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Published on: June 13, 2021
Postpartum Mental Health Problems in the Mothers of Very, Moderately and Late Preterm Infants During and After
Magdalena Chrzan-Dętkoś1, Natalia Murawska1, Marta Łockiewicz1
1Institute of Psychology, University of Gdańsk, Gdańsk, Poland, ug.edu.pl.
Insights
Mothers of very preterm infants experience more depressive symptoms, regardless of the COVID-19 pandemic. Factors like financial strain and previous mental health issues predict postpartum mental health problems in mothers of preterm babies.
Area of Science:
- Perinatal mental health
- Maternal psychology
- Public health
Background:
- Preterm birth (PTB) affects approximately 11% of women globally, a challenge exacerbated by the COVID-19 pandemic.
- The pandemic introduced additional stressors for mothers experiencing preterm birth.
Purpose of the Study:
- To analyze the impact of the COVID-19 pandemic on maternal mental health symptoms (depression, anxiety, anhedonia, self-harm thoughts) in mothers of preterm infants.
- To compare symptom severity across different categories of preterm birth (very, moderate, late).
- To identify socio-demographic, psychological, birth-related, and COVID-19-related risk factors for increased maternal mental health symptoms.
Main Methods:
- A total of 948 mothers of preterm infants participated in midwife-led postpartum depression (PPD) screening.
- Data collected via sociodemographic survey and Edinburgh postnatal depression scale (EPDS).
- Statistical analyses included t-tests, ANOVAs, chi-square tests, and hierarchical multiple regression.
Main Results:
- Mothers of very preterm infants reported higher depressive symptoms compared to those with moderately or late preterm infants.
- Women giving birth during COVID-19 showed a trend towards higher anxiety but not depression.
- Significant predictors of poor maternal mental health included financial difficulties, higher education, prior mental health issues, and infant health complications (low birth weight, medical issues).
Conclusions:
- Depressive symptom severity in mothers of preterm infants is linked to gestational age, not the COVID-19 pandemic.
- Mothers of very preterm infants require enhanced postpartum support.
- Gestational age is a critical factor in postpartum maternal mental health outcomes.
Background:
Preterm birth (PTB) affects ~11% of women worldwide. The COVID-19 pandemic put an additional burden on this already challenging situation.
Aims:
We aimed to analyse (1) the impact of the COVID-19 pandemic on the severity of specific depressive, anhedonia, anxiety and self-harm thoughts (SHTs) symptoms in mothers of preterm babies, (2) differences in the severity of these symptoms among mothers who gave birth very preterm, moderately and late preterm and (3) potential socio-demographic, psychological, birth-related and COVID-19-related factors associated with an increase in the mothers' scores.
Methods:
A total of 948 mothers of preterm children took part in a midwife-led postpartum depression (PPD) screening; 543 of them gave birth during the pandemic, and 405-after. A sociodemographic survey and the Edinburgh postnatal depression scale (EPDS) were administered. To investigate possible differences between comparison groups, we conducted t-tests, one-way ANOVAs with Tukey post hoc tests, and chi-square tests. Several hierarchical multiple regression analyses were performed to assess possible risk factors for postpartum mental health problems.
Results:
We found that mothers who gave birth to very preterm children scored higher in depressive symptoms than mothers of moderately and late preterm children. In general, women who gave birth during COVID-19 scored higher in anxiety (a statistical trend), but not in depression. The significant predictors of increased mental health problems were a worse financial situation, a higher education level, previous maternal mental health problems and a child's physical health (lower birth weight and the presence of medical complications during delivery).
Conclusions:
The severity of depressive symptoms was not explained by COVID-19, but gestational age. It shows that mothers of very preterm infants need additional attention and support in the postpartum period.
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