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HAPPY MAMA Project (Part 2)—Maternal Distress and Self-Efficacy: A Pilot Randomized Controlled Field Trial

Author

Listed:
  • Alice Mannocci

    (Faculty of Economics, Mercatorum University, 00186 Rome, Italy)

  • Sara Ciavardini

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Federica Mattioli

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Azzurra Massimi

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Valeria D’Egidio

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Lorenza Lia

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Franca Scaglietta

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Andrea Giannini

    (Department of Maternal and Child Health and Urological Sciences, Umberto I Teaching Hospital, Sapienza University, 00185 Rome, Italy)

  • Roberta Antico

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy
    Department of Obstetrics and Gynecology, San Giovanni Calibita Fatebenefratelli Hospital, 00186 Rome, Italy)

  • Barbara Dorelli

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • Alessandro Svelato

    (Department of Obstetrics and Gynecology, San Giovanni Calibita Fatebenefratelli Hospital, 00186 Rome, Italy)

  • Luigi Orfeo

    (Neonatal Intensive Care Unit, “San Giovanni Calibita” Fatebenefratelli, 00186 Rome, Italy)

  • Pierluigi Benedetti Panici

    (Department of Maternal and Child Health and Urological Sciences, Umberto I Teaching Hospital, Sapienza University, 00185 Rome, Italy)

  • Antonio Ragusa

    (Department of Obstetrics and Gynecology, San Giovanni Calibita Fatebenefratelli Hospital, 00186 Rome, Italy)

  • Giuseppe La Torre

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy)

  • HAPPY MAMA Group

    (Department of Public Health and Infectious Diseases, Sapienza University, 00185 Rome, Italy
    HAPPY MAMA Group is provided in the Acknowledgements.)

Abstract

Introduction: The aim of the pilot randomized controlled field trial is to assess if a midwifery intervention is able to increase the maternal self-efficacy and reduce the stress level during the first six months after birth. Methods: The study was conducted in two different hospitals in Rome, Italy, involving women delivering at or beyond term, aged >18 years old and with normal APGAR scores of the infant. The participants were randomly divided into two groups: “ Individual Intervention Group ” (they received home midwifery assistance for one month after birth, I) and the “ Control Group ” (C). A self-administered questionnaire was administered four times: at the baseline about one week after the hospital delivery (T0), after the intervention about one month after the delivery (T1), and at three months (T2) and at six months after birth (T3). The questionnaire included different validated scales needed to assess maternal perceived self-efficacy (KPCS), parental stress scale stress (PSS) and maternal depressive risk symptoms (EPDS). Results: The study population counted 51 mothers: 28 women in the “C” group and 23 women in the “I” group. The PSS score was statistically higher in the “C” than “I” group at T1 ( p = 0.024); whereas the KPCS score was statistically higher in the “I” ( p = 0.039) group; EPDS score did not show significant difference between the two groups in the follow-up period. An inverse significant correlation between KPCS and PSS was found during the study window time ( p < 0.0001). Conclusions: These results potentially give the opportunity to explore this area of focus further, in order to better address maternal individual needs for the successful transition to motherhood. More research in this area is required.

Suggested Citation

  • Alice Mannocci & Sara Ciavardini & Federica Mattioli & Azzurra Massimi & Valeria D’Egidio & Lorenza Lia & Franca Scaglietta & Andrea Giannini & Roberta Antico & Barbara Dorelli & Alessandro Svelato & , 2022. "HAPPY MAMA Project (Part 2)—Maternal Distress and Self-Efficacy: A Pilot Randomized Controlled Field Trial," IJERPH, MDPI, vol. 19(3), pages 1-15, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1461-:d:736191
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    2. Alice Mannocci & Azzurra Massimi & Franca Scaglietta & Sara Ciavardini & Michela Scollo & Claudia Scaglione & Giuseppe La Torre, 2021. "HAPPY MAMA Project (PART 1). Assessing the Reliability of the Italian Karitane Parenting Confidence Scale (KPCS-IT) and Parental Stress Scale (PSS-IT): A Cross-Sectional Study among Mothers Who Gave B," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
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