围产期健康的“妈妈咪呀”

无干预：常规护理组

通常的产前和产后护理包括在怀孕期间和婴儿出生后定期拜访自己的医疗保健提供者。

实验性的：妈妈咪呀组

常规产前/产后护理以及使用“妈妈咪呀”计划

设备：妈妈咪呀

妈妈咪呀计划的用户通过干预一系列模块来取得进步。

每天应该完成一个模块，您都会收到一条通知，提醒您访问该程序。 通过单击提醒，您可以访问特定日期的会话内容。 模块涉及各种信息和活动；例如，有指导性正念练习、母乳喂养信息、关于如何解读宝宝哭声的教学视频，以及关于如何与您的伴侣或医疗保健提供者就您的需求进行有效讨论的讨论。

实验性的：妈妈咪呀加组

常规的产前/产后护理加上使用“妈妈咪呀”计划以及研究人员的偶尔接触

设备：妈妈咪呀

妈妈咪呀计划的用户通过干预一系列模块来取得进步。

每天应该完成一个模块，您都会收到一条通知，提醒您访问该程序。 通过单击提醒，您可以访问特定日期的会话内容。 模块涉及各种信息和活动；例如，有指导性正念练习、母乳喂养信息、关于如何解读宝宝哭声的教学视频，以及关于如何与您的伴侣或医疗保健提供者就您的需求进行有效讨论的讨论。

其他：妈妈咪呀加

参与者将使用《妈妈咪呀》计划，并每隔几个月收到研究人员的联系方式（电话、电子邮件或短信）。

Change in Depression Symptom Severity

Measured by the Edinburgh Postpartum Depression Scale (EPDS), it uses a 10-item self-report questionnaire that screens for symptoms of depression and anxiety during pregnancy and the first year postpartum. Mothers are asked to select the answer that comes closest to how they have felt over the past 7 days. Each of the 10 questions is scored from 0 to 3, yielding a maximum total score of 30. Some questions (items 3, 5, 6, 7, 8, 9, 10) are reverse-scored (e.g., 3, 2, 1, 0 instead of 0, 1, 2, 3). 0-9 (minimal to no symptoms): Indicates some distress that is likely short-lived. Monitoring is usually recommended if symptoms persist. 10-12 (Mild Distress): Indicates discomforting symptoms. Healthcare providers often suggest a repeat screen in 2 weeks. 13 or higher (Probable depression): Scores at or above this threshold typically signify a positive screen. Further clinical evaluation and potential referral to a mental health professional are strongly recommended.

Change in Subjective Well-being

Measured using Satisfaction with Life Scale (SWLS). It consists of five items, and each is scored on a Likert scale ranging from 1 ("strongly disagree") to 7 ("strongly agree"), and is presented in raw scores, with a total score range of 5 to 35. Higher scores indicate greater life satisfaction.

Change in Stress

Measured by the Perceived Stress Scale (PSS) which is a classic, widely used psychological questionnaire that evaluates the degree to which an individual views their life as unpredictable, uncontrollable, and overloaded over the past month. Scores on the 10-item version range from 0 to 40:

0-13 Low perceived stress, 14-26: Moderate perceived stress, and 27-40 High perceived stress.

Change in Anxiety

Measured by the Perinatal Anxiety Screening Scale (PASS). The scale runs from 0-93, severity of perinatal anxiety symptoms are considered within the following score ranges: minimal anxiety (score 0-20); mild-moderate anxiety (score 21-41); and severe anxiety (score 41-93). A score of 26 or higher on the 31-item Perinatal Anxiety Screening Scale (PASS) is the standard clinical cut-off. A score at or above this threshold indicates the individual is at high risk for presenting with an anxiety disorder and may require further clinical evaluation. A score lower than 26 indicates minimal or mild anxiety and would not indicate further clinical evaluation. This was not administered in the late postpartum data collection timepoint, due to the lack of relevance of many items to that timepoint. The scale runs from 0-93