Nursing Care for Women With Postpartum Blues: A Literature Review


Nursing Care for Women With Postpartum Blues: A Literature Review


Kimberly Mayara Gouveia Bezerra¹*; Ana Carolina de Carvalho Leandro²; Cayo César da Silva³; Scarlletie Rodrigues Perreli Batista de Oliveira4; Thassia Thame de Moura Silva5; Iracema da Silva Frazão6

1,2,3,4Nursing Academics – UFPE; 5,6 Professors of the Nursing Department – UFPE


International Research Journal of Obstetrics and Gynecology

Introduction: During the puerperal period the woman becomes more sensitive, requiring more emotional support, attention and affection, as it becomes more susceptible to hormonal, psychological and social changes due to the need to adjust to the new role, that of being a mother, which can lead to internal and external conflicts that can directly influence your mental health. Thus, nursing care for puerperal women is of fundamental importance so that they can understand the emotions and changes experienced in this phase, as well as for the identification and monitoring of these cases.

Objective: To analyze what the current literature evidences about nursing care for women with puerperal Blues. Methodology: Literature review in MEDLINE, BDENF, LILACS and PubMed databases. A total of 96 articles were found, of which 23 were pre – selected and after the inclusion criteria were applied, 16 remained. A reading of these in full with peer review was performed, and they were subsequently crossed to discuss the divergences found in order to reduce interpretation errors.

Results:  According to the literature, about 50% of women present puerperal Blues in up to two weeks postpartum, that if there is no necessary therapy, more than 20% of these women tend to develop postpartum depression (PPD).

Conclusion: Therefore, an appropriate approach and performed by trained professionals is paramount to identify the factors associated with puerperal blues during puerperium consultations, so that there is the ideal management to promote a better Quality of life, avoiding mental distress.


Keywords: Nursing, Postpartum Period, Delivery of Health Care, Postpartum blues

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How to cite this article:
Kimberly Mayara Gouveia Bezerra; Ana Carolina de Carvalho Leandro; Cayo César da Silva; Scarlletie Rodrigues Perreli Batista de Oliveira; Thassia Thame de Moura Silva; Iracema da Silva Frazão. Nursing Care for Women With Postpartum Blues: A Literature Review. International Research Journal of Obstetrics and Gynecology, 2020, 3:24. DOI: 10.28933/irjog-2020-01-2208


References

1. Maciel LP, Costa JCC, Campor GMB, Santos NM, Melo RA, Diniz LFB. Mental disorder in the puerperal period: risks and coping mechanisms for health promotion. Rev Fun Care Online. 2019 jul/set; 11(4):1096-1102. DOI: http://dx.doi.org/10.9789/2175-5361.2019.v11i4.1096-1102.
2. Silva MAP, et al. Tristeza Materna em Puérperas e Fatores Associados. Revista Portuguesa de Enfermagem de Saúde Mental (18) 2018, 08-13. doi: 10.19131/rpesm.0186
3. Pereira MA, Pelloso SM. Epidemiologia da tristeza em puérperas no pós-parto imediato. Femina, 2015 v. 35, n. 6.
4. Espinoza M, et al. Tristeza no puerpério. Rev.Obstet.Ginecol. 2015; VOL 10 (2): 65-72
5. Maliszewska K, et al. Relationship, social support, and personality as psychosocial determinants of the risk for postpartum blues. Ginekologia Polska 2016; 87, 6: 442–447. DOI: 10.5603/GP.2016.0023
6. Carvalho GM, et al. Transtornos mentais em puérperas: análise da produção de conhecimento nos últimos anos. Braz. J. Hea. Rev., Curitiba, v. 2, n. 4, p. 3541-3558 jul./aug. 2019 DOI:10.34119/bjhrv2n4-117
7. Dowlatia Y, et al. Selective dietary supplementation in early postpartum is associated with high resilience against depressed mood. PNAS, March 28, 2017 vol. 114 no. 13, p 3509–3514.
8. Thitipitchayanant K, Somrongthong R, Kumar R, Kanchanakharn N. Effectiveness of self-empowerment-affirmation-relaxation (SelfEAR) program for postpartum blues mothers: A randomize controlled trial. Pak J Med Sci. 2018;34(6):1488-1493. DOI: https://doi.org/10.12669/pjms.346.15986
9. Kumar SV, Oliffe JL, Kelly MT. Promoting Postpartum Mental Health in Fathers: Recommendations for Nurse Practitioners. American Journal of Men’s Health 2018, Vol. 12(2) 221 –228
10. Tachibana y, et al. Integrated mental health care in a multidisciplinary maternal and child health service in the community: the findings from the Suzaka trial.. BMC Pregnancy and Childbirth 2019, 19:58. DOI: https://doi.org/10.1186/s12884-019-2179-9
11. Rai S, Pathak S, Sharma I. Postpartum psychiatric disorders: Early diagnosis and management. Indian J Psychiatry 57 (Supplement 2), July 2015. DOI: 10.4103/0019‑5545.161481
12. Berger A, et al. Perinatal mental disorders in Switzerland: prevalence estimates and use of mental-health services. Swiss Med Wkly. 2017;147:w14417. DOI: 10.4414/smw.2017.14417
13. Akbarzadeh M, et al. Investigation of the effect of religious doctrines on religious knowledge and attitude and postpartum blues in primiparous women. Iranian Journal of Nursing and Midwifery Research | September-October 2015, Vol. 20, Issue 21(3): 636–647. DOI:10.1007/s10995-016-2150-6.
14. Maciel LP et al. Mental disorder in the puerperal period: risks and coping mechanisms for health promotion. Rev Fun Care Online. 2019 jul/set; 11(4):1096-1102. DOI: http://dx.doi.org/10.9789/2175-5361.2019.v11i4.1096-1102.
15. Akbarzadeh M, et al. Investigation of breastfeeding training based on BASNEF model on the intensity of postpartum blues. EMHJ, Vol. 23 No. 12, 2017. DOI: https://doi.org/10.26719/2017.23.12.830
16. Wouk K, Stuebe AM, Meltzer-Brody S. Postpartum Mental Health and Breastfeeding Practices: An Analysis Using the 2010–2011 Pregnancy Risk Assessment Monitoring System. Matern Child Health J . 2017 March:5