Screening of postpartum depression: comparison between mothers in the neonatal intensive care unit and in the neonatal section

Magistris, Anna De; Coni, Elisabetta; Puddu, Melania; Zonza, Massilmiliano; Fanos, Vassilios

doi:10.3109/14767058.2010.506759

Cited by 19 publications

(12 citation statements)

References 16 publications

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“…Neither group showed a correlation between PPD and socioeconomic level, educational level, family environment, presence of a stable partner, work environment, or interests away from work and friendships. 53 Lower gestational age, longer length of stay at the NICU, and more serious clinical problems were significantly correlated with elevated depressive symptoms. 53 …”

Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 93%

“… 53 Lower gestational age, longer length of stay at the NICU, and more serious clinical problems were significantly correlated with elevated depressive symptoms. 53 …”

Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 93%

“…Depressive symptoms are thought to be associated with lower gestational age, lower birth weight, longer length of stay at NICU, and severity of illness. 24 , 41 , 53 , 56 , 60 African Americans have at least twice the rate of preterm birth than that of whites, as well as the overall greatest risk of preterm birth. 32 However, Rogers et al found no difference in the rate of PPD between African American and white mothers.…”

Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 98%

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Postpartum depression on the neonatal intensive care unit: current perspectives

Tahirkheli¹,

Cherry²,

Tackett³

et al. 2014

IJWH

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As the most common complication of childbirth affecting 10%–15% of women, postpartum depression (PPD) goes vastly undetected and untreated, inflicting long-term consequences on both mother and child. Studies consistently show that mothers of infants in the neonatal intensive care unit (NICU) experience PPD at higher rates with more elevated symptomatology than mothers of healthy infants. Although there has been increased awareness regarding the overall prevalence of PPD and recognition of the need for health care providers to address this health issue, there has not been adequate attention to PPD in the context of the NICU. This review will focus on an overview of PPD and psychological morbidities, the prevalence of PPD in mothers of infants admitted to NICU, associated risk factors, potential PPD screening measures, promising intervention programs, the role of NICU health care providers in addressing PPD in the NICU, and suggested future research directions.

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Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 93%

“… 53 Lower gestational age, longer length of stay at the NICU, and more serious clinical problems were significantly correlated with elevated depressive symptoms. 53 …”

Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 93%

Section: Etiology Of Ppd and Risk Factors Within The Nicu Environmentmentioning

confidence: 98%

See 1 more Smart Citation

Postpartum depression on the neonatal intensive care unit: current perspectives

Tahirkheli¹,

Cherry²,

Tackett³

et al. 2014

IJWH

View full text Add to dashboard Cite

show abstract

“… 17 For example, the identification of PPD is often delayed as a result of mothers’ feelings of shame and guilt, accompanied by feelings of being unable to care for their child, leading to reluctance in expressing their need for assistance. 6 , 18 Frequently, mothers try to hide what they are feeling due to stigma associated with mental illness following childbirth, 17 and perceptions of being unable to meet expectations of carrying out maternal roles. 18 Additionally, in the NICU setting in particular, early identification can be complicated by the focus of care being on the infant as well as providers lacking expertise in diagnosis and treatment of adults.…”

Section: Introductionmentioning

confidence: 99%

“… 6 , 18 Frequently, mothers try to hide what they are feeling due to stigma associated with mental illness following childbirth, 17 and perceptions of being unable to meet expectations of carrying out maternal roles. 18 Additionally, in the NICU setting in particular, early identification can be complicated by the focus of care being on the infant as well as providers lacking expertise in diagnosis and treatment of adults. The depressed parent is typically not under the direct care of the NICU provider.…”

Section: Introductionmentioning

confidence: 99%

Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Cherry¹,

Blucker²,

Thornberry³

et al. 2016

JMDH

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ObjectiveThe aims of this project were to describe the development of a postpartum depression screening program for mothers of infants in the Neonatal Intensive Care Unit and assess the implementation of the screening program.MethodsScreening began at 14 days postpartum and was implemented as part of routine medical care. A nurse coordinator facilitated communication with mothers for increasing screen completion, review of critical self-harm items, and making mental health referrals. During the 18-month study period, 385 out of 793 eligible mothers completed the screen.ResultsApproximately 36% of mothers had a positive screen that resulted in a mental health referral and an additional 30% of mothers had screening results indicating significant symptoms.ConclusionSeveral barriers were identified, leading to adjustments in the screening process, and ultimately recommendations for future screening programs and research. Development of a postpartum depression screening process in the Neonatal Intensive Care Unit involves support, training, implementation, and coordination from administrators, medical staff, new mothers, and mental health specialists. Several predictable challenges to program development require ongoing assessment and response to these challenges.RelevanceThis study highlights the expanding role of the psychologist and behavioral health providers in health care to intervene as early as possible in the life of a child and family with medical complications through multidisciplinary program development and implementation, as well as key considerations for institutions initiating such a program.

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