discussionThe clinical implication

discussion
The clinical implication of these findings for nursing requires that we alter our practice to more adequately meet the needs of women during pregnancy and in the postnatal period. It is important that we acknowledge stressors that women have identified as contributing to the development of their PPMD. This should direct our practice by giving us important opportunities to ask women without judgment about the emotional impact of their pregnancy, previous mental health issues, birth experiences, and breastfeeding issues. This may provide helpful the insight into the mental well-being of a women and allow for open and safe discussions in various clinical contexts. The continuing stigma and shame associated with having a psychiatric illness serves as a significant barrier for women to seek out help from lay and professional others when experiencing a PPMD(Pinto-Foltz& Logsdon,2008). In this study, the mothers spoke often of the stigma around mental illness that forced them to hide and mask their symptoms and negative feelings around mothering ultimately diminishing their quality of life. At the same time, in delaying their treatment to avoid judgment from others, thy identified that their interactions with their children were often markedly compromised. Maternal mood disorders greatly diminish the quality of the interaction between the dyad ultimately resulting in emotional, social, and cognitive delays for their children (Luoma et al,2001). The outcomes for children are particularly compromised and correlated with the chronicity of their mother's illness indicating that delayed treatment has significant long-term implications for the dyad and family unit as a whole (Hay et al.2001). These findings highlight the urgency in detecting and treating mental illness within this population while also giving strong evidence that women want to be asked open and direct questions around their mental health.
The finding that maternity care should be delivered within the context of the mother-child dyad as the unit of care is an important one. Our current system often places primary focus on the health and well-ness of infants to the exclusion of their mothers. Women need their physical health monitored appropriately but also need emotionally supportive care that values and honors the needs of both women and their babies. This philosophy of care highlights the necessity for a holistic approach with the dyad together as a focus throughout this life event.

Women very clearly identified that they wanted universal screening for mood disorders to be implemented as part of the standard of practice for maternity care. Screening for mood disorders is a simple and economical process that is well within the scope of our nursing practice allowing us to not only take ownership for its implementation but also to be leaders in advocating for this best practice standard to be availiable to all women. The design and delivery of mass screening programs for perinatal mood disorders will require the concerted effort of maternal-child nurses, pubic and community health nurses, and other nurses who work directly with this population.
The most significant limitation of the study findings is that they are not generalizable beyond the present participant sample. The mothers who participated within this study were all well-educated, White,mature (mean age=32.6), professional women with few financial or social limitations. Further, all of the participant had partners who were able to provide at least minimal instrumental and emotional support. For new mothers without these financial, emotional, and social benefits, the experience of a PPMD would undoubtedly be more profound and complex. As a result,the study findings must be transferred to other populations with considerable caution.
Conclusion
In listening to women's voices, we now have a greater understanding of the barriers that prevent them from seeking help for a PPMD. Further, by directly asking mothers how the process can be enabled, the women have provided solutions toward improving care around their mental health needs during this important development life stage. This should also facilitate making women's mental health a priority within the context of a safe and open environment for disclosure of symptoms while enabling women to reclaim their mothering souls.

ผลลัพธ์ (อังกฤษ) 2:

discussion
The clinical implication of these findings for Nursing requires that we Alter our Practice to Meet the Needs of Women More adequately during Pregnancy and Postnatal in the period. It is important that we acknowledge stressors that women have identified as contributing to the development of their PPMD. This should direct our practice by giving us important opportunities to ask women without judgment about the emotional impact of their pregnancy, previous mental health issues, birth experiences, and breastfeeding issues. This may provide helpful the insight into the mental well-being of a women and allow for open and safe discussions in various clinical contexts. The continuing stigma and shame associated with having a psychiatric illness serves as a significant barrier for women to seek out help from lay and professional others when experiencing a PPMD (Pinto-Foltz & Logsdon, 2008). In this study, the mothers spoke often of the stigma around mental illness that forced them to hide and mask their symptoms and negative feelings around mothering ultimately diminishing their quality of life. At the same time, in delaying their treatment to avoid judgment from others, thy identified that their interactions with their children were often markedly compromised. Maternal mood disorders greatly diminish the quality of the interaction between the dyad ultimately resulting in emotional, social, and cognitive delays for their children (Luoma et al, 2001). The outcomes for children are particularly compromised and correlated with the chronicity of their mother's illness indicating that delayed treatment has significant long-term implications for the dyad and family unit as a whole (Hay et al.2001). These findings Highlight the urgency in detecting and treating Mental illness Within this population while also giving strong Evidence that Women Want to be asked open and Direct questions Around their Mental Health.
The Finding that Maternity Care should be delivered Within the context of the Mother-Child. dyad as the unit of care is an important one. Our current system often places primary focus on the health and well-ness of infants to the exclusion of their mothers. Women need their physical health monitored appropriately but also need emotionally supportive care that values ​​and honors the needs of both women and their babies. This Philosophy of Care Highlights the necessity for a Holistic approach Together with the dyad As a Life Focus throughout this event. Women very Clearly identified that they Wanted for Universal Screening to be implemented Mood disorders As Part of the standard of Practice for Maternity Care. Screening for mood disorders is a simple and economical process that is well within the scope of our nursing practice allowing us to not only take ownership for its implementation but also to be leaders in advocating for this best practice standard to be availiable to all women. The Design and Delivery of mass Screening programs for perinatal Mood disorders Will Require the concerted effort of maternal-Child Nurses, pubic and Community Health Nurses, and Other Nurses Who Work directly with this population. The Most significant limitation of the Study findings is that they. are not generalizable beyond the present participant sample. The mothers who participated within this study were all well-educated, White, mature (mean age = 32.6), professional women with few financial or social limitations. Further, all of the participant had partners who were able to provide at least minimal instrumental and emotional support. For new mothers without these financial, emotional, and social benefits, the experience of a PPMD would undoubtedly be more profound and complex. As a Result, the Study findings must be transferred to Other populations with considerable caution. Conclusion In Listening to Women's voices, we now have a Greater understanding of the barriers that Prevent them from seeking help for a PPMD. Further, by directly asking mothers how the process can be enabled, the women have provided solutions toward improving care around their mental health needs during this important development life stage. This should also facilitate making women's mental health a priority within the context of a safe and open environment for disclosure of symptoms while enabling women to reclaim their mothering souls.

ผลลัพธ์ (อังกฤษ) 3:

Discussion
The clinical implication of these findings for nursing requires that we alter our practice to more adequately. Meet the needs of women during pregnancy and in the postnatal period. It is important that we acknowledge stressors that. Women have identified as contributing to the development of their PPMD.This should direct our practice by giving us important opportunities to ask women without judgment about the emotional. Impact of their pregnancy previous mental, health issues birth experiences, and breastfeeding, issues. This may provide. Helpful the insight into the mental well-being of a women and allow for open and safe discussions in various clinical contexts.The continuing stigma and shame associated with having a psychiatric illness serves as a significant barrier for women. To seek out help from lay and professional others when experiencing a PPMD (Pinto-Foltz, & Logsdon 2008). In, this studyThe mothers spoke often of the stigma around mental illness that forced them to hide and mask their symptoms and negative. Feelings around mothering ultimately diminishing their quality of life. At the, same time in delaying their treatment to. Avoid judgment from others thy identified, that their interactions with their children were often markedly compromised.Maternal mood disorders greatly diminish the quality of the interaction between the dyad ultimately resulting, in emotional. Social and cognitive, delays for their children (Luoma, et al 2001).The outcomes for children are particularly compromised and correlated with the chronicity of their mother 's illness indicating. That delayed treatment has significant long-term implications for the dyad and family unit as a whole (Hay et al.2001).These findings highlight the urgency in detecting and treating mental illness within this population while also giving. Strong evidence that women want to be asked open and direct questions around their mental health.
The finding that maternity. Care should be delivered within the context of the mother-child dyad as the unit of care is an important one.Our current system often places primary focus on the health and Well-Ness of infants to the exclusion of their, mothers. Women need their physical health monitored appropriately but also need emotionally supportive care that values and honors. The needs of both women and their babies.This philosophy of care highlights the necessity for a holistic approach with the dyad together as a focus throughout this. Life event.

Women very clearly identified that they wanted universal screening for mood disorders to be implemented as. Part of the standard of practice for maternity care.Screening for mood disorders is a simple and economical process that is well within the scope of our nursing practice allowing. Us to not only take ownership for its implementation but also to be leaders in advocating for this best practice standard. To be availiable to all women.The design and delivery of mass screening programs for perinatal mood disorders will require the concerted effort of maternal-child. Nurses pubic and, community, health nurses and other nurses who work directly with this population.
The most significant. Limitation of the study findings is that they are not generalizable beyond the present participant sample.