Postpartum Depression in Mothers of Infants in Neonatal Intensive Care Unit: Risk Factors and Management Strategies

Rohitkumar Vasa; Kamal Eldeirawi; Vipin George Kuriakose; Jijo Nair G; Carol Newsom; Joanne Bates

doi:10.1055/s-0033-1352482

American Journal of Perinatology, Table of Contents

Am J Perinatol 2014; 31(05): 425-434
DOI: 10.1055/s-0033-1352482

Original Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Postpartum Depression in Mothers of Infants in Neonatal Intensive Care Unit: Risk Factors and Management Strategies

Rohitkumar Vasa

¹Department of Pediatrics, Mercy Hospital and Medical Center, Chicago, Illinois

²Department of Pediatrics, University of Chicago, Chicago, Illinois

,

Kamal Eldeirawi

³Department of Health Systems Science, University of Illinois at Chicago, Chicago, Illinois

,

Vipin George Kuriakose

¹Department of Pediatrics, Mercy Hospital and Medical Center, Chicago, Illinois

,

Jijo Nair G

¹Department of Pediatrics, Mercy Hospital and Medical Center, Chicago, Illinois

,

Carol Newsom

⁴Department of Nursing, Mercy Hospital and Medical Center, Chicago, Illinois

,

Joanne Bates

⁴Department of Nursing, Mercy Hospital and Medical Center, Chicago, Illinois

› Author Affiliations

Abstract

Objective The aim of this study is to assess incidence, risk factors, and management strategies for Postpartum depression (PPD) in mothers of neonatal intensive care unit (NICU) infants.

Study Design A total of 131 mothers completed the study assessment tool (Edinburgh Postnatal Depression Scale with additional questions). Score of 10 or above was considered to indicate risk for PPD (subclinical depression). Risk factors were examined with particular emphasis on length of stay (LOS).

Results Approximately 19.1% of mothers experienced (subclinical) PPD. Depression during current and previous pregnancy, and problems with current delivery were strong predicting risk factors for PPD. As the LOS increased beyond 2 weeks, the odds of PPD risks initially increased, then leveled off, and then decreased after 31 days.

Conclusion We recommend that the mothers of NICU infants be routinely screened for PPD and aggressively treated.

Keywords

postpartum depression - neonatal intensive care - parent friendly practices - length of stay

Full Text

References

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