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Postnatal Depression Is a Public Health Nursing Issue: Perspectives from Norway and Ireland

DOI: 10.1155/2013/813409

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Abstract:

The framework provided by the Millennium Development Goals includes maternal health as an area of priority. Postnatal depression (PND) is a serious public health issue because it occurs at a crucial time in a mothers’ life, can persist for long periods, and can have adverse effects on partners and the emotional, behavioural, and cognitive development of infants and children. Internationally, public health nurses (PHNs) are key professionals in the delivery of health care to mothers in the postpartum period, and international research collaborations are encouraged. Two researchers from the European Academy of Nursing Science (EANS) identified a need to collaborate and strengthen research capacity and discussion on postnatal depression, a public health nursing issue in both countries. Within the context of public health and public health nursing in Ireland and Norway, the aim of this paper is to present a discussion on the concept of PND, prevalence, and outcomes; screening issues for PHNs; and the research evidence of the benefits of social support in facilitating recovery for new mothers. 1. Introduction The WHO-UNFPA [1] has clearly identified maternal mental health as fundamental in attaining the Millennium Development Goals. Postnatal depression (PND) is a significant public health issue, occurring during the perinatal period which is a time of intense change and transition for women. Distinguishing between a natural response to motherhood and symptoms of PND can be difficult both for new mothers and their families [2, 3]. Detection of and intervention in postnatal depression is crucial to the well-being of mothers, their infants, partners, and families. It occurs at a critical time in a mothers’ life and can persist for long periods. It can have adverse effects on partners and on emotional and cognitive development of infants and children [4–6]. Public health nurses (PHNs) all over the world have a major role in supporting families with new born babies, and a key concern for public health nursing is the framework provided by the Millennium Development Goals which includes improving maternal health [1]. Many cases of postnatal depression are not detected [7] as there is no international agreement on screening for postnatal depression. There are opinions that the screening instruments do not meet the WHO criteria for when screening should be performed [8]. The Marcé Society for Perinatal Mental Health is an international society for the understanding, prevention, and treatment of mental illness related to childbearing [9]. There is a growing view

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