Supportive Postpartum Care Reduces Postpartum Anxiety in Mothers with Twins: A Pilot Study
Postpartum mothers with twins are more prone to mental health problems, particularly anxiety. However, research regarding the appropriate interventions to overcome anxiety in postpartum mothers with twins is limited. Anxiety has an impact on the health of both mother and baby. We conducted a pilot study to minimize the risks to mothers and babies, which was supportive postpartum care (SPC). The study was performed to five postpartum mothers with twins during hospitalization. SPC was employed by providing physical support, which was in the form of breast care and oxytocin massage, psychological support in the form of relaxation techniques, information support in the form of education, and advocacy support in the form of husband involvement. This method was effective for postpartum mothers with twins in reducing anxiety, increasing breastfeeding effectiveness, increasing knowledge, and improving the husband’s involvement in care. This study showed that SPC can reduce postpartum anxiety among postpartum mothers with twins effectively. A very good increase of LATCH score and knowledge were reported in 3 out of 5 mothers. Families, especially husbands, were advised to continue providing care support through the role division at home.
Adams, E. D., & Bianchi, A. L. (2008). A practical approach to labor support. Journal of Obstetric, Gynecologic & Neonatal Nursing, 37(1), 106-115.doi: https://doi.org/10.1111/j.1552-6909.2007.00213.x
Amir, L. H. (2014). Managing common breastfeeding problems in the community. British Medical Journal (Online), 348, 1–9. doi: https://doi.org/10.1136/bmj.g2954
Atif, N., Lovell, K., & Rahman, A. (2015). Maternal mental health: The missing “m” in the global maternal and child health agenda. Seminars in Perinatology, 39(5), 345–352. doi: https://doi.org/10.1053/j.semperi.2015.06.007
Barbosa, E. M. G., Sousa, A. A. S., Vasconcelos, M. G.F., … Rodrigues, D. P. (2016). Educational technologies to encourage (self) care in postpartum women. Rev Bras Enferm, 69(3), 545–553. doi: https://doi.org/10.1590/0034-7167.2016690323i
Rumah Sakit Cipto Mangunkusumo. (2019). Buku Register Lantai 2 Zona B RSCM. Jakarta: Rumah Sakit Cipto Mangunkusumo.
Carrieri, D., Peccatori, F. A., & Boniolo, G. (2018). Supporting supportive care in cancer: the ethical importance of promoting a holistic conception of quality of life. Critical reviews in oncology/hematology, 131, 90-95. doi: https://doi.org/10.1016/j.critrevonc.2018.09.002
Davis, W. N., Reines, C., Indman, P., Meyer, B. G., & Smith, A. (2018). History and Purpose of Postpartum Support International. Journal of Obstetric, Gynecologic & Neonatal Nursing, 47(1), 75–83. doi: https://doi.org/10.1016/j.jogn.2017.10.004
Dennis, C. L., Brown, H. K., Falah-Hassani, K., Marini, F. C., & Vigod, S. N. (2017). Identifying women at risk for sustained postpartum anxiety. Journal of Affective Disorders, 213, 131–137. doi: https://doi.org/10.1016/j.jad.2017.02.013
Dozier, A. M., Nelson, A., & Brownell, E. (2012). The Relationship between Life Stress and Breastfeeding Outcomes among Low-Income Mothers. Advances in Preventive Medicine, 1–10. doi: https://doi.org/10.1155/2012/902487
Dubber, S., Reck, C., Müller, M., & Gawlik, S. (2015). Postpartum bonding: the role of perinatal depression, anxiety and maternal-fetal bonding during pregnancy. Archives of Women’s Mental Health, 18(2), 187–195. doi: https://doi.org/10.1007/s00737-014-0445-4
Fallon, V., Halford, J.C.G., Bennett, K. M., & Harrold, J. A. (2016). The Postpartum Specific Anxiety Scale : development and preliminary validation. Archives of Women’s Mental Health, 19, 1079–1090. doi: https://doi.org/10.1007/s00737-016-0658-9
Furtado, M., Lieshout, R. J. V., Van Ameringen, M., Green, S. M., & Frey, B. N. (2019). Biological and psychological predictors of anxiety worsening in the postpartum perod : A longitudinal study. Journal of Affective Disorders, 250, 218–225. doi: https://doi.org/10.1016/j.jad.2019.02.064
Gunes, N. E. O., & Cetinkaya, S. (2017). Analysis of Maternal Characteristics during Breastfeeding in Early Infancy Associated with Prolactin Levels and Breastfeeding LATCH Scores. International Journal of Caring Sciences, 10(1), 313-326.
Isbir, G. G., & Sercekus, P. (2017). The effect of intrapartum supportive care on fear of delivery and labor outcomes : A single-bling randomized controlled trial. The Journal of Nursing Research, 25(2), 112–119. doi: https://doi.org/doi:10.1097/jnr.0000000000000129
Karatay, G., & Gurarslan Baş, N. (2018). Traditional Practices of Turkish Mothers at Breast Engorgment during Postpartum Period. International Journal of Caring Sciences, 11(3), 1954–1961.
Kim, B.-Y. (2017). Factors that influence early breastfeeding of singletons and twins in Korea: a retrospective study. International Breastfeeding Journal, 12(4). doi: https://doi.org/10.1186/s13006-016-0094-5
Kim, J.-I., & Lee, K.-J. (2017). Bladder Symptoms, Fatigue and Physical Activity in Postpartum Women. Asian Nursing Research, 11(1), 50–55. doi: https://doi.org/10.1016/j.anr.2017.03.002
Laela, S., & Keliat, B. A. (2018). Thought stopping and supportive therapy can reduce postpartum blues and anxiety parents of premature babies. Enfermeria clinica, 28, 126-129. doi: https://doi.org/10.1016/S1130-8621(18)30051-2
Lisien, C.-F., Fu, J.-C., Long, C.-Y., & Lin, H.-S. (2011). Factors Influencing Breast Symptoms in Breastfeeding Women After Cesarean Section Delivery. Breast Symptoms in Breastfeeding Women. Asian Nursing Research, 5(2), 88–98. doi: https://doi.org/10.1016/S1976-1317(11)60017-0
Loscul, C., Schmitz, T., Blanc-Petitjean, P., Goffinet, F., & Le Ray, C. (2019). Risk of cesarean after induction of labor in twin compared to singleton pregnancies. European Journal of Obstetrics and Gynecology, 237, 68–73. doi: https://doi.org/10.1016/j.ejogrb.2019.04.005
Mannion, C. A., Hobbs, A. J., McDonald, S. W., & Tough, S. C. (2013). Maternal perceptions of partner support during breastfeeding. International Breastfeeding Journal, 8(4). doi: https://doi.org/10.1186/1746-4358-8-4
Miller, R. L., Pallant, J. F., & Negri, L. M. (2006). Anxiety and stress in the postpartum: is there more to postnatal distress than depression?. BMC psychiatry, 6(1), 1-11. doi: https://doi.org/10.1186/1471-244X-6-12
Mirzaie, P., Charandabi, S. M. A., Goljarian, S., Mirghafourvand, M., & Hoseinie, M. B. (2018). The effect of foot reflexology massage on breast milk volume of mothers with premature infants: A randomized controlled trial. European Journal of Integrative Medicine, 17, 72-78. doi: https://doi.org/10.1016/j.eujim.2017.11.010
Negron, R., Martin, A., Almog, M., Balbierz, A., & Howell, E. A. (2013). Social support during the postpartum period: mothers’ views on needs, expectations, and mobilization of support. Maternal and Child Health Journal, 17(4), 616-623. doi: https://doi.org/10.1007/s10995-012-1037-4
NHS. (2016). Twins and postnatal depression. Retrieved from: https://www.nhs.uk/conditions/pregnancy-and-baby/multiples-postnatal-depression/
Shabaan, H. T. E. A., El Sayed, Y. A., & Ghonemy, G. (2018). Effect of health teaching on post partum minor discomfort. Beni-Suef University Journal of Basic and Applied Sciences, 7(2), 198-203. doi: https://doi.org/10.1016/j.bjbas.2017.10.004
Simkin, P. (2002). Supportive care during labor: A guide for busy nurses. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 31(6), 721-732.doi: https://doi.org/10.1177/0884217502239208
Toosi, M., Akbarzadeh, M., & Ghaemi, Z. (2017). The Effect of Relaxation on Mother's Anxiety and Maternal–Fetal Attachment in Primiparous IVF Mothers. Journal of the National Medical Association, 109(3), 164-171. doi: https://doi.org/10.1016/j.jnma.2017.03.002
Wenze, S. J., Battle, C. L., & Tezanos, K. M. (2015). Raising multiples: mental health of mothers and fathers in early parenthood. Archives of women's mental health, 18(2), 163-176.doi: https://doi.org/10.1007/s00737-014-0484-x
Copyright (c) 2020 JURNAL INFO KESEHATAN
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Ownership of copyright
The copyright in this website and the material on this website (including without limitation the text, computer code, artwork, photographs, images, music, audio material, video material and audio-visual material on this website) is owned by JURNAL INFO KESEHATAN and its licensors.
JURNAL INFO KESEHATAN grants to you a worldwide non-exclusive royalty-free revocable license to:
- view this website and the material on this website on a computer or mobile device via a web browser;
- copy and store this website and the material on this website in your web browser cache memory; and
- print pages from this website for your use.
- All articles published by JURNAL INFO KESEHATAN are licensed under the Creative Commons Attribution 4.0 International License. This permits anyone to copy, redistribute, remix, transmit and adapt the work provided the original work and source is appropriately cited.
JURNAL INFO KESEHATAN does not grant you any other rights in relation to this website or the material on this website. In other words, all other rights are reserved.
For the avoidance of doubt, you must not adapt, edit, change, transform, publish, republish, distribute, redistribute, broadcast, rebroadcast or show or play in public this website or the material on this website (in any form or media) without appropriately and conspicuously citing the original work and source or JURNAL INFO KESEHATAN prior written permission.
You may request permission to use the copyright materials on this website by writing to email@example.com.
Enforcement of copyright
JURNAL INFO KESEHATAN takes the protection of its copyright very seriously.
If JURNAL INFO KESEHATAN discovers that you have used its copyright materials in contravention of the license above, JURNAL INFO KESEHATAN may bring legal proceedings against you seeking monetary damages and an injunction to stop you using those materials. You could also be ordered to pay legal costs.
If you become aware of any use of JURNAL INFO KESEHATAN copyright materials that contravenes or may contravene the license above, please report this by email to firstname.lastname@example.org
If you become aware of any material on the website that you believe infringes your or any other person's copyright, please report this by email to email@example.com.