Psychological Distress in Mothers of Preterm Infants

Meyer, Elaine C.; Coll, Cynthia T. Garcia; Seifer, Ronald; Ramos, Adriana; Kilis, Erny; Oh, William

doi:10.1097/00004703-199512000-00004

Cited by 125 publications

(97 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…19,20 In our sample, depression (29.4 vs. 17.3%; p , 0.001) and anxiety (26.5 vs. 11.6%, p , 0.001) levels of mothers who delivered preterm infants were all significantly increased in comparison with mothers of full term infants. The prevalence of depressive symptoms in our study is similar to that of a study by Meyer et al 21 (28%). Also, another study 11 with 181 mothers of preterm infants revealed a similar rate, since 32% of mothers had postpartum depression.…”

Section: Discussionsupporting

confidence: 92%

“…Also, another study 11 with 181 mothers of preterm infants revealed a similar rate, since 32% of mothers had postpartum depression. These rates are comparable to the estimates of psychological distress of postpartum mothers of preterm infants demonstrated in other studies 21,22 (28-70%). The depression and stress disorders experienced by mothers after a preterm birth include not only their concerns over premature birth and its possible consequences to the infant's health, but also concerns over their own health and life style.…”

Section: Discussionsupporting

confidence: 88%

See 1 more Smart Citation

Psychological distress among postpartum mothers of preterm infants and associated factors: a neglected public health problem

Bener

2013

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

Objective: The aim of the present study was to determine the prevalence of psychological distress, depression, anxiety, and stress among postpartum Arab mothers of preterm or low birth weight (LBW) infants and to identify maternal characteristics that can predict psychological distress among mothers of preterm infants. Methods: A hospital-based study was conducted. A representative sample of 2,091 postpartum mothers was surveyed and 1,659 women (79.3%) gave their consent to participate in the study. The study was based on a face-to-face interview with a designed questionnaire covering sociodemographic characteristics, anthropometric measures, medical history, and maternal characteristics. Depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale (DASS-21). Results: In the study sample, 10.2% of the postpartum mothers had preterm/LBW infants. Depression (29.4 vs. 17.3%) and anxiety (26.5 vs. 11.6%) were significantly more common among mothers of preterm births compared to mothers of full term infants (p , 0.001). The risk of depression in mothers of preterm/LBW infants was two times the risk in mothers of full term infants, while the risk of anxiety was 2.7 times in mothers of preterm/LBW infants than in mothers of full term infants. Young mothers and those who had less than secondary education (42.0 vs. 21.7%; p = 0.007) and lower monthly household income (72.0 vs. 53.3%; p = 0.024) were more depressed and anxious after the preterm birth when compared with mothers of full term infants. Psychological distress was higher in mothers with history of preterm birth (30.0 vs. 21.7%) and delivery complications (52.0 vs. 33.3%). Conclusions: We found a greater risk of depression and anxiety in mothers of preterm births than in mothers of full term infants. Our analysis revealed that depressed and anxious women of preterm infants were younger, less educated, had a lower body weight and low household income than nondepressed and non-anxious women.

show abstract

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Psychological distress among postpartum mothers of preterm infants and associated factors: a neglected public health problem

Bener

2013

Rev. Bras. Psiquiatr.

View full text Add to dashboard Cite

show abstract

“…19,20 These difficult situations may lead to maternal psychological distress that can be manifested as depression, anxiety and/or post-traumatic stress. 9,[19][20][21][22][23][24][25][26][27] Thus, maternal well-being would appear to be an important attribute if lactation is to be successful. Interventions, such as encouraging frequent milk expression, skin-to-skin holding (STS), as well as various support groups can enhance lactation, but compliance with these practices is often difficult to achieve for many mothers and their benefits cannot be generalized.…”

Section: Introductionmentioning

confidence: 99%

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

et al. 2007

View full text Add to dashboard Cite

Objective: (1) To compare maternal characteristics and psychological stress profile among African-American, Caucasian and Hispanic mothers who delivered very low birthweight infants. (2) To investigate associations between psychosocial factors, frequency of milk expression, skin-to-skin holding (STS), and lactation performance, defined as maternal drive to express milk and milk volume.Study Design: Self-reported psychological questionnaires were given every 2 weeks after delivery over 10 weeks. Milk expression frequency, STS, and socioeconomic variables were collected.Result: Infant birthweight, education, and milk expression frequency differed between groups. Trait anxiety, depression and parental stress in a neonatal intensive care unit (PSS:NICU) were similar. African-American and Caucasian mothers reported the lowest scores in state anxiety and social desirability, respectively. Maternal drive to express milk, measured by maintenance of milk expression, correlated negatively with parental role alteration (subset of PSS:NICU) and positively with infant birthweight and STS. Milk volume correlated negatively with depression and positively with milk expression frequency and STS.Conclusion: Differences between groups were observed for certain psychosocial factors. The response bias to self-reported questionnaires between groups may not provide an accurate profile of maternal psychosocial profile. With different factors correlating with maintenance of milk expression and milk volume, lactation performance can be best enhanced with a multi-faceted intervention program, incorporating parental involvement in infant care, close awareness and management of maternal mental health, and encouragement for frequent milk expression and STS.

show abstract

“…Obtaining a valid proxy consent in this situation may be compromised by maternal illness, stress of labor, medication administration, and separation from the infant after birth. 3,4 Previous research has shown poor validity of consent obtained from adult populations consenting for themselves to participate in clinical research. [5][6][7][8] Little research, however, has been carried out on the validity of consent from parents of sick neonates.…”

Section: Introductionmentioning

confidence: 99%

Neonatal Research and the Validity of Informed Consent Obtained in the Perinatal Period

et al. 2004

View full text Add to dashboard Cite

BACKGROUND:Consent for participation in clinical research is considered valid if it is informed, understood, and voluntary. In the case of minors, parents give permission for their child to participate in research studies after being presented with all information needed to make an informed decision. Although informed consent is a vital component of clinical research, there is little information evaluating its validity in neonatal intensive-care populations. The objective of this project was to determine the validity of informed consent obtained from parents of infants enrolled in the multicenter randomized research study, neurologic outcomes and preemptive analgesia in the neonate (NEOPAIN). DESIGN/METHODS:Parents of infants who survived to discharge and had signed consent for their newborn to participate in the NEOPAIN study at the University of Kentucky were asked 20 open-ended questions to determine their level of understanding about the NEOPAIN study. The NEOPAIN consent form, which had been approved by the University of Kentucky Medical Institutional Review Board (IRB), was used to formulate these questions. Questions addressed the timing of consent, parental understanding of the purpose, benefits, and risks of the study, the voluntary nature of the project, and their willingness to enroll in future studies if the opportunity presented. Answers were scored on a Likert scale, with 1 for no understanding and 5 for complete understanding. RESULTS:Five of 64 parents (7.8%) had no recollection of the NEOPAIN study or of signing consent. Of those who remembered the study, only 67.8% understood the purpose of the study, with a higher proportion of the mothers than fathers knowing the purpose of the study (73.3% vs 57.1%), (p ¼ 0.029). Of those who understood the purpose of the study 95% were able to verbalize the benefits, but only 5% understood any potential risks. No parents reported feeling pressured or coerced to sign consent for the project and all parents reported they would enroll their child in additional studies if asked.

show abstract

Psychological Distress in Mothers of Preterm Infants

Cited by 125 publications

References 0 publications

Psychological distress among postpartum mothers of preterm infants and associated factors: a neglected public health problem

Psychological distress among postpartum mothers of preterm infants and associated factors: a neglected public health problem

Ethnic/racial diversity, maternal stress, lactation and very low birthweight infants

Neonatal Research and the Validity of Informed Consent Obtained in the Perinatal Period

Contact Info

Product

Resources

About