2.50
Hdl Handle:
http://hdl.handle.net/10755/152268
Type:
Presentation
Title:
The Influence of Post Partum Disruption on Maternal Functional Status
Abstract:
The Influence of Post Partum Disruption on Maternal Functional Status
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Salyer, Sheron, RN, MSN, DNSc
P.I. Institution Name:Belmont University
Title:Assistant Professor
Objectives: Identify aspects women found disruptive during the first three months post partum (PP) then explore the relationship between PP disruption and maternal functional status (FS) at survey completion, three to 12 months following birth. Design: Descriptive non-experimental survey design Setting: Rural Southern geographical region with woman cared for by obstetricians, family practice physicians and midwives during their target pregnancy. Participants: Convenience sample of 50 women, 19 years or older. Most women were Caucasian (96%), lived with their partners (96%), worked prior to birth (58%) and either returned or planned to return to work (42%).  Outcome Measures:  1. Post Partum Transitional Experience 2 (PPTE2), 37 item disruption scale, (Cronbach?s alpha, 0.93); 2.Edinburgh Postnatal Depression Scale (EPDS) (Cronbach?s alpha, 0.80); 3.RAND 36 (Cronbach?s alpha, 0.94). Results:  Fatigue, marital disruption and emotional concerns were identified by women as disruptive during PP. An inverse relationship existed between PP disruption and maternal FS beyond the first three months PP for the Rand 36; between physical disruption PP and the Rand Physical Summary Scale (PSC) score; and between mental health disruption and the Rand 36 Mental Summary Scale (MSS) score. Many women continued to report physical and marital problems at survey completion. The mean time interval was 8 months between birth and survey completion. The mean score on the EPDS was 10. 4, above the lower cut off recommended for identifying women with depressive symptoms. Over 36% of the women reported depressive scores of 14 to 24 on the EPDS. Even though problems persisted, few women reported the problems to their caregivers. Conclusion: Caregivers need to evaluate the adequacy and timing of post partum health services. Findings suggest the need to modify the content of well-women exams the year following birth to include assessment of the marital relationship, depression and maternal functional status.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Influence of Post Partum Disruption on Maternal Functional Statusen_GB
dc.identifier.urihttp://hdl.handle.net/10755/152268-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Influence of Post Partum Disruption on Maternal Functional Status</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Salyer, Sheron, RN, MSN, DNSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Belmont University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">salyers@mail.belmont.edu</td></tr><tr><td colspan="2" class="item-abstract">Objectives: Identify aspects women found disruptive during the first three months post partum (PP) then&nbsp;explore the relationship between PP disruption and maternal functional status (FS) at survey completion, three to 12 months following birth. Design: Descriptive non-experimental survey design Setting: Rural Southern geographical region&nbsp;with woman cared for by obstetricians, family practice physicians and midwives during their target pregnancy. Participants: Convenience sample of 50 women, 19 years or older. Most women were Caucasian (96%), lived with their partners (96%), worked prior to birth (58%) and either returned or planned to return to work (42%).&nbsp; Outcome Measures:&nbsp; 1. Post Partum Transitional Experience 2 (PPTE2), 37 item disruption scale, (Cronbach?s alpha, 0.93); 2.Edinburgh Postnatal Depression Scale (EPDS) (Cronbach?s alpha, 0.80); 3.RAND 36 (Cronbach?s alpha, 0.94). Results:&nbsp; Fatigue, marital disruption and emotional concerns were identified by women as disruptive during PP. An inverse relationship existed between PP disruption and maternal FS beyond the first three months PP for the Rand 36;&nbsp;between physical disruption PP and the Rand Physical Summary Scale (PSC) score; and between mental health disruption and the Rand 36 Mental Summary Scale (MSS) score. Many women continued to report physical and marital problems at survey completion. The mean time interval was 8 months between birth and survey completion. The mean score on the EPDS was 10. 4, above the lower cut off recommended for identifying women with depressive symptoms. Over 36% of the women reported depressive scores of 14 to 24 on the EPDS. Even though problems persisted, few women reported the problems to their caregivers. Conclusion: Caregivers need to evaluate the adequacy and timing of post partum health services. Findings suggest the need to modify the content of well-women exams the year following birth to include assessment of the marital relationship, depression and maternal functional status.</td></tr></table>en_GB
dc.date.available2011-10-26T11:29:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T11:29:56Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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