Peer-to-Peer Human Milk Sharing: Recipient Mothers' Motivations, Stress, and Postpartum Mental Health

2019 ◽  
Vol 14 (2) ◽  
pp. 88-97 ◽  
Author(s):  
Rebecca J. McCloskey ◽  
Sharvari Karandikar
Keyword(s):  
Mental Health ◽  
Human Milk ◽  
Peer To Peer ◽  
Postpartum Mental Health ◽  
Human Milk Sharing

A Liberation Health Approach to Examining Challenges and Facilitators of Peer-to-Peer Human Milk Sharing

2018 ◽  
Vol 34 (3) ◽  
pp. 438-447 ◽  
Author(s):  
Rebecca J. McCloskey ◽  
Sharvari Karandikar
Keyword(s):  
Human Milk ◽  
Healthcare Professionals ◽  
The United States ◽  
Peer To Peer ◽  
Milk Bank ◽  
Pros And Cons ◽  
Work Model ◽  
Theme Identification ◽  
Human Milk Sharing ◽  
Depth Interviews

Background: Human milk sharing between peers is a common and growing practice. Although human milk has been unequivocally established as the ideal food source for infants, much stigma surrounds the practice of human milk sharing. Furthermore, there is little research examining peer-to-peer human milk sharing. Research Aim: We used the liberation health social work model to examine the experiences of mothers who have received donated human milk from a peer. Research questions were as follows: (a) What challenges do recipient mothers experience in peer-to-peer human milk sharing? (b) What supports do recipient mothers identify in peer-to-peer human milk sharing? Methods: Researchers conducted in-depth interviews with mothers ( N = 20) in the United States and Canada who were recipients of peer-to-peer human milk sharing. Researchers independently reviewed transcripts and completed open, axial, and selective coding. The authors discussed conflicts in theme identification until agreement was reached. Results: Challenges to peer-to-peer human milk sharing were (a) substantial effort required to secure human milk; (b) institutional barriers; (c) milk bank specific barriers; and (d) lack of societal awareness and acceptance of human milk sharing. Facilitators included (a) informed decision making and transparency and (b) support from healthcare professionals. Conclusion: Despite risks and barriers, participants continued to pursue peer-to-peer human milk sharing. Informed by a liberation health framework, healthcare professionals—rather than universally discouraging human milk sharing between peers—should facilitate open dialogue with parents about the pros and cons of this practice and about screening recommendations to promote safety and mitigate risk.

Obstetrician/Gynecologists and Postpartum Mental Health: Differences Between CME Course Takers and Nontakers

2012 ◽  
Vol 32 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Meaghan A. Leddy ◽  
Victoria A. Farrow ◽  
Gerald F. Joseph ◽  
Jay Schulkin
Keyword(s):  
Mental Health ◽  
Postpartum Mental Health ◽  
Health Differences

scholarly journals Birth outcomes, pregnancy complications, and postpartum mental health after the 2013 Calgary flood: A difference in difference analysis

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246670
Author(s):  
Erin Hetherington ◽  
Kamala Adhikari ◽  
Lianne Tomfohr-Madsen ◽  
Scott Patten ◽  
Amy Metcalfe
Keyword(s):  
Mental Health ◽  
Preterm Birth ◽  
Birth Outcomes ◽  
Gestational Age ◽  
Small For Gestational Age ◽  
Gestational Hypertension ◽  
Difference In Difference ◽  
Postpartum Mental Health ◽  
Nulliparous Women ◽  
The Impact

Background In June 2013, the city of Calgary, Alberta and surrounding areas sustained significant flooding which resulted in large scale evacuations and closure of businesses and schools. Floods can increase stress which may negatively impact perinatal outcomes and mental health, but previous research is inconsistent. The objectives of this study are to examine the impact of the flood on pregnancy health, birth outcomes and postpartum mental health. Methods Linked administrative data from the province of Alberta were used. Outcomes included preterm birth, small for gestational age, a new diagnoses of preeclampsia or gestational hypertension, and a diagnosis of, or drug prescription for, depression or anxiety. Data were analyzed using a quasi-experimental difference in difference design, comparing flooded and non-flooded areas and in affected and unaffected time periods. Multivariable log binomial regression models were used to estimate risk ratios, adjusted for maternal age. Marginal probabilities for the difference in difference term were used to show the potential effect of the flood. Results Participants included 18,266 nulliparous women for the pregnancy outcomes, and 26,956 women with infants for the mental health analysis. There were no effects for preterm birth (DID 0.00, CI: -0.02, 0.02), small for gestational age (DID 0.00, CI: -0.02, 0.02), or new cases of preeclampsia (DID 0.00, CI: -0.01, 0.01). There was a small increase in new cases of gestational hypertension (DID 0.02, CI: 0.01, 0.03) in flood affected areas. There were no differences in postpartum anxiety or depression prescriptions or diagnoses. Conclusion The Calgary 2013 flood was associated with a minor increase in gestational hypertension and not other health outcomes. Universal prenatal care and magnitude of the disaster may have minimized impacts of the flood on pregnant women.

scholarly journals The Importance of Patient-Centered Research in the Promotion of Postpartum Mental Health

2021 ◽  
Vol 12 ◽  
Author(s):  
Ariana M. Albanese ◽  
Pamela A. Geller ◽  
Christina A. Sikes ◽  
Jennifer L. Barkin
Keyword(s):  
Mental Health ◽  
Patient Centered ◽  
Postpartum Mental Health

PTSD and postpartum mental health in a sample of Caucasian, Asian, and Pacific Islander women

2009 ◽  
Vol 12 (6) ◽  
pp. 393-400 ◽  
Author(s):  
Jane M. Onoye ◽  
Deborah Goebert ◽  
Leslie Morland ◽  
Courtenay Matsu ◽  
Tricia Wright
Keyword(s):  
Mental Health ◽  
Pacific Islander ◽  
Postpartum Mental Health ◽  
Asian And Pacific Islander ◽  
Pacific Islander Women

Design and Implementation of a Novel Peer-to-Peer Coaching Program to Support Digital Mental Health (Preprint)

2021 ◽  
Author(s):  
Benjamin M Rosenberg ◽  
Tamar Kodish ◽  
Zachary D Cohen ◽  
Elizabeth Gong-Guy ◽  
Michelle G Craske
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Peer To Peer ◽  
Design And Implementation ◽  
Digital Interventions ◽  
Competency Based ◽  
Peer Coach ◽  
Principles Of Learning ◽  
University Setting

UNSTRUCTURED Many individuals in need of mental health services do not currently receive care. Scalable programs are needed to reduce the burden of mental illness among those without access to existing providers. Digital interventions present one avenue for increasing the reach of mental health services. These interventions often rely upon paraprofessionals, or “coaches,” to support the treatment. While existing programs hold immense promise, providers must ensure that treatments are delivered with high fidelity and adherence to the treatment model. In this paper, we first highlight the tension between scalability and fidelity of mental health services. We then describe the design and implementation of a peer-to-peer coach training program to support a digital mental health intervention within a university setting. We specifically note strategies for emphasizing fidelity within our scalable framework, including principles of learning theory and competency-based supervision. Finally, we discuss future applications of this work, including the potential adaptability of our model for use within other contexts.

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