The healthy moms and babies app to prevent postpartum depression: analysis of user-profiles and dropout cases.

Introduction: Perinatal depression affects mothers, babies and society. Preventive interventions are needed, but face barriers to access. E-health interventions could be an effective and accessible option. To date, few studies have attempted to understand the use of mobile health (m-health) applications and why they are not more widely used. This study aims to understand the demographic characteristics of enrolled participants and examine dropout patterns through the Healthy Moms and Babies app. Methods: A longitudinal study was conducted with a sample of 511 women recruited between 2020 and 2022. Data were collected from the app, including sociodemographic information, the participant's progress through the modules of the app, and the permissions granted to use the app. Results: Out of the 511 women who completed the initial form to initiate participation, 279 downloaded the app and completed the evaluation. Results indicated that granting permission to be notified about the module's availability is related to an increase in the use of the first modules. Conclusion: This study shows the importance of establishing follow-ups in the use of mobile apps during the perinatal period.

The impact of the war in Ukraine on the perinatal period: Perinatal mental health for refugee women (pmh-rw) protocol.

Background: The aim of the Perinatal Mental Health for Refugee Women (PMH-RW) Project is to investigate the impact of the war on perinatal mental health: anxiety, post-traumatic stress, depression, and birth trauma symptoms. It will also evaluate the factors that serve as protective elements for the development of these potential diagnoses (such as personality traits, social support, sociodemographic characteristics, and access to medical/mental health services). Method: An international observational cohort study with baseline data is being assessed in Ukraine (for internal refugees) and several European Countries (for external refugees). The study includes as participants both pregnant women and those who have recently given birth (with babies up to 1 year old). The assessment includes measures on depression (EPDS), anxiety (GAD-7), experiences during birth (City Birth Questionnaire), post-traumatic stress symptoms [Impact of events scale-revised (PTSD-R)], Personality (10-Item Personality Inventory-TIPI), and a questionnaire for socio-demographic data which also such social support. Conclusion: This study will provide needed information for determining the impact of the Ukrainian Crisis on perinatal mental health by studying potential risk and protective factors. The data collected will be used to inform policymakers with useful information that can be used in the development of plans to protect and promote the mental health of the perinatal refugees impacted by this event. Also, it is our hope that data collected from this study will serve to plant the seeds for further research regarding the impact of the crisis in Ukraine on the offspring and to analyze how these events are affecting further generations. Clinical Trial Registration: ClinicalTrials.gov, Identifier: NCT05654987.

Good Practices in Perinatal Mental Health for Women during Wars and Migrations: A Narrative Synthesis from the COST Action Riseup-PPD in the Context of the War in Ukraine / Las buenas prácticas en salud mental perinatal para mujeres en periodo de guerra y migraciones: una revisión narrativa de la Acción COST Riseup-PPD en el contexto de la guerra en Ucrania

Background: Since February 24th, 2022, the beginning of Russia’s aggression against Ukraine, more than 80,000 women were expected to give birth. Therefore, understanding the impact of war on the perinatal health of women is an important requisite to improve perinatal care. This narrative synthesis has two main purposes: on one hand, it aims to summarize the current evidence available based on perinatal health outcomes and care among perinatal women; on the other, it attempts to identify the gaps still present in research in relation to perinatal care. Method: A literature search was completed in diverse databases (e.g., Medline, PsychInfo). Results: Emergent matters related to practice and research in perinatal refugee women have been discussed. Conclusions: In the face of the war in Ukraine, we need to build up further research to provide an evidence-based foundation for preventing and treating the psychological consequences of pregnant women exposed directly to war and those who have been forced into a refugee status during this vulnerable period. Also, it is essential to support not only women transitioning to motherhood, but also supporting midwives and nurses in their work. (AU)

Antecedentes: Desde el 24 de febrero de 2022, el comienzo de la agresión de Rusia contra Ucrania, se esperaba que más de 80,000 mujeres dieran a luz. Por lo tanto, comprender el impacto de la guerra en la salud perinatal de las mujeres es un requisito importante para mejorar la atención perinatal. Esta revisión narrativa tiene dos propósitos principales: por un lado, tiene como objetivo resumir la evidencia actual disponible basada en los resultados de salud perinatal y la atención a las mujeres perinatales y, por otro lado, intenta identificar las brechas aún presentes en la investigación en relación con la atención perinatal. Método: Se completó una búsqueda bibliográfica en diversas bases de datos (p. ej., Medline, PsychInfo). Resultados: Se han discutido temas emergentes relacionados con la práctica y la investigación en mujeres refugiadas perinatales. Conclusiones: Frente a la guerra en Ucrania necesitamos más investigación para construir una base partiendo de la evidencia con el fin de prevenir y tratar las consecuencias psicológicas de las mujeres embarazadas expuestas directamente a la guerra y de aquellas que se han visto obligadas al estatus de refugiadas durante este período vulnerable. Además, es esencial apoyar no solo a las mujeres en transición a la maternidad, sino también a las matronas y enfermeras en su trabajo. (AU)