Nygaard Lene, Hirani Jonas Cuzulan, Friis-Hansen Mette, Davis Deborah, Nøhr Ellen Aagaard, Pontoppidan Maiken
Research Unit for Gynecology and Obstetrics, Department of Clinical Research, University of Southern Denmark, 5230 Odense, Denmark.
Department of Gynecology and Obstetrics, Odense University Hospital, 5000 Odense, Denmark.
Healthcare (Basel). 2025 Jun 24;13(13):1505. doi: 10.3390/healthcare13131505.
The transition to motherhood can be particularly challenging for women with limited socioeconomic resources or mental health concerns. The FAmily Clinic And Municipality (FACAM) intervention was designed to provide additional support through health visitors or family therapists, starting in pregnancy and continuing until the child reached school age. This paper evaluates the effects of the FACAM intervention on the secondary outcomes, maternal mental health and parental functioning during the child's first year of life. A total of 331 pregnant women were randomized to either the FACAM intervention (n = 163) or usual care (n = 168). Participants completed questionnaires at baseline and at 3 (N = 284) and 12 (N = 248) months postpartum. Outcomes included maternal mental well-being, satisfaction with motherhood, depressive symptoms, parental stress, parental reflective functioning, worries, and breastfeeding duration. At 12 months postpartum, FACAM mothers reported greater concern about housing issues (b = 0.56, 95% CI [0.06, 1.06], = 0.03). No other significant differences in the reported outcomes were observed between the groups. The FACAM intervention did not demonstrate superiority over usual care in improving maternal mental health and parental functioning during the first year postpartum. The high-quality and needs-based approach of standard care in Denmark may have limited the potential for additional interventions to yield measurable improvements in maternal outcomes.
对于社会经济资源有限或存在心理健康问题的女性来说，向母亲角色的转变可能尤其具有挑战性。家庭诊所与市政当局（FACAM）干预措施旨在通过健康访视员或家庭治疗师提供额外支持，从孕期开始并持续到孩子达到学龄期。本文评估了FACAM干预措施对次要结局的影响，即孩子出生后第一年母亲的心理健康和父母功能。共有331名孕妇被随机分为FACAM干预组（n = 163）或常规护理组（n = 168）。参与者在基线、产后3个月（N = 284）和12个月（N = 248）时完成问卷调查。结局包括母亲的心理健康、对母亲角色的满意度、抑郁症状、父母压力、父母反思功能、担忧以及母乳喂养持续时间。产后12个月时，FACAM组的母亲报告对住房问题更为担忧（b = 0.56，95%可信区间[0.06, 1.06]，P = 0.03）。两组在报告的结局方面未观察到其他显著差异。FACAM干预措施在改善产后第一年母亲的心理健康和父母功能方面并未显示出优于常规护理的效果。丹麦基于需求的高质量标准护理方法可能限制了额外干预措施在改善母亲结局方面产生可衡量改善的潜力。
