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Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants

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The Relationship Between Neonatal Surgery, Postpartum Depression, and Infant Clinical Course.

Laura E Newton^1,2, Clara Hageman^1,3, Christina Zhou¹

¹College of Medicine, University of Nebraska Medical Center, S 42nd and Emile St., Omaha, NE, 68198, USA.

Maternal and Child Health Journal

|January 22, 2022

Summary

This summary is machine-generated.

Mothers of surgical infants in the neonatal intensive care unit (NICU) do not have a significantly higher incidence of postpartum depression (PPD). Routine PPD screening is crucial for all NICU mothers, regardless of surgical status.

Keywords:

Maternal depression Mental health Neonatal surgery

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Area of Science:

Neonatal care
Maternal mental health
Surgical outcomes

Background:

Postpartum depression (PPD) affects 10-15% of mothers, with higher rates in those with infants requiring neonatal intensive care unit (NICU) admission.
Previous studies indicate increased PPD incidence for mothers of infants with serious health conditions.

Purpose of the Study:

To investigate the incidence of PPD in mothers of surgical patients admitted to the NICU.
To characterize the clinical and neurodevelopmental outcomes of these surgical infants.
To compare PPD incidence between mothers of surgical and non-surgical NICU patients.

Main Methods:

Retrospective cohort study using Nebraska's Tracking Infant Progress Statewide (TIPS) database and hospital records (February 2013 - June 2018).
Included NICU patients referred to TIPS at discharge, excluding infants with congenital heart disease.
Maternal Edinburgh postnatal depression screen (EPDS) scores were analyzed, stratifying patients by surgical status and EPDS positivity (≥10).

Main Results:

Of 436 patients, 83 were surgical (19.3% PPD incidence) and 353 non-surgical (12.5% PPD incidence).
No significant relationship was found between neonatal surgery and positive EPDS (p=0.1).
Mothers of surgical infants not independently feeding at discharge showed higher PPD rates (50% vs. 11%, p<0.05).

Conclusions:

Mothers of surgical NICU patients do not exhibit a significantly higher incidence of PPD compared to non-surgical NICU patients.
Routine PPD screening is essential for all mothers with infants in the NICU to identify at-risk parents and children.
Maternal PPD status did not predict longer NICU stays or ventilator days in the surgical cohort.