Mothers' postpartum psychological adjustment and infantile colic

Akman, İpek; Kuşçu, Kemal; Özdemir, Nihal; Yurdakul, Ziya; Solakoğlu, Mine; L, Orhan; Karabekiroğlu, Aytül; Özek, Eren

doi:10.1136/adc.2005.083790

Cited by 105 publications

(78 citation statements)

References 14 publications

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“…We therefore conducted a retrospective cohort study nested within a completed randomized controlled trial (RCT) 14 to investigate longitudinal associations of inconsolable infant crying at 5 to 6 weeks of age with maternal depressive symptoms at 8 weeks postpartum, while controlling for preexisting depression, which may influence infant colic [15][16][17] and irritability. 18 We hypothesized that prolonged inconsolable infant crying, rather than the total daily duration of distress (ie, colic), would have a stronger longitudinal association with maternal depression symptoms.…”

Section: Resultsmentioning

confidence: 99%

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

et al. 2013

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WHAT'S KNOWN ON THIS SUBJECT: Studies reveal that mothers of infants with colic (defined by Wessel' s criteria of .3 hours per day of distress) are more likely to develop depression. No studies have examined whether the consolability of infant crying predicts maternal depression risk.WHAT THIS STUDY ADDS: Prolonged inconsolable infant crying has a stronger association with maternal depressive symptoms than overall daily duration of fussing and crying, suggesting that a mother' s report of inability to soothe her infant may be a powerful indicator of her depression risk. abstract OBJECTIVE: To quantify the extent to which maternal report of inconsolable infant crying, rather than colic (defined by Wessel' s criteria of daily duration of fussing and crying .3 hours), is associated with maternal postpartum depressive symptoms.METHODS: Participants were 587 mothers who were recruited shortly before or after delivery and followed longitudinally. At 5 to 6 weeks postpartum, mothers recorded the duration and mode (fussing, crying, or inconsolable crying) of their infant' s distress by using the Baby' s Day Diary. The Edinburgh Postnatal Depression Scale (EPDS) was administered at enrollment and at 8 weeks postpartum. Using regression models that included baseline EPDS scores and multiple confounders, we examined associations of colic and inconsolable crying with later maternal EPDS scores at 8 weeks postpartum. RESULTS:Sixty mothers (10%) met the EPDS threshold for "possible depression" (score $9) at 8 weeks postpartum. For mothers reporting .20 minutes of inconsolable crying per day, the adjusted odds ratio for an EPDS score $9 was 4.0 (95% confidence interval: 2.0-8.1), whereas the adjusted odds ratio for possible depression in mothers whose infants had colic was 2.0 (95% confidence interval: 1.1-3.7). These associations persisted after adjusting for baseline depression symptoms.CONCLUSIONS: Maternal report of inconsolable infant crying may have a stronger association with postpartum depressive symptoms than infant colic. Asking a mother about her ability to soothe her infant may be more relevant for potential intervention than questions about crying and fussing duration alone.

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Section: Resultsmentioning

confidence: 99%

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

et al. 2013

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“…The researchers found that parent–child, and particularly father–child, interactions were less than optimal, infants were less competent in interacting with their parents and the interaction between the parents was more likely to be dysfunctional than control families where the infant did not cry excessively. Another study revealed an association between infantile colic, symptoms of postpartum maternal depression and insecure mother–child bonding 13.…”

Section: Impact On Family and Societymentioning

confidence: 99%

Review shows that parental reassurance and nutritional advice help to optimise the management of functional gastrointestinal disorders in infants

et al. 2018

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AimRegurgitation, infantile colic and functional constipation are common functional gastrointestinal disorders (FGIDs) during infancy. Our aim was to carry out a concise review of the literature, evaluate the impact of these common FGIDs on infants and their families, and provide an overview of national and international guidelines and peer‐reviewed expert recommendations on their management.MethodsNational and international guidelines and peer‐reviewed expert recommendations on the management of regurgitation, infantile colic and functional constipation were examined and summarised.ResultsRegurgitation, infantile colic and functional constipation cause frequent parental concerns, lead to heavy personal and economic costs for families and impose a financial burden on public healthcare systems. Guidelines emphasise that the first‐line management of these common FGIDs should focus on parental education, reassurance and nutritional advice. Nutritional advice should stress the benefits of continuing breastfeeding, while special infant formulas may be considered for non‐breastfed infants with common FGIDs. Drug treatment is seldom required, with the exception of functional constipation.ConclusionBy providing complete and updated parental education, reassurance and nutritional advice, healthcare professionals can optimise the management of FGIDs and related symptoms and reduce the inappropriate use of medication or dietary interventions.

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“…12,16 Further, a recent study from Turkey revealed that the mean EPDS of mothers whose infants with infantile colic was significantly higher. 26 As for our study, consistently, infant health problems and crying/fussing problems were found as potential risk factors for postpartum depression. However, we also suggest that mothers with elevated depressive symptoms may perceive their infants as more colicky and problematic as well.…”

Section: Discussionmentioning

confidence: 75%

Risk Factors For Postpartum Depression In A Well-Child Clinic: Maternal And Infant Characteristics Bir Sağlıklı Çocuk Polikliniğinde Doğum Sonrası Depresyonda Risk Faktörleri: Anneye ve Bebeğe Ait Öze

Orhon¹,

Ulukol²,

Soykan³

2008

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Aim:The aim of this study was to identify possible risk factors for postpartum depression development in mothers of infants who were brought to fi rst-month well-child visits.Material and methods: Self-reports were obtained from 103 mothers. The interviews collected data on mothers' sociodemographic and health characteristics, and infants' characteristics. The Edinburgh Postpartum Depression Scale (EPDS) was used to assess maternal depressive symptoms. Results:In this high socioeconomic population, twenty-eight mothers (27.1%) scored in the clinical range of the EPDS. Mothers' unemployment, maternal health problems during present pregnancy, depression history during previous and present pregnancies, delivery complications, infant health problems, and infant cry/fuss problems were associated with postpartum depression. Conclusion:Postpartum depression was common at one-month well-baby visits. Nonworking mothers, those with health problems during pregnancy and with a problematic infant were often depressed. Well-child visits provide a convenient setting for evaluating postpartum depression and related risk factors.Key Words: postpartum depression, risk factors, infant characteristics, well-child visit Amaç: Bu çalışmanın amacı; birinci ayda yapılan sağlıklı çocuk vizitlerine getirilen bebeklerin annelerinde doğum sonrası depresyon gelişimi için olası risk etmenlerini belirlemektir. Materyal ve metod:Çalışmaya 103 anne alınmıştır. Annelerin sosyoekonomik özellikleri, sağlık durumları ve bebeklerin özellikleri ile ilgili veriler toplanmıştır. Anneye ait depresif belirtileri saptamak üzere Edinburgh Doğum Sonrası Depresyon Ölçeği (EDSDÖ) kullanılmıştır. Sonuçlar:Populasyonumuzun sosyoekonomik düzeyi orta-yüksek olarak değerlendirilmiş ve 28 annede (%27.2) EDSDÖ'ne göre yüksek skorlar saptanmıştır. Annelerin işsiz olması, gebelik sıra-sında sağlık sorunu öyküsü, son gebelikte veya önceki gebeliklerde depresyon öyküsünün varlığı, doğum komplikasyonları, bebeğe ait sağlık sorunları ve bebekte gaz sorununun varlığı doğum sonrası depresyonla ilişkili saptanmıştır.Tartışma: Annelerde doğum sonrası depresyon bebeklerin birinci ay vizitlerinde sık saptanmaktadır. İşsiz, gebelikte sağlık sorunu olan ve sorunlu bir bebeğe sahip olan anneler daha sıklıkla depresif belirtiler gösterebilmektedir. Sağlıklı çocuk vizitleri doğum sonrası depresyonun ve onunla ilişkili risk etmenlerinin değerlendirilmesi için uygun ortamlar olabilir. Although the etiology and pathogenesis of postpartum depression remains unclear, numerous biological and psychosocial risk factors for this disorder have been

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Mothers' postpartum psychological adjustment and infantile colic

Cited by 105 publications

References 14 publications

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

Inconsolable Infant Crying and Maternal Postpartum Depressive Symptoms

Review shows that parental reassurance and nutritional advice help to optimise the management of functional gastrointestinal disorders in infants

Risk Factors For Postpartum Depression In A Well-Child Clinic: Maternal And Infant Characteristics Bir Sağlıklı Çocuk Polikliniğinde Doğum Sonrası Depresyonda Risk Faktörleri: Anneye ve Bebeğe Ait Öze

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