Maternal postpartum depression: risk factors, impacts, and interventions for the NICU and beyond
| Autor: | Sara S. Bachman, Leah Popek, Renee M. Turchi, Samuel M Shovers |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Postpartum depression
medicine.medical_specialty Neonatal intensive care unit Population Psychological intervention Mothers Depression Postpartum 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors 030225 pediatrics Intensive Care Units Neonatal medicine Childbirth Humans education Child Depression (differential diagnoses) education.field_of_study Refugees business.industry Infant Newborn Infant medicine.disease 030220 oncology & carcinogenesis Family medicine Pediatrics Perinatology and Child Health Life course approach Female business Psychosocial |
| Zdroj: | Current opinion in pediatrics. 33(3) |
| ISSN: | 1531-698X |
| Popis: | Purpose of review Postpartum depression (PPD) negatively impacts caregivers, infants, siblings, and entire families. Mothers with infants admitted to the neonatal intensive care unit (NICU) face additional risk for PPD, coupled with risk factors extending beyond a NICU admision. The novelty of this review is the focus on maternal PPD for mothers with infants admitted to the NICU. Interventions aimed at limiting and preventing PPD in this population include: prenatal and postpartum depression screening, PPD symptom awareness and monitoring, and trauma-informed care. Recent findings PPD, the most frequent complication of childbirth, affects approximately 10-15% of mothers worldwide. Prevalence rates increase to 40% for mothers whose infant is admitted to the NICU. PPD can affect maternal and child health across the life course and predispose future generations to a myriad of developmental, psychosocial, and physical challenges. Prevalence rates are higher for racial and ethnic minorities, immigrant and refugee populations, and mothers in rural locations. Trauma-informed care is suggested at individual and organizational levels, leading to better care for those with and without previous trauma exposure. Summary Increasing PPD symptom awareness, screening for PPD, and connections with resources should begin during prenatal visits. Care teams should discuss barriers to resources for mothers, children, and families to improve access and support. |
| Databáze: | OpenAIRE |
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