Late preterm birth is a strong predictor of maternal stress later in life: Retrospective cohort study in school‐aged children

Polić, Branka; Bubić, Andreja; Meštrović, Julije; Markić, Joško; Kovačević, Tanja; Juric, Milan; Tesija, Roberta Andrea; Susnjar, Helena; Kolčić, Ivana

doi:10.1111/jpc.13167

Cited by 11 publications

(11 citation statements)

References 29 publications

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“…And it was certainly more possible for them to contract disease than non-premature infants. Therefore, women with premature delivery had a higher risk of postpartum depression [26]. In addition, infants with low birth weight had lighter weight at 4 weeks of age, which were only indirectly linked to maternal postpartum depression, because their mothers are more worried about their growth or even undergo an excessively strong anxiety [27].…”

Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum depression among Chinese women: path model analysis

Liu

Yan

Gao

et al. 2017

BMC Pregnancy Childbirth

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BackgroundPostpartum depression causes harm to both mothers and infants. The purpose of this study was to find out several potential risk factors, and to identify the intrinsic interrelationships between factors and postpartum depression by constructing a path model. The results of this study may help to control the increasing incidence of maternal postpartum depression.MethodsThe study was based on a sample of mothers from a cross-sectional study which was set up at 4 weeks after a mother had childbirth and was conducted in three streets at Kaifu District of Changsha in Hunan province from January to December 2015. Questionnaires were distributed to subjects who responded to questions concerning factors related to pregnancy, delivery and infants within 4 weeks after childbirth. The Edinburgh Postnatal Depression Scale (EPDS) was used to measure postpartum depression. Chi-square test was used to detect significant differences between non-postpartum depression group and postpartum depression group. A path model was constructed to explore the interrelationships between variables, and to verify the relationships between variables and postpartum depression.ResultsThe proportion of maternal postpartum depression was 6.7%. Univariate analysis showed that there were significant differences between non-postpartum depression group and postpartum depression group (all P-values <0.05) on the part of maternal age, parity, frequent exposure to mobile phone during pregnancy, gestational hypertensive disorders, fetus number, premature delivery, birth weight, initiation of breastfeeding, mode of feeding, infant illness within 4 weeks after delivery and infant weight at 4 weeks. Path analysis results showed that the final model could be fitted well with sample data (P = 0.687, CMIN/DF = 0.824, NFI = 0.992, RFI = 0.982, IFI = 1.002, TLI =1.004, CFI = 1.000 and RMSEA < 0.001). Frequent exposure to mobile phone during pregnancy, maternal age and gestational hypertensive disorders had both direct and indirect effects on postpartum depression. Mode of feeding and infant weight at 4 weeks, which was the most total effect on postpartum depression, had only a direct impact on postpartum depression. Fetus number, premature delivery, initiation of breastfeeding and birth weight had only an indirect influence on postpartum depression.ConclusionThe findings of this study suggest that constructing a path analysis model could identify potential factors and explore the potential interrelations between factors and postpartum depression. It is an effective way to prevent maternal postpartum depression by taking appropriate intervention measures and carrying out health education for pregnant women.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-017-1320-x) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Risk factors for postpartum depression among Chinese women: path model analysis

Liu

Yan

Gao

et al. 2017

BMC Pregnancy Childbirth

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“…Prematurity can be seen as a child‐driven source of stress. Mothers of prematurely born infants are at risk for experiencing emotional distress and for worrying about their child's health and development as well as regarding their relationship with their child and their fulfillment of the parental role (e.g., Al Maghaireh et al., ; Borghini et al., ; Miles & Holditch‐Davis, ; Polic et al., ), even when medical risk is low (e.g., Gueron‐Sela, Atzaba‐Poria, Meiri, & Marks, ), leading to preoccupation with disturbing thoughts. On the other hand, household chaos is perceived as an environment‐driven source of stress, creating overload due to noise, unpredictability, and crowding being present in a mother's environment and causing stress.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, prematurity is associated with an increase in parents' concerns regarding their infant's health and development (e.g., Al Maghaireh et al, 2016). Parenting stress and posttraumatic symptoms among mothers of prematurely born children appear to continue from infancy (e.g., Borghini et al, 2014;Holditch-Davis, Bartlett, Blickman, & Miles, 2003) through middle-childhood (Polic et al, 2016), and unresolved maternal grief following premature birth has been associated with a risk for insecure attachment (Shah, Clements, & Poehlmann, 2011). These findings highlight the importance of research on prematurity as a stressful context.…”

Section: Maternal Mentalization and Behavior Under Stressmentioning

confidence: 99%

Maternal Mentalization and Behavior Under Stressful Contexts: The Moderating Roles of Prematurity and Household Chaos

Yatziv¹,

Gueron‐Sela²,

Meiri

et al. 2018

Infancy

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This study examines the links between online maternal mentalization during mother–infant interaction, maternal sensitivity, and family triadic interaction while considering the cumulative role of two stressful contexts (cumulative stressful contexts): premature birth (a child‐driven stressful context) and household chaos (an environment‐driven stressful context). Two moderation models were tested on a sample of 134 families with 6‐month‐old infants (77 low‐risk preterm, 57 full‐term). Cumulative stressful contexts mitigated the relations between maternal mentalization and behavior, such that online maternal mentalization during mother–infant interaction was related to both maternal sensitivity and the quality of family triadic interaction under low cumulative stressful contexts, but not under high cumulative stressful contexts. Implications for understanding the influence of online maternal mentalization on maternal sensitivity and the family triad are discussed.

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“…These results should encourage further evaluation of the interaction between prematurity, health problems upon birth, and the ICU treatment and their influence on long-term behavioral outcomes and QoL in children born late preterm. This is particularly important because immaturity and related problems are associated with higher level of stress in mothers of children born late preterm, which can last a long time after birth ( 31 ).…”

Section: Discussionmentioning

confidence: 99%

Emotional and behavioral outcomes and quality of life in school-age children born as late preterm: retrospective cohort study

et al. 2017

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AimTo determine the effect of late preterm birth and treatment at the intensive care unit (ICU) on school-age children’s emotional and behavioral problems and quality of life (QoL).MethodsEmotional and behavioral problems and QoL were investigated in 6-12-year-olds who were born late preterm at the University Hospital Center Split in the period from January 2002 to March 2008. The study included 126 late preterm children treated in ICU (LP-ICU group), 127 late preterm children not treated in ICU (LP-non-ICU group), and 131 full-term children treated in ICU (FT-ICU group). Emotional and behavioral difficulties were assessed using the Child Behavior Checklist. QoL was evaluated with the Royal Alexandra Hospital for Children Measure of Function questionnaire. The data was collected via telephone interview with mothers during 2014.ResultsLate preterm children had a nearly 5-fold risk for internalizing problems in comparison with FT-ICU children (OR 4.76, 95% confidence interval [CI] 2.37-9.56 and OR 4.82, 95% CI 2.25-10.37 in LP-ICU and LP-non-ICU children, respectively). They also had a greater risk for externalizing problems (OR 3.08, 95% CI 1.44-6.61 and OR 2.68, 95% CI 1.14-6.28, respectively) and total problems (OR 6.29, 95% CI 2.86-13.83 and OR 7.38, 95% CI 3.08-17.69, respectively) and a considerably increased risk for lower QoL (OR 12.79, 95% CI 5.56-29.41 and OR 5.05, 95% CI 2.04-12.48, respectively).ConclusionChildren born late preterm had a greater risk for emotional and behavioral problems and lower QoL during childhood than their full-term born peers and they experienced serious health problems upon birth.

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Late preterm birth is a strong predictor of maternal stress later in life: Retrospective cohort study in school‐aged children

Abstract: Results indicate that preterm birth and its complications are associated with a higher level of stress in mothers, that persists to school age.

Cited by 11 publications

References 29 publications

Risk factors for postpartum depression among Chinese women: path model analysis

Risk factors for postpartum depression among Chinese women: path model analysis

Maternal Mentalization and Behavior Under Stressful Contexts: The Moderating Roles of Prematurity and Household Chaos

Emotional and behavioral outcomes and quality of life in school-age children born as late preterm: retrospective cohort study

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