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Difference in postpartum depression between primiparous women who have single births versus multiple births

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Author(s)
Parmentier, Angela M.
Advisor(s)
Jambunathan, Jaya
Degree
MS, Nursing-Family Nurse Practitioner
Date
May 2011
Subject(s)
Postnatal care - Psychological aspects; Mothers - Mental health; Mother and infant; Motherhood - Psychological aspects; Childbirth - Psychological aspects; Mothers - Health and hygiene; Postpartum depression
Abstract
Postpartum depression is a medical condition that affects 13% of mothers at some point during the first year following childbirth. This illness can be devastating and may lead to a loss of one's self identity. The purpose of this study was to investigate the difference in postpartum depression between primiparous mothers of singletons versus primiparous mothers of multiples. The theoretical framework for this study was Cheryl Beck's Postpartum Depression Theory (2000). A descriptive comparative design was used to determine the differences in PPD between the two groups of mothers. The target population for this study was primiparous women of childbearing age. The sample was a convenience sample of twenty-five mothers who were between two weeks and two years of delivery of their first child. Two instruments were used for data collection: a demographic survey developed by the researcher, and Beck's Postpartum Depression Screening Scale (PDSS). Descriptive and inferential statistics were used. These included the Mann- Whitney U test, correlations, and frequencies. The mean and mode were used to describe the correlations in demographic factors between mothers of multiples and singletons. Frequencies were used to evaluate total household income between mothers of single and multiple births. A Mann-Whitney U test was used to look for difference in the seven categories (sleeping/eating disturbances, anxiety/insecurity, emotional lability, mental confusion, loss of self, guilt/shame, and suicidal thoughts) classified by the PDSS between mothers. A Chi-Square test was used to analyze the relationship between the PDSS classification and demographic factors such as educational level, marital status, income, employment outside the home, history of depression, and gestation at delivery. Results indicated that there was a significant difference in loss of self between the two groups of primiparous mothers. A Mann-Whitney U test was significant at 0.02. Mothers of multiples scored a 25.08 on the PDSS for the subcategory loss of self versus mothers of singletons who scored 12.15. Awareness of the differences in postpartum depression between mothers of singletons and mothers of multiples can aid family nurse practitioners in providing a more focused assessment on the loss of self. Advanced practice nurses need to be screening and assessing for postpartum depression in both mothers of multiples and mothers of singletons.
Description
A Clinical Paper submitted in partial fulfillment of the requirements for the degree of Master of Science in Nursing-Family Nurse Practitioner
Permanent link
http://digital.library.wisc.edu/1793/54094 
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