Responding to maternal distress: from needs assessment to effective intervention
To perform a needs assessment of maternal distress to plan the development of an intervention for the prevention and reduction of antenatal maternal distress.
We searched PubMed, OVID and EBSCO and applied the PRECEDE logic model to select the data. Experts in the field validated the findings.
We identified 45 studies. Maternal distress was associated with diminished maternal and child’s quality of life. Aetiological factors of maternal distress included past and present circumstances related to obstetric factors and to a woman’s context of living, coping behaviour, and support mechanisms. Lacking knowledge of coping with (maternal) distress was identified as a predisposing factor. Reinforcing factors were relaxation, partner support, counselling experiences and positive interaction with the midwife. Enabling factors were the availability of a support network.
When planning the development of an antenatal intervention for maternal distress, it is advisable to focus on assessment of antenatal emotional wellbeing, the context of the woman’s past and present circumstances, her coping behaviour and her environment. The identified predisposing factors, enabling and reinforcing factors should also be taken into consideration.
KeywordsMaternal distress Intervention mapping PRECEDE Pregnancy Intervention Health promotion
- Bartholomew L, Parcel G, Kok G, Gottlieb N, Fernàndez M (2011) Planning health promotion programs. An intervention mapping approach, 3rd edn. Jossey-Bass, San FranciscoGoogle Scholar
- Emanuel E, St. John W (2010) Maternal distress: concept analysis. J Adv Nurs 66:2104–2115Google Scholar
- Green L, Kreuter M (2005) Health promotion planning: an educational and ecological approach, 4th edn. McGraw-Hill, New YorkGoogle Scholar
- Jones K (2004) Mission drift in qualitative research, or moving toward a systematic review of qualitative studies, moving back to a more systematic narrative review. Qual Rep 9(1):95–112Google Scholar
- KNOV (2010) Advies ontwikkeling wetenschapsdomein fysiologische verloskunde. [Advice for science development of physiological midwifery]. Koninklijke Nederlandse Organisatie van Verloskundigen, UtrechtGoogle Scholar
- OCEBM. Oxford centre for evidence-based medicine table of evidence working group (2011) The Oxford 2011 levels of evidence. Oxford, Oxford centre for evidence-based medicine. http://www.cebm.net/index?o=5653. Accessed 28 Jan 2015
- PRN (2013) The Netherlands perinatal registry trends 1999–2012. Stichting Perinatale Registratie, UtrechtGoogle Scholar
- Stuurgroep zwangerschap en geboorte (2009) Een goed begin, Adviesrapport. (Dutch Steering Committee Pregnancy and Birth. A Good Beginning, Advisory Report). VWS, The HagueGoogle Scholar
- Van Splunteren P, Franx G, Hermens M (2014) Werken met de vernieuwd zorgp (working with new carep). DeEerstelijns December 12–13Google Scholar