Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning? A non-synchronized quasi-experimental study

Fahima Khatun, Tae Wha Lee, Hye Jung Lee, Jeongok Park, Ju Eun Song, Sue Kim

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

Original languageEnglish
Pages (from-to)196-208
Number of pages13
JournalKorean Journal of Women Health Nursing
Volume27
Issue number3
DOIs
Publication statusPublished - 2021 Sep

Bibliographical note

Publisher Copyright:
© 2021 Korean Society of Women Health Nursing. All rights reserved.

All Science Journal Classification (ASJC) codes

  • Maternity and Midwifery
  • Advanced and Specialised Nursing
  • Health(social science)
  • Medicine (miscellaneous)

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