{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:51:20Z","timestamp":1782755480545,"version":"3.54.5"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"3536","license":[{"start":{"date-parts":[[2013,8,25]],"date-time":"2013-08-25T00:00:00Z","timestamp":1377388800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>PRINCIPLES:  The prevalence of early postpartum mental health conditions is high. Midwives  and other health professionals visiting women at home may identify mothers at  risk. This seems crucial given decreasing trends of length of hospital stay  after childbirth. This study aimed to identify predictors of maternal mental  distress in a midwifery home care setting.\n        METHODS:  Using the statistical database of independent midwives' services in Switzerland  in 2007, we conducted a matched nested case-control study. Out of a source  population of 34,295 mothers with midwifery home care in the first ten days  after childbirth, 935\u00a0mothers with maternal distress and 3,645 controls,  matched by midwife, were included. We analysed whether socio-demographic,  maternal and neonatal factors predict maternal mental distress by multivariable  conditional logistic regression analysis.\n        RESULTS:  Infant crying problems and not living  with a partner were the strongest predictors for maternal distress, whereas  higher parity was the most protective factor. Significantly elevated risks were  also found for older age, lower educational levels, breast\/breastfeeding  problems, infant weight gain concerns, neonatal pathologies and use of  midwifery care during pregnancy. A\u00a0lower likelihood for maternal distress was  seen for non-Swiss nationality, full-time employment before birth, intention to  return to work after birth and midwife-led birth.\n        CONCLUSION:  The study  informs on predictors of maternal mental distress identified in a home care  setting in the early postpartum period. Midwives and other health care professionals  should pay particular attention to mothers of excessively crying infants,  single mothers and primipara, and assess the need  for support  of these mothers.<\/jats:p>","DOI":"10.4414\/smw.2013.13862","type":"journal-article","created":{"date-parts":[[2014,7,3]],"date-time":"2014-07-03T10:27:23Z","timestamp":1404383243000},"page":"w13862","source":"Crossref","is-referenced-by-count":11,"title":["Predictors  of early postpartum mental distress in mothers with midwifery home care \u2013  results from a nested case-control study"],"prefix":"10.57187","volume":"143","author":[{"given":"Katharina","family":"Staehelin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Kurth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Schindler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Schmid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth","family":"Zemp Stutz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"36756","published-online":{"date-parts":[[2013,8,25]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1741\/2364","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1741\/2365","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1741\/2364","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T04:54:10Z","timestamp":1755233650000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1741"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,8,25]]},"references-count":0,"journal-issue":{"issue":"3536","published-online":{"date-parts":[[2013,8,26]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2013.13862","relation":{},"ISSN":["1424-3997"],"issn-type":[{"value":"1424-3997","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,8,25]]}}}