Personal Growth 4 Years After Premature Childbirth: The Role of Change in Maternal Mental Health

Porat‐Zyman, Ginna; Ben‐Ari, Orit Taubman –; Kuint, Jacob; Morag, Iris

doi:10.1007/s10902-018-0012-1

Cited by 8 publications

(9 citation statements)

References 37 publications

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“…About the time perspective, the emotional distress of parenting a critically ill newborn who has received care at a NICU does not seem to fade easily, and both grief and disempowerment, as well as the remembrance of family support and parental strengths, may persist for several years [ 33 ]. In the long term, there is also evidence (four years after giving birth) of greater personal growth among mothers that give birth preterm compared to mothers that give birth in the expected time [ 42 ], even though initial maternal mental health seems to be a mediating factor.…”

Section: Introductionmentioning

confidence: 99%

Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact

Baraldi

Westling

Smedler

et al. 2020

IJERPH

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With increasing survival rates of children born extremely preterm (EPT), before gestational week 28, the post-discharge life of these families has gained significant research interest. Quantitative studies of parental experiences post-discharge have previously reported elevated levels depressive symptoms, posttraumatic stress-disorder and anxiety among the parents. The current investigation aims to qualitatively explore the situation for parents of children born EPT in Sweden during the first year at home. Semi-structured interviews were performed with 17 parents of 14 children born EPT; eight parents were from an early intervention group and nine parents from a group that received treatment as usual, with extended follow-up procedures. Three main themes were identified using a thematic analytic approach: child-related concerns, the inner state of the parent, and changed family dynamics. Parents in the intervention group also expressed themes related to the intervention, as a sense of security and knowledgeable interventionists. The results are discussed in relation to different concepts of health, parent–child interaction and attachment, and models of the recovery processes. In conclusion, parents describe the first year at home as a time of prolonged parental worries for the child as well as concerns regarding the parent’s own emotional state.

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Section: Introductionmentioning

confidence: 99%

Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact

Baraldi

Westling

Smedler

et al. 2020

IJERPH

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“…The authors controlled for several variables which may lie along the causal pathway from a twin pregnancy to maternal mental illness, such as mental illness during pregnancy and severe maternal morbidity at birth. Existing evidence consists primarily of cohort studies such that population-level estimates are lacking, and studies rarely extend beyond 5 years postpartum 12,15,17 . Untreated, or undertreated, maternal mental illness is linked to a multitude of negative maternal and child outcomes, including chronic maternal mental illness and problems with child motor, language, and socio-emotional development [18][19][20][21] .…”

Section: Study Rationalementioning

confidence: 99%

“…Protective factors for perinatal mental illness related to socioeconomic status include financial support, instrumental support, decision making power at home, and employment status 19,88 . Risk factors for perinatal mental illness include unemployment, low income, lower educational attainment, recent immigration, poor marital quality, and single parenting 17,19,95,[104][105][106] . Aspects related to a mother's personality traits, including neuroticism, attachment anxiety and avoidance, and a more difficult child's temperament have also been demonstrated to be associated with risk of postpartum mental illness amongst mothers of multiples and singletons 14,19,94,98,105 .…”

Section: Personal and Socioeconomic Factorsmentioning

confidence: 99%

“…It has been shown to mitigate or exacerbate the negative effects of birth circumstance on maternal mental health, and has been demonstrated to be a strong confounder in models assessing risk factors for postpartum mental illness 17,95 . Socioeconomic and demographic factors may affect risk of severe mental illness, with studies demonstrating an association between socioeconomic deprivation, and risk of psychiatric hospitalization and intentional self-injury 82,83 .…”

Section: Personal and Socioeconomic Factorsmentioning

confidence: 99%

“…Further recent work on the topic comes from a longitudinal prospective cohort study which was conducted in Tel Hashomer, Israel, and resulted in several publications on the topic of twin pregnancy and maternal mental health outcomes 17,94,98,105,142 . Their group did not find an association between giving birth to twins and their primary outcomes of maternal wellbeing or distress 17,94,98,105,142 .…”

Section: Association Between Twin Pregnancy and Maternal Mental Illnessmentioning

confidence: 99%

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Twin pregnancy and severe maternal mental illness: a Canadian population-based cohort study

Lapinsky

Ray

Brown

et al. 2023

Arch Womens Ment Health

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Objective: To quantity the short-and long-term risks of severe maternal mental illness arising after a twin vs. singleton birth.Methods: This propensity-score weighted population-based retrospective cohort study comprised primiparous Canadian women aged 15-50 years. We compared 15,024 twin livebirths to 796,804 singletons livebirths, from 2003-2019. The primary composite outcome was a psychiatric emergency department visit, hospitalization, self-harm or suicide eventboth in the first year postpartum, and from 1 year postpartum up to 17 years post-delivery. Results:In the first year postpartum, after weighting, the rate of composite outcome events was 10.5 vs. 8.7 per 1000 person-years among twin and singleton births respectively (HR 1.21, 95% CI 1.07-1.47). Starting from 1 year postpartum, the corresponding rates were 5.9 vs. 6.1 per 1000 person-years (HR 0.96, 95% CI 0.89-1.04). Conclusions:Women with a twin birth may experience more severe adverse mental health within 1-year postpartum, but not in the long-term.I would like to thank everyone who assisted me with my studies and contributed to this thesis project. Specifically, I would like to thank my supervisor, Dr. Simone Vigod for her enthusiasm in working with an ObGyn resident, and her assistance, support, and encouragement throughout the process. I would also like to thank my thesis committee consisting of Dr. Hilary Brown, Dr. Kellie Murphy, and Dr. Joel Ray for their engagement with this project and ongoing support and positive feedback, as well as Kinwah Fung for her data support at ICES. As well, I would like to thank the University of Toronto Department of Obstetrics and Gynecology, and specifically Dr. Michèle Farrugia and Dr. John Kingdom for their logistical and financial support which allowed me to complete this degree during my residency. Finally, I would like to thank my friends and family for supporting me through the challenges and celebrating my successes.

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The Transition to Parenthood: From Adjustment to Personal Growth

Israelashvili

Ben‐Ari

2023

Advances in Prevention Science

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Personal Growth 4 Years After Premature Childbirth: The Role of Change in Maternal Mental Health

Cited by 8 publications

References 37 publications

Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact

Parents’ Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact

Twin pregnancy and severe maternal mental illness: a Canadian population-based cohort study

The Transition to Parenthood: From Adjustment to Personal Growth

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