The Relationship Between Neonatal Surgery, Postpartum Depression, and Infant Clinical Course.
Objective: Postpartum depression (PPD) affects 10–15% of mothers in the general population, and studies show increased incidence for mothers of infants with serious health conditions. This study investigates incidence of PPD in mothers of surgical patients in the neonatal intensive care unit (NICU)...
| Publicado en: | Maternal & Child Health Journal Vol. 26; no. 5; pp. 1087 - 1095 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
May2022
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156445734&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156445734 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: May2022 vid: 26 iid: 5 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156445734 154786677 156445734 156445734 10.1007/s10995-021-03353-7 156445734 ppf: 1087 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Relationship Between Neonatal Surgery, Postpartum Depression, and Infant Clinical Course. aug: au: Newton, Laura E. Hageman, Clara Zhou, Christina Roberts, Holly Cusick, Robert A. Needelman, Howard affil: College of Medicine, University of Nebraska Medical Center, S 42nd and Emile St., 68198, Omaha, NE, USA sug: subj: Depression, Postpartum Epidemiology Mothers Psychosocial Factors Surgical Patients Neonatal Intensive Care Nursing Depression, Postpartum Risk Factors Risk Assessment Infant Development Treatment Outcomes Human Retrospective Design Medical Records Record Review Edinburgh Postnatal Depression Scale Psychological Tests Comparative Studies Chi Square Test Descriptive Statistics Length of Stay Male Female Infant Infant: 1-23 months Male Female ab: Objective: Postpartum depression (PPD) affects 10–15% of mothers in the general population, and studies show increased incidence for mothers of infants with serious health conditions. This study investigates incidence of PPD in mothers of surgical patients in the neonatal intensive care unit (NICU) and characterizes these patients' clinical and neurodevelopmental outcomes. Methods: This retrospective cohort study analyzed Nebraska's Tracking Infant Progress Statewide (TIPS) database and referring hospital medical records from February 2013 to June 2018. Upon NICU discharge, children were referred to the TIPS program, with scheduled follow-up appointments at approximately 6 months corrected age. All patients seen in NICU follow-up clinic with recorded scores for maternal Edinburgh postnatal depression screen (EPDS) were eligible except infants with congenital heart disease as this cohort was previously studied. Patients were stratified into groups based on presence or absence of a general surgical procedure within the first 6 months of life and positive (≥ 10) or negative (< 10) EPDS score. Statistical analyses assessed for significant differences between groups regarding gestational age, birth weight, maternal age, length of NICU stay (LOS), number of days on a ventilator, payment method, ethnicity, developmental testing, and rate of referral for early intervention services. Results: Of 436 patients, 83 were surgical patients (16 with positive EPDS; 19.3% incidence), and 353 were non-surgical patients (44 with positive EPDS; 12.5% incidence). Statistical analysis showed no significant relationship between neonatal surgery and positive EPDS (χ2 = 2.6, p = 0.1). While the surgical cohort had longer LOS and days on ventilator, maternal EPDS did not predict these factors. In the surgical cohort, mothers of children not independent on oral feeding at discharge were more likely to screen positive for depression (7/14, 50% vs. 7/61, 11%; p < 0.05). Conclusion: Mothers of surgical patients are not significantly more likely to screen positive for post-partum depression compared to other NICU mothers. This underscores the importance of routine screening for PPD in mothers of both surgical and non-surgical NICU patients in order to identify parents and children at risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|