Document Detail

Enablers and barriers to seeking help for a postpartum mood disorder.
MedLine Citation:
PMID:  21771070     Owner:  NLM     Status:  In-Data-Review    
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.
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.
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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