Postpartum depression on the neonatal intensive care unit: current perspectives

Tahirkheli, Noor N.; Cherry, Amanda S.; Tackett, Alayna P.; McCaffree, Mary Anne; Gillaspy, Stephen R.

doi:10.2147/ijwh.s54666

Cited by 36 publications

(31 citation statements)

References 84 publications

(141 reference statements)

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“…Postpartum depression (PPD) occurs in ~15.7% of new mothers in the general population, 1 and up to 80% of new mothers experience symptoms of depression such as fatigue and mood swings. 2 , 3 Although considered to be the most common complication of childbirth, 4 , 5 PPD is underidentified, underdiagnosed, and undertreated. 4 , 6 Compared with mothers of healthy term infants, the rate of PPD increases to 28%–70% for mothers of infants admitted to the Neonatal Intensive Care Unit (NICU) setting.…”

Section: Introductionmentioning

confidence: 99%

“…2 , 3 Although considered to be the most common complication of childbirth, 4 , 5 PPD is underidentified, underdiagnosed, and undertreated. 4 , 6 Compared with mothers of healthy term infants, the rate of PPD increases to 28%–70% for mothers of infants admitted to the Neonatal Intensive Care Unit (NICU) setting. 4 , 7 More specifically, mothers of preterm infants are 40% more likely to develop PPD than the general population.…”

Section: Introductionmentioning

confidence: 99%

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Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Cherry¹,

Blucker²,

Thornberry³

et al. 2016

JMDH

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ObjectiveThe aims of this project were to describe the development of a postpartum depression screening program for mothers of infants in the Neonatal Intensive Care Unit and assess the implementation of the screening program.MethodsScreening began at 14 days postpartum and was implemented as part of routine medical care. A nurse coordinator facilitated communication with mothers for increasing screen completion, review of critical self-harm items, and making mental health referrals. During the 18-month study period, 385 out of 793 eligible mothers completed the screen.ResultsApproximately 36% of mothers had a positive screen that resulted in a mental health referral and an additional 30% of mothers had screening results indicating significant symptoms.ConclusionSeveral barriers were identified, leading to adjustments in the screening process, and ultimately recommendations for future screening programs and research. Development of a postpartum depression screening process in the Neonatal Intensive Care Unit involves support, training, implementation, and coordination from administrators, medical staff, new mothers, and mental health specialists. Several predictable challenges to program development require ongoing assessment and response to these challenges.RelevanceThis study highlights the expanding role of the psychologist and behavioral health providers in health care to intervene as early as possible in the life of a child and family with medical complications through multidisciplinary program development and implementation, as well as key considerations for institutions initiating such a program.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Cherry¹,

Blucker²,

Thornberry³

et al. 2016

JMDH

Self Cite

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“…Depression after delivery is a common psychiatric condition which is called postpartum depression (PPD) [53]. Vitamin D as a neurosteroid suggested having a role in various brain functions and depression by several potential mechanisms.…”

Section: Postpartum Depression (Ppd) or Anxietymentioning

confidence: 99%

Maternal Vitamin D Status among Different Ethnic Groups and Its Potential Contribution to Adverse Pregnancy and Child Outcomes

Keshavarz¹,

Jandaghi²,

Shafiee³

et al. 2020

Vitamin D Deficiency

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Maternal vitamin D deficiency in pregnancy is a widespread public health concern. Race and ethnicity as biological and cultural factors, respectively, can affect vitamin D status through differences in skin color, sunlight exposure, and dietary intake. Low maternal vitamin D status in pregnancy may affect both mother and fetus adversely. Vitamin D deficiency and insufficiency are linked to a wide variety of adverse pregnancy outcomes such as gestational diabetes, preeclampsia, and preterm delivery. Furthermore, maternal vitamin D deficiency has been linked to several adverse health outcomes in infants and children. The examples include, but not limited to, impaired growth, skeletal problems, and autoimmune diseases such as type 1 diabetes and asthma. This chapter reviews the vitamin D status during pregnancy across different ethnic groups, looking into the adverse pregnancy and child outcomes, followed by a discussion on the association between maternal and child vitamin D status and successful interventions. Strong evidence exists about the association between vitamin D and some health outcomes during pregnancy, while more studies are needed to confirm the other claim. The existing body of evidence justifies the need for well-designed policies and systematic interventions to ensure optimal vitamin D status of pregnant women and their offsprings across different ethnic and racial groups.

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“…Co-regulated strategies for preterm infants during feeding include initiation of feeding based on the infant's readiness, regulation of milk flow to support the infant's sucking and breathing rhythms, and minimization of infant stimulation during feeding (Thoyre, Holditch-Davis, Schwartz, Melendez Roman, & Nix, 2012). At the same time, mothers of preterm infants experience significant psychological distress, in particular elevated levels of depression, anxiety, NICU-related and post-traumatic stress, and worry (Holditch-Davis et al, 2009; Rogers, Kidokoro, Wallendorf, & Inder, 2013; Tahirkheli, Cherry, Tackett, McCaffree, & Gillaspy, 2014). This increased maternal distress has been noted to be related negatively to a mother's ability to read her infants cues that signal the need for co-regulation during the interaction and to respond sensitively and consistently (Forcada-Guex, Borghini, Pierrehumbert, Ansermet, & Muller-Nix, 2011; Holditch-Davis, Miles, Burchinal, & Goldman, 2011).…”

Section: Introductionmentioning

confidence: 99%

Mothers' Psychological Distress and Feeding of Their Preterm Infants

Park

Thoyre

Estrem

et al. 2016

McN: The American Journal of Maternal/Child Nursing

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Purpose To examine the change in psychological distress of mothers of preterm infants and its association with maternal feeding behaviors as the infant transitions to full oral feeding. Study Design and Methods This descriptive exploratory study used a subset of data from a study of the effects of a co-regulated feeding intervention for 34 mothers and hospitalized preterm infants in a level-III neonatal intensive care unit (NICU). Maternal psychological distress was measured by maternal worry (Child Health Worry Scale), depression (Center for Epidemiology-Depression Scale), and role stress (Parental Stress Scale: NICU-Role Alteration) at three time points: within one week prior to the first oral feeding (T1), and at achievement of half (T2) and full oral feeding (T3). Feedings were videotaped at T2 and T3. An observational coding system measured maternal feeding behaviors. Linear mixed modeling evaluated the change in maternal psychological distress and its association with mothers' feeding behaviors as the infant transitioned to full oral feeding. Results Maternal depressive symptoms were highest at T1 and declined over time. Maternal worry and role stress were also highest at T1 but remained stable from T2 to T3. Increased maternal psychological distress, particularly depressive symptoms and role stress, were associated with less use of developmentally supportive feeding behaviors, i.e., minimizing tactile stimulation, providing steady touch to contain or stabilize the infant, and regulating milk flow. Clinical Implications Supporting maternal psychological well-being while infants are learning to feed orally may be an appropriate target for interventions to support mother-infant early feeding interactions.

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Postpartum depression on the neonatal intensive care unit: current perspectives

Cited by 36 publications

References 84 publications

Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Postpartum depression screening in the Neonatal Intensive Care Unit: program development, implementation, and lessons learned

Maternal Vitamin D Status among Different Ethnic Groups and Its Potential Contribution to Adverse Pregnancy and Child Outcomes

Mothers' Psychological Distress and Feeding of Their Preterm Infants

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