Faculty of Health, Medicine, and Life Sciences, Care and Publica Health Research Institute, Maastricht University, Maastricht, the Netherlands.
Clinical Nutrition and Dietetics Dept., College of Health Sciences, Research Institute of Medical and Health Sciences (RIMHS), University of Sharjah, Sharjah, United Arab Emirates.
Midwifery. 2024 May;132:103977. doi: 10.1016/j.midw.2024.103977. Epub 2024 Mar 18.
After childbirth, mothers are particularly vulnerable to mental health problems including anxiety and depression, which often remain undetected and untreated. In the United Arab Emirates (UAE), recent figures revealed a substantial prevalence of postpartum depression. However, postpartum mental health remains largely understudied in the country's clinical and research settings. Therefore, given the paucity of literature in the UAE and building upon previous epidemiological findings, this study aimed to explore the perceived mental health experiences and needs of mothers during the postpartum period to guide the development of targeted interventions that address mothers' unique mental health challenges.
Four focus groups were conducted, involving a total of 27 Emirati and multicultural expatriate mothers aged 32.47 ± 4.56 years old, living in the UAE and within their first year postpartum. Descriptive interpretive thematic analysis was employed to analyze the data.
Six themes were generated that capture the mothers postpartum experiences and mental health needs: (1) distinct postpartum experiences of primiparous and multiparous mothers, (2) experiences of emotional distress in the initial postpartum stage, (3) multifaceted challenges in breastfeeding, (4) multifactorial influences on postpartum mental health, (5) postpartum social support resources and providers, and (6) the need for formal and informal resources.
The findings highlight the importance of considering the unique cultural and societal factors that impact maternal mental health in the UAE, given its diverse population. A collaborative multidisciplinary approach, integrating culture sensitivity, is vital to address the mental health needs of postpartum mothers and to guide the development of tailored evidence-based interventions.
产后,母亲特别容易出现心理健康问题,包括焦虑和抑郁,这些问题往往未被发现和治疗。在阿拉伯联合酋长国(阿联酋),最近的数据显示产后抑郁症的发病率很高。然而,在该国的临床和研究环境中,产后心理健康问题在很大程度上仍未得到充分研究。因此,鉴于阿联酋文献匮乏,并借鉴之前的流行病学发现,本研究旨在探讨母亲在产后期间感知到的心理健康体验和需求,以指导制定针对母亲独特心理健康挑战的干预措施。
共进行了 4 个焦点小组,共有 27 名年龄在 32.47 ± 4.56 岁的阿联酋和多元文化的外籍母亲参与,她们居住在阿联酋,产后处于第一年。采用描述性解释性主题分析来分析数据。
产生了 6 个主题,这些主题反映了母亲的产后经历和心理健康需求:(1)初产妇和经产妇的独特产后经历;(2)初始产后阶段的情绪困扰体验;(3)母乳喂养的多方面挑战;(4)影响产后心理健康的多因素;(5)产后社会支持资源和提供者;(6)对正式和非正式资源的需求。
研究结果强调了考虑影响阿联酋产妇心理健康的独特文化和社会因素的重要性,因为阿联酋人口多样化。一种结合文化敏感性的协作多学科方法对于满足产后母亲的心理健康需求和指导制定量身定制的基于证据的干预措施至关重要。