Effects of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women at 3-month follow up: Randomised controlled trial

Gao, Ling-ling, Chan, Sally Wai-Chi and Sun, Ke (2012) Effects of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women at 3-month follow up: Randomised controlled trial. International Journal of Nursing Studies, 49 3: 274-281. doi:10.1016/j.ijnurstu.2011.09.010


Author Gao, Ling-ling
Chan, Sally Wai-Chi
Sun, Ke
Title Effects of an interpersonal-psychotherapy-oriented childbirth education programme for Chinese first-time childbearing women at 3-month follow up: Randomised controlled trial
Journal name International Journal of Nursing Studies   Check publisher's open access policy
ISSN 0020-7489
1873-491X
Publication date 2012-03
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.ijnurstu.2011.09.010
Open Access Status
Volume 49
Issue 3
Start page 274
End page 281
Total pages 8
Place of publication Bromley, United Kingdom
Publisher Elsevier Ltd
Collection year 2012
Language eng
Formatted abstract
Background: Developing a sense of well-being and achieving maternal role competence are considered critical components of maternal adaptation. Given the growing evidence of postpartum depression and its devastating effects, effective childbirth psychoeducation programme to promote maternal role competence, psychological well-being and prevent postpartum depression is essential and of an urgent priority.

Objective: To examine the effects of an interpersonal psychotherapy oriented childbirth education programme on social support, maternal role competence, postpartum depression and psychological well-being in Chinese first-time childbearing women at three-month postpartum.

Design, setting and participants: Randomised controlled trial in a regional teaching hospital, Guangzhou, China with 194 first-time pregnant women, of whom 96 received interpersonal-psychotherapy-oriented childbirth education programme and 98 standard care. The intervention was developed from principles of interpersonal psychotherapy which consisted of two 90-min antenatal classes and a telephone follow-up within two weeks after delivery. Outcomes measurements included Perceived Social Support Scale, Parenting Sense of Competence Scale-Efficacy subscale, Edinburgh Postnatal Depression Scale and General Health Questionnaire, were compared over three-month follow up.

Results: The study group had significantly better improvement on perceived social support (p < 0.01), maternal role competence (p < 0.01), postpartum depressive symptoms (p < 0.01) and psychological well-being (p < 0.01) when compared with the control group. The study group also had significantly higher level of social support (t = 2.33, p = 0.021), maternal role competence (t = 2.43, p = 0.016) and less depressive symptoms (t = 2.39, p = 0.018) at three-month postpartum when compared with the control group.

Discussion: The childbirth psychoeducation programme can substantially benefit first time Chinese mothers. It could be implemented as a routine care with ongoing evaluation. Future studies could focus on women in lower social classes, with multiple pregnancy and complicated pregnancy. (C) 2011 Elsevier Ltd. All rights reserved.
Keyword Childbirth education
Interpersonal psychotherapy
Maternal role competence
Postpartum depression
Social support
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Nursing, Midwifery and Social Work Publications
 
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Created: Fri, 26 Sep 2014, 11:09:10 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work