Helping Women Who Become Distressed and/or Depressed Following Childbirth

  • Jane Littlewood
  • Nessa McHugh


So far, we have concentrated on looking at different theories of postnatal depression and what might constitute potential causes of maternal distress. This has entailed looking at cultural and social attitudes to motherhood and medical and social attitudes towards mental illness in women. Crucial to this area is the provision of maternity services and the underlying philosophy behind maternity care. The final chapters have looked at women’s own experiences and the differing circumstances of these experiences.


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  1. Affonso, D. D., Mayberry, L. T., Lovett, S. and Paul, S. (1994) ‘Cognitive Adaptation to Stressful Events during Pregnancy and Post Partum: Development and Testing of the CASE Instrument.’ Nursing Research 43(6): 338–43.CrossRefPubMedGoogle Scholar
  2. Appleby, L., Fox, H., Shaw, M. and Kumar, R. (1989) ‘The Psychiatrist in the Obstetric Unit: Establishing a Liaison Service.’ British Journal of Psychiatry 154: 510–15.CrossRefPubMedGoogle Scholar
  3. Ashurst, P. and Hall, Z. (1989) Understanding Women in Distress (London: Tavistock/Routledge).Google Scholar
  4. Beck, A. T., Ward, C. H. and Mendelsohn, M. (1961) ‘An Inventory for Measuring Depression.’ Archives of General Psychiatry 4: 53–63.CrossRefGoogle Scholar
  5. Bedford, A. and Foulds, G. (1978) Delusions Symptoms States: States of Anxiety and Depression (Windsor: National Foundation for Educational Research).Google Scholar
  6. Charles, J. and Curtis, L. (1994) ‘Birth Afterthoughts — a Listening and Information Service.’ British Journal of Midwifery 2: 331–4.Google Scholar
  7. Clements, S. (1995) ‘Listening Visits’ in ‘Pregnancy: A Strategy for Preventing Postnatal Depression?’ Midwifery 11: 75–80.CrossRefGoogle Scholar
  8. Comport, M. (1987) Towards Happy Motherhood: Understanding Postnatal Depression (London: Corgi).Google Scholar
  9. Cox, J. L. (1986) Postnatal Depression (London: Churchill Livingstone).Google Scholar
  10. Cox, J. L., Holden, J. M., Sagovsky, K. (1987) ‘Detection of Postnatal Depression: Development of the 10 Item EPDS.’ British Journal of Psychiatry 150: 782–6.CrossRefPubMedGoogle Scholar
  11. Cox, J. L., Gerrard, J., Cookson, D. and Jones J. M. (1993) ‘Development and Audit of Charles Street Parent and Baby Day Unit, Stoke on Trent.’ Psychiatric Bulletin 17: 711–13.CrossRefGoogle Scholar
  12. Cutrona, C. E. and Troutman, B. R. (1986), ‘Social Support, Infant Temperament and Parenting Self Efficiency: A Medicational Model of Post Partum Depression.’ Child Development 57: 1507–18.CrossRefPubMedGoogle Scholar
  13. Department of Health (1993) Changing Childbirth. The Report of the Expert Maternity Group. (London: HMSO).Google Scholar
  14. Department of Health (1993) The Health of the Nation: Key Area Handbook on Mental Illness (London: HMSO).Google Scholar
  15. Eastwood, P. (1995) ‘Promoting Peer Group Support with Postnatally Depressed Women.’ Health Visitor 68(4): 148–50.PubMedGoogle Scholar
  16. Elliot, S. A. (1994) ‘Uses and Misuses of the EPDS in Primary Care: A Comparison of Models Developed in Health Visiting.’ In Cox, J. L. and Holden, J. (eds) Perinatal Psychiatry (London: Gaskell).Google Scholar
  17. Elliot, S. A., Sanjack, M. and Leverton, T. J. (1988), ‘Parent’s Groups in Pregnancy: A Preventative Intervention for Postnatal Depression?’ In Gottleib, B. J. (ed.) Marshaling Social Support (California: Sage).Google Scholar
  18. Goldberg, D. P. (1972) The Detection of Psychiatric Illness by Questionnaires (Oxford: Oxford University Press).Google Scholar
  19. Gordon, J., Robertson, R. and Swan, M. (1995) ‘“Babies Don’t Come with a Set of Instructions”: Running Support Groups for Mothers.’ Health Visitor 68(4): 155–6.PubMedGoogle Scholar
  20. Green, J. M. and Murray, D. (1994) ‘The Use of the EPDS in Research to Explore the Relationship between Antenatal and Postnatal Dysphoria.’ In Cox, J. L. and Holden, J. (eds) Perinatal Psychiatry (London: Gaskell).Google Scholar
  21. Holden, J. M. (1994) ‘Using the Edinburgh Postnatal Depression Scale in Clinical Practice.’ In Cox, J. L. and Holden, J. M. (eds) Perinatal Psychiatry: Use and Misuse of the EPDS (London: Gaskell).Google Scholar
  22. Jones, A., Watts, T. and Romain, S. (1995) ‘Facilitating Peer Group Support.’ Health Visitor 68(4): 153.PubMedGoogle Scholar
  23. Lindsay, J. S. B. and Pollard, D. E. (1978) ‘Mothers and Children in Hospital.’ Australia and New Zealand Journal of Psychiatry 12: 245–53.CrossRefGoogle Scholar
  24. May, A. (1995), ‘Using Exercise to Tackle Postnatal Depression.’ Health Visitor 68(4): 146–7.PubMedGoogle Scholar
  25. McClarey, M. and Stokoe, B. (1995) ‘A Multi-disciplinary Approach to Postnatal Depression.’ Health Visitor 68(4): 141–4.PubMedGoogle Scholar
  26. Mcintosh, J. (1993) ‘Post Partum Depression: Women’s Help Seeking Behaviour and Perceptions of Cause.’ Journal of Advanced Nursing 18: 178–84.CrossRefPubMedGoogle Scholar
  27. Oates, M. (1988) ‘The Development of an Integrated Community Orientated Service for Severe Postnatal Depression.’ In Kumar, R. and Brockington, I. F. (eds) Motherhood and Mental Illness 2 (London: Wright).Google Scholar
  28. Painter, A. (1995) ‘Health Visitor Identification of Postnatal Depression.’ Health Visitor 68(4): 138–40.PubMedGoogle Scholar
  29. Prettyman, R. J. and Friedman, T. (1991) ‘Care of women with Puerperal Psychiatric Disorders in England and Wales.’ British Medical Journal 302: 1245–6.PubMedCentralCrossRefPubMedGoogle Scholar
  30. Relf, K. and Alexander, J. (1994) ‘Born Under Stress.’ Nursing Times 90(12): 29–30.Google Scholar
  31. Riley, D. (1995) Perinatal Mental Health (Oxford: Radcliffe Medical Press).Google Scholar
  32. Rowe, A. (1993) ‘Cope Street Revisited.’ Health Visitor 66(10): 358–9.PubMedGoogle Scholar
  33. Taylor, A., Adams, D. and Glover, V. (1994) ‘Postnatal Depression: Identification, Risks Factors and Effects.’ British Journal of Midwifery 2(6): 253–7.Google Scholar
  34. Taylor, S. (1983) ‘A Theory of Cognitive Adaptation.’ American Psychologist 38: 1161–73.CrossRefGoogle Scholar
  35. Winterton Report (1992) Health Committee Second Report on the Maternity Services, vol. 1 (London: HMSO).Google Scholar

Copyright information

© Jane Littlewood and Nessa McHugh 1997

Authors and Affiliations

  • Jane Littlewood
    • 1
  • Nessa McHugh
    • 2
  1. 1.Goldsmiths’ CollegeUniversity of LondonUK
  2. 2.De Montfort UniversityLeicesterUK

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