| Impact of a multiple, IVF birth on post-partum mental health: a composite analysis. | |
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MedLine Citation:
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PMID: 17545565 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study explored the impact of a multiple IVF birth on maternal mental health in the early post-partum period. METHODS: A prospective study of 207 women who had conceived following IVF treatment and followed up at 6 weeks post-partum. Mothers rated their mood using the Edinburgh postnatal depression scale (EPDS) and their baby's behaviour using the Unsettled and Irregular Behaviour scale. Mothers' emotional well-being was explored using theme analysis of semi-structured telephone interviews. RESULTS: Of the 175 (84.5%) followed up post-partum, 56 (32%) had a multiple birth (7 triplets, 49 twins). Nearly 16% of mothers in the multiple group scored>12 on the EPDS indicating clinically significant symptoms, which represented a 3-fold increased risk compared to mothers of singletons (Odds ratio=3.4, Confidence Interval=1.011-11.618, P=0.048). Unsettled and irregular infant behaviour was another independent risk factor. Qualitative analysis of interviews identified 12 themes. Mothers of multiples were more likely to express negative themes including 'tiredness' (P<0.01), 'feelings of stress/depression' (P<0.05) and 'questioning parenthood' (P<0.05). Mothers of singletons were more likely to be 'feeling wonderful', reflecting their delight in parenthood (P<0.05). CONCLUSIONS: Mothers of multiples are at increased risk of poorer emotional well-being. Clinicians should focus on the psychological benefits of a singleton birth. |
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Authors:
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C Sheard; S Cox; M Oates; G Ndukwe; C Glazebrook |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2007-06-01 |
Journal Detail:
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Title: Human reproduction (Oxford, England) Volume: 22 ISSN: 0268-1161 ISO Abbreviation: Hum. Reprod. Publication Date: 2007 Jul |
Date Detail:
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Created Date: 2007-06-21 Completed Date: 2007-09-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8701199 Medline TA: Hum Reprod Country: England |
Other Details:
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Languages: eng Pagination: 2058-65 Citation Subset: IM |
Affiliation:
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Division of Psychiatry, Queen's Medical Centre, Nottingham NG7 2UH, UK. charlotte.sheard@nottingham.ac.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Emotions Female Fertilization in Vitro / psychology* Humans Mental Health Odds Ratio Parenting / psychology* Pregnancy Pregnancy Outcome Psychiatric Status Rating Scales Questionnaires Stress, Psychological / psychology* Telephone Triplets* Twins* |
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