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Published in: BMC Pregnancy and Childbirth 1/2020

01-12-2020 | Research article

Life situation and support during pregnancy among Thai expectant mothers with depressive symptoms and their partners: a qualitative study

Authors: Nitikorn Phoosuwan, Pornpun Manasatchakun, Leif Eriksson, Pranee C. Lundberg

Published in: BMC Pregnancy and Childbirth | Issue 1/2020

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Abstract

Background

Expectant parents may have positive and negative emotions during pregnancy and receive support from different sources. Studies on life situation and support among couples have rarely been conducted. This study aims to explore life situation and support during pregnancy among expectant mothers with depressive symptoms and their partners.

Methods

Twenty-seven expectant mothers, in the last trimester of pregnancy with depressive symptoms (Edinburgh Postnatal Depression Scale score ≥ 7) from seven public antenatal care clinics in Sakonnakhon, a north-eastern province of Thailand, and their partners were interviewed. In total, 54 semi-structured interviews were subjected to content analysis.

Results

Four categories emerged: (1) Having obstacles in life, (2) Facing life transition, (3) Enhancing confidence, and (4) Dissatisfaction with support. The informants described obstacles regarding economy, fear of health problems, getting an abnormal child and partners’ behaviours. They received support from family members and social networks, but some were dissatisfied with the support from the healthcare. For example, expectant fathers wished to receive more health information and be more involved.

Conclusions

Healthcare professionals should be aware of the influence of cultural and contextual factors when providing antenatal care to expectant parents. Male involvement in the care must not be neglected.
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Literature
1.
go back to reference Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, et al. From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the Perinatal Depression-research & Screening Unit Study. Compr Psychiatry. 2011;52:343–51.PubMedCrossRef Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D, et al. From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the Perinatal Depression-research & Screening Unit Study. Compr Psychiatry. 2011;52:343–51.PubMedCrossRef
2.
go back to reference Williams DT, Cheadle JE. Economic hardship, parents’ depression, and relationship distress among couples with young children. Soc Ment Health. 2016;6:73–89.PubMedPubMedCentralCrossRef Williams DT, Cheadle JE. Economic hardship, parents’ depression, and relationship distress among couples with young children. Soc Ment Health. 2016;6:73–89.PubMedPubMedCentralCrossRef
3.
go back to reference Highet N, Stevenson AL, Purtell C, Coo S. Qualitative insights into women’s personal experiences of perinatal depression and anxiety. Women Birth. 2014;27:179–84.PubMedCrossRef Highet N, Stevenson AL, Purtell C, Coo S. Qualitative insights into women’s personal experiences of perinatal depression and anxiety. Women Birth. 2014;27:179–84.PubMedCrossRef
4.
go back to reference American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Washington, DC: American Psychiatric Publishing; 2013.CrossRef American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Washington, DC: American Psychiatric Publishing; 2013.CrossRef
5.
go back to reference Roomruangwong C, Epperson N. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5:179–93.CrossRef Roomruangwong C, Epperson N. Perinatal depression in Asian women: prevalence, associated factors, and cultural aspects. Asian Biomed. 2011;5:179–93.CrossRef
6.
go back to reference Phoosuwan N, Eriksson L, Lundberg PC. Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: prevalence and associated factors. Asian J Psychiat. 2018;36:102–7.CrossRef Phoosuwan N, Eriksson L, Lundberg PC. Antenatal depressive symptoms during late pregnancy among women in a north-eastern province of Thailand: prevalence and associated factors. Asian J Psychiat. 2018;36:102–7.CrossRef
7.
go back to reference Arunpongpaisal S, Kongsuk T, Maneethorn N, Maneethorn B, Wannasawek K, Leejongpermpoon J, et al. Development and validity of two-question screening test for depressive disorders in northeastern Thai community. Asian J Psychiatr. 2009;2:149–52.PubMedCrossRef Arunpongpaisal S, Kongsuk T, Maneethorn N, Maneethorn B, Wannasawek K, Leejongpermpoon J, et al. Development and validity of two-question screening test for depressive disorders in northeastern Thai community. Asian J Psychiatr. 2009;2:149–52.PubMedCrossRef
8.
go back to reference Samano R, Martinez-Rojano H, Robichaux D, Rodriguez-Ventura AL, Sanchez-Jimenez B, Hoyuela M, et al. Family context and individual situation of teens before, during and after pregnancy in Mexico City. BMC Pregnancy Childbirth. 2017;17:382.PubMedPubMedCentralCrossRef Samano R, Martinez-Rojano H, Robichaux D, Rodriguez-Ventura AL, Sanchez-Jimenez B, Hoyuela M, et al. Family context and individual situation of teens before, during and after pregnancy in Mexico City. BMC Pregnancy Childbirth. 2017;17:382.PubMedPubMedCentralCrossRef
9.
go back to reference Edhborg M, Carlberg M, Simon F, Lindberg L. “Waiting for better times”: experiences in the first postpartum year by Swedish fathers with depressive symptoms. Amer J Mens Health. 2016;10(5):428–39.CrossRef Edhborg M, Carlberg M, Simon F, Lindberg L. “Waiting for better times”: experiences in the first postpartum year by Swedish fathers with depressive symptoms. Amer J Mens Health. 2016;10(5):428–39.CrossRef
10.
go back to reference Bergstrom M. Depressive symptoms in new first-time fathers: associations with age, socio-demographic characteristics, and antenatal psychological well-being. Birth. 2013;40(1):32–8.PubMedCrossRef Bergstrom M. Depressive symptoms in new first-time fathers: associations with age, socio-demographic characteristics, and antenatal psychological well-being. Birth. 2013;40(1):32–8.PubMedCrossRef
11.
go back to reference Galle A, Cossa H, Griffin S, Osman N, Roelens K, Degomme O. Policymaker, health provider and community perspectives on male involvement during pregnancy in southern Mozambique: a qualitative study. BMC Pregnancy Childbirth. 2019;19:384.PubMedPubMedCentralCrossRef Galle A, Cossa H, Griffin S, Osman N, Roelens K, Degomme O. Policymaker, health provider and community perspectives on male involvement during pregnancy in southern Mozambique: a qualitative study. BMC Pregnancy Childbirth. 2019;19:384.PubMedPubMedCentralCrossRef
12.
go back to reference Playfair R, Salami B, Hegadoren K. Detecting antepartum and postpartum depression and anxiety symptoms and disorders in immigrant women: a scoping review of the literature. Int J Ment Health Nurs. 2017;26:314–25.PubMedCrossRef Playfair R, Salami B, Hegadoren K. Detecting antepartum and postpartum depression and anxiety symptoms and disorders in immigrant women: a scoping review of the literature. Int J Ment Health Nurs. 2017;26:314–25.PubMedCrossRef
13.
go back to reference Phoosuwan N, Manwong M, Eriksson L, Lundberg PC. Perinatal depressive symptoms among Thai women: a hospital-based longitudinal study. Nurs Health Sci. 2019:1–9. Phoosuwan N, Manwong M, Eriksson L, Lundberg PC. Perinatal depressive symptoms among Thai women: a hospital-based longitudinal study. Nurs Health Sci. 2019:1–9.
14.
go back to reference Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150:782–6.PubMedCrossRef Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150:782–6.PubMedCrossRef
15.
go back to reference Fellmeth G, Plugge EH, Carrara V, Fazel M, Oo MM, Phichitphadungtham Y, et al. Migrant perinatal depression study: a prospective cohort study of perinatal depression in the Thai-Myanmar border. BMJ Open. 2018;8:1–9.CrossRef Fellmeth G, Plugge EH, Carrara V, Fazel M, Oo MM, Phichitphadungtham Y, et al. Migrant perinatal depression study: a prospective cohort study of perinatal depression in the Thai-Myanmar border. BMJ Open. 2018;8:1–9.CrossRef
16.
go back to reference Phoosuwan N, Eriksson L, Lundberg PC. Statistical analyses of the Thai version of the Edinburgh postnatal depression scale among Thai women during the antenatal period in North-Eastern Thailand. In: The 5th PSU-USM international conference on arts and sciences 2017. Phuket: Thailand; 2017. p. 685–700.. Phoosuwan N, Eriksson L, Lundberg PC. Statistical analyses of the Thai version of the Edinburgh postnatal depression scale among Thai women during the antenatal period in North-Eastern Thailand. In: The 5th PSU-USM international conference on arts and sciences 2017. Phuket: Thailand; 2017. p. 685–700..
17.
go back to reference Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.PubMedPubMedCentralCrossRef Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, et al. Factors influencing the quality of life of pregnant women: a systematic review. BMC Pregnancy Childbirth. 2018;18(1):455.PubMedPubMedCentralCrossRef
18.
go back to reference Polit D, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. Baltimore: Lippincott, Williams and Wilkins Publisher; 2012. Polit D, Beck CT. Nursing research. Generating and assessing evidence for nursing practice. Baltimore: Lippincott, Williams and Wilkins Publisher; 2012.
19.
go back to reference Pitanupong J, Liabsuetrakul T, Vittayanont A. Validation of the Thai Edinburgh postnatal depression scale for screening postpartum depression. Psychiatry Res. 2007;149:253–9.PubMedCrossRef Pitanupong J, Liabsuetrakul T, Vittayanont A. Validation of the Thai Edinburgh postnatal depression scale for screening postpartum depression. Psychiatry Res. 2007;149:253–9.PubMedCrossRef
21.
go back to reference Graneheim U, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–12.PubMedCrossRef Graneheim U, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105–12.PubMedCrossRef
22.
go back to reference Wang E, Hesketh T. Exploring women’s decisions about childbearing after the lifting of the one-child policy. Cult Health Sex. 2018;20:1230–43.PubMedCrossRef Wang E, Hesketh T. Exploring women’s decisions about childbearing after the lifting of the one-child policy. Cult Health Sex. 2018;20:1230–43.PubMedCrossRef
23.
go back to reference Sriyasak A, Almqvist A-L, Sridawruang C, Neamsakul W, Haggstrom-Nordin E. The new generation of Thai fathers: breadwinners involved in parenting. Am J Mens Health. 2018;12:1368–78.PubMedCrossRef Sriyasak A, Almqvist A-L, Sridawruang C, Neamsakul W, Haggstrom-Nordin E. The new generation of Thai fathers: breadwinners involved in parenting. Am J Mens Health. 2018;12:1368–78.PubMedCrossRef
24.
go back to reference Deklava L, Lubina K, Circenis K, Sudraba V, Millere I. Causes of anxiety during pregnancy. Soc Behav Sci. 2015;205:623–6.CrossRef Deklava L, Lubina K, Circenis K, Sudraba V, Millere I. Causes of anxiety during pregnancy. Soc Behav Sci. 2015;205:623–6.CrossRef
25.
go back to reference Jha P, Larsson M, Christensson K, Svanberg AS. Fear of childbirth and depressive symptoms among postnatal women: a cross-sectional survey from Chhattisgarh. India Women Birth. 2018;31:e122–33.PubMedCrossRef Jha P, Larsson M, Christensson K, Svanberg AS. Fear of childbirth and depressive symptoms among postnatal women: a cross-sectional survey from Chhattisgarh. India Women Birth. 2018;31:e122–33.PubMedCrossRef
26.
go back to reference Assanangkornchai S, Sam-Angsri N, Rerngpongpan S, Lertnakorn A. Patterns of alcohol consumption in Thai population: results of the national household survey of 2007. Alcohol Alcohol. 2010;45:278–85.PubMedCrossRef Assanangkornchai S, Sam-Angsri N, Rerngpongpan S, Lertnakorn A. Patterns of alcohol consumption in Thai population: results of the national household survey of 2007. Alcohol Alcohol. 2010;45:278–85.PubMedCrossRef
27.
go back to reference Phoosuwan N. Prevalence and factors related to alcohol consumption among undergraduate students in a Northeast Thailand province. Public Health J Burapha U. 2019;14(1):1–15. Phoosuwan N. Prevalence and factors related to alcohol consumption among undergraduate students in a Northeast Thailand province. Public Health J Burapha U. 2019;14(1):1–15.
28.
go back to reference Abrams D, Nguyen LT, Murphy J, Lee Y, Tran NK, Wiljer D. Perceptions and experiences of perinatal disorders in rural, predominantly ethic minority communities in northern Vietnam. Int J Ment Health Syst. 2016;10:1–10.CrossRef Abrams D, Nguyen LT, Murphy J, Lee Y, Tran NK, Wiljer D. Perceptions and experiences of perinatal disorders in rural, predominantly ethic minority communities in northern Vietnam. Int J Ment Health Syst. 2016;10:1–10.CrossRef
29.
go back to reference Niemi M, Nguyen M, Bartley T, Faxelid E, Falkenberg T. The experience of perinatal depression and implications for treatment adaptation: a qualitative study in a semi-rural district in Vietnam. J Child Fam Stud. 2015;24:2280–9.CrossRef Niemi M, Nguyen M, Bartley T, Faxelid E, Falkenberg T. The experience of perinatal depression and implications for treatment adaptation: a qualitative study in a semi-rural district in Vietnam. J Child Fam Stud. 2015;24:2280–9.CrossRef
30.
go back to reference Thianthai C. Gender and class differences in young people’s sexuality and HIV/AIDS risk-taking behaviours in Thailand. Cult Health Sex. 2004;6:189–203.PubMedCrossRef Thianthai C. Gender and class differences in young people’s sexuality and HIV/AIDS risk-taking behaviours in Thailand. Cult Health Sex. 2004;6:189–203.PubMedCrossRef
31.
go back to reference Chongsiri K, Yamarat K. Factors related to extramarital sex among Thai males in Nakhon Sawan province. Thailand J Health Res. 2014;28:S121–5. Chongsiri K, Yamarat K. Factors related to extramarital sex among Thai males in Nakhon Sawan province. Thailand J Health Res. 2014;28:S121–5.
32.
go back to reference Orsolini L, Valchera A, Vecchiotti R, Tomasetti C, Iasevoli F, Fornaro M, et al. Suicide during perinatal period: epidemiology, risk factors, and clinical correlates. Front Psychiatry. 2016;7:1–6.CrossRef Orsolini L, Valchera A, Vecchiotti R, Tomasetti C, Iasevoli F, Fornaro M, et al. Suicide during perinatal period: epidemiology, risk factors, and clinical correlates. Front Psychiatry. 2016;7:1–6.CrossRef
33.
go back to reference Phoosuwan N, Lundberg PC, Phuthomdee S, Eriksson L. Intervention intended to improve public health professionals’ self-efficacy in their efforts to detect and manage perinatal depressive symptoms among Thai women: a mixed-methods study. BMC Health Serv Res. 2020;20(1):1–11.CrossRef Phoosuwan N, Lundberg PC, Phuthomdee S, Eriksson L. Intervention intended to improve public health professionals’ self-efficacy in their efforts to detect and manage perinatal depressive symptoms among Thai women: a mixed-methods study. BMC Health Serv Res. 2020;20(1):1–11.CrossRef
34.
go back to reference Lincoln YS, Guba EG. Naturalistic inquiry. 1st ed. Bevery Hills, CA: SAGE Publications; 1985. Lincoln YS, Guba EG. Naturalistic inquiry. 1st ed. Bevery Hills, CA: SAGE Publications; 1985.
Metadata
Title
Life situation and support during pregnancy among Thai expectant mothers with depressive symptoms and their partners: a qualitative study
Authors
Nitikorn Phoosuwan
Pornpun Manasatchakun
Leif Eriksson
Pranee C. Lundberg
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2020
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/s12884-020-02914-y

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