Zhao 2021.
| Methods | No information on baseline data for depressive symptoms Study design: RCT Country: China |
| Participants | Pregnant women Inclusion criteria: a. primiparous with a single foetus; b. had an Edinburgh Postnatal Depression Scale (EPDS) score ≥ 9; c. were in the third trimester (≥ 28 weeks and < 35 weeks); d. planned to give birth and undergo follow‐up at 42 days postpartum in the research hospital. Exclusion criteria: a. intellectual disabilities, severe mental diseases, or obstetric complications associated with breastfeeding cessation Stated purpose: to determine the effects of an individualized mixed management combined lactation education and psychoeducation intervention on breastfeeding outcomes and postpartum depression (PPD) at 3 and 42 days postpartum |
| Interventions |
Intervention: individualized mixed management intervention Participants in the intervention group received the individualized mixed management intervention, which consisted of four face‐to‐ face sessions in the prenatal clinic. Each intervention session was separate from routine clinic examinations. Each session lasted approximately 60 min and consisted of (1) a 10‐min discussion on a predesignated topic, such as depression, fear during pregnancy, birth, and the postpartum period, and breastfeeding satisfaction; (2) a 40‐min psychoeducation or lactation education intervention presented using PowerPoint and teaching tools, including short breastfeeding videos, a breast model, and a breastfeeding simulation; and (3) 10 mins of feedback on the content of the intervention or counselling related to perinatal depression or breastfeeding. Control: usual care (the control group received usual perinatal care and completed routine group education courses in the hospital about maternal health and childcare during the perinatal period. If a participant experienced depressive symptoms during follow‐up or had suicidal ideation, she was referred to the psychiatry department of our affiliated general hospital for further treatment). |
| Outcomes |
Participants'outcomes of interest for this review
Economic outcomes Nil Time points: baseline, post‐intervention (3‐days and 42‐days postpartum) |
| Notes |
Source of funding: Fudan University Nursing Research Funding, protocol No. FNF201605 Prospective trial registration number: not specified |