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Preventing postpartum depressive symptoms using an educational video on infant crying: A cluster randomized controlled trial.

Authors
  • Doi, Satomi1
  • Fujiwara, Takeo1
  • Isumi, Aya1, 2
  • Mitsuda, Nobuaki3
  • 1 Department of Global Health Promotion, Tokyo Medical and Dental University, Tokyo, Japan. , (Japan)
  • 2 Japan Society for the Promotion of Science, Tokyo, Japan. , (Japan)
  • 3 Department of Maternal Fetal Medicine, Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan. , (Japan)
Type
Published Article
Journal
Depression and anxiety
Publication Date
May 01, 2020
Volume
37
Issue
5
Pages
449–457
Identifiers
DOI: 10.1002/da.23002
PMID: 32058628
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The aim of this study was to examine the impact of watching an educational video on infant crying within 1 week of age after delivery at maternity wards to reduce the prevalence of postpartum depressive symptoms at 1 month after giving birth. The study design was a cluster randomized controlled trial. The intervention hospitals were randomly assigned, stratified by area and function of the hospital. Participants included 47 obstetrics hospitals or clinics out of 150 hospitals or clinics in Osaka Prefecture, Japan. In total, 44 hospitals or clinics completed the trial and 2,601 (intervention group = 1,040, control group = 1,561) caregivers responded to the questionnaire on postpartum depression (response rate: 55.1%). Mothers in the intervention group watched an educational video, within 1 week of age, during hospitalization at maternity wards. Primary outcome in this study was postpartum depression assessed by the Edinburgh Postnatal Depression Scale as 9+ and assessed via questionnaire at a 1-month health checkup. In the intervention group, 142 (13.7%) mothers reported postpartum depression compared to 250 (16.0%) in the control group. Intention-to-treat analysis showed no significant difference in the prevalence of postpartum depression between the groups. However, among young mothers (<25 years), the analysis showed a 67.0% reduction in postpartum depression (odds ratio: 0.33, 95% CI: 0.15-0.72). Watching an educational video on infant crying within 1 week after delivery at maternity wards did not reduce postpartum depression at 1 month after giving birth, but it was effective for young mothers aged <25 years. © 2020 Wiley Periodicals, Inc.

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