Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial

Background Postpartum depression (PPD) is one public health issue that affects both maternal and child health. This research studies the effect of health volunteers’ telephone- based support on decreasing PPD. Materials and Methods This randomized controlled trial evaluated 203 women who had uncompl...

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Main Authors: Hourieh Shamshiri Milani, Eznollah Azargashb, Narges Beyraghi, Sara Defaie, Taha Asbaghi
Format: Article
Language:English
Published: Royan Institute (ACECR), Tehran 2015-07-01
Series:International Journal of Fertility and Sterility
Subjects:
Online Access:http://www.ijfs.ir/article_45309_e0fe3a30742219445bdf6eec68569ed9.pdf
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author Hourieh Shamshiri Milani
Eznollah Azargashb
Narges Beyraghi
Sara Defaie
Taha Asbaghi
author_facet Hourieh Shamshiri Milani
Eznollah Azargashb
Narges Beyraghi
Sara Defaie
Taha Asbaghi
author_sort Hourieh Shamshiri Milani
collection DOAJ
description Background Postpartum depression (PPD) is one public health issue that affects both maternal and child health. This research studies the effect of health volunteers’ telephone- based support on decreasing PPD. Materials and Methods This randomized controlled trial evaluated 203 women who had uncomplicated deliveries. The women completed the Edinburg Postnatal Depres- sion Scale (EPDS), 10 to 15 days after childbirth in order to be assessed for pre-trial depression scores. The cut-off point for depression was considered to be a score of >10. We randomly assigned 54 eligible mothers (n=27 per group) with mild and moderate de- pression to the intervention and control groups. In both groups, mothers received routine postpartum care. The intervention group additionally received telephone support from health volunteers. A questionnaire was used to gather demographic and obstetric infor- mation. By the end of the 6thweek, mothers completed the EPDS to be reassessed for depression after intervention. Data were analyzed using the chi-square, Fisher’s exact, t- and paired t tests. Results The mean depression scores before intervention (10 to 15 days after childbirth) in the intervention and control groups did not significantly differ (P=0.682). Depres- sion scores of the intervention and control groups showed a significant difference after 6 weeks (P=0.035). In addition, there was a significant decrease in depression for the intervention and control groups (P=0.045). Conclusion Health volunteer telephone-based support effectively decreased PPD and may be beneficial to women with symptoms of mild and moderate PPD (Registration number: IRCT201202159027N1).
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spelling doaj.art-e285a5d927874844880e52b72a3822762022-12-21T17:56:24ZengRoyan Institute (ACECR), TehranInternational Journal of Fertility and Sterility2008-076X2008-07782015-07-019224725310.22074/ijfs.2015.424645309Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled TrialHourieh Shamshiri Milani0Eznollah Azargashb1Narges Beyraghi2Sara Defaie3Taha Asbaghi4Infertility and Reproductive Health Research Center (IRHRC), Shahid Beheshti University of Medical Sciences, Tehran, Iran;Department of Health and Social Medicine, School of Medicine, Shahid Beheshti UniversitDepartment of Health and Social Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranTaleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Health and Social Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Health and Social Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranBackground Postpartum depression (PPD) is one public health issue that affects both maternal and child health. This research studies the effect of health volunteers’ telephone- based support on decreasing PPD. Materials and Methods This randomized controlled trial evaluated 203 women who had uncomplicated deliveries. The women completed the Edinburg Postnatal Depres- sion Scale (EPDS), 10 to 15 days after childbirth in order to be assessed for pre-trial depression scores. The cut-off point for depression was considered to be a score of >10. We randomly assigned 54 eligible mothers (n=27 per group) with mild and moderate de- pression to the intervention and control groups. In both groups, mothers received routine postpartum care. The intervention group additionally received telephone support from health volunteers. A questionnaire was used to gather demographic and obstetric infor- mation. By the end of the 6thweek, mothers completed the EPDS to be reassessed for depression after intervention. Data were analyzed using the chi-square, Fisher’s exact, t- and paired t tests. Results The mean depression scores before intervention (10 to 15 days after childbirth) in the intervention and control groups did not significantly differ (P=0.682). Depres- sion scores of the intervention and control groups showed a significant difference after 6 weeks (P=0.035). In addition, there was a significant decrease in depression for the intervention and control groups (P=0.045). Conclusion Health volunteer telephone-based support effectively decreased PPD and may be beneficial to women with symptoms of mild and moderate PPD (Registration number: IRCT201202159027N1).http://www.ijfs.ir/article_45309_e0fe3a30742219445bdf6eec68569ed9.pdfpostpartum depressionpostnatal carevolunteersmotherwomen health
spellingShingle Hourieh Shamshiri Milani
Eznollah Azargashb
Narges Beyraghi
Sara Defaie
Taha Asbaghi
Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
International Journal of Fertility and Sterility
postpartum depression
postnatal care
volunteers
mother
women health
title Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
title_full Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
title_fullStr Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
title_full_unstemmed Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
title_short Effect of Telephone-Based Support on Postpartum Depression: A Randomized Controlled Trial
title_sort effect of telephone based support on postpartum depression a randomized controlled trial
topic postpartum depression
postnatal care
volunteers
mother
women health
url http://www.ijfs.ir/article_45309_e0fe3a30742219445bdf6eec68569ed9.pdf
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