Volume 35, Issue 246 (7-2025)
J Mazandaran Univ Med Sci 2025, 35(246): 139-151 |
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Hamzehgardeshi Z, Shahhosseini Z, Elyasi F, Salehi-pourmehr H, Fendereski A, Yazdani F et al . Exploring Midwives’ Experiences of Barriers and Strategies to Improve Postpartum Depression Screening: A Conventional Content Analysis. J Mazandaran Univ Med Sci 2025; 35 (246) :139-151
URL: http://jmums.mazums.ac.ir/article-1-21631-en.html
URL: http://jmums.mazums.ac.ir/article-1-21631-en.html
Zeinab Hamzehgardeshi 
, Zohreh Shahhosseini , Forouzan Elyasi , Hanieh Salehi-pourmehr , Afsaneh Fendereski , Fereshteh Yazdani , Ghazal Feizi
, Zohreh Shahhosseini , Forouzan Elyasi , Hanieh Salehi-pourmehr , Afsaneh Fendereski , Fereshteh Yazdani , Ghazal Feizi
Abstract: (66 Views)
Background and purpose: Postpartum depression (PPD) is a major postpartum mental health concern, and early screening plays an important role in reducing adverse outcomes. The prevalence of postpartum depression has been reported to range from 5% to 60% worldwide. Determining the prevalence of PPD and elucidating its risk factors for the prevention and treatment of PPD is of great social importance. Within the Iranian health system, family physician centers serve as the first level of referral, and midwives have a key role in PPD screening. This qualitative study aimed to explain midwives’ experiences of barriers and strategies to improve screening for postpartum depression using conventional content analysis.
Materials and methods: This study employed a qualitative approach with conventional content analysis. Data collection was conducted through semi-structured interviews with 27 midwives. To ensure the accuracy and robustness of the research data, member checking was conducted by the research participants and a research associate professor of psychiatry. The interviews were transcribed, and thematic coding was performed to extract categories and subcategories.
Results: The analysis revealed five main categories and 13 subcategories related to screening barriers, and three main categories and 10 subcategories for improvement strategies. The main barriers included structural-organizational, educational-professional, economic-social, psychological, and individual-clinical barriers. The suggested strategies comprised educational-cultural, supportive-social, and organizational-political approaches.
Conclusion: The findings of this study showed that postpartum depression screening faces structural-organizational, educational-professional, economic-social, psychological, and individual-clinical barriers but can be improved by implementing educational-cultural, supportive-social, and organizational-political strategies. Paying attention to these factors can enhance the process of identifying and intervening in postpartum depression
Materials and methods: This study employed a qualitative approach with conventional content analysis. Data collection was conducted through semi-structured interviews with 27 midwives. To ensure the accuracy and robustness of the research data, member checking was conducted by the research participants and a research associate professor of psychiatry. The interviews were transcribed, and thematic coding was performed to extract categories and subcategories.
Results: The analysis revealed five main categories and 13 subcategories related to screening barriers, and three main categories and 10 subcategories for improvement strategies. The main barriers included structural-organizational, educational-professional, economic-social, psychological, and individual-clinical barriers. The suggested strategies comprised educational-cultural, supportive-social, and organizational-political approaches.
Conclusion: The findings of this study showed that postpartum depression screening faces structural-organizational, educational-professional, economic-social, psychological, and individual-clinical barriers but can be improved by implementing educational-cultural, supportive-social, and organizational-political strategies. Paying attention to these factors can enhance the process of identifying and intervening in postpartum depression
Subject:
Gynecology and Infertility
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