Comparison of the Effects of Attachment and Relaxation Instruction on the Third Trimester Depression and Postpartum Blues

  • Akbarzade M, Rafiee B, Asadi N, Nematollahi A, Taheri M Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Aims: This study was conducted to compare the effects of attachment and relaxation instruction on the third trimester depression and post-partum blues.


Methods: Randomized controlled trial in three arms (teaching relaxation, maternal-fetal attachment skills and control) of 42 women each among 126 nulliparous women in a selected educational center (Hafez) affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from January 2012 to February 2012. The patients filled out the demographic data sheet, Cranley maternal-fetal attachment test questionnaire, Beck depression questionnaire, Spilberger anxiety and written consent Questionnaires.


Results: The mean and standard deviation of the Beck depression test scores after the intervention were 20.5±3/10, 21.1±3.8, and 23.2±3.8 for the attachment, relaxation, and control group, respectively. The changes were statistically significant according to the one-way ANOVA test (P= 0.002). The post-hoc test was statistically significant for the decrease in the depression groups after delivery in the attachment (P = 0.01) and relaxation group (P = 0.01).The reduction in the depression scores before, and after the intervention in the attachment (P=0.001) and relaxation group (P = 0.002) was significant based on paired-t-test results. However, the control group showed an increase in the depression scores which were statistically significant (P= 0.04).


Conclusions: Prenatal educational program based on attachment and relaxation training can improve maternal identity role and reduce maternal depression. This study showed that preventing post-partum depression by simple, available and cost beneficial training programs skills.


Keywords: attachment, depression, postpartum blue, relaxation


DOI: http://dx.doi.org/10.3126/njog.v12i1.18976

Published
Feb 1, 2018
How to Cite
NEMATOLLAHI A, TAHERI M, Akbarzade M, Rafiee B, Asadi N,. Comparison of the Effects of Attachment and Relaxation Instruction on the Third Trimester Depression and Postpartum Blues. Nepal Journal of Obstetrics and Gynaecology, [S.l.], v. 12, n. 1, p. 17-21, feb. 2018. ISSN 1999-8546. Available at: <http://njog.org.np/njog/index.php/njog/article/view/843>. Date accessed: 17 feb. 2018.
Section
Original Articles