Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study

Helle, Nadine; Barkmann, Claus; Bartz-Seel, Jutta; Diehl, Thilo; Ehrhardt, Stephan; Hendel, Astrid; Nestoriuc, Yvonne; Schulte‐Markwort, Michael; Wense, A. von der; Bindt, Carola

doi:10.1016/j.jad.2015.04.001

Cited by 94 publications

(87 citation statements)

References 52 publications

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“…7,[10][11][12] Prior results differ from our study because, in our population, a low level of education, being the head of the household, and a low Apgar score were associated with the presence of depressive symptoms.…”

Section: Discussioncontrasting

confidence: 69%

“…In relation to the prevalence of depressive symptoms among caregivers of NBIs hospitalized in the NICU, prior studies reported a 10-59% prevalence. 1,6,7,9,12,19 In our population, the prevalence was close to the lower limit of this range in both measurements.…”

Section: Discussionsupporting

confidence: 69%

“…Certain characteristics related to the NBI (prematurity, clinical diagnosis, and others), the mother (age, level of education, socioeconomic level, and history of depression), and the hospital setting (stressful situations in the NICU, ambiguous medical information, distance from the place of residence) may contribute to the onset of depression. [5][6][7][8] Advances have been made in the assessment of this clinical situation in developed countries. On the contrary, in developing countries, there is little information to establish the size of the problem so as to conduct timely interventions to improve the quality of health care and favor the bond among NBIs, mothers, and caregivers.…”

Section: Introductionmentioning

confidence: 99%

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Depressive symptoms and associated factors in caregivers of newborn infants hospitalized in a neonatal intensive care unit

et al. 2017

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Introduction.A high prevalence of depressive symptoms has been reported in family members of newborn infants hospitalized in neonatal intensive care units. This causes a high negative impact on the newborn infant-family bond. Objective. To establish the prevalence of depressive symptoms and their associated factors in caregivers of newborn infants hospitalized in a neonatal intensive care unit in Colombia. Materials and Methods. Cross-sectional, analytical study conducted at a tertiary care health facility specialized in cardiovascular disease. The Beck Depression Inventory-II was administered upon admission to the NICU and on Day 8. Depressive symptoms were considered present if caregivers had intermittent, moderate, severe, or extreme depression. Bivariate and multivariate analyses were done using binomial regression models. Results. A total of 107 children and their caregivers were studied. The prevalence of depressive symptoms was 20.56% (95% confidence interval [CI]: 12.77-28.34) at baseline and 12.86% (95% CI: 4.1-20.89) on Day 8. Male caregivers and caregivers older than 30 years old had a lower risk of having depressive symptoms whereas being the head of the household, having completed primary education or no education at all, and having a baby with an Apgar score at birth of 1-6 were risk factors for developing depressive symptoms. Conclusions. The prevalence of depressive symptoms was high. Being the head of the household, having a low level of education, and an Apgar score at birth of 1-6 were associated with depressive symptoms among caregivers.

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Section: Discussioncontrasting

confidence: 69%

Section: Discussionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

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Depressive symptoms and associated factors in caregivers of newborn infants hospitalized in a neonatal intensive care unit

et al. 2017

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“…In addition, the research cited reveals that being a present father implies sharing with the mother the basic care of the child, that is, the activities should be equally shared between both, causing both the man and the woman to provide care and energy in the care of the child, in the same amount of time. 10 Results similar to our study, according to class 3.…”

Section: Discussionsupporting

confidence: 89%

“…Health professionals. A multi-center cohort study 10 performed with parents of very low birth weight infants shows the relationship of postpartum depression in the parents of these preterm infants. This reinforces the need for health professionals to always include the father in prenatal consultations in order to raise the awareness of the father about the prevention of infections during pregnancy, the risks of premature birth, among other information relevant to parents in this phase of the pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Parental Involvement in the Puerperal Pregnancy Cycle: Experiences and Feelings

Leon¹

2018

NCOAJ

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Objective: Describe the parents' perception of their fatherhood during pregnancy, childbirth and the puerperium.Methods: it's a qualitative study, which the data were collected through a semistructured interview with 30 parents who had their children born in a public hospital. The thematic analysis followed Minayo's theoretical framework.Results: it was identified that parental involvement is being more active nowadays, the involvement begins from the reception of the news of being a father, going through the expectations of what will be the characteristics of his son and the prenatal followup. The father becomes a participant in the actions of care for the companion and the child.Conclusion: the study brought contributions to prenatal care and growth and development consultations, revealing the need to socialize the tendencies to provide assistance to the trinomial (mother-child).

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Evaluating Bias-Mitigated Predictive Models of Perinatal Mood and Anxiety Disorders

Wong,

Saini,

Accortt

et al. 2024

JAMA Netw Open

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ImportanceMachine learning for augmented screening of perinatal mood and anxiety disorders (PMADs) requires thorough consideration of clinical biases embedded in electronic health records (EHRs) and rigorous evaluations of model performance.ObjectiveTo mitigate bias in predictive models of PMADs trained on commonly available EHRs.Design, Setting, and ParticipantsThis diagnostic study collected data as part of a quality improvement initiative from 2020 to 2023 at Cedars-Sinai Medical Center in Los Angeles, California. The study inclusion criteria were birthing patients aged 14 to 59 years with live birth records and admission to the postpartum unit or the maternal-fetal care unit after delivery.ExposurePatient-reported race and ethnicity (7 levels) obtained through EHRs.Main Outcomes and MeasuresLogistic regression, random forest, and extreme gradient boosting models were trained to predict 2 binary outcomes: moderate to high-risk (positive) screen assessed using the 9-item Patient Health Questionnaire (PHQ-9), and the Edinburgh Postnatal Depression Scale (EPDS). Each model was fitted with or without reweighing data during preprocessing and evaluated through repeated K-fold cross validation. In every iteration, each model was evaluated on its area under the receiver operating curve (AUROC) and on 2 fairness metrics: demographic parity (DP), and difference in false negatives between races and ethnicities (relative to non-Hispanic White patients).ResultsAmong 19 430 patients in this study, 1402 (7%) identified as African American or Black, 2371 (12%) as Asian American and Pacific Islander; 1842 (10%) as Hispanic White, 10 942 (56.3%) as non-Hispanic White, 606 (3%) as multiple races, 2146 (11%) as other (not further specified), and 121 (&lt;1%) did not provide this information. The mean (SD) age was 34.1 (4.9) years, and all patients identified as female. Racial and ethnic minority patients were significantly more likely than non-Hispanic White patients to screen positive on both the PHQ-9 (odds ratio, 1.47 [95% CI, 1.23-1.77]) and the EPDS (odds ratio, 1.38 [95% CI, 1.20-1.57]). Mean AUROCs ranged from 0.610 to 0.635 without reweighing (baseline), and from 0.602 to 0.622 with reweighing. Baseline models predicted significantly greater prevalence of postpartum depression for patients who were not non-Hispanic White relative to those who were (mean DP, 0.238 [95% CI, 0.231-0.244]; P &lt; .001) and displayed significantly lower false-negative rates (mean difference, −0.184 [95% CI, −0.195 to −0.174]; P &lt; .001). Reweighing significantly reduced differences in DP (mean DP with reweighing, 0.022 [95% CI, 0.017-0.026]; P &lt; .001) and false-negative rates (mean difference with reweighing, 0.018 [95% CI, 0.008-0.028]; P &lt; .001) between racial and ethnic groups.Conclusions and RelevanceIn this diagnostic study of predictive models of postpartum depression, clinical prediction models trained to predict psychometric screening results from commonly available EHRs achieved modest performance and were less likely to widen existing health disparities in PMAD diagnosis and potentially treatment. These findings suggest that is critical for researchers and physicians to consider their model design (eg, desired target and predictor variables) and evaluate model bias to minimize health disparities.

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Very low birth-weight as a risk factor for postpartum depression four to six weeks postbirth in mothers and fathers: Cross-sectional results from a controlled multicentre cohort study

Cited by 94 publications

References 52 publications

Depressive symptoms and associated factors in caregivers of newborn infants hospitalized in a neonatal intensive care unit

Depressive symptoms and associated factors in caregivers of newborn infants hospitalized in a neonatal intensive care unit

Parental Involvement in the Puerperal Pregnancy Cycle: Experiences and Feelings

Evaluating Bias-Mitigated Predictive Models of Perinatal Mood and Anxiety Disorders

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