Review of Interventions to Reduce Stress Among Mothers of Infants in the NICU

Chertok, Ilana R. Azulay; McCrone, Susan; Parker, Dennelle; Leslie, Nan S.

doi:10.1097/anc.0000000000000044

Cited by 78 publications

(56 citation statements)

References 39 publications

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“…Mothers of infants with preterm birth may experience increased stress related to feelings of helplessness, exclusion, and alienation and lack of sufficient knowledge regarding parenting and interacting with their infants [13]. Additionally, prolonged hospitalization and infant complications associated with preterm birth may aggravate the mother's feelings of helplessness and further increase her level of stress [13]. The increased level of stress may thus impact a woman's ability to adjust or transition to motherhood, increasing her likelihood of experiencing postpartum depressive symptoms [14].…”

Section: Introductionmentioning

confidence: 99%

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

Ihongbe

Masho

2017

Journal of Pregnancy

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Background Postpartum depression and preterm birth (PTB) are major problems affecting women's health. PTB has been associated with increased risk of postpartum depressive symptoms (PDS). However, it is unclear if PTB in women with a prior history of PTB is associated with an incremental risk of PDS. This study aims to determine if PTB in women with a prior history of PTB is associated with an incremental risk of PDS. Methods Data come from the 2009–2011 national Pregnancy Risk Assessment Monitoring System. Study sample included 55,681 multiparous women with singleton live births in the index delivery. Multiple logistic regression was used to examine the association between PTB and PDS. Results The risk of PDS was 55% higher in women with PTB in both deliveries (aRR = 1.55; 95% CI = 1.28–1.88) and 74% higher in women with PTB in the index delivery only (aRR = 1.74; 95% CI = 1.49–2.05), compared to women with term deliveries. Conclusions Preterm birth is a risk factor for PDS. PTB in women with a prior history of PTB is not associated with an incremental risk of PDS. Routine screening for PDS should be conducted for all women and closer monitoring should be done for high risk women with PTB.

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Section: Introductionmentioning

confidence: 99%

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

Ihongbe

Masho

2017

Journal of Pregnancy

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Section: Introductionmentioning

confidence: 99%

“…Preterm delivery has been identified as a risk factor for stress, postpartum posttraumatic stress disorder, postpartum depression and difficulty with initial bonding and attachment [73]. The increased levels of stress, anxiety and depression may negatively influence the already difficult maternal-infant bonding [73]. Historically, a high dependence on technology for life-support, the institutionalisation of preterm infant care and the fear of infection have often resulted in the separation of mother and baby [74].…”

Section: Introductionmentioning

confidence: 99%

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

et al. 2016

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BackgroundPreterm infants follow an altered neurodevelopmental trajectory compared to their term born peers as a result of the influence of early birth, and the altered environment. Infant massage in the preterm infant has shown positive effects on weight gain and reduced length of hospital stay. There is however, limited current evidence of improved neurodevelopment or improved attachment, maternal mood or anxiety. The aim of this study is to investigate the effects of infant massage performed by the mother in very preterm (VPT) infants. Effects on the infant will be assessed at the electrophysiological, neuroradiological and clinical levels. Effects on maternal mood, anxiety and mother-infant attachment will also be measured.Methods/DesignA randomised controlled trial to investigate the effect of massage therapy in VPT infants. Sixty VPT infants, born at 28 to 32 weeks and 6 days gestational age, who are stable, off supplemental oxygen therapy and have normal cranial ultrasounds will be recruited and randomised to an intervention (infant massage) group or a control (standard care) group. Ten healthy term born infants will be recruited as a reference comparison group. The intervention group will receive standardised massage therapy administered by the mother from recruitment, until term equivalent age (TEA). The control group will receive care as usual (CAU). Infants and their mothers will be assessed at baseline, TEA, 12 months and 24 months corrected age (CA), with a battery of clinical, neuroimaging and electrophysiological measures, as well as structured questionnaires, psychoanalytic observations and neurodevelopmental assessments.DiscussionOptimising preterm infant neurodevelopment is a key aim of neonatal research, which could substantially improve long-term outcomes and reduce the socio-economic impact of VPT birth. This study has the potential to give insights into the mother-baby relationship and any positive effects of infant massage on neurodevelopment. An early intervention such as massage that is relatively easy to administer and could alter the trajectory of preterm infant brain development, holds potential to improve neurodevelopmental outcomes in this vulnerable population.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12612000335897. Date registered: 22/3/2012.

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“…The decrease of Delegation as the hospital stay increased is indicative of this process. Furthermore, participation in the group intervention should be a factor to contribute to changes in the coping strategies of these mothers, as showed by literature (Chertok et al, 2014;Turner et al, 2015). This condition could have altered the mother's answers in the first interview (S2), but these situations were not analyzed in this study.…”

Section: Discussionmentioning

confidence: 90%

“…The results collected from 25 mothers showed that a previous lack of knowledge about PT-LBW was predominant among these mothers, confirming that novelty was a factor in this context. Both novelty and unpredictability (caused by the severity of the babies' conditions) contribute to the perception of an environment as stressful (Chertok et al, 2014;Grosik et al, 2013). The mothers' lack of knowledge about the NICU conditions caused them to feel "shock" upon hearing the news and upon their first visit to the NICU, as showed by Schmidt et al (2012).…”

Section: Discussionmentioning

confidence: 99%

Maternal Coping with Baby Hospitalization at a Neonatal Intensive Care Unit

Ramos

Enumo

Paula

2017

Paidéia (Ribeirão Preto)

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Abstract:Coping is defined by actions of self-regulation of emotions, cognitions, behaviors, and motivational orientation under stress. This study analyzed the maternal coping with hospitalization of premature and low birth weight infants at the Neonatal Intensive Care Unit (NICU), using the Motivational Theory of Coping. A questionnaire, a scale and an interview were applied to 25 mothers three times between birth and hospital discharge. The results showed that the mothers' first visit to the NICU had strong emotional impact; longer hospitalization periods were linked to the decrease in Delegation coping strategies. There was more Support Seeking after the hospital discharge. Multiparous mothers and those who had a job appeared to be more vulnerable to stress. Predominantly adaptive coping responses were identified, even among two mothers whose babies had died, including Self-Reliance strategies, which were mediated by religious beliefs. Keywords Enfrentamiento Materno de la Hospitalización del Bebé en Unidad de Terapia Intensiva NeonatalResumen: Enfrentamiento son las acciones de autorregulación de la emoción, de la cognición, del comportamiento y de la orientación motivacional en condiciones de estrés. Este estudio analizó el proceso de enfrentamiento materno de la hospitalización de bebés prematuros y con bajo peso internados en Unidad de Terapia Intensiva Neonatal (UTIN). Fueron aplicados un cuestionario, una escala y una entrevista a 25 madres en tres momentos, del nacimiento hasta después del alta hospitalaria. Los resultados mostraron que la primera visita materna a la UTIN tuvo gran impacto emocional. Un mayor número de días de internación se correlacionó con la disminución en la Delegación. Y tras el alta, aumentó la Búsqueda de Soporte. Madres multíparas y que trabajaban fuera de casa presentaron mayor vulnerabilidad al estrés. Predominaron respuestas adaptativas de enfrentamiento, incluso entre las dos madres cuyos bebés fallecieron, con la presencia de estrategias de Autoconfianza, mediadas por creencias religiosas.

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Review of Interventions to Reduce Stress Among Mothers of Infants in the NICU

Cited by 78 publications

References 39 publications

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

Do Successive Preterm Births Increase the Risk of Postpartum Depressive Symptoms?

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

Maternal Coping with Baby Hospitalization at a Neonatal Intensive Care Unit

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