Prevalence and risk factors for postnatal mental health problems in mothers of infants admitted to neonatal care: analysis of two population-based surveys in England.
Prevalence and risk factors for postnatal mental health problems in mothers of infants admitted to neonatal care: analysis of two population-based surveys in England.
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DOI：
10.1186/s12884-023-05684-5
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发表时间：
2023-05-22
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
先前的研究表明，与一般围产期人口相比，婴儿被送入新生儿病房(NNU)的母亲经历了更高的心理健康问题发生率。这项研究调查了NNU住院婴儿的母亲在出生后6个月的这些心理健康问题的患病率和与产后抑郁、焦虑、创伤后应激(PTS)和共病相关的因素。这是对2018年和2020年英国两次基于人口的横断面全国产妇调查的二次分析。产后抑郁、焦虑和PTS采用标准化测量方法进行评估。使用改进的泊松回归和多项Logistic回归分析社会人口学、妊娠和出生相关因素与这些心理健康问题的产后抑郁、焦虑、PTS和共病之间的关系。8,539名妇女被纳入分析，其中935人是住进国立师范大学的婴儿的母亲。NNU住院婴儿母亲的产后心理健康问题患病率为：抑郁23.7%(95%CI：20.6~27.2)，焦虑16.0%(95%CI：13.4~19.0)，PTS 14.6%(95%CI：12.2~17.5)，两种并存心理健康问题8.2%(95%CI：6.5~10.3)，产后6个月共患3种心理健康问题者占7.5%(95%CI：5.7~10.0)。这些发生率一直高于未被NNU收治的母亲(19.3%(95%CI：18.3-20.4)抑郁，14.0%(95%CI：13.1-15.0)焦虑，10.3%(95%CI：9.5-11.1)PTS，8.5%(95%CI：7.8-9.3)两种共同存在的心理健康问题，产后6个月3种心理健康问题发生率为4.2%(95%CI：3.6~4.8)。在入住NNU(N = 935)的婴儿的母亲中，心理健康问题的最强危险因素是有长期的心理健康问题和产前焦虑，而社会支持和对分娩的满意度是保护性的。与出生后六个月未进入NNU的婴儿的母亲相比，在NNU住院的婴儿的母亲出生后心理健康问题的患病率更高。经历过心理健康问题会增加出生后抑郁、焦虑和PTS的风险，而社会支持和对出生的满意度是保护性的。研究结果强调了对NNU入院婴儿的母亲进行常规和反复的精神健康评估和持续支持的重要性。网上版载有补充材料，可在10.1186/s12884-023-05684-5查阅。
Previous research suggests that mothers whose infants are admitted to neonatal units (NNU) experience higher rates of mental health problems compared to the general perinatal population. This study examined the prevalence and factors associated with postnatal depression, anxiety, post-traumatic stress (PTS), and comorbidity of these mental health problems for mothers of infants admitted to NNU, six months after childbirth. This was a secondary analysis of two cross-sectional, population-based National Maternity Surveys in England in 2018 and 2020. Postnatal depression, anxiety, and PTS were assessed using standardised measures. Associations between sociodemographic, pregnancy- and birth-related factors and postnatal depression, anxiety, PTS, and comorbidity of these mental health problems were explored using modified Poisson regression and multinomial logistic regression. Eight thousand five hundred thirty-nine women were included in the analysis, of whom 935 were mothers of infants admitted to NNU. Prevalence of postnatal mental health problems among mothers of infants admitted to NNU was 23.7% (95%CI: 20.6–27.2) for depression, 16.0% (95%CI: 13.4–19.0) for anxiety, 14.6% (95%CI: 12.2–17.5) for PTS, 8.2% (95%CI: 6.5–10.3) for two comorbid mental health problems, and 7.5% (95%CI: 5.7–10.0) for three comorbid mental health problems six months after giving birth. These rates were consistently higher compared to mothers whose infants were not admitted to NNU (19.3% (95%CI: 18.3–20.4) for depression, 14.0% (95%CI: 13.1–15.0) for anxiety, 10.3% (95%CI: 9.5–11.1) for PTS, 8.5% (95%CI: 7.8–9.3) for two comorbid mental health problems, and 4.2% (95%CI: 3.6–4.8) for three comorbid mental health problems six months after giving birth. Among mothers of infants admitted to NNU (N = 935), the strongest risk factors for mental health problems were having a long-term mental health problem and antenatal anxiety, while social support and satisfaction with birth were protective. Prevalence of postnatal mental health problems was higher in mothers of infants admitted to NNU, compared to mothers of infants not admitted to NNU six months after giving birth. Experiencing previous mental health problems increased the risk of postnatal depression, anxiety, and PTS whereas social support and satisfaction with birth were protective. The findings highlight the importance of routine and repeated mental health assessments and ongoing support for mothers of infants admitted to NNU. The online version contains supplementary material available at 10.1186/s12884-023-05684-5.
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影响因子：
2.9
作者：
Nath S;Ryan EG;Trevillion K;Bick D;Demilew J;Milgrom J;Pickles A;Howard LM
通讯作者：
Howard LM
DOI：
10.1038/s41372-021-01005-w
发表时间：
2021-08
期刊：
Journal of perinatology : official journal of the California Perinatal Association
影响因子：
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作者：
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通讯作者：
Mangurian C
影响因子：
2.3
作者：
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通讯作者：
Howell EA
DOI：
10.1080/02646838.2019.1659940
发表时间：
2019-09-11
影响因子：
2.5
作者：
Cheng, Chelsea;Franck, Linda S.;Fenton, Annabell
通讯作者：
Fenton, Annabell
出生满意度尺度修订指标（BSS-RI）。
影响因子：
3.1
作者：
Martin CR;Hollins Martin C;Redshaw M
通讯作者：
Redshaw M