International Journal of Public Health

, Volume 62, Issue 4, pp 441–452

Responding to maternal distress: from needs assessment to effective intervention

  • Yvonne Fontein-Kuipers
  • Evelien van Limbeek
  • Marlein Ausems
  • Raymond de Vries
  • Marianne Nieuwenhuijze
Original Article

DOI: 10.1007/s00038-016-0910-0

Cite this article as:
Fontein-Kuipers, Y., van Limbeek, E., Ausems, M. et al. Int J Public Health (2017) 62: 441. doi:10.1007/s00038-016-0910-0

Abstract

Objectives

To perform a needs assessment of maternal distress to plan the development of an intervention for the prevention and reduction of antenatal maternal distress.

Methods

We searched PubMed, OVID and EBSCO and applied the PRECEDE logic model to select the data. Experts in the field validated the findings.

Results

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.

Conclusions

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.

Keywords

Maternal distress Intervention mapping PRECEDE Pregnancy Intervention Health promotion 

Funding information

Funder NameGrant NumberFunding Note
RAAK
  • RAAK PRO 2-014

Copyright information

© Swiss School of Public Health (SSPH+) 2016

Authors and Affiliations

  • Yvonne Fontein-Kuipers
    • 1
  • Evelien van Limbeek
    • 1
  • Marlein Ausems
    • 1
  • Raymond de Vries
    • 1
    • 2
    • 3
  • Marianne Nieuwenhuijze
    • 1
  1. 1.Midwifery Education and Studies Maastricht-ZUYDResearch Department Midwifery ScienceMaastrichtThe Netherlands
  2. 2.Maastricht University Medical Centre/CAPHRIMaastrichtThe Netherlands
  3. 3.Center for Bioethics and Social Sciences in MedicineUniversity of Michigan Medical SchoolAnn ArborUSA

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