Maternal Mental and Physical Health Outcomes after Stillbirth and Infant Death

死产和婴儿死亡后母亲的心理和身体健康状况

• 批准号: 8368261
• 负责人: Katherine J Gold
• 金额: $ 16.55万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-12-28 至 2014-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8368261
• 关键词: Affect; African American; Bereavement; Birth; California; Caring; Data Analyses; Data Set; Disease; Event; Fetal Death; Goals; Grief reaction; Health; Health Care Costs; Health behavior; Healthcare; High Risk Woman; Hospitalization; Hospitals; Infant; Infant Health; Intervention; Life; Link; Live Birth; Longitudinal Surveys; Mails; Maternal Health; Maternal Mortality; Measures; Mental Health; Mental disorders; Michigan; Morbidity - disease rate; Mothers; Outcome; Parents; Perinatal; Population; Pregnancy; Pregnancy Outcome; Reproductive Behavior; Reproductive Health; Research; Risk; Risk Factors; Surveys; Time; Time Series Analysis; United States; economic cost; experience; fetal; high risk; improved; infant death; information gathering; modifiable risk; mortality; physical conditioning; population based; pregnant; prenatal health; public health relevance; reproductive; stillbirth

DESCRIPTION (provided by applicant): The goal of this research is to improve mental health care and outcomes of bereaved mothers after stillbirth and infant death. For every 100 live births in the United States, 1-2 mothers have a pregnancy complicated by a stillbirth or infant death, and African-American mothers are at particularly high risk. These devastating events are typically traumatic and life-altering experiences which put surviving parents at high risk for prolonged grief and psychiatric complications in the subsequent years. Little is known about the long-term mental health impact of perinatal loss on surviving mothers. In addition, while more than 70% of bereaved mothers are pregnant again within a year after a stillbirth, it is not known how mental health changes due to bereavement affect subsequent prenatal health behaviors or pregnancy outcomes after the loss. The proposed research utilizes both a longitudinal data analysis and a multi-year mail survey of bereaved and non-bereaved mothers. Study A links maternal and fetal/infant health datasets over 10 years following fetal or infant death to examine mental and physical health disorders, health care costs and utilization in subsequent years, and risk of new onset maternal mental illness. Study B will survey bereaved mothers and non-bereaved controls longitudinally to gather information about mental health and treatment over time, physical health, grief and bereavement, hospital care at the time of loss, and reproductive health and health behaviors during subsequent pregnancies.

描述(申请人提供)：这项研究的目标是改善死产和婴儿死亡后失去亲人的母亲的心理保健和结局。在美国，每100名活产婴儿中，就有1-2名母亲怀孕并伴有死产或婴儿死亡，非裔美国母亲面临的风险尤其高。这些毁灭性的事件是典型的创伤和改变生活的经历，使幸存的父母在接下来的几年里面临长期悲伤和精神并发症的高风险。关于围产期损失对幸存母亲的长期心理健康影响，人们知之甚少。此外，虽然超过70%的丧偶母亲在死产后一年内再次怀孕，但尚不清楚丧亲造成的心理健康变化如何影响随后的产前健康行为或失去亲人后的妊娠结局。这项拟议的研究既利用了纵向数据分析，也利用了对丧亲和非丧亲母亲的多年邮寄调查。研究A将胎儿或婴儿死亡后10年的孕产妇和胎儿/婴儿健康数据联系起来，以检查精神和身体健康障碍、随后几年的医疗保健成本和利用情况，以及新发产妇精神疾病的风险。研究B将对失去亲人的母亲和未失去亲人的对照组进行纵向调查，以收集有关精神健康和随时间推移的治疗、身体健康、悲伤和丧亲、失去亲人时的医院护理以及后续怀孕期间的生殖健康和健康行为的信息。

项目成果

Assessment of "fresh" versus "macerated" as accurate markers of time since intrauterine fetal demise in low-income countries.

• DOI: 10.1016/j.ijgo.2013.12.006
• 发表时间: 2014-06
• 期刊: INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
• 影响因子: 3.8
• 作者: Gold, Katherine J.;Abdul-Mumin, Abdul-Razak S.;Boggs, Martha E.;Opare-Addo, Henry S.;Lieberman, Richard W.
• 通讯作者: Lieberman, Richard W.

Internet Message Boards for Pregnancy Loss: Who's On-Line and Why?

• DOI: 10.1016/j.whi.2011.07.006
• 发表时间: 2012-01-01
• 期刊: WOMENS HEALTH ISSUES
• 影响因子: 3.2
• 作者: Gold, Katherine J.;Boggs, Martha E.;Palladino, Christie Lancaster
• 通讯作者: Palladino, Christie Lancaster

Mental health, substance use and intimate partner problems among pregnant and postpartum suicide victims in the National Violent Death Reporting System.

• DOI: 10.1016/j.genhosppsych.2011.09.017
• 发表时间: 2012-03
• 期刊: General hospital psychiatry
• 影响因子: 7
• 作者: Gold KJ;Singh V;Marcus SM;Palladino CL
• 通讯作者: Palladino CL

A piece of my mind. In the still of the night.

我的一点心意。

• DOI: 10.1001/jama.2011.1361
• 发表时间: 2011
• 期刊: JAMA
• 作者: Gold,KatherineJ

Intimate Partner Violence Among Mothers of Sick Newborns in Ghana.

• DOI: 10.1080/07399332.2015.1037444
• 发表时间: 2016
• 期刊: Health care for women international
• 影响因子: 1.4
• 作者: Spangenberg K;Wobil P;Betts CL;Wiesner TF;Gold KJ
• 通讯作者: Gold KJ