Risk factors for postpartum depression in mothers of newborns admitted to neonatal intensive care unit

Lasheras, Gracia; Farré-Sender, Borja; Porta, Roser; Mestre‐Bach, Gemma

doi:10.1080/02646838.2020.1775793

Cited by 10 publications

(11 citation statements)

References 58 publications

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“…Clout and Brown 28 found that postpartum depression prevalence increased in cases of newborns with health issues. However, another study reported no significant postpartum depression risk difference between mothers whose infants required and did not require intensive care support after childbirth 30 . Our findings indicated that women with problems, such as pre‐ or postpartum hemorrhage, anemia, infection, treatment due to chronic disease, jaundice, and incubator need for newborns, were found to be at higher risk for postpartum depression.…”

Section: Discussionmentioning

confidence: 50%

“…However, another study reported no significant postpartum depression risk difference between mothers whose infants required and did not require intensive care support after childbirth. 30 Our findings indicated that women with problems, such as pre-or postpartum hemorrhage, anemia, infection, treatment due to chronic disease, jaundice, and incubator need for newborns, were found to be at higher risk for postpartum depression. In most studies, the prevalence of postpartum depression in primigravida women was higher than that in multigravida women.…”

Section: Resultsmentioning

confidence: 62%

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The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Kaydırak

Yılmaz

Demir

et al. 2021

Perspect Psychiatric Care

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Purpose This study aimed to evaluate the relationships between prenatal attachment, maternal anxiety, and postpartum depression. Design and Methods This longitudinal study included 195 pregnant women in their third trimester. Findings The level of postpartum depression in the sixth week was found to be significantly higher in women older than 31 years, high‐risk pregnancies, primipara women, women having a living child outside of the newborn, and in women who experience problems after delivery. Our findings indicated that the level of anxiety and postpartum depression decreased significantly in the sixth postpartum week. Anxiety and depression levels decreased during the weeks following the postpartum period. Furthermore, no significant relationship emerged between prenatal attachment and postpartum depression. Practice Implications Nurses should evaluate psychosocial health in the prenatal and postnatal periods.

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Section: Discussionmentioning

confidence: 50%

Section: Resultsmentioning

confidence: 62%

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Kaydırak

Yılmaz

Demir

et al. 2021

Perspect Psychiatric Care

View full text Add to dashboard Cite

show abstract

“…One possibility for the non-significant association between avoidant coping and PPD in the present study might lie in the different times at which both variables were collected (first trimester of pregnancy for avoidant coping and four months after delivery for depression). Another possible explanation for the discrepancy between the results could lay in the fact that previous studies have been carried out in high obstetric risk samples (mothers of infants treated in a neonatal intensive care unit) [ 65 , 66 ].…”

Section: Discussionmentioning

confidence: 98%

“…The relationship between avoidance and depressive symptoms has been extensively analyzed in both clinical [ 63 , 64 ] and non-clinical samples [ 26 ]. Its study in the context of PPD has been less frequent, but studies appear to indicate modest, yet significant associations between avoidant coping in the mothers and PPD [ 65 , 66 ]. One possibility for the non-significant association between avoidant coping and PPD in the present study might lie in the different times at which both variables were collected (first trimester of pregnancy for avoidant coping and four months after delivery for depression).…”

Section: Discussionmentioning

confidence: 99%

Is the Association between Postpartum Depression and Early Maternal–Infant Relationships Contextually Determined by Avoidant Coping in the Mother?

Peñacoba

Suso‐Ribera

Rico

et al. 2021

IJERPH

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This study analyzes the moderating role of avoidant coping (in early pregnancy) in the relationship between postpartum depressive (PPD) symptoms and maternal perceptions about mother–baby relations and self-confidence. Participants were 116 low-risk obstetric mothers (mean age = 31.2 years, SD = 3.95, range 23–42) who received care and gave birth at a Spanish public hospital. Measurements were made at two points in time: at first trimester of pregnancy (maternal avoidance coping) and four months after childbirth (PPD and maternal perceptions). Avoidant coping was associated with the perception of the baby as irritable and unstable (p = 0.003), including irritability during lactation (p = 0.041). Interaction effects of avoidant coping and postpartum depression were observed on the perception of the baby as irritable (p = 0.031) and with easy temperament (p = 0.002). Regarding the mother’s self-confidence, avoidant coping was related to a lack of security in caring for the baby (p < 0.001) and had a moderating effect between PPD and mother’s self-confidence (i.e., lack of security in caring for the baby, p =0.027; general security, p = 0.007). Interaction effects showed that the use of avoidant coping in the mother exacerbated the impact of PPD on the early mother–infant relationship.

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“…In contrast to these two risk variables, problem-focused coping strategies could be protective in this stressful situation. The healthcare staff should promote easy-to-adopt measures, such as the analysis of possible solutions to specific difficulties, decision-making, and implementation of action plans by the mothers, as well as structured problem-solving programs (Lasheras, Farré-Sender, Porta, & Mestre-Bach, 2020). While this finding is not significant, it is relevant within the explanatory model, hence the importance of conducting studies on the specific role, and on interventions, over coping strategies in this population group.…”

Section: Discussionmentioning

confidence: 99%

Psychological stress in mothers of neonates admitted to an intensive care unit

et al. 2021

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Introduction. The admission of the newborn to a neonatal intensive care unit (NICU) leads to maternal stress. This stress has deleterious consequences on the mother and the appropriate attachment with her child. Objective. To assess the relationship of mothers’ sociodemographic, clinical, psychological, and psychiatric factors, as well as neonates’ clinical aspects with the level of psychological stress perceived by mothers of neonates admitted to the NICU. Method. Cross-sectional study with 47 women over the age of 18, whose infants had been admitted to a NICU during the last 72 hours. Bivariate correlations and a multivariate linear model with the significant variables in the bivariate analyses where performed. Results. According to the multivariate model, the perception of loneliness and the presence of at least one psychiatric diagnosis (depressive episode, dysthymia, generalized anxiety disorder, adjustment disorder, acute stress disorder, or substance use disorder) were associated with maternal stress. Problem-focused coping strategies were relevant within the model and could have protective value against stress. The model explained 73.5% of the stress severity variance (F 38.848; p

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Risk factors for postpartum depression in mothers of newborns admitted to neonatal intensive care unit

Cited by 10 publications

References 58 publications

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Is the Association between Postpartum Depression and Early Maternal–Infant Relationships Contextually Determined by Avoidant Coping in the Mother?

Psychological stress in mothers of neonates admitted to an intensive care unit

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