Effect of respectful maternity care and effective communication during labor on postpartum depression: an interventional study
Khalat Karwan Fares, Hamdia Mirkhan Ahmed
2692
ABSTRACT
Objective: Postpartum depression (PPD) is a significant public health issue and one of the most often observed
psychological disorders among postpartum women. The purpose of this study was to determine the effect of
implementing respectful maternity care (RMC) and effective communication (EC) during labor and delivery on
experiencing postpartum depression.
Methods: One hundred twenty women were included in this trial; they were randomly assigned to two groups: the
intervention and control groups. RMC and EC are provided to the intervention group, whereas the control group
receives routine care. Six to eight weeks after delivery, postpartum depression was measured by the Kurdish
version Edinburgh Postpartum Depression Scale. Pearson Chi-Square, Mann-Whitney U, Likelihood Ratio and
Fisher's Exact Test were used in this analysis.
Results: Eighty percent of women in the intervention group had an Edinburgh Depression Score of less than ten,
compared to fifty percent in the control group. In addition, significantly higher mean scores on the Edinburgh
Postnatal Depression Scale in controls than in the intervention group. However, there was no significant
difference in PPD results between the intervention and control groups regarding delivery mode, pregnancy type,
baby's gender, neonatal admission to the intensive care unit, and breastfeeding.
Conclusions: The results suggest that implementing RMC and EC throughout labor and birth considerably
reduces the Edinburgh Postnatal Depression Score. Thus, the study's findings have significant implications for the
primary prevention of postpartum depression.
Keywords: Childbirth, Edinburgh Postnatal Depression Scale, Effective communication, Postpartum Depression,
Respectful maternity care.