Postpartum depression and associated risk factors during the COVID-19 pandemic

BMC Research Notes, Journal Year: 2022, Volume and Issue: 15(1)

Published: March 14, 2022

To describe postpartum depression and associated risk factors among patients in the United States (US) between February July 2020. This study used a cross-sectional descriptive design to collect survey data from convenience sample of who lived US delivered live infant after declared COVID-19 public health emergency.Our included 670 completed an online inclusive Edinburgh Postnatal Depression Scale (EPDS) selected demographic items (e.g. NICU admission status, gestational age, feeding method). In our sample, 1 3 participants screened positive for 5 had major depressive symptoms. Participants fed their infants formula 92% greater odds screening were 73% more likely screen symptoms compared those breastfed or bottle-fed with own human milk. admitted 74% positive. Each week increase weeks increased by 4%. worried about themselves contracting 71%

Language: Английский

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Trends in Mortality and Morbidities for Infants Born 24 to 28 Weeks in the US: 1997–2021

PEDIATRICS, Journal Year: 2023, Volume and Issue: 153(1)

Published: Dec. 6, 2023

BACKGROUND Mortality and morbidity for very preterm infants in the United States decreased years. The current study describes recent changes to assess whether pace of improvement has changed. METHODS Vermont Oxford Network members contributed data on born at 24 28 weeks’ gestation from 1997 2021. We modeled mortality, late-onset sepsis, necrotizing enterocolitis, chronic lung disease, severe intraventricular hemorrhage, retinopathy prematurity, death or by year birth using segmented relative risk regression, reporting risk-adjusted annual percentage with 95% confidence intervals overall gestational age week. RESULTS Analyses 447 396 888 hospitals identified 3 time point segments late onset morbidity, 4 enterocolitis. 2005 2021, but more slowly since 2012. Late-onset sepsis Severe prematurity 2002 2011. Necrotizing were stable 2015. Chronic disease increased Trends generally mirror those cohort. CONCLUSIONS Improvements mortality have slowed, stalled, reversed propose a 3-part strategy regain improvement: research; quality improvement; follow through, practicing social as well technical medicine improve health well-being families.

Language: Английский

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Trajectory of parental health-related quality of life after neonatal hospitalization – a prospective cohort study

Health and Quality of Life Outcomes, Journal Year: 2025, Volume and Issue: 23(1)

Published: March 15, 2025

Abstract Background Health-related quality of life is an important measure patient-reported outcomes. There limited evidence on how parental health-related develops after neonatal hospitalization. Objective To evaluate parents’ (HRQL) during the year following their infant’s treatment in intensive care unit (NICU). Methods This prospective cohort study, conducted at a German university hospital between 2020 – 2023, examined HRQL among parents infants hospitalized NICU for ≥ 14 days and discharged from maternity ward according to PedsQL™ Family Impact Module. Multiple linear regression analysis was performed identify associations affiliation differences HRQL. Key secondary outcome parenting sense competence (PSOC). Results Participants included 131 122 unexposed parents. increased over time mothers (58.7 days, 70.8 6 months, 77.0 12 months birth) fathers (69.8 73.9 75.7 months). significantly associated with lower (mothers: -20.26 points; P < .001; fathers: -9.40 = .04), but not or birth. At postpartum, showed higher PSOC compared (mean difference -4.85; 0.005). Conclusions Parents especially reported postpartum. improved, aligning that

Language: Английский

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Introduction to the Second Edition

Published: Jan. 1, 2025

Language: Английский

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Family Support and ICU Survivorship: Lessons Learned from the Pediatric Critical Care Experience

Published: Jan. 1, 2025

Language: Английский

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Parental Stress, Depression, Anxiety, and Participation in Neonatal Care in a Referral Brazilian NICU over Different Phases of the COVID-19 Pandemic

Children, Journal Year: 2025, Volume and Issue: 12(4), P. 496 - 496

Published: April 12, 2025

Background/Objectives: During the COVID-19 pandemic, neonatal care units had to change protocols, and little is known about its impact on parents' mental health. This study aimed evaluate parental stress, depression, anxiety, participation in a Brazilian intensive unit (NICU) observe changes over two different periods of pandemic. Methods: Cross-sectional comparing levels between time periods: T1, high incidence (May 2020 July March 2021 June 2021) T2, low (August February December 2021). High was considered more than 40 confirmed COVID-19-related deaths/day. Validate tools used were Parental Stressor Scale NICU (PSS:NICU); Edinburgh Postnatal Depression (EPDS); Scale-Anxiety subscale (EPDS-A); State-Trait Anxiety Inventory (STAI); Index Participation (IPP). Stress level pre-defined as primary outcome. Results: 106 parents (98 mothers, 8 fathers) 111 newborns included. Overall, 51.9% PSS:NICU score ≥ 3 (relevant stress level), 28.3% an EPDS-A 6 (indicating anxiety), 33.0% EPDS > 13 depression). At least one condition present 69 (65%) parents, while three conditions simultaneously observed 17 (16%) parents. No significant differences frequencies or anxiety periods. However, median occurrence (SOL) higher T1 when compared T2 (3.24 vs. 2.68; p = 0.02), mainly due "Parental role alteration" (3.80 3.17; 0.046). The not (p 0.23). Correlations both depression scores weak. significantly correlated other scores. Conclusions: Elevated among during seems have particularly influenced related alteration. These findings highlight importance regularly assessing health settings.

Language: Английский

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Parent Satisfaction With Neonatal Care

Advances in Neonatal Care, Journal Year: 2025, Volume and Issue: unknown

Published: April 15, 2025

Background: Understanding parent satisfaction with care is an integral part of ensuring delivery family-focused and responsive to family needs, preferences, values. Purpose: The purposes the study were describe parental neonatal care, assess differences between scores identify areas for improvement. Methods: A secondary analysis data collected from online survey intensive unit (NICU) experiences during early months COVID-19 Pandemic in United States was used. Parent NICU measured using EMpowerment PArents THe Intensive Care (EMPATHIC) scale. Descriptive statistics described individual items, domain scores, total score. Independent t-tests Bonferroni correction compared this previously published results. Results: 159 mothers 5 fathers responded EMPATHIC overall mean all significantly different a pre-pandemic sample where consistently higher. Parents indicated their desire more cultural competence, emotional support, acknowledgement, space discuss experience, guidance discharge, better medication information quicker response infant’s condition. Implications Practice Research: Our identified statistically significant our found absolute difference 3 be > 1, suggesting clinical significance. We able offer clarity about what factors contributing higher or lower scores.

Language: Английский

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Family Experience with Hospital Care Teams: A Qualitative Investigation

Hospital Pediatrics, Journal Year: 2025, Volume and Issue: unknown

Published: April 21, 2025

OBJECTIVE Research on families’ experiences in hospital settings has typically focused quantitative assessments of patient experience or narrow aspects care, specific conditions, particular service lines units. The current study provides depth insight into cross-cutting issues experienced by families across hospitals the United States. PATIENTS AND METHODS Parents and guardians children who spent at least 1 night a setting during last 12 months were recruited from KnowledgePanel, probability-based online panel that is geographically diverse representative US population. Fifty-two parents participated hour-long, researcher-administered qualitative interviews about their family’s experience. Care was delivered variety types, for range medical conditions. Parent transcribed coded. RESULTS In addition to topics highlighted prior work, parent identified several important widespread geographic regions, types. Themes included importance keeping informed throughout stay, unique perspectives related perceived clinical quality, significant room improvement interactions with trainees, observable gaps care coordination, shared decision-making practices, need vigilance advocacy pediatric hospitalizations. CONCLUSIONS detailed accounts provided contain wealth information can inform quality efforts generally. Hospitals may also wish engage meaningful conversations themes this article.

Language: Английский

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Effects of a virtual supportive program on the knowledge of mothers of preterm infants and their bonding

Infant Mental Health Journal, Journal Year: 2025, Volume and Issue: unknown

Published: April 24, 2025

Abstract This quasi‐experimental study examined the effect of a virtual supportive program on knowledge among mothers preterm infants and their bond. Mothers are at risk becoming emotionally detached from because immediate separation lack support during early postpartum period, especially in who cannot visit infant regularly. To best our knowledge, no Thailand has effects for these mothers, as most scholars have focused promoting mother–infant interaction to improve bonding enhancing mothers’ about before discharge. recruited 74 with receiving neonatal intensive intermediate care Thailand. The participants were matched according infants’ gestational ages assigned into following two groups: experimental group support, control routine care. results showed that significantly improved cues maternal roles well bonding. Consistent first week visitation was essential, providing information premature emotional

Language: Английский

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Parental Perceptions of the Impact of NICU Visitation Policies and Restrictions Due to the COVID-19 Pandemic

Advances in Neonatal Care, Journal Year: 2023, Volume and Issue: unknown

Published: April 10, 2023

The COVID-19 pandemic has impacted parents' ability to participate in their infants' care during the neonatal intensive unit (NICU) stay unprecedented ways.The purpose of this study was explore lived experience parents whose infants NICU pandemic.A qualitative telephone interview survey conducted. Participants included preterm who were born less than 34 weeks' gestation first wave (March 2020-August 2020). Telephone surveys conducted through open-ended questions. A thematic content analysis identifying themes performed after interviews completed and transcribed.A total 8 mothers survey. Key from include experiencing increased stress due restricted visitation policies, limited opportunities for infant, lack support, inconsistent communication regarding infant status protocols.Suggestions provided enhance services increasing parental engagement NICU, enhanced empathy compassion team, open transparent communication.Further research investigating cultural impact on perspectives, perspectives fathers, long-term how coped discharge emotional staff members may be beneficial aid improvements service delivery ongoing future pandemic.

Language: Английский

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