Post Natal Depression and to Explore if Adequate Diagnoses and Support is provided by the Midwives

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ACKNOWLEDGEMENTS

This dissertation is an opportunity for me to extend my regards to my research supervisor, my beloved friends, and my family for their untiring support that they furnished throughout my research. I am grateful to them for their belief in me and the guidance that they provided me without which I would have never been able to work on and complete this research. It also signifies my own views and does not closely relate to the university.

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DECLARATION

I, (Your name), would like to declare that all contents included in this study stand for my individual work without any aid, and this proposal has not been submitted for any examination at academic as well as professional level, previously. It is also represents my very own views and not essentially those that are associated with other university.

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Abstract

Postnatal depression has a moderately high incidence rate and it also gives rise to substantial morbidity. The purpose of the study is to characterize and define postpartum depression and to explore whether the women receive adequate support and care after diagnosis. This dissertation is based on the secondary data. A qualitative design along with the thematic approach will be used to study the post natal depression. This framework took both quantitative and qualitative approaches to research; three themes were formed in this study from the critique of eight articles. These articles supported a sound evidence of using Edinburgh Postnatal Depression Scale as a screening tool for the screening of postnatal depression. The skills and knowledge are required to employ the Edinburgh Postnatal Depression Scale and offers onward referral and first-line intervention and at practitioner level this can be developed through close collaborative functioning. The results of the literate review suggest that further researches are required in order to implement a national screening protocol. Table of Contents

ACKNOWLEDGEMENTSi

DECLARATIONii

Abstractiii

CHAPTER 1 INTRODUCTION1

Purpose of the Study3

Background of the Study3

Problem Statement4

Significance of the study4

Aims and Objectives5

Research Question5

CHAPTER 2: LITERATURE REVIEW5

Post natal depression6

Incidence in United Kingdom6

Signs and Symptoms and Biology of post natal depression7

Etiology of Postpartum Depression8

Historical Perspective9

Past History of Mental Health Disorders10

Current Theories of Postpartum Depression11

Diagnosis13

Treatment delay14

CHAPTER 2 METHODOLOGY14

Bibliographic Databases15

Inclusion criteria16

Exclusion criteria16

Limitations of the study17

Critical Appraisal17

Thematic Analysis18

CHAPTER 4: DISCUSSION AND ANALYSIS19

Critique of Articles19

Themes identified23

Screening23

Postpartum Depression Impact on women25

Post natal Depression Care25

CHAPTER 5: CONCLUSION29

Recommendations and reflections30

References32

Appendix41

Keywords used in Literature search41

Definition of important terms41

Depression41

Postpartum depression41

Emotional well-being42

Baby blues42

Postpartum psychosis42

Signposting of this study43

CHAPTER 1 INTRODUCTION

Postnatal Depression (PND) is a classified mental health condition and can be a factor in the causing high morbidity and mortality. After the birth of a child many individuals assume that it is the most delightful and joyous time for the family as well as the mothers. In addition, individuals often believe that the mothers shall feel enthusiastic and happy during this joy time. But the reality is that there are some mothers who do not feel happy instead they feel unhappy and depressed after giving birth to an ...