaplan University MN600 MIchelle Liken
Abstract This presentation examines nursing interventions that labor-and-delivery and maternity nurses perform to decrease Post-Partum Depression (PPD). It explores how nurses can assess, educate, intervene and provide support to a mother early in the labor progress. The need for change from the current practice was noted after an average 10-15% of mothers are diagnosed with PPD. With the numbers so high, it is a must for early intervention to occur while the mother is in the hospital and all resources are available. The purpose of this research is for labor and delivery and maternity nurses to identify risk factors and symptoms of PPD in all mothers during their hospital stay versusawaiting mothers to present with PPD at their six week post-partum doctor appointment.Furthermore, the Social Cognitive Theory framework is used to guide the PPD study as it relates to behavioral patterns that can be used to understand PPD. In conclusion, it is hoped that nurses are able to provide interventions at early stage to decrease the high PPD rates.
About meI decided to received my MSN in education eversince I began nursing school three years ago. Iknow that teaching is where I belong. Icurrently work in labor and delivery and mydream position is to stay in my department andbecome the educator. My preceptor has beenthe current educator on the labor and deliveryunit. I had a wonderful privilege to set up post-partum hemorrhage in-service andcompetencies. I was able to teach nurses andnursing students. Furthermore, I was able toassist my preceptor with a new hire internprogram in which power-points and lectureswere conduced. Overall, my experience I love puzzles, sudoku, home decor, hiking, traveling and space.throughout the past weeks has been fantasticand I’m looking forward to becoming aneducator soon.
Defining PPDDepression that is suffered by a motherafter childbirth.Typically mothers are presented to theirsix week post-partum doctor visit withsymptoms of PPD.
BackgroundPPD depression was identified as the key problem because by many obstetriciansat Cedars Sinai Medical Center have brought up a concern.More obstetricians are recognizing that mothers are experiencing PPD whenshowing up to their six week post-partum visitPPD can happen for multiple reasonsBonding: The emotional bond formed between mother and baby allows the promotion of cognitive, socio-emotional, self-regulatory and moral development, and promotes an optimal development in childhood and adolescence (Thompson & Fox, 2010, p. 249). For this to happen, maternal and infant needs must be met at an early post- partum period
Problem and PurposeThe purpose of this research is for laborand delivery and maternity nurses toidentify risk factors and symptoms ofPPD in all mothers during their hospitalstay versus awaiting mothers to presentwith PPD at their six week post-partumdoctor appointment.The focus of the problem refers tomothers who are at risk for developingpost-partum depression.
Goals & Aims1) Nurse should identify risk factors that can lead the mother away or towards the possibility ofexperiencing PPD.2) Nurse should identify symptoms the mother may possess that can lead towards PPD.3) Nurse should provide nursing interventions to mothers who have been identified as a candidate forPPD.
Clinical Importance/Significant Results were inconclusive It is unsure if nursing interventions for prevention of PPD started during mothers hospital stay will decrease PPD rates More research needs to performed
Literature ReviewVarious models have been proposed to explain PPD,1) Article entitled “Post Partum Depression and Thyroid Function” Is there a relationship between PPD and thyroid dysfunction? results were not significant and in conclusion there was no correlation2) Article entitled “Post-partum depression: a comprehensive approach toevaluate and treatment” What are some treatment interventions for PPD? Mother-infant psychodynamic psychotherapy (PPT), Watch, Wait, Wonder (WWW) and toddler-parent psychotherapy (TPP)
Literature Review SummaryOverall, articles didn’t possess any research if nursing interventions forprevention of PPD should be started while the mother is in the hospital duringlabor and post birth.Does this mean that nurses should stop identifying risk factors and symptoms forPPD?
Steps to Solve Problem1) Questionnaire given to mothers as they are admitted to the hospital2) The Edinburgh Postnatal Depression Scale3) Nurses must assist all mothers with bonding4) If PPD is high and the mother expresses symptoms of baby blues or PPD, thenurse must notify the doctor right away and make sure a social worker is ordered
EvaluationAre obstetricians noticing a decrease in PPD when their patients show up fortheir six-week post partum appointment?Where all preventative interventions performed during mother’s stay in thehospital?
Professional RoleAn advanced nurse is an RN who has gone through “expanded clinical practice” by gaining a master degreein certain areas. This can include nurse practitioner, nurse specialist, nurse anesthetists, nurse midwife, andnurse educator.This course has prepared me for the nursing role of an educator through the many skills that were taught. Researching evidence-based practice Setting up a course outline Educating nursing students and staff nurses
ReferencesBandar, A. (1997). Self-efficacy: The Exercise of control. New York: Freeman.Cedars-Sinai. (2012). Advanced practice nursing. Retrieved from http://www.cedars-sinai.edu/Medical-Professionals/Resources-for-Nurses/Advanced-Practice-Nursing/MayoClinic. (2012). Postpartum depression. Retrieved from http://www.mayoclinic.com/health/ postpartum-depression/DS00546/DSECTION=symptomsSears, William. (2012). Bonding with Your Newborn. Retrieved from http://www.attachmentparenting.org/support/articles/artbonding.phpThompson, K. S., & Fox, J. E. (2010). Post-partum depression: A comprehensive approach to evaluate andtreatment. Mental Health in Family Medicine, 7, 249-257.
Thanks, Future PlansThank you to the wonderful, knowledgable nursing mentors and educators atKaplan University.Thank you to my preceptor, Pam, who has taken me under her wing.In the future, I hope to teach with the skills that I have learned and be at least ashalf good as my educators.