Cofactors assessed for place of delivery included age, education level, marital status, utilization of antenatal care (ANC), use of maternal and infant ARVs, satisfaction with care provided during delivery and knowledge of partner HIV status.
this study evaluates how an internet-based intervention affects mothers' parenting satisfaction, infant centrality and depressive symptoms.
However, the previous study did not consider the role of infant temperament, relationship satisfaction, or other known risk factors for postpartum depression.
In addition, the effect of Baby Triple P for Preterm infants on parenting self-efficacy, parenting style, parental mental health, mother-infant attachment, relationship satisfaction and couple communication at either post-intervention (6 weeks C.A ., at 12 months C.A. and 24 months C.A. compared to Care as Usual (CAU) will be investigated.
Assessing the performance of a country's health-care system is no easy task, because deciding what to include from doctors to drugs to diet is difficult, and because some chosen criteria, from infant mortality to patient satisfaction, are themselves hard to define.
The COPM is an individualised, criterion referenced tool measuring perceived change in infant performance and parental satisfaction with performance over time on family priorities.
Other topics included maternal nipple pain, perceptions of adequacy of milk supply, introduction of alternative foods, satisfaction with infant feeding, maternal feelings about breastfeeding in public, and details about expressing and breast pump use (to be reported separately).
Outcomes will include parenting competence and self-efficacy (primary outcomes), maternal-infant attachment, maternal social support, role satisfaction and mental health, infant social and emotional development, and patterns of service use by mothers and infants (secondary outcomes).
Proximal targets of parenting style, parental self-efficacy, parental mental health, parental adjustment, parent-infant attachment, couple relationship satisfaction and couple communication will also be assessed.
Socioeconomic status, relationship satisfaction, prenatal depressive symptoms, infant sex, infant temperament, and disrupted maternal sleep have all been implicated in the development of postpartum depressive symptoms (Beck 1996a, 2001; Chaudron et al. 2001; Logsdon and Usui 2001).
