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Enablers and barriers to seeking help for a postpartum mood disorder.
MedLine Citation:
PMID:  21771070     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Objective: To explore the barriers and enablers identified by women experiencing a postpartum mood disorder (PPMD) that preclude and facilitate their help-seeking behaviors for this often devastating illness. Design: A qualitative study using a grounded theory approach. Setting: Well-Baby Clinics offered through the Public Health Department, Early Years Centres, Mothercraft, and a Parent Resource Centre in a large Canadian city. Participants: Ten women who had either been formally diagnosed as having a PPMD or who self-identified as experiencing a constellation of symptoms indicative of a PPMD. Methods: Interviews that were transcribed verbatim and analyzed using a grounded theory approach as described by Strauss and Corbin. Results: The core category of "having postpartum" captured the essence of women's experiences in seeking help for a PPMD. Women identified four main stressors that contributed to their development of a PPMD, two barrier categories, and an enabler category that influenced their help-seeking behaviors. Through navigation of formal and informal help, women were able to begin to reclaim the mothering instincts they had lost to mental illness. Conclusions: Pregnancy, birth, and becoming a mother collectively represent a critical period of physical and emotional upheaval in a woman's life. The need for a holistic care approach that supports the emotional and physical health of the dyad is imperative.
Authors:
Michelle Foulkes
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  40     ISSN:  1552-6909     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  450-7     Citation Subset:  IM; N    
Copyright Information:
© 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses.
Affiliation:
RN, BA, BScN, MSc, is an advanced practice nurse in Child and Adolescent Psychiatry, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
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