Abstract
An Intervention to Prevent and Reduce Maternal Distress in the Netherlands - Its Development from Start to Finish
Highlights
Pregnancy is not solely a physical process
The results suggested that maternal distress is a multi-factorial and multi-dimensional health problem that could be changed by women themselves with proper support and adaptation to their environment, and by using midwives as facilitators of change [26]
Since the aim of the project was the development of an antenatal intervention for women with healthy pregnancies in Dutch midwife-led care, we performed a cross-sectional study (10th September – 6th November 2012) to the factors derived from the PRECEDE model [26] among a representative sample of Dutch pregnant women (n = 458) [27]
Summary
The many emotional and social changes and the challenges and demands that accompany pregnancy mark it as a psychosocial process as well These changes, challenges and demands can affect a woman’s emotional wellbeing during pregnancy and for some women this effect is more profound than it is for others [1,2]. Affected emotional wellbeing accompanied by psychological signs and symptoms during pregnancy is defined as maternal distress. Depression, anxiety and pregnancy-related anxiety are the most frequent occurring psychological signs and symptoms that construct maternal distress, varying in severity [1]. Maternal distress can be regarded as a spectrum This is consistent with a broad approach to antenatal maternal emotional health and wellbeing, as opposed to a one-dimensional view that emphasizes distinct psychological constructs such as depression and anxiety. Maternal distress can be a predictor for negative birth outcomes and short or long-term post partum health problems for both mother as well as child [18,19,20,21]
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