Detecting the psychological need of the woman in the immediate postpartum: an experience in the puerperium of the Ospedale Civile in Brescia

Author/s Margherita Capretti, Silvia Tessarin, Elisa Masserdotti, Nicola Berruti, Emanuela Beretta, Enrico Sartori
Publishing Year 2022 Issue 2022/2 Language Italian
Pages 16 P. 145-160 File size 260 KB
DOI 10.3280/PDS2022-002009
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The authors want to present an experience carried out in the Psychological Service of the Obstetric-Puerperium Unit of the Ospedale Civile in Brescia, to evaluate the feasibility of detecting the psychological need in the immediate postpartum in a puerperium unit, assessing which variables might facilitate or hamper the new mothers need and their propensity to ask for help, investigate the feasibility of new initiatives related to the psychological need inside an hospital unit and sensitize the new mothers on the main psychological issues related to the puerperium period. To a population of 470 new mothers hospitalized in the Obstetric Unit 2 of the Hospital, from the 9th of October 2019 to the 31st of January 2020, the authors presented the Unit’s Psychological Service, offered the possibility of requesting psychological interviews and asked to compile a form with personal and pregnancy related informations. The authors observed that only 4.9% of new mothers have expressed the need and requested an interview and that the most influent variables were: having their child hospitalized in Neonatal Intensive Care Unit and having already had contacts with a Family Counseling Center during pregnancy. Lastly, the authors assessed that in a puerperium unit it’s hard to intercept the psychological need of new mothers, overcome the difficulties related to seeking help and that it’s necessary to continue to investigate on new initiatives that can be implemented.

Keywords: puerperium, perinatal depression, perinatal anxiety, hospitalization, psychological need.

  1. Bell A.F., Carter C.S., Davis J.M., Golding J., Adejumo O., Pyra M. and Rubin L.H. (2016). Childbirth and symptoms of postpartum depression and anxiety: A prospective birth cohort study. Archives of Women’s Mental Health, 19(2): 219-227.
  2. Bick D. and Howard L. (2010). When should women be screened for postnatal depression?. Expert Review of Neurotherapeutics, 10(2): 151-154.
  3. Clout D. and Brown R. (2015). Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorders, 188: 60-67.
  4. Della Vedova A.M. e Cristini C., a cura di (2011). La promozione della salute psichica perinatale [The promotion of perinatal mental health]. Roma: Carocci.
  5. Dennis C.L., Falah-Hassani K. and Shiri R. (2017). Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. British Journal of Psychiatry, 210(5): 315-323.
  6. Ford E., Roomi H., Hugh H. and Van Marwijk H. (2019). Understanding barriers to women seeking and receiving help for perinatal mental health problems in UK general practice: development of a questionnaire. Primary Health Care Research & Development, 20: 156. DOI: 10.1017/S146342361900090
  7. Gaillard A., Le Strat Y., Mandelbrot L., Keita H. and Dubertret C. (2014). Predictors of postpartum depression: prospective study of 264 women followed during pregnancy and postpartum. Psychiatry Research, 215(2): 341-346.
  8. Glavin K., Smith L. and Sorum R. (2009). Prevalence of postpartum depression in two municipalities in Norway. Scandinavian Journal of Caring Sciences, 23(4): 705-710.
  9. Grussu P. e Bramante A., a cura di (2016). Manuale di psicopatologia perinatale. Profili psicopatologici e modalità di intervento [Textbook of perinatal psychopathology. Psychopatological profiles and methods of intervention]. Trento: Edizioni Centro Studi Erickson.
  10. ISSalute. (2018). Quando nasce un bambino la mamma è sempre felice?[Is mom always happy when a baby is born?]. -- Retrieved from:
  11. Kleiman K. (2017). Guarire dalla depressione postpartum. Indicazioni cliniche e Psicoterapia [Recovering from postpartum depression. Clinical indications and psychotherapy]. Trento: Edizioni Centro Studi Erickson.
  12. Littlewood E., Ali S.P., Dyson L., Gascoyne S., Hewitt C., Keding A., Mann R., McMillan D., Morgan D., Swan K., Waterhouse B. and Gilbody S. (2016). Identification of depression in women during pregnancy and the early postnatal period using the Whooley questions and the Edinburgh Postnatal Depression Scale: protocol for the Born and Bred in Yorkshire: Perinatal Depression Diagnostic Accuracy (BaBYPaNDA) study. BMJ Open, 6(6): e011223.
  13. Lora A. e Barri M. (2018). Misure afferenti alla prevenzione, alla diagnosi, cura e assistenza della sindrome depressiva post-partum [Measures related to prevention, diagnosis, treatment and assistance of postpartum depressive syndrome]. Ministero della Regione Lombardia: Progetto esecutivo.
  14. Morikawa M., Okada T., Ando M., Aleksic B., Kunimoto S., Nakamura Y. and Ozaki N. (2015). Relationship between social support during pregnancy and postpartum depressive state: A prospective cohort study. Scientific Reports, 5: 10520.
  15. NICE. (2014). Antenatal and postnatal mental health: clinical management and service guidance: NICE Clinical Guideline 192. London: National Institute for Health and Clinical Excellence.
  16. NICE. (2015). Antenatal and postnatal mental health: the NICE guideline on clinical management and service guidance. London: National Institute for Health and Care Excellence.
  17. Palumbo G., Mirabella F., Cascavilla I., Del Re D., Romano G. e Gigantesco A. (2016). Prevenzione e intervento precoce per il rischio di depressione post partum [Prevention and early intervention for the risk of postpartum depression]. Roma: Istituto Superiore di Sanità, Rapporti ISTISAN 16/31.
  18. Quatraro R.M. e Grussu P., a cura di (2018). Psicologia clinica perinatale, dalla teoria alla pratica [Perinatal clinical psychology, from theory to practice]. Trento: Edizioni Centro Studi Erickson.
  19. Raisanen S., Lehto S.M., Nielsen H.S., Gissler M., Kramer M.R. and Heinonen S. (2013). Fear of childbirth predicts postpartum depression: A population-based analysis of 511.422 singleton births in Finland. BMJ Open, 3(11): e004047.
  20. Robertson E., Grace S., Wallington T. and Stewart D.E. (2004). Antenatal risk factors for postpartum depression: a synthesis of recent literature. General Hospital Psychiatry, 26(4): 89-295.
  21. Schmied V., Cooke M., Gutwein R., Steinlein E. and Homer C. (2008). Time to listen: Strategies to improve hospital-based postnatal care. Women and Birth, 21(3): 99-105.
  22. Segre L.S., McCabe J.E., Chuffo-Siewert R. and O’Hara M.W. (2014). Depression and anxiety symptoms in mothers of newborns hospitalized on the neonatal intensive care unit. Nursing Research, 63(5): 320-332. DOI: 10.1097/NNR.000000000000003
  23. Seimyr L., Welles-Nystrom B. and Nissen E. (2013). A history of mental health problems may predict maternal distress in women postpartum. Midwifery, 29(2): 122-131.
  24. Smith T., Gemmill A.W. and Milgrom J. (2019). Perinatal anxiety and depression: Awareness and attitudes in Australia. International Journal of Social Psychiatry, 65(5): 378-387. DOI: 10.1177/002076401985265
  25. Theme Filha M.M., Ayers S., Da Gama S.G. and Leal Mdo C. (2016). Factors associated with postpartum depressive symptomatology in Brazil: The Birth in Brazil National Research Study, 2011/2012. Journal of Affective Disorders, 194: 159-167.
  26. Vigod S.N., Villegas L., Dennis C.L. and Ross L.E. (2010). Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants. A systematic review. Bjog, 117(5): 540-550.
  27. Yelland J., McLachlan H., Forster D., Rayner J. and Lumley J. (2007). How is psychosocial health assessed and promoted in the early postnatal period? Findings from a review of hospital postnatal care in Victoria, Australia. Midwifery, 23: 287-297.

Margherita Capretti, Silvia Tessarin, Elisa Masserdotti, Nicola Berruti, Emanuela Beretta, Enrico Sartori, Cogliere il bisogno psicologico della donna nell’immediato postpartum: un’esperienza nel puerperio dell’Ospedale Civile di Brescia in "PSICOLOGIA DELLA SALUTE" 2/2022, pp 145-160, DOI: 10.3280/PDS2022-002009