METROPOLITAN REGIONAL DIFFERENCES IN PRIMARY HEALTH CARE OF POSTNATAL DEPRESSION

Abstract

This study examines the psychological and social aspects of the transition to motherhood by primiparous women, including care received, in two regions of suburban Melbourne, Australia. Two hundred and thirteen women were recruited from antenatal clinics in the regions and completed questionnaires at 24 weeks gestation, six weeks, four months and nine months postpartum. Maternal child health nurses were also asked to complete questionnaires on services in their region. Rates of distress decreased over time in the eastern affluent established region, but increased in the western rapidly developing region. For women in both regions, satisfaction in their relationship with their partners decreased. A previous history of mental illness, lower social integration and cultural background were predictors of distress. Nurses in the west reported high stress and less satisfaction from their clientele. Results highlight the need for health planning related to childbirth in developing regions.