Impact of maternal stressors and neonatal clinical factors on post-partum depression screening scores

Higher rates of postpartum depression (PPD) are reported in mothers of neonatal intensive care unit (NICU) hospitalized infants. The relationship of neonatal clinical risk factors and self-reported maternal stress levels to positive PPD screening is not well characterized. To determine the feasibili...

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Published in:The journal of maternal-fetal & neonatal medicine 2022-04, Vol.35 (7), p.1328-1336
Main Authors: Levinson, Michelle, Parvez, Boriana, Aboudi, David, Shah, Shetal
Format: Article
Language:English
Subjects:
Adult
anxiety
Breast Feeding
Depression, Postpartum - diagnosis
Depression, Postpartum - epidemiology
Female
Humans
Infant
Infant, Newborn
Intensive Care Units, Neonatal
maternal mental health
mood disorders
Mothers
Postpartum depression
Pregnancy
Prospective Studies
stress
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Summary:Higher rates of postpartum depression (PPD) are reported in mothers of neonatal intensive care unit (NICU) hospitalized infants. The relationship of neonatal clinical risk factors and self-reported maternal stress levels to positive PPD screening is not well characterized. To determine the feasibility of postpartum depression screening in a regional perinatal center, and assess the association of NICU-specific comorbidities and maternal stress levels with PPD screening scores. Prospective study of mothers of NICU-hospitalized infants conducted between 21and 30 days of their infant's life. Mothers completed the Edinburgh Postpartum Depression scale (EPDS) and the Parental Stressor Scale: NICU (PSS: NICU) in the environmental, infant behavior and parental domains. Total EPDS scores and positive PPD screening were correlated with NICU comorbidities, demographic factors and PSS: NICU scores. The incidence of positive PPD screening was 19% (25/135). In bivariate analysis, positive PPD screen was associated with exclusive breastfeeding (67% vs, 35%, p 
ISSN:1476-7058
1476-4954
DOI:10.1080/14767058.2020.1754394