Paper
Friday, July 23, 2004
This presentation is part of : Depression and Suicide
Preventing Postpartum Depression
Doris Ugarriza, ARNP, PhD, University of Miami School of Nursing, Coral Gables, FL, USA
Learning Objective #1: Identify culturally derived means for preventing postpartum depression
Learning Objective #2: Compare the postpartum experiences of three cultural groups: African-American, Anglo-American, and Cuban-American

Objective: The primary aim of this study was to investigate the cultural practices of non-postpartum depressed mothers. We compared and contrasted the culturally derived postpartum prevention practices of African-American, Anglo-American, and Cuban-American mothers.

Design: Using snowball and network sampling, we interviewed postpartum women from three cultural groups and applied content analysis techniques to the resultant verbatim text.

Population, Sample, Setting, Year: The sample comprised 90 participants, 30 each from African-American, Anglo-American, and Cuban-American postpartum mothers drawn from the Miami-Dade County area during the years 1998-2003.

Concepts: The major variables were the culturally derived practices used by new mothers and their families which serve to prevent the development of postpartum depression.

Methods: We interviewed 90 postpartum women who had a baby between three months and one year prior to the interview. We derived our topics from the Stern & Kruckman postpartum depression prevention criteria. These criteria are the identified practices that cultures with low incidences of postpartum depression have in place: a) protective measures reflecting the vulnerability of the new mother; b) a defined postpartum period; c) social seclusion; d) mandated rest; e) assistance with tasks; and e) social recognition of the new status of the mother. Interviews were conducted by telephone using audio-taping equipment. We transcribed the interviews verbatim and content analyzed the text using latent and manifest analyses. The results were tabulated using descriptive statistics.

Findings: Mothers not experiencing postpartum depression had been the recipients of one or more of the preventive cultural practices. In place practices varied among cultural groups.

Conclusion: It is possible to identify culturally relevant postpartum depression prevention practices using the Stern & Kruckman model.

Implications: We now know what practices are beneficial for these three groups and can start to educate mothers and their families on the value of these practices.

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