The relationship between neonatal encephalopathy and maternal postpartum depression

Laudi, Andrea; Peeples, Eric S.

doi:10.1080/14767058.2019.1571574

“…As expected, EPDS scores at 5–7 days were higher than at 8 weeks postpartum, but the scores were also higher (worse) than those in population studies30 31 and in a US study of mothers of infants with HIE 32. Breastfeeding is negatively associated with postnatal depression,33 but breastfeeding rates at discharge and 8 weeks in this study were higher than those seen in babies undergoing standard care nationally 21…”

Section: Discussionsupporting

confidence: 58%

Physiological responses to cuddling babies with hypoxic–ischaemic encephalopathy during therapeutic hypothermia: an observational study

Odd

¹

,

Okano

²

,

Ingram

³

et al. 2021

bmjpo

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Objectives To determine whether parents cuddling infants during therapeutic hypothermia (TH) would affect cooling therapy, cardiorespiratory or neurophysiological measures. The secondary aim was to explore parent–infant bonding, maternal postnatal depression and breastfeeding. Design Prospective observational study. Setting Two tertiary neonatal intensive care units (NICU). Participants Parents and their term-born infants (n=27) receiving TH and intensive care for neonatal hypoxic–ischaemic encephalopathy. Interventions Cuddling up to 2 hours during TH using a standard operating procedure developed in the study (CoolCuddle). Main outcome measures Mean difference in temperature, cardiorespiratory and neurophysiological variables before, during and after the cuddle. Secondary outcomes were parental bonding, maternal postnatal depression and breastfeeding. Results During 70 CoolCuddles (115 cumulative hours), there were measurable increases in rectal temperature (0.07°C (0.03 to 0.10)) and upper margin of amplitude-integrated electroencephalogram (1.80 µV (0.83 to 2.72)) and decreases in oxygen saturations (−0.57% (−1.08 to −0.05)) compared with the precuddle period. After the cuddle, there was an increase in end-tidal CO2 (0.25 kPa (95% CI 0.14 to 0.35)) and mean blood pressure (4.09 mm Hg (95% CI 0.96 to 7.21)) compared with the precuddle period. From discharge to 8 weeks postpartum, maternal postnatal depression declined (13 (56.5%) vs 5 (23.8%), p=0.007); breastfeeding rate differed (71% vs 50%, p=0.043), but was higher than national average at discharge (70% vs 54.6%) and mother–infant bonding (median (IQR): 3 (0–6) vs 3 (1–4)) remained stable. Conclusion In this small study, CoolCuddle was associated with clinically non-significant, but measurable, changes in temperature, cardiorespiration and neurophysiology. No infant met the criteria to stop the cuddles or had any predefined adverse events. CoolCuddle may improve breastfeeding and requires investigation in different NICU settings.

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“…e duration in first, second, and third stages of labor in group A was significantly lower than that in group B (P < 0.001). Laudi and Peeples [19] have stated in their studies that after the primiparas with natural childbirth are treated with perineum block anaesthesia combined with unprotected perineal delivery, their perineal integrity rate is 23.45%, which is significantly higher than that of 6.12% in the routine group, indicating that perineum block anaesthesia combined with unprotected perineal delivery can improve maternal perineal integrity rate because unprotected perineal delivery can reduce the compression of maternal perineum and relax perineal musculature under the guidance of medical staff, so as to relieve delivery injuries. Clinical practice has confirmed [20] that maternal positions during delivery may affect fetal Evidence-Based Complementary and Alternative Medicine arterial blood pressure and neonatal growth as well as development to some extent.…”

Section: Discussionmentioning

confidence: 99%

Effect of Perineum Block Anesthesia Combined with Unprotected Perineal Delivery on the Perineal Integrity Rate and Maternal-Infant Outcomes in Primiparas Taking Health Products Containing Traditional Chinese Medicine

Liu

¹

,

Ge

²

,

Zhang

³

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. The purpose of the study was to investigate the effect of perineum block anaesthesia combined with unprotected perineal delivery on the perineal integrity rate and maternal-infant outcomes in primiparas taking health products containing traditional Chinese medicine (TCM). Methods. A total of 120 puerperae admitted to our hospital from July 2019 to July 2020 were selected as study subjects and divided into group A (n = 60) and group B (n = 60), according to the number table method. Both groups took health products containing TCM, and the puerperae in group A received perineum block anaesthesia combined with unprotected perineal delivery, while those in group B were treated with routine delivery combined with routine protected perineal delivery. After that, the effect of different delivery modes on the perineal integrity rate and maternal-infant outcomes in puerperae was analyzed by the comparison of delivery condition, perineal condition, and postpartum quality of life between the two groups. Results. There were no significant differences in average age and other general data between the two groups ( P > 0.05 ); the duration in first, second, and third stages of labor in group A was significantly lower than that in group B ( P < 0.001 ); the Apgar score in group A was significantly higher than that in group B ( P < 0.001 ); the number of puerperae with integrated perineum in group A was significantly higher than that in group B ( P < 0.05 ), while the number of puerperae receiving episiotomy in group A was significantly lower than that in group B ( P < 0.05 ); the quality of life score in group A was significantly higher than that in group B ( P < 0.001 ); the incidence of maternal postpartum complications in group A was significantly lower than that in group B ( P < 0.05 ). Conclusion. Perineum block anaesthesia combined with unprotected perineal delivery can effectively shorten maternal labor duration, improve perineal integrity rate, and reduce laceration of perineum, with a significant therapeutic effect, which is worthy of application and promotion.

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“…Further, we found a strong negative association between the medical insurance of lactating women (regardless of type) and PPD symptoms, compared to people without medical insurance. Similarly, previous studies have shown that a lack of medical insurance or medical assistance plans prevents postpartum mothers from receiving treatment and mental health support, which would increase the possibility of PPD (Bhat et al, 2020;Epperson et al, 2020;Laudi and Peeples, 2020).…”

Section: Demographic and Lactating Factors Predicting Postpartum Depr...mentioning

confidence: 92%

The relationship between social capital and postpartum depression symptoms of lactating women in minority areas—A cross-sectional study from Guangxi, China

Qin

¹

,

Guo²,

Li³

et al. 2022

Front. Psychol.

1

0

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BackgroundPostpartum depression (PPD) is the most common mental illness affecting women during lactation, and good social capital is considered a protective factor. This study aimed to investigate PPD symptoms, and explore the relationships between social capital and PPD symptoms of lactating women in southwest minority areas in China.Materials and methodsThis cross-sectional study was conducted among 413 lactating women in Guangxi, China. Data were collected using the Edinburgh Postnatal Depression Scale and the Chinese version of the Social Capital Assessment Questionnaire. Hierarchical regression analysis was conducted to explore the factors influencing PPD symptoms, and a structural equation model was used to examine how social participation and cognitive social capital mediated PPD symptoms.ResultsThe total prevalence of PPD symptoms (score > 12) was 16.46%, and that of mild depression symptoms (9–12 score) was 22.03%. Nine variables predicted PPD symptoms and explained 71.6% of the variance in the regression model: higher age, lack of medical security, fixed occupation, breastfeeding time, self-caregiver, maternity leave, social participation, social trust, and social reciprocity. Furthermore, cognitive social capital mediated the relationship between social participation and PPD symptoms, with a mediation effect rate was 44.00%.ConclusionThe findings of this study highlight that social capital, support from family members, maternity leave, and medical insurance play protective roles in the PPD symptoms of lactating women. It is necessary to improve social capital as a key strategy for interventions for PPD symptoms, and active social participation activities are critical to reducing PPD symptoms among lactating women in minority areas.

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The relationship between neonatal encephalopathy and maternal postpartum depression

Cited by 12 publications

References 18 publications

Physiological responses to cuddling babies with hypoxic–ischaemic encephalopathy during therapeutic hypothermia: an observational study

Physiological responses to cuddling babies with hypoxic–ischaemic encephalopathy during therapeutic hypothermia: an observational study

Effect of Perineum Block Anesthesia Combined with Unprotected Perineal Delivery on the Perineal Integrity Rate and Maternal-Infant Outcomes in Primiparas Taking Health Products Containing Traditional Chinese Medicine

The relationship between social capital and postpartum depression symptoms of lactating women in minority areas—A cross-sectional study from Guangxi, China

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