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NCT Number: NCT06807801

Baby Swim As an Intervention for Depressive Symptoms and Lacking Attachment During the Postpartum Period

Mental health issues are very common during and after pregnancy, and studies from around the world indicate that 10-15% of all pregnant and postpartum women experience depression. Risk factors for developing depression include a history of depression, low levels of social support, and stressful life events. The symptoms are the same as for depression during other periods of life, but often include feelings of inadequacy regarding motherhood, along with associated feelings of shame or guilt. Obsessive thoughts directed toward the baby may also be part of the symptomatology. Such thoughts are typically experienced as frightening by the mother but, in the vast majority of cases, do not pose any risk to the child. Maternal depression can also affect a mother's ability to bond with her baby, and difficulties in forming an attachment can, in turn, increase and perpetuate depressive symptoms. In the long term, insecure attachment between mother and child can lead to behavioral problems in the child, such as aggression and avoidance, anxiety and depression in adolescence, negative effects on cognitive development, and trust issues in close relationships.

Baby swimming is a structured form of interaction that takes place in 34-degree Celsius water in a calm environment, aiming to teach the baby vital skills while stimulating social, intellectual, and motor development. At least one parent actively participates and is encouraged to perform various exercises. These activities strengthen the bond between the baby and the parent and contribute to making time in the water a safe and enjoyable experience. Previous studies have shown that baby swimming can improve attachment between parent and child.

In the present project, the aim is to investigate whether baby swimming can be used as an intervention for depressive symptoms in new mothers and whether this intervention can reduce depressive symptoms while also strengthening the bond between mother and child.

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Uppsala University

Uppsala, Sweden

Location status: Recruiting

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Women who have

  • given birth at full term
  • are 18 years or older
  • have a baby aged 3-7 months at the time of inclusion
  • exhibit depressive symptoms according to the EPDS scale.

Exclusion criteria

  • Multiple pregnancy (twins, triplets)
  • Known psychotic disorder or bipolar disorder
  • Inability to communicate adequately in Swedish or English, or inability to read and complete digital questionnaires in Swedish or English.

Treatment and study plan

Baby swimming

Behavioral

Participants in the treatment group will be contacted by a researcher and invited to an introductory meeting at the swimming facility, where they will receive information about the baby swimming course from the instructor. The course will take place twice a week for five weeks, totaling 10 sessions of 30 minutes each. During the sessions, mothers will be encouraged to engage in physical contact, maintain eye contact, and respond to their baby's signals. The course will also include water safety exercises.

Primary outcomes

  1. Depressive symptoms

    Time frame: Seven months follow up

    Self-reported depressive symptoms measured by the Edinburgh Postnatal Depression Scale

Secondary outcomes

  1. Attachment

    Time frame: Seven months follow up

    Measured by the Postpartum Bonding Questionnaire

Study contacts

Contact information is provided by the study sponsor or research team.

Alkistis Skalkidou, PhD, MD

CONTACT

[email protected]

+46 6110000

Sara Sylvén, PhD, MD

CONTACT

[email protected]

+46706110451

Sponsors and collaborators

Lead sponsor

Uppsala University

Other

Registry information

Official study title

BIDAP - Baby Swim As an Intervention for Depressive Symptoms and Lacking Attachment During the Postpartum Period

Acronym: BIDAP

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Feb 4, 2025
Registry last updated
Feb 4, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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