Effect of Relaxation Training to Pregnant Mothers on Quality of life and Postpartum Blues
DOI:
https://doi.org/10.22100/jkh.v7i2.95Keywords:
Pregnant mothers, Relaxation, Quality of life, Postpartum bluesAbstract
Introduction: In the postpartum period, mothers are exposed to some potential complications and their health many decrease. The aim of this study was to investigate the effect of relaxation on postpartum blues and quality of life.
Methods: In this clinical trial study, 84 pregnant women who referred to health centers of Shiraz (2010) were selected through a simple sampling method and were randomly assigned to case and control groups. The relaxation was taught to the case group whereas nothing was taught to control groups. Severity of postpartum blues was evaluated by Zung self rating depression scale on the 1st and 10th days after birth in case and control groups and quality of life was evaluated as well.
Results: There was not statistically significant difference between two groups with regard to demographic and obstetric variables (P>0.05). Mean of postpartum blues on the 1st day and 10th day after delivery showed a significant difference between case and control group (P<0.05). The mean score of quality of life subscales (Feelings of mothers to herself and mother towards her child) were significantly higher in case group and there was a significant difference between the two groups in this regard (P<0.05).
Conclusion: The results of this study showed that relaxation training to pregnant mothers was effective in decreasing postpartum blues severity and it was beneficial to mothers’ health and quality of life. Therefore, it is a simple, useful and cost free method to improve postpartum blues and its application is recommended for improving maternal psychological health.
References
Peterson SJ, Bredow TS. Middle range theories: application to nursing research. 2nd ed. Philadelphia: Lippincott Williams & Wilkins;2004.p.275.
King CR, Hinds PS. Quality of life from nursing and patient perspectives. 2nd ed. Boston: Jones and Bartlett Publishers;2003.p.5-7,31,54.
Aghamolai T, Eftekhar Ardbili H. Principle of health services. 1st ed. Tehran: Andish rafie;2005. p.66-77.[Persian].
Tingstrom Pia R, Kamwendo K, bergdahl B. Effect of a problem based learning rehabilitation program on quality of life in patients with coronary artery disease. Eur J Cardiovascul Nurs 2005;4(4):324-330.
Balducci L, Lyman G, Ershler W, Extermann M. Comprehensive pediatric oncology influence of aging on prevention, diagnosis and treatment of cancer. 2nd ed. London: Taylor and Francis Group; 2003.p.29.
Schuiling KD, Likis FE. Women's gynecologic Health. 2nd ed. Boston: Jones and Bartlett pub;2006.p.71.
Jansen AJ, Duvekot JJ, Hop WC, Essink-Bot ML, Beckers EA, Karsdorp VH, et al. New insights into fatigue and health-related quality of life after delivery. Acta Obstet Gynecol Scand 2007;86(5):579-40.
Pazandeh F, Sheikhan Z, Sharghie Someah N. Psycological health and woman. 1st ed. Tehran: Tohfeh pub;2007.p.70.[Persian].
Gale S, Harlow BL. Postpartum mood disorders: a review of clinical and epidemiological factors. J Psychosom Obstet Gynecol 2003;24(4):257-66.
Pesavento F, Marconcini E, Drago D. Quality of life and depression in normal and in high-risk pregnancy: analysis of a sample of 100 women. Minerva Gynecol 2005;57(4):451-60.
Symon A, Mackay A, Ruta D. Postnatal quality of life: a pilot study using the mother-generated index. J Adv Nurs 2003;42(1):21-9.
Hill PD, Aldag JC, Hekel B, Riner G, Bloomfield P. Maternal postpartum quality of life questionnaire. J Nurs Meas 2006;14(3):205-20.
Korja R, Savonlahti E, Haattaja L, Lapinleimu H, Manninen H, Piha J. Attachment representations in mothers of preterm infants. Infant Behav Dev 2009;32(3):305-11.
Bloch M, Rotenberg N, Koren D, Klein E. Risk factors for early postpartum depressive symptoms. Gen Hosp Psychiatry 2006;28(1):3-8.
Cuningham FG, Leveno KJ, Hauth JC, Gilstrap L, Wenstrom KD. Williams obstetrics. 22nd ed. USA: McGraw Hill;2010.p.655.
The Boston Woman's Health Book Collective. Our bodies ourselves. 2nd ed. New York: Touchstone Book;2005.p.489-491.
Sadock BJ, Sadock VA. Comprehensive text book of psychiatry.7th ed. Philadelphia: Williams and wilkins;2000.p.70.
Nichols FH, Humenick SS. Childbirth education, practice, research and theory. 2nd ed. Philadelphia: WB sunders company;2000.p.40.
Varney H, Kriebs JM, Jeger KL. Varney's midwifery. 4th ed. Boston: Jones and Barttett pub;2004. p.430.
Nagata M, Nagai y, Sobajima H, Ando T. Depression in mother and maternal attachment-results from a fallow- up study at 1 years postpartum. Psychopathology 2003;36(2):142-151.
Lowdermilk DL, Perry SE. Maternity nursing. 7th ed. St Louis: Mosby;2007.p.455-75.
Nagata M, Nagai Y, Sobaji AH, Ando T, Nishide Y, Honjo S. Maternity blues and attachment to children in mothers of full-term normal infant. Acta Psychiatry Scan 2000;101(2):209-217.
Lowdermilk DL, Perry SE. Maternity nursing. 7th ed. St Louis: Mosby;2007.p.455-75.
Tensely P,Tropen JW. Risk and protective factors affecting. Br J Psychiatry1993;104(5):442-54.
Slade P, Macpherson SA. Expectations, experiences and satisfaction with labour. J Clin Psychol 1993;32(4):46-83.
Pennick VE, Young G. Interventions for preventing and treating pelvic and back pain in pregnancy (Review). The Cochrane Library 2007;1807(2):1-25.
Bastani F, Haidarnia A, Vafaei M, Kazemnegad A, Kashanian M. Effect of relaxation training based on the synthesizing of the precede model with the health belief model and the self-efficacy theory on anxiety and pregnancy outcomes among pregnantwomen [dissertation]. Theses for ph.D. Degree of Tarbiat Modares University 2004.[Persian].
Benson H. The relaxation response. In: Goleman D, GurinJ. Mind/body medicine: how to use your mind for better health. Boston: Consumers Reports Books;1993.p.233-57.
Carson VB. Mental health nursing. 2nd ed. Philadelphia: Saunders Co;2000.p.694.
Nematbakhsh F, Kordi M, Sahebi A, Esmaeeli H. The effect of skin-to-skin contact on the severity of postpartum blues of cesarean sectioned women. J Fundam Ment Health 2004;6(23):89-98.[Persian].
Torkan B. A comparative study on mothers’ quality of life in two methods of normal delivery and cesarian section [dissertation]. Theses for M.S Degree of Tarbiat Modares University, 2004.
Park K. Concept of health and disease. In: Park’s Textbook of Preventive and Social Medicine. 18th ed. India: M/s Banarsidas Bhanot pub;2005.p.12-46.
Meir ST, Kimberly Y, Erikson E. Mood disorder in women. 2nd ed. London: Martin Dunitz company;2002.p.8-24.
Saisto T, Toivanen R, Salmela-Aro K, Halmesmaki E. Therapeutic group psychoeducation and relaxation in treating fear of childbirth. Acta Obstetricia et Gynecologica Scandinavica 2006;85(11): 1315- 1319.
Kennerley H, Gath D. Maternity blues III. Association with obstertrics,Psychological and psychiatric factors. British Journal of Psychiatry 1989;155:367-373.
O’Hara MW, Schochte JA, Lewis DA, wnright Ej. Prospective study of postpartumbluse: biological and psychological factors. ArchGen Psychiatry 1991;48(3):801-806.
Dennis CL. The effect of peer support on postpartum depression: a pilot randomized controlled trial. Can J Psychiatry 2003;48(2):115-124.
Elliott SA, Leverton TJ, Sanjack M, Turner H, Cowmeadow P, Hopkins J, et al. Promoting mental health after childbirth: a controlled trial of primary prevention of postnatal depression. Br J Clin Psychol 2000;39(3):223-241.
Lavender T, Walkinshaw SA. Can midwives reduce postpartum psychological morbidity? A randomized trial. Birth 1998;25(4): 215-9.
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