Background: Although risk factors associated with maternal postpartum depression (PPD) have been recognized, it is still unknown how some newborn characteristics could influence the appearance of PPD. Aim: Our research aimed to unravel the impact of a newborn’s features on women with PPD. Methods: The study was conducted in the Obstetrics and Gynecology Department at our University Emergency County Hospital, between August 2019 and April 2021. We included 904 women from the second day of the postpartum period, divided into two groups: women with PPD (n = 236) and control (i.e., women without PPD, n = 668), by using the Edinburg Postpartum Depression Scale. Characteristic information on the newborns (i.e., the months in which they were born, premature delivery, birth weight, or sex) was evaluated. Results: Our results suggest that the winter season (i.e., December and January months, p = 0.01) births and male newborns (p = 0.02) were strongly related with the appearance of depressive symptoms during the postpartum period. Conclusions: Therefore, our study sustains that women who give birth to male newborns in the winter season are more prone to developing PPD. This should be analyzed by all public health care systems in order to prevent such a condition earlier in certain groups of women.
Background and Objective: Although possible risk factors associated with maternal postpartum depression (PPD) have been elucidated, it is still unknown how some newborns characteristics could influence the appearance of PPD. Our research aimed to unravel the impact of newborn’s characteristics on PPD. Methods: The study was conducted in the Obstetrics & Gynecology Department, from our University Emergency County Hospital, between August 2019 and April 2021. We included women in the 2 nd day of the postpartum period (n=904), divided into 2 groups: women with PPD (n=236) and control (women without PPD, n=668), by using the Edinburg Postpartum Depression Scale. Characteristic information on newborns (i.e., the months in which they were born, premature delivery, birth weight, or gender) were assessed. Results: Our findings suggest that the winter season (i.e. December and January, p=0.01) births and male newborns (p=0.02) were associated with the appearance of depressive symptoms during postpartum. Conclusions: Therefore, our study showed that women who give birth to male newborns in winter are likely to develop PPD. This should be considered by all public health systems in order to prevent such manifestations in certain groups of women.
Before undertaking any future interventions targeted at preventing pelvic organ prolapse (POP) after vaginal birth, a great depth of understanding of the condition is required. The aim of the paper is to explore postpartum women treatment perspective on POP. The study employed a qualitative descriptive design which involved 12 postpartum women with stages II and III of POP, after vaginal birth in our University Hospital from Constanta, Romania. Age, body mass index, education, parity, comorbidities, previous surgical interventions, and smoking status were evaluated. Each woman was given a semi-structured interview from April to September 2024 immediately and at 6-months after vaginal birth, during which their perspectives on different POP treatment were explored. The interviews were audio-recorded, transcribed verbatim and analyzed using content analysis. The mean age was 29.05 years (range 18–38 years). Most women had a body mass index <30 (66.66%), and 58.33% had a high school as education. There were 58.33% (n = 7) postpartum women with stage II POP with vaginal births without episiotomy and 41.66% on stage III POP (i.e., 4 women with vaginal birth and episiotomy and 1 woman at the 5th vaginal birth only). Four dominant themes emerged immediately after vaginal birth: speeding up the treatment decision for POP by symptomatology; friends and, less frequently, family or Internet, as influencing factors in the choice of treatments for POP; the perspective of a conservative treatment; supervised pelvic floor muscle training and other conservative treatment as the best choice in postpartum. Two themes emerged at 6-months after vaginal birth: desire of un-delaying the treatment, even in case of feeling improved POP symptoms at 6-months postpartum; and the choice of a simple treatment at 6-months, aiming the increasing quality of life. The preference into conservative treatment of postpartum women with POP, supervised pelvic floor muscle training most often indicated among them, could contribute to implement relevant adapted strategies in a field that need more research.
Background: There remains a significant gap in understanding what nulliparous (NP) women desire in terms of treatment for pelvic organ prolapse (POP) before pregnancy and childbirth. Objective: This study aimed to assess the perceptions of young NP women without POP regarding various POP treatments and identify their preferred treatment options to enhance quality in nursing practice. Methods: This study employed a qualitative descriptive design involving thirteen young NP women at the Faculty of Medicine, Ovidius University from Constanța, Romania. Age, body mass index (BMI), comorbidities, previous surgical interventions, and smoking status were evaluated. Participants underwent a semi-structured interview from January to February 2024, during which their perceptions of different POP treatments were explored. The interviews were audio-recorded and transcribed verbatim and were analyzed using content analysis. Results: The mean age of the NP women without POP was 24.23 years, with 61.53% having a BMI of 30 or greater and 69.23% reporting previous surgical interventions. Four dominant themes emerged: 1) the Internet as a source of information about treatments for POP; 2) insufficient knowledge about POP symptoms; 3) the preference for supervised PFM training; and 4) choosing the surgical treatments by vaginal route, although wishing to preserve the uterus. Conclusion: The findings indicated that young NP women’s perceptions of POP treatments were primarily influenced by online information. The preferred treatment for POP among young NP women was conservative, with a strong emphasis on supervised PFM training. This study provides valuable insights into nursing practice by highlighting NP women’s perceptions and preferences for PFM training as a treatment for POP, potentially contributing to delaying the onset of this condition in their lives.