Korean J Women Health Nurs.  2021 Sep;27(3):196-208. 10.4069/kjwhn.2021.09.08.

Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study

• Khatun F
• Lee TW
• Lee HJ
• Park J
• Song JE
• Kim S

• KMID: 2521515
• DOI: http://doi.org/10.4069/kjwhn.2021.09.08

Abstract

Purpose
This study aimed to test the efficacy of a nurse-led postpartum self-care (NL-PPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh.
Methods
A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum (PP) and assigned to the experimental or control group (34 each). The experimental group attended the NL-PPSC—a 1-day intervention that focused on increasing self-efficacy—at a hospital in person. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, PP self-efficacy, and self-care knowledge were collected at 2 weeks PP (attrition 23.5%) and 6 weeks PP (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis.
Results
One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NL-PPSC intervention statistically significantly decreased PPF (β=–6.17, SE=1.81, t=–3.39, p<.01) and increased maternal functioning at 6 weeks PP in the experimental group (β=13.72, t=3.73, p<.01) as opposed to the control group. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, no statistically significant differences in PP depressive mood were observed over time.
Conclusion
The NL-PPSC intervention was feasible and effective at improving fatigue and maternal functioning in Bangladeshi mothers at 6 weeks PP. PP care knowledge was effective at improving maternal functioning; this finding supports the implementation of the NL-PPSC intervention for new mothers after childbirth.

Keyword

Fatigue; Intervention; Postpartum depression; Postpartum period; Self-care

Figure

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  Figure 1. Conceptual framework of the study.

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  Figure 2. Flowchart of participants.PP: postpartum.

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  Figure 3. Differences (diff) in postpartum self-care (A), self-efficacy (B), and self-care knowledge (C) between the two groups over time.

Reference

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