The influence of multiple birth and bereavement on maternal and family outcomes 2 and 7years after very preterm birth
| Autor: | Lex W. Doyle, Shannon E. Scratch, Carmen C Pace, Alexandra Ure, Karli Treyvaud, Peter J. Anderson, Andrea C. Aldana |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Pediatrics Twins Mothers Context (language use) Anxiety Multiple Birth Offspring 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Surveys and Questionnaires Infant Mortality medicine Very Preterm Birth Humans 030212 general & internal medicine Early childhood Longitudinal Studies Child Fetal Death Triplets Obstetrics Depression Infant Newborn Obstetrics and Gynecology Infant Infant Low Birth Weight medicine.disease Infant mortality Low birth weight Mental Health Child Preschool Infant Extremely Premature Pediatrics Perinatology and Child Health Multiple birth Female Family Relations medicine.symptom Pregnancy Multiple Psychology Infant Premature Stress Psychological Bereavement |
| Zdroj: | Early human development. 100 |
| ISSN: | 1872-6232 |
| Popis: | Psychological distress has been reported by mothers of infants born very preterm (VPT) and by mothers of multiples (twins and triplets). This study examined the influence of i) multiple birth and ii) bereavement associated with a multifetal pregnancy, on mental health, parenting stress and family functioning for mothers of children born VPT across early childhood.Participants were 162 mothers of 194 infants (129 singletons, 65 multiples) born at30weeks' gestation or with a birth weight1250g who completed questionnaires when their children were two and seven years corrected age. Fifteen mothers (9%) experienced bereavement associated with a multifetal pregnancy. Maternal mental health was assessed using the General Health Questionnaire at two years and Hospital Anxiety and Depression Scale at seven years. Parenting stress and family functioning were assessed using the Parenting Stress Index and Family Assessment Device.Maternal mental health, stress and family functioning were similar in mothers of VPT singletons and multiples. However compared with mothers who had not experienced bereavement, mothers who had were 3.6 times [95% confidence interval (95% CI) 1.05, 12.5] more likely to report elevated anxiety symptoms and 3.6 times [95% CI 1.05, 12.3] more likely to report elevated depressive symptoms when their VPT child was seven years old.The results of this study highlight the need for monitoring and offering ongoing support to bereaved mothers with surviving VPT children. However, within the context of VPT birth, multiple birth does not increase the risk for maternal psychological distress in early childhood. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect