'Happy that someone cared'-Non-native-speaking immigrant mothers' experiences of participating in screening for postpartum depression in the Swedish child health services.
Malin Skoog, Vanja Berggren, Inger Kristensson Hallström
PMID 29804463WHAT IT FOUND
Immigrant mothers appreciated being screened for postpartum depression and feeling cared for, but stigma, shame, unclear purpose and no chance to discuss questionnaire answers made speaking about mood hard.
Key findings
01Being invited to screening made mothers feel treated like everyone else and cared for.
02Cultural beliefs about mental health, shame, fear of child removal, and negative encounters made speaking about mood difficult.
03Some mothers were not given opportunity to discuss questionnaire answers, and almost one-third expressed symptoms of postpartum depression during the research interview despite being screened as showing no signs.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Thirteen mothers were interviewed, so the findings are experiences, not a measure of how common they are. Only mothers screened without signs of postpartum depression by nurse assessment were included, so mothers already identified as at risk were not studied. Still, almost one-third of participants reported symptoms during the research interview, showing the screening may not have captured their distress. The study was in Swedish Child Health Services, so other health systems may work differently. Mothers came from five countries and spoke different languages, but the sample was small and may not represent all immigrant mothers. The first author had pre-understanding of the context, which could bias interpretation.
Declared interests
No conflicts of interest were declared. Funding was from the National Society for Paediatric Nurses, Region Skåne, Challenges of Migration, and the Swedish Research Council for Health, Working Life and Welfare.
The easy way to misread this
Do not read these themes as evidence that the screening tool detects postpartum depression well or that the recommended changes improve care. This was a small interview study of mothers' experiences, not an effectiveness study.