Premature Birth & Postpartum Depression in Kosovo : Early Childhood Development
Abstract: Scholars around the world emphazise the value of more research within newborn health and maternal care until 2025, while some even express the need for more research whitin these topics in the specific case of Kosovo. Research about women`s postpartum depression (PPD) in Kosovo linked to the type of delivery was conducted by Obertinca & Dangellia, (2016), which demonstrate a research gap by asserting that current topic information within the country is scarce. This research objective was to focus on different expert perspectives in Kosovo, around linkages between a premature birth (PTB) and the mother`s PPD. Kosovo as a case presents an example of how low and middle income countries address their health policies within their national health-care system. The aim of the study was to understand what it is about PTB that seems to raise PPD amongst women in Kosovo. One important indication of further research value, is that research presented by Vigod et al, (2010) indicates strong linkages between prematurity and the mother`s PPD, while research according to Halbreich, (2005) claims that it is need for more conceptually integrated research and interdisciplinary approaches before one can establish possible linkages. An abductive logic of enquiry was used together with mixed methods within a multistage methodological approach, conducted remotely with representatives of United Nations Children`s Fund (UNICEF) and Action for Mother`s and Children (AMC) health-care staff, specialized on maternal and child health. It was found that different experts in Kosovo working with maternal and child health, shared the general perception around linkages between prematurity and the increased risk for the mother to develop PPD. Increased understanding about this topic is of highest importance since it can be linked to the country`s high numbers of infant mortality rate and performed caesarean sections, which directly affects maternal health and child development. The study used family systems theory and attachment theory in combination to develop a conceptual framework, which was useful during the thematic and content analysation process of the presented data. This study has contributed with new scientific knowledge to the on-going debate about prematurity and women`s postpartum depression, by triangulation of data from different key informants in Kosovo. This paper has provided conclusions with the basis for further research to be conducted.
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