Objective: Untreated perinatal mental health disorders can have serious consequences for the whole family system. The purpose of this study was to examine the effectiveness of peer support intervention in improving postpartum psychological distress. Method: We evaluated a remote peer support intervention, Mom Supports Mom, in a randomized controlled trial. The primary study outcome was the level of depressive symptoms at week six after delivery. Secondary outcomes included levels of anxiety symptoms, quality of life and the presence of psychiatric disorders at week six after delivery. Trial protocol was registered at ClinicalTrials.gov (NCT04639752). Results: The study sample consisted of 315 participants in the control group, and 173 participants in the intervention group. The Mom Supports Mom intervention was associated with decreased depressive (Cohen's d = 0.30, p = .003) and anxiety symptomatology (d = 0.29, p =.003) at week six after birth compared to the control group. Mom Supports Mom intervention was also associated with an increase in health-related quality of life at week six after birth (d = 0.27, p =.008). No statistically significant difference was found between the groups in the presence of psychiatric diagnoses at six weeks postpartum. Conclusions: Peer intervention Mom Supports Mom is effective in reducing depressive and anxiety symptomatology in postpartum women and improving their health-related quality of life. Mom Supports Mom can serve as a low-intensity approach that is effective for mild illness and has the potential to be scalable.

• Klíčová slova
• Mental health, Peer support intervention, Postpartum, Psychosocial intervention,
• MeSH
• dospělí MeSH
• kvalita života psychologie   MeSH
• lidé MeSH
• matky * psychologie   MeSH
• poporodní deprese * terapie   psychologie   MeSH
• poporodní období * psychologie   MeSH
• psychický distres * MeSH
• sociální opora * MeSH
• těhotenství MeSH
• úzkost terapie   psychologie   MeSH
• vyrovnaná skupina * MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• randomizované kontrolované studie MeSH

Introduction. The disagreement of the general public's views on home births is practically identical for the professional public and specialists also. The core of the problem lies in the disunity between individual countries of the European Union-complete prohibition under the risk of committing a crime on one side and standard procedure perceived as something completely common on the other side. Methods. The authors focused on the prevalence of home births in individual EU countries, together with the proportion of neonatological mortality compared to the number of live births, which are data that, unlike home births, are mandatory in each EU Member State. Data on home births were obtained from available official and verified sources such as the Ministry of Health, reviews published by the WHO, or published peer-reviewed scientific and professional works. Secondary data were procured via Web of Science, Scopus, or PubMed. Results. The aim of the study was to trace the documented numbers of home births in the individual states of the European Union in the years 2015 to 2019, to analyze them with data on live births together and with data on infant mortality. A comparative analysis of the compiled data can be used to conclude which countries have the highest domestic birth rates and how the birth rate is manifested in these countries. Based on the analysis of available data, it can be determined that the Netherlands, Denmark, and Germany have the highest share of domestic births. The link between home births and increased neonatal mortality has not been established. Eastern Europe countries have the highest neonatal mortality, namely Romania (1.19%) and Malta (0.63%). Conclusion. The Netherlands has the highest domestic birth rate per 100 000 inhabitants with a 5-year average of 161 922 (overall average of all live births 993.40), but is also in 11th place in neonatal mortality, together with Denmark and Belgium, which have 0.35% neonatal neonatal mortality. The country with the lowest neonatal mortality of 0.19% is Slovenia. The total average of all children born in 5 years (915 live births) is 1.422. When monitoring the number of domestic births in other countries in the years 2015 to 2019, an increasing tendency of this trend is observed.

• Klíčová slova
• European Union, home births, labor difficulties, neonatal mortality rate,
• Publikační typ
• časopisecké články MeSH