Emotional distress in mothers of early-preterm infants, late-preterm infants, and full-term infants in Malawi

Gondwe, Kaboni Whitney; Brandon, Debra; Yang, Qing; Malcom, William F.; Small, Maria; Holditch‐Davis, Diane

doi:10.1016/j.outlook.2019.05.013

Cited by 19 publications

(27 citation statements)

References 38 publications

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“…For example, separation from the newborn baby due to the admission to the NICU and prolonged hospitalization not only causes additional parental stress and anxiety but also negatively impacts the sense of a parental role [25], including a lack of competence and skills in caring for a child [26]. PTB can also impact the presence of distress symptoms [14,27]. Research by DeMier with colleagues [28] has revelated that infant maturity and complications play a role as significant predictors of postnatal emotional distress in mothers.…”

Section: Psychological Aspects Of Preterm Birthmentioning

confidence: 99%

Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study

Bieleninik

Lutkiewicz

Cieślak

et al. 2021

IJERPH

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(1) Background: There is a continuing discussion concerning the impact of preterm birth on Maternal-Infant bonding with inconsistent results. The large burden of preterm births calls for research to evaluate the impact of it on material psychological outcome in the early postpartum period. Thus, the aim of this study was to evaluate the relationship between maternal postpartum bonding with maternal mental health, socio-demographical factors, and child’s characteristics. (2) Methods: A cross-sectional study design was used. In total, 72 women (a mean age of 31.44 years old) of preterm infants (mean gestational age = 33.54; range 24–36) filled out socio-demographic questionnaires, Postpartum Bonding Questionnaire (PBQ), Edinburgh Postpartum Depression Scale (EPDS), Postpartum Depression Screening Scale (PDSS), Generalized Anxiety Disorder Assessment (GAD-7), and Parental Stress Scale (PSS) 1–3 days post-delivery; (3) Results: The results analyses have shown positive correlations between the overall result of maternal postpartum bonding with stress (p < 0.01), maternal educational level (p < 0.01), maternal age (p < 0.05) and the number of children (p < 0.01). However, there were no significant relationships between other investigated variables. The results of linear regression have revelated the important role of the overall scores in experience of stress among mothers (explaining 49% of the variability). The mediating role of maternal stress on maternal postpartum bonding was not found. That relationship of maternal postpartum bonding and maternal stress was not moderated through socio-demographic variables. (4) Conclusions: In this study mothers of prematurely born children had a good level of Maternal-Infant bonding. Maternal stress was found to be a predictor of maternal postpartum bonding among the tested variables. Surprisingly, the study results did not show significant relationships between maternal postpartum bonding and maternal mental health (depression and anxiety).

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Section: Psychological Aspects Of Preterm Birthmentioning

confidence: 99%

Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study

Bieleninik

Lutkiewicz

Cieślak

et al. 2021

IJERPH

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“…Consequently, the scale assesses five factors of coping: (i) acquiring social support, (ii) reframing, (iii) seeking spiritual support,(iv) mobilizing family to acquire and accept help, and (v) passive appraisals. Each item on the scale is measured on a Five-point Likert scale of strongly disagree (1) to strongly agree (5). This helps to identify the coping resources most often used by the family.…”

Section: Tools For Data Collectionmentioning

confidence: 99%

“…The birth of a preterm child is a significant sign of stress in the family and providing care for a preterm child can exert significant amount of stress on the family of the new born as have been demonstrated by several studies [5][6][7][8], compared to women who have full-term births, mothers of preterm babies tend to have more emotional distress after 24-72 hours following birth [5], reduced quality of life [9].This is as a result of various financial and emotional strains that parents have to go through in taking care of the child.…”

Section: Introductionmentioning

confidence: 97%

“…However, in high countries, pregnant women are able to have access to better socioeconomic conditions, lifestyles and nutrition, which often result into healthier pregnancies, and modern neonatal care technology as well as highly specialized and skilled health care givers. This is not often the case in low-income countries where modern technology is either not available, or properly manned and not accessible to the people who need them [5]. Consequently, having preterm births in such circumstances can lead to higher healthcare implications for both the mother and the child because the health of an infant is closely linked to the mother's health and the care she receives in pregnancy and childbirth [10].…”

Section: Introductionmentioning

confidence: 99%

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Stress and Coping Strategies of Parents of Preterm Infants in Selected Tertiary Health Institutions in Ekiti State

Alade

Ibitoye

Ogunkorode

et al. 2022

AJPR

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Background: Preterm birth is one the leading causes of death among children below the age of five years and involves all births that occur before 37 weeks of gestation. This study therefore examined the stress and coping techniques of preterm infants parents in Ekiti State University Teaching Hospital and Federal Teaching Hospital, Ekiti State. Methodology: This study adopted quantitative research method and study was conducted among parents of preterm infants in two selected teaching hospital Ekiti State Nigeria. Sample size was determined using Fischer’s formula and the sample consisted of 82 respondents selected using purposive sampling technique. Data were collected using a standardized instrument (Family Inventory of Life Events and Changes) developed by McCubbin & Patternson (1983) with reliability index of 0.83. Data collected were analyzed using descriptive statistics of frequency, percentages, mean, standard deviation and tables while inferential statistics of chi-square and correlation were used to test stated hypothesis at 0.05 level of significance. Results: The results showed that majority (32.1%) of preterm babies were jaundiced and were male (58.9%). Parents of preterm infants experienced moderate (85%) level of stress. However, finances and business strains were identified as major stress experienced by preterm infant parents. Overall coping level was high (65.2%) and coping strategies employed were seeking information and advice; positive reframing; and seeking for assistance. The findings also revealed no correlation between perceived stress and coping technique; no significant association between the socio-demographic factors and stress experienced by parents of preterm infants. Conclusion: This study showed that parents of preterm infants experienced stress but developed coping techniques to suppress their level of stress. It is therefore recommended that nurses should develop proper understanding about the parents’ stressful situations to provide a holistic care to the neonates and their parents.

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“…They often lack the basic supplies such as warm clothes for keeping the baby warm, no adequate clean water and sanitation facilities at the homesteads, as well as inadequate maternal nutrition often compounds the situation. In one study, mothers reported lack of funds to buy fuel (charcoal and paraffin) and oil to smear the baby or for accessing healthcare when the neonate gets sick [18].…”

Section: Financial Constraints For Professional Home Care and Health Promotionmentioning

confidence: 99%

Approaches at Community Level for Care of the Preterm Neonates in Low-Income Countries

Bayo¹,

Ajok²

2021

Current Topics in Caesarean Section

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The survival of preterm babies has significantly improved over the last several decades in the high-income countries because of the availability of Neonatal Intensive Care Units (NICU’s) in both large and small hospitals, presence of specially trained physicians, nurses, and other health care personnel with easy access to sophisticated equipment. However, the bigger public health advances that saw improvements in socio-economic status of the populations, improvements in education and sanitation conditions and reductions in malnutrition and rates of infectious diseases were probably the main reasons for this improved survival rates for preterm neonates. Low in-come countries are currently highest bearers of the burden of preterm morbidity and mortality. The current preventive and care interventions do not reach all the neonates and their mothers, the coverage has remained low, access is poor and the quality of care is low. The aim of this chapter is to propose ideas on how the current preterm neonatal care interventions can be adapted for community scale up through community-based health system structures like community health workers to improve survival of neonates who have been delivered from home or after they have been discharged from hospital.

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Emotional distress in mothers of early-preterm infants, late-preterm infants, and full-term infants in Malawi

Cited by 19 publications

References 38 publications

Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study

Associations of Maternal-Infant Bonding with Maternal Mental Health, Infant’s Characteristics and Socio-Demographical Variables in the Early Postpartum Period: A Cross-Sectional Study

Stress and Coping Strategies of Parents of Preterm Infants in Selected Tertiary Health Institutions in Ekiti State

Approaches at Community Level for Care of the Preterm Neonates in Low-Income Countries

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