Maternal Distress in the Neonatal Intensive Care Unit

Staver, Morgan A.; Moore, Tiffany A.; Hanna, Kathleen M.

doi:10.1097/anc.0000000000000642

Cited by 24 publications

(15 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In this study, women with poor support from their spouses were more likely to suffer from PTSD or PTSD Profile (28.6%) compared to the women with good support from their spouse (9.8%), the second groupseems to manage better the consequences of traumatic CS.A lot of studies reveal the relationship between social support and good health and suggest that the psychical reaction to stress is under the influence on the level of family and spouse support [49]. Focusing specifically on this, some studies agree with the present study and confirm the effective role ofpartners'supportto reduce the incidence of postnatal PTSD and PTSD Profile [15,44].…”

Section: Discussionsupporting

confidence: 85%

“…Another very important factor predicting PTSD-ACwhich is associated with preterm labor and complications during pregnancy is the inclusion of the infant in the NICU. It is known that maternal distress after the inclusion of the infant in the NICUconsists of a complication of anxiety, depressive and PTSD symptoms and is associated negatively with maternal-infant attachment [44,45]. In our study, inclusion inthe NICU is related to 30.2% of EMCS and 11.3% of ELCS and includes preterm and full-term infants.…”

Section: Discussionmentioning

confidence: 64%

See 1 more Smart Citation

Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Orovou

Δάγλα

Iatrakis

et al. 2020

IJERPH

View full text Add to dashboard Cite

A birth experience with cesarean section (CS) can be a cause of the development of post-traumatic stress disorder after a cesarean (PTSD-AC) or profile PTSD, for a percentage of women. So far, there is no data on the frequency of PTSD-AC in Greece and this syndrome is often associated with other mental disorders of the postpartum period. The purpose of this research is to associate the kind of CS with PTSD-AC for Greek mothers and the combination of factors that make them less resistant to trauma. A sample of ahundred and sixty-six mothers who gave birth with emergency cesarean section (EMCS) and elective cesarean section (ELCS) at a Greek University hospital have consented to participate in the two phases of the survey, in the 2nd day postpartum and a follow-up in the 6th week postpartum. Medical/demographic data and a life events checklist (LEC-5) with Criterion A and post-traumatic stress checklist (PCL-5) were used to diagnose PTSD and PTSD Profile. Out of166 mothers enrolled, 160 replied to the follow-up (96.4%), ELCS 97 (97%) and EMCS 63 (95%). Twenty (31.7%) EMCS had PTSD and nine (14.3%) had Profile. One (1%) ELCS had PTSD and 4 (4.1%) had Profile. This survey shows a high prevalence rate of PTSD after EMCS with additional risk factors of preterm labor, inclusion in the Neonatal Intensive Care Unit (NICU), a lack of breastfeeding, and a lack of support from the partner.

show abstract

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 64%

Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Orovou

Δάγλα

Iatrakis

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…For parents of very preterm infants, the alteration in their parental role is recognized as the most important stressor [ 5 , 6 ]. This altered role may contribute to an increased risk of feeling depressed or anxious, compared with parents of healthy full-term infants [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…This altered role may contribute to an increased risk of feeling depressed or anxious, compared with parents of healthy full-term infants [ 7 ]. Parents may feel disrupted in their ability to care for the infant, because of illness severity, medical procedures they cannot perform, and limited access [ 5 , 6 ]. Whether a relationship exists between the stress experienced by an infant and the anxiety subsequently experienced by its parents has not been demonstrated before, even though this seems obvious.…”

Section: Introductionmentioning

confidence: 99%

Maternal Anxiety, Infant Stress, and the Role of Live-Performed Music Therapy during NICU Stay in The Netherlands

Kraft

Jaschke

Ravensbergen

et al. 2021

IJERPH

View full text Add to dashboard Cite

Having an infant in the neonatal intensive care unit (NICU) elicits maternal anxiety, which may hamper parent−child bonding. We performed a prospective cohort study to describe anxiety in mothers of infants born before 30 weeks of gestation during NICU stay in The Netherlands, and investigated the influence of infant stress and gestational age. Second, we performed a randomized-controlled live-performed music therapy trial (LPMT trial) to investigate whether music therapy applied to the infant alleviated maternal anxiety. The relation between infant stress, gestational age, and maternal anxiety was measured in 45 mother−infant dyads, using the Neonatal Infant Stressor Scale and the State-Trait Anxiety Inventory (STAI). The effect of LPMT on anxiety was assessed in 21 mothers whose infants were assigned to either LPMT (n = 12) or waitlist (n = 9). Mothers completed the STAI before and after this period. Maternal anxiety decreased over time in all mothers, and was strongly related with infant stress (r = 0.706, p < 0.001), but not with gestational age. Anxiety scores decreased by 12% after LMPT, and increased by 1% after a waitlist period (p = 0.30). Our results indicate that LPMT in the weeks after birth may accelerate the reduction of maternal anxiety. Further research should focus on the effects on mother−child bonding.

show abstract

“…Similarly, more than a third of participants screened positively for post-traumatic stress. Previous work has identified that maternal distress is often marked by post-traumatic stress, depression and anxiety and prevalent in mothers whose infants have been hospitalized in the NICU [38]. Understanding both the mother's personal history of mental health disorders, social complexity and support systems are important when interpreting depression and post-traumatic stress screening [39].…”

Section: Discussionmentioning

confidence: 99%

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

Gateau

Song

Vanderbilt

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Having a preterm newborn and the experience of staying in the neonatal intensive care unit (NICU) has the potential to impact a mother’s mental health and overall quality of life. However, currently there are few studies that have examined the association of acute post-traumatic stress (PTS) and depression symptoms and infant and maternal outcomes in low-income populations. Design/ methods In a cross-sectional study, we examined adjusted associations between positive screens for PTS and depression using the Perinatal Post-traumatic stress Questionnaire (PPQ) and the Patient Health-Questionnaire 2 (PHQ-2) with outcomes using unconditional logistic and linear regression models. Results One hundred sixty-nine parents answered the questionnaire with 150 complete responses. The majority of our sample was Hispanic (68%), non-English speaking (67%) and reported an annual income of <$20,000 (58%). 33% of the participants had a positive PPQ screen and 34% a positive PHQ-2 screen. After adjusting for confounders, we identified that a positive PHQ-2 depression score was associated with a negative unit (95% CI) change on the infant’s Vineland Adaptive Behavior Scales, second edition of − 9.08 (− 15.6, − 2.6) (p < 0.01). There were no significant associations between maternal stress and depression scores and infant Bayley Scales of Infant Development III scores or re-hospitalizations or emergency room visits. However, positive PPQ and screening score were associated with a negative unit (95% CI) unit change on the maternal Multicultural Quality of Life Index score of − 8.1 (− 12, − 3.9)(p < 0.01) and − 7.7 (− 12, − 3) (p = 0.01) respectively. Conclusions More than one-third of the mothers in this sample screened positively for PTS and depression symptoms. Screening scores positive for stress and depression symptoms were associated with a negative change in some infant development scores and maternal quality of life scores. Thoughtful screening programs for maternal stress and depression symptoms should be instituted.

show abstract

Maternal Distress in the Neonatal Intensive Care Unit

Cited by 24 publications

References 28 publications

Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Correlation between Kind of Cesarean Section and Posttraumatic Stress Disorder in Greek Women

Maternal Anxiety, Infant Stress, and the Role of Live-Performed Music Therapy during NICU Stay in The Netherlands

Maternal post-traumatic stress and depression symptoms and outcomes after NICU discharge in a low-income sample: a cross-sectional study

Contact Info

Product

Resources

About