Midwives' Role in Managing Pregnant Women with Mental Health Issues and Disorders in Developing Countries: A Rapid Review
Abstract
The mental health issues of pregnant women must be detected early and addressed quickly to prevent negative impacts on the mother, fetus, and newborn. This review aims to identify current evidence on the role of midwives in managing pregnant women with mental health problems and disorders in developing countries. The review method employed is a rapid review, utilizing the PRISMA-ScR checklist, the PCC framework, and a critical appraisal tool adapted from the Joanna Briggs Institute (JBI) for assessment. A literature search was conducted across three databases (PubMed, Wiley, Science Direct), Google Scholar, and Research Rabbit, with inclusion criteria consisting of all original articles in English or Indonesian from 2018 to 2023, discussing management, midwives' roles, inhibiting factors, supporting factors, and full-text availability. From the search, 300 articles were retrieved, of which 7 were duplicates. Screening based on inclusion criteria yielded 7 articles published in 2020 (2 articles), and 2021 (2 articles),. and 2023 (3 articles), with qualitative design (n=4, 57.2%) and cross-sectional design (n=3, 42.8%). Two articles were from Ghana, while the remaining five were from Uganda, Sri Lanka, Ethiopia, China, and India. Three themes emerged regarding the midwives' role in managing pregnant women with mental health problems and disorders: screening, referral, barriers, and supportive factors. Further research is needed to test the effectiveness of midwives' screening for maternal mental health and to develop and evaluate integrated perinatal mental health service models.
How to Cite
Views / Downloads
Files
License
Authors who publish with Poltekita : Jurnal Ilmu Kesehatan agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
This work is licensed under a Creative Commons Attribution-ShareAlike 2.0 Generic License.
Poltekita : Jurnal Ilmu Kesehatan is licensed under a Creative Commons Attribution-Share Alike 4.0 International License
You are free to:
- Share, copy and redistribute the material in any medium or format
- Adapt, remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
References
Bante A, Mersha A, Zerdo Z, Wassihun B, Yeheyis T. Comorbid anxiety and depression: Prevalence and associated factors among pregnant women in Arba Minch zuria district, Gamo zone, southern Ethiopia. PLoS One [Internet]. 2021;16(3 March):1–15. Available from: http://dx.doi.org/10.1371/journal.pone.0248331
Wulandari RP, Perwitasari. The Correlation between Maternal Age and Parity and Depressive Symptoms in Pregnancy (The Correlation between Depressive Symptoms with Age and Parity Among Pregnant Women). Midwifery Reprod. 2021;4(2):81–5.
Nuryati T, Amir Y. Mental Health Problems of Pregnant Women, the Causes, and the Need for Social Support. J Biometrics and Population. 2022;11(1):80–8.
Korhonen LS, Karlsson L, Scheinin NM, Korja R, Tolvanen M, Mertsola J, et al. Prenatal Maternal Psychological Distress and Offspring Risk for Recurrent Respiratory Infections. J Pediatr. 2019;208:229-235.e1.
Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62–77.
Hertati D, Mujahadatuljannah, Rabiatunnisa, Setyoningsih D, Nurhidayati E. Collaborative Care for Perinatal Mental Health: Literature Review. J Surya Med. 2022;8(1):21–8.
Hajifoghaha M, Nahidi F, Alizadeh S,Golezar S, Dabiri F, Mokhlesi SS, et al. Midwives' educational needs in Iran: A narrative review. Iran J Nurs Midwifery Res. 2020;25(1):1–6.
Coates D, Foureur M. The role and competence of midwives in supporting women with mental health concerns during the perinatal period: A scoping review. Health Soc Care Community. 2019;27(4):e389–405.
Andrea C. Tricco Etienne V. LaAndrea C. Tricco Etienne V. Langlois Sharon E. Strausnglois Sharon E. Straus. Rapid Reviews To Strengthen Health Policies And Systems: A Practical Guide. WHO. 2017.
Dehlendorf C, Krajewski C, Borrero S. Contraceptive counseling: Best practices to ensure quality communication and enable effective contraceptive use. Clin Obstet Gynecol. 2014;57(4):659–73.
Lasater ME, Beebe M, Gresh A, Blomberg K, Warren N. Addressing the unmet need for maternal mental health services in low-and middle-income countries: Integrating mental health into maternal health care. Journal of midwifery & women's health. 2017 Nov;62(6):657.
Shanbhag V, Chandra P, Desai G, Bagadia A, Dref M Le, Bhat S. “if They Don't Ask, We Don't Share” - A Qualitative Study on Barriers and Facilitators to Discussing Mental Health with Obstetric Care Providers in Urban Anganwadis among Pregnant Women in India. Indian J Soc Psychiatry [Internet]. 2023;39(3):215–20. Available from: https://api.elsevier.com/content/abstract/scopus_id/85173938815
Nakidde G, Kumakech E, Mugisha JF. Maternal mental health screening and management by health workers in southwestern Uganda: a qualitative analysis of knowledge, practices, and challenges. BMC Pregnancy Childbirth. 2023;23(1):477.
Wyatt S, Ostbye T, Silva V De, Long Q.Antenatal depression in Sri Lanka: a qualitative study of public health midwives' views and practices. Vol. 19, Reproductive health. 2022. p. 23.
Woldetensay YK, Belachew T, Tesfaye M, Spielman K, Biesalski HK, Kantelhardt EJ, et al. Validation of the Patient Health Questionnaire (PHQ-9) as a screening tool for depression in pregnant women: Afaan Oromo version. PLOS One. 2018;13(2):1–15.
Kukreti P, Ransing R, Raghuveer P, Mahdevaiah M, Deshpande S, Kataria D, et al. Stepped care model for developing pathways of screening, referral, and brief intervention for depression in pregnancy: A mixed-method study from development phase. Indian J Soc Psychiatry. 2022;38(1):12–20.
Xiao X, Haixia M, Shening Zhu QL and YC. The perceptions and attitudes of obstetric staff and midwives towards perinatal mental health disorders screening: a qualitative exploratory study in Shenzhen, China. BMC Nurs [Internet]. 2023;22(313):1–10. Available from: https://pubmed.ncbi.nlm.nih.gov/37705010
Adjorlolo S, Aziato L. Barriers to addressing mental health issues in childbearing women in Ghana. Nurs Open. 2020;7(6):1779–86.
Adjorlolo S. Seeking and receiving help for mental health services among pregnant women in Ghana. Vol. 18, PloS one. 2023.
Poreddi V, Gandhi S, Ramachandra, Ganjekar S, Desai G, Chandra PS. Maternal Mental Health: A Baseline Survey of Knowledge, Attitudes and Current Practice among Auxiliary Nurse Midwives. Nurs J India [Internet]. 2021; Available from: https://doi.org/10.48029/nji.2021.cxii201
Bitew T, Keynejad R, Honikman S, Sorsdahl K, Myers B, Fekadu A, et al. Stakeholder perspectives on antenatal depression and the potential for psychological intervention in rural Ethiopia: a qualitative study. BMC Pregnancy Childbirth. 2020;20:1–11.
Similar Articles
Similar Articles
- Ana Mariza, Sunarsih, Susilawati, Relationship Between the Use of Pantyliners and Feminine Cleansing Soap on the Incidence of Leucorrhea Among Women of Reproductive Age in Kebon Jeruk Village, Bandar Lampung, Indonesia , Poltekita: Jurnal Ilmu Kesehatan: Vol. 20 No. 1 (2026)
- Ahmad Yani, Sudirman Sudirman, Nur Afni, Muhammad Syukran, The Enhancing Women's Contraceptive Decision-Making: A Qualitative Study of IUD Adoption Among Women of Childbearing Age , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 3 (2023): November
- Nur Fauzia Asmi, Kiki Puspasari, Relationship between Knowledge, Attitude and Anxiety with the Implementation of Health Protocols among Food Vendors at the UMS Campus Environment , Poltekita: Jurnal Ilmu Kesehatan: Vol. 16 No. 4 (2023): February
- Amsal Amsal, The Water, Soap, Sanitation, and Handwashing Facilities are Associated with COVID-19 Transmission in 44 Countries , Poltekita: Jurnal Ilmu Kesehatan: Vol. 14 No. 1 (2020): May
- Yessi Priskila, Ani Margawati, Soeharyo Hadi Saputro, Alifiati Fitrikasari, Ariawan Soejonoes, Bagoes Widjarnoko, Educational Media Effectively Prevent Postpartum Depression: A Systematic Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 20 No. 1 (2026)
- Fadlun Ishak, Yusring Sanusi Baso, Mardiana Ahmad, Andi Nilawati Usman, Deviana Soraya Riu, Muhammad Tamar , The Effect of Using E-WoHealth on Knowledge, Attitudes and Behaviors About Body Image and Anemia in Young Women , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- Filla Alfazriani Darsono, Asri Hidayat, Effectiveness of Information Media on Anemia Knowledge and Compliance with Blood Increasing Tablets Consumption in Adolescent Girls: Systematic Review , Poltekita: Jurnal Ilmu Kesehatan: Vol. 19 No. 1 (2025)
- Ita Roossinta, Sebastiana Viphindrartin, Iwan Dewanto, Community Behavior in The Use of Jampersal in Jember Regency (Phenomenological at Puskesmas Gladak Pakem and Puskesmas Mumbulsari) , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- Hikmawati Mas'ud, Sitti Sahariah Rowa, Dietary Care Lots of Vegetables in Weight Loss Obesity Women of Reproductive Age , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 2 (2023): August
- Ira Chinta, Sri Gustri Handayani, Nurul Ihsan, Khairuddin Khairuddin, Yovhandra Ockta, The Effect of Aerobic Exercise and Vinyasa Yoga on Body Fat Reduction among Women Gym Members at G Sports Center in Padang City , Poltekita: Jurnal Ilmu Kesehatan: Vol. 17 No. 4 (2024): February
You may also start an advanced similarity search for this article.
