The impact of very premature birth on the psychological health of mothers

Davis, Leigh; Edwards, Helen; Mohay, Heather; Wollin, Judy Ann

doi:10.1016/s0378-3782(03)00073-2

Cited by 318 publications

(280 citation statements)

References 30 publications

Supporting

Mentioning

232

Contrasting

Unclassified

Order By: Relevance

“…[1][2][3] This nonnormative transition to parenthood has been described as an "emotional crisis" 4 that typically is characterized by feelings of loss and grief, [5][6][7] which sometimes persist for months after the infant's NICU discharge. 1,[8][9][10][11] In some ways, adaptation to having a preterm infant is similar to adaptation to having a child with a disability; the mother must adjust her expectations and hopes for her child in the face of uncertainties, and she must mourn the hoped-for child while still embracing the child she has.…”

mentioning

confidence: 99%

Maternal Resolution of Grief After Preterm Birth: Implications for Infant Attachment Security

Shah

Clements²,

Poehlmann

2011

Pediatrics

View full text Add to dashboard Cite

WHAT'S KNOWN ON THIS SUBJECT:For mothers of children with chronic medical conditions or disabilities, such as epilepsy or cerebral palsy, a history of maternal unresolved grief regarding the child's diagnosis has been associated with insecure infantmother attachment. WHAT THIS STUDY ADDS:Unresolved grief related to a preterm birth is associated with the development of insecure infantmother attachment. Mothers with resolved grief after preterm birth are 2.9 times as likely to have securely attached infants, compared with mothers with unresolved grief. abstract OBJECTIVE: This study explored the association between mothers' unresolved grief regarding their infant's preterm birth and infant-mother attachment security. We hypothesized that mothers with unresolved grief would be more likely to have insecurely attached infants at 16 months and that this association would be partially mediated by maternal interaction quality. METHODS:This longitudinal study focused on 74 preterm infants (age of Ͻ36 weeks) and their mothers who were part of a larger study of high-risk infants. The present analysis included assessment of neonatal and socioeconomic risks at NICU discharge; maternal depression, Reaction to Preterm Birth Interview findings, and quality of parenting at a postterm age of 9 months; and infant-mother attachment at postterm age of 16 months. Associations among findings of grief resolution with the Reaction to Preterm Birth Interview, quality of parenting interactions, and attachment security were explored by using relative risk ratios and logistic and multivariate regression models. RESULTS:The relative risk of developing insecure attachment when mothers had unresolved grief was 1.59 (95% confidence interval: 1.03-2.44). Controlling for covariates (adjusted odds ratio: 2.94), maternal feelings of resolved grief regarding the preterm birth experience were associated with secure infant-mother attachment at 16 months. Maternal grief resolution and interaction quality were independent predictors of attachment security. CONCLUSION:Maternal grief resolution regarding the experience of preterm birth and the quality of maternal interactions have important implications for emerging attachment security for infants born prematurely.

show abstract

mentioning

confidence: 99%

Maternal Resolution of Grief After Preterm Birth: Implications for Infant Attachment Security

Shah

Clements²,

Poehlmann

2011

Pediatrics

View full text Add to dashboard Cite

show abstract

“…26 Otros estudios también han reportado que existe un mayor nivel de estrés en madres más jóvenes. 19 En el presente estudio, los padres que habían tomado en brazos, al menos, una vez a su RN mostraron un menor nivel de estrés inicial.…”

Section: Resultsunclassified

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

Wormald

Tapia

Torres³

et al. 2015

Arch Argent Pediat

View full text Add to dashboard Cite

“…Each year, more than 3,000 infants and toddlers in Allegheny Country, PA are referred for early intervention services due to concerns about cognitive, social/emotional, or developmental issues (The Alliance for Infants and Toddlers). Studies of similar populations of mothers with children at risk for developmental delays demonstrate higher than average rates of depressive symptoms [22][23][24].…”

Section: Helping Families Raise Healthy Children Initiative Descriptimentioning

confidence: 99%

“…Moreover, a child's developmental delays can increase maternal stress, ultimately increasing risk for depression [22][23][24] and perpetuating a cycle that affects both mother and child. As such, the dual challenges of maternal depression and child developmental delay pose unique threats to both the mother and child.…”

Section: The Problem: Caregiver Depression and Health Systemsmentioning

confidence: 99%

Enhancing cross-system collaboration for caregivers at risk for depression

Reynolds

Sontag-Padilla

Schake

et al. 2012

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

In the United States, many health care systems function independently from one another. Increasing coordination across systems has the potential to vastly improve services and patient outcomes, yet implementing these changes can be challenging, requiring increased communication, interaction, and coordination across systems that typically function independently. Parental depression is one health issue that could benefit greatly from a comprehensive systems approach. The Helping Families Raise Healthy Children initiative is a cross-system quality improvement initiative aimed at improving identification and treatment of families faced with the dual challenge of caregiver depression and early childhood developmental delays. Four main techniques were used to foster and sustain cross-system collaboration and communication: cross-system trainings, regular meetings of collaborative partners, a cross-system learning collaborative for service providers, and two cross-system facilitators. The initiative achieved successful cross-system collaboration, suggesting that these methods may be used in other initiatives to foster similar types of collaboration across systems.

show abstract

The impact of very premature birth on the psychological health of mothers

Cited by 318 publications

References 30 publications

Maternal Resolution of Grief After Preterm Birth: Implications for Infant Attachment Security

Maternal Resolution of Grief After Preterm Birth: Implications for Infant Attachment Security

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

Enhancing cross-system collaboration for caregivers at risk for depression

Contact Info

Product

Resources

About