Journal of International Psychiatry

[Abstract] Objective To investigate the effects of family centered maternity care (FCMC) on postpartum depression and self-efficacy for primipara.Methods A total of 120 cases of natural delivery women who were in the obstetrics of our hospital from January 2015 to August 2016 were randomly divided into two groups: control group (n=60) received conventional care, observation group (n=60) received FCMC on the basis of the conventional care.The scores of Self-Rating Anxiety Scale (SAS),Edinburgh Postpartum Depression Scale (EPDS), General self-efficacy scale (GSES), pelvic floor contractility, lactation time, 48h lactation amount and the incidence of postpartum pepression (PPD) were compared between the two groups. Results The SAS and EPDS scores of the observation group were significantly lower than those of the control group, GSES and pelvic contractility scores were significantly higher than those of the control group (P<0.05). The postpartum lactation time of the observation group was significantly shorter than that of the control group,while the 48h lactation amount was significantly higher (P<0.05);The incidence of PPD was 3.33% in the observation group, which was significantly lower than 20.00% in the control group (P<0.05). Conclusion The FCMC can reduce the anxiety and depressive mood of primipara, reduce the incidence of PPD, promote the rehabilitation of pelvic floor function and postpartum lactation.

[Key words] Primipara;Postpartum depression; Family centered maternity care; Self-efficacy