Advertisement

Existential aspects as an inevitable part of salutogenesis in maternity care – A discussion paper

  • Christina Prinds
    Correspondence
    Corresponding author at: University College South Denmark, Degnevej 16, 6705 Esbjerg Ø/University of Southern Denmark, Department of Clinical Research, Winsløwparken 19, 5000 Odense, Denmark.
    Affiliations
    University College South Denmark, Degnevej 16, 6705 Esbjerg Ø, Denmark

    University of Southern Denmark, Department of Clinical Research, Winsløwparken 19, 5000 Odense, Denmark
    Search for articles by this author
  • Dorte Hvidtjørn
    Affiliations
    University of Southern Denmark, Department of Clinical Research, Winsløwparken 19, 5000 Odense, Denmark

    Aarhus University Hospital, Unit for Perinatal Loss, Palle Juul-Jensens Blvd. 99, DK- 8200 Aarhus N, Denmark
    Search for articles by this author
  • Katja Schrøder
    Affiliations
    University of Southern Denmark, Department of Public Health, J.B. Winsløwsvej 9B, 5000 Odense, Denmark
    Search for articles by this author
  • Dorte Toudal Viftrup
    Affiliations
    University of Southern Denmark, Department of Public Health, J.B. Winsløwsvej 9B, 5000 Odense, Denmark
    Search for articles by this author
Published:February 11, 2022DOI:https://doi.org/10.1016/j.wombi.2022.02.001

      Abstract

      Background

      Poor mental health is considered a major health challenge globally, not least for young people, who will form families within forthcoming years. Research related to childbirth and parenthood transition has focused on how to promote good mental health by preventing mental illness.

      Aim

      We discuss how a salutogenetic approach to mental health in parenthood transition is beneficial, and specifically how the component of meaningfulness in Sense of Coherence (SoC), could be investigated to optimize good mental health during parenthood transition.

      Discussion

      In more recent understandings of meaningfulness, ideas from existential philosophy and psychology have been included. We discuss how, from an existential psychological perspective, open and explorative questioning of life conditions and dilemmas may help to regain one’s footing and get in touch with one’s driving force – meaningfulness. Such questioning implies that someone, a professional or a friend, actively and relationally helps explore existential aspects of life.

      Conclusion

      We believe that investigating and asking research questions pointing at optimizing a salutogenetic perspective, specifically focusing on the component of meaningfulness and its embedded existential aspects of life, could lead to new knowledge on how to promote good mental health in maternity care.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Women and Birth
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Office for National Statistics
        Births in England and Wales by Characteristics of Birth 2, 2012.
        Office for National Statistics, London2013
        • WHO
        Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report/A Report From the World Health Organization, Department of Mental Health and Substance Abuse in Collaboration With the Victorian Health Promotion Foundation (VicHealth) and the University of Melbourne.
        WHO, Geneva2004
        • Network JAMHaW
        Why Investing in Mental Health in Europe?.
        2013 (. (Accessed 30 of August 2021))
        • OECD
        Supporting Young People’s Mental Health Through the COVID-19 Crisis.
        OECD, Paris2021
      1. National Institute of Public Health UoSD, Authority DH. The Danish National Health Survey In: The Capital Region RZ, The South Denmark Region, The Central Denmark Region, The North Denmark Region, Ministry of Health and the National Institute of Public Health, University of Southern Denmark, editor. 2010-2017. www.danskernessundhed.dk 2017.

        • Tiller E.
        • Fildes J.
        • Hall S.
        • Hicking V.
        • Greenland N.
        • Liyanarachchi D.
        • Di Nicola K.
        Youth Survey Report 2020.
        Mission Australia, Sydney, NSW2020
        • Nielsen L.
        • Sørensen B.B.
        • Donovan R.J.
        • Tjørnhøj-Thomsen T.
        • Koushede V.
        ‘Mental health is what makes life worth living’: an exploration of lay people’s understandings of mental health in Denmark.
        Int. J. Ment. Health Promot. 2017; 19: 26-37
        • World Health Organization W
        Improving Maternal Mental Health.
        World Health Organization, Geneva2008
        • Clarke K.
        • King M.
        • Prost A.
        Psychosocial interventions for perinatal common mental disorders delivered by providers who are not mental health specialists in low- and middle-income countries: a systematic review and meta-analysis.
        PLoS Med. 2013; 10e1001541
        • Williams D.J.
        No health without ‘mental health’.
        J. Public Health. 2018; 40: 444-
        • Fuhr D.C.
        • Weobong B.
        • Lazarus A.
        • et al.
        Delivering the Thinking Healthy Programme for perinatal depression through peers: an individually randomised controlled trial in India.
        Lancet Psychiatry. 2019; 6: 115-127
        • Cunningham S.D.
        • Mokshagundam S.
        • Chai H.
        • et al.
        Postpartum depressive symptoms: gestational weight gain as a risk factor for adolescents who are overweight or obese.
        J. Midwifery Womens Health. 2018; 63: 178-184
        • Tonei V.
        Mother’s mental health after childbirth: Does the delivery method matter?.
        J. Health Econ. 2019; 63: 182
        • VanderWall R.
        • Haefner J.
        • Wehbe-Alamah H.
        Use of an educational intervention to increase screening for antenatal depression in an obstetrics and gynecology practice.
        J. Am. Assoc. Nurse Pract. 2020; 33: 1093-1099
        • Tripathy P.
        A public health approach to perinatal mental health: improving health and wellbeing of mothers and babies.
        J. Gynecol. Obstet. Hum. Reprod. 2020; 49: 101747
        • Reilly N.
        • Kingston D.
        • Loxton D.
        • Talcevska K.
        • Austin M.-P.
        A narrative review of studies addressing the clinical effectiveness of perinatal depression screening programs.
        Women Birth: J. Aust. Coll. Midwives. 2020; 33: 51-59
        • Kingston D.E.
        • Biringer A.
        • Toosi A.
        • et al.
        Disclosure during prenatal mental health screening.
        J. Affect. Disord. 2015; 186: 90-94
        • Krantz I.
        • Eriksson B.
        • Lundquist-Persson C.
        • Ahlberg B.M.
        • Nilstun T.
        Screening for postpartum depression with the Edinburgh Postnatal Depression Scale (EPDS): an ethical analysis.
        Scand. J. Public Health. 2008; 36: 211-216
        • Sword W.
        • Clark A.M.
        • Hegadoren K.
        • Brooks S.
        • Kingston D.
        The complexity of postpartum mental health and illness: a critical realist study.
        Nurs. Inq. 2012; 19: 51-62
        • Antonovsky A.
        Unraveling the Mystery of Health: How People Manage Stress and Stay Well.
        1st ed. Jossey-Bass, San Francisco1987
        • Bergström M.
        • Hansson K.
        • Lundblad A.-M.
        • Cederblad M.
        Sense of coherence: definition and explanation.
        Int. J. Soc. Welf. 2006; 15: 219-229
        • Mittelmark M.B.
        • Bauer G.F.
        • Vaandrager L.
        • et al.
        The Handbook of Salutogenesis.
        2nd ed. Springer International Publishing, Cham2022
        • Irdan O.
        • Eriksson M.
        • Al-Yagon M.
        • et al.
        Generalized resistance resources in the salutogenic model of health.
        in: Mittelmark M.B. Bauer G.F. Vaandrager L. The Handbook of Salutogenesis. 2nd ed. Springer, 2022: 93-107
        • Lindström B.
        • Berg M.
        • Meier Magistretti C.
        • Perez-Botella M.
        • Downe S.
        The salutogenetic approach to maternity care: from theory to practice and research.
        in: Church S. Frith L. Balaam M.C. Berg M. Smith V. van der Walt C. Downe S. van Teijlingen E. New Thinking on Improving Maternity Care. 1st ed. Pinter & Martin, London2017
        • Crowther S.
        • Stephen A.
        • Hall J.
        Association of psychosocial-spiritual experiences around childbirth and subsequent perinatal mental health outcomes: an integrated review.
        J. Reprod. Infant Psychol. 2020; 38: 60-85
        • Santini Z.I.
        • Nielsen L.
        • Hinrichsen C.
        • et al.
        Mental health economics: a prospective study on psychological flourishing and associations with healthcare costs and sickness benefit transfers in Denmark.
        Ment. Health Prev. 2021; 200222
        • Novak P.
        Coping with existential threats and the inevitability of asking for meaningfulness.
        in: Dawson S. Twentieth World Congress of Philosophy. The Paideia Archive, Boston, Massachusetts1998
        • Eriksson M.
        • Lindstrom B.
        Validity of Antonovsky’s sense of coherence scale: a systematic review.
        J. Epidemiol. Community Health. 2005; 59: 460-466
        • Bergman E.
        • Malm D.
        • Berterö C.
        • Karlsson J.-E.
        Does one’s sense of coherence change after an acute myocardial infarction?: a two-year longitudinal study in Sweden.
        Nurs. Health Sci. 2011; 13: 156-163
        • Kennedy H.P.
        • Cheyney M.
        • Dahlen H.G.
        • et al.
        Asking different questions: a call to action for research to improve the quality of care for every woman, every child.
        Birth. 2018; 45: 222-231
        • Mittelmark M.B.
        • Bauer G.F.
        • et al.
        Salutogenesis as a theory, as an orientation and as the sense of coherence.
        in: Mittelmark M.B. Bauer G.F. Vaandrager L. The Handbook of Salutogenesis. 2nd ed. Springer International Publishing, Cham2022: 11-19
        • Frankl V.E.
        Man’s Search for Meaning: An Introduction to Logotherapy.
        Washington Square Press, Oxford1963
        • Keyes C.L.M.
        • Haidt J.
        Flourishing: Positive Psychology and the Life Well-lived.
        (MEP. S) American Psychological Association, Washington DC2003
        • Fredrickson B.L.
        • Losada M.F.
        Positive affect and the complex dynamics of human flourishing.
        Am. Psychol. 2005; 60: 678-686
      2. WA MH. actbelongcommit.org. Online Mentally Healthy WA; 2022.

        • Koushede V.
        For mental sundhed - et nyt perspektiv.
        Statens Institut for Folkesundhed, København2015
        • van Deurzen-Smith E.
        Existential therapy.
        in: Dryden W. Individual Therapy in Britain. Harper & Row, London1984
        • la Cour P.
        • Hvidt N.C.
        Research on meaning-making and health in secular society: secular, spiritual and religious existential orientations.
        Soc. Sci. Med. 2010; 71: 1292-1299
        • la Cour P.
        • Ausker N.H.
        • Hvidt N.C.
        Six understandings of the word’ spirituality’ in a secular country.
        Arch. Psychol. Religions. 2012; 34: 63-81
        • Gamgam Leanderz Å.
        • Hallgren J.
        • Henricson M.
        • Larsson M.
        • Bäckström C.
        Parental-couple separation during the transition to parenthood.
        Nurs. Open. 2021; 8: 2622-2636
        • Prinds C.
        • Timmerman C.
        • Hvidtjørn D.
        • et al.
        Existential aspects in the transition to parenthood based on interviews and a theatre workshop.
        Sex. Reprod. Healthc. 2021; 28
        • Mathias L.A.
        • Davis D.
        • Ferguson S.
        Salutogenic qualities of midwifery care: a best-fit framework synthesis.
        Women Birth: J. Aust. Coll. Midwives. 2021; 34: 266-277
        • Wojtkowiak J.
        • Crowther S.
        An existential and spiritual discussion about childbirth: contrasting spirituality at the beginning and end of life.
        Spiritual. Clin. Pract. 2018; 5: 261-272
        • Arnold-Baker C.
        The Existential Crisis of Motherhood.
        1st ed. Springer International Publishing, Cham2020
        • Jacobsen B.
        Invitation to Existential Psychology. A Psychology for the Unique Human Being and Its Applications in Therapy.
        John Wiley & Sons Ltd, Chichester2007
        • Lucas M.
        Mor. En historie om blodet.
        C & K Forlag, Danmark2016
        • Ravn O.
        Mit arbejde: roman.
        1. udgave ed. Gyldendal, Kbh2020
        • Plambeck D.
        Til min søster: roman.
        1. udgave ed. Gyldendal, Kbh2019
        • Ryborg-Larsen M.
        • Dann-Clausen K.
        • Leth D.
        • et al.
        The Danish Parliament Bedre fødsler - forslag om indførelse af rettigheder til fødende (Better Births - Proposal on Implementation of Rights for Birthing Persons). The Danish Parliament, 2021 (B 291)
        • Renfrew M.J.
        • McFadden A.
        • Bastos M.H.
        • et al.
        Midwifery and quality care: findings from a new evidence-informed framework for maternal and newborn care.
        Lancet. 2014; 2060789-3