Document Detail

Perinatal loss and parental distress after the birth of a healthy infant.
MedLine Citation:
PMID:  17700194     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Determine whether levels of depressive symptoms and current stress related to prior perinatal loss differ from similar prenatal evaluations after the birth of a subsequent healthy full-term infant and investigate differences in depressive symptoms in the postpartum period among parents with and without a history of perinatal loss.
PARTICIPANTS: Seventy-four of the original 206 parents who participated in an earlier prenatal study agreed to participate at follow-up and were divided into 2 groups (38 parents with a history of perinatal loss and 36 parents with no prior losses).
METHODS AND DESIGN: A 2-wave, 2-group comparative design was used. Both mothers and fathers were recruited for this study. Surveys were completed via telephone interviews. Data were analyzed using descriptive statistics, chi-square tests, t tests and Pearson correlations.
MAIN OUTCOME MEASURES: The Impact of the Event Scale (IES) is broadly used to evaluate the continuing influence of a past stressful life event. In the current study, the items were anchored to the traumatic event of perinatal loss. The IES contains 2 subscales: Intrusion and Avoidance. Cronbach's alphas for the current study were .80 (total scale), .85 (Intrusion subscale), and .69 (Avoidance subscale). The Center for Epidemiologic Studies-Depression Scale (CES-D) is used to identify the duration and frequency of depressive symptoms experienced by the respondent during the previous week. The Cronbach's alpha for the current study was .92.
PRINCIPLE RESULTS: There was a significant overall decrease in depressive symptoms after the birth of a healthy infant for fathers but not for mothers with prior perinatal losses. Nevertheless, approximately one third of the mothers with a history of loss continued to report CES-D scores that placed them at high risk for depression. There also was a significant decrease in stress related to the prior loss for both mother and fathers. The greater the stress associated with the prior loss, the greater were parents' depressive symptoms after birth. In contrast to the prenatal assessment, there were no significant differences in levels of depressive symptoms between the loss and nonloss groups at the postnatal assessment.
CONCLUSIONS: The stress associated with perinatal loss, although diminished after the subsequent birth of a healthy infant compared with that during pregnancy, remained high for many parents, especially mothers. Neonatal nurses need to continue to evaluate parents with a history of perinatal loss for ongoing psychological distress after the birth of a subsequent healthy infant.
Deborah S Armstrong
Related Documents :
18793294 - The effects of infant media usage: what do we know and what should we learn?
1652734 - Costs incurred by parents of very low birth weight infants after the initial neonatal h...
12165604 - Low compliance of iron supplementation in infancy and relation to socioeconomic status ...
10394224 - Parenting of at-risk infants in the face of uncertainty: home apnea monitoring of subsibs.
7595774 - Use of a truss to maintain inguinal hernia reduction in a very low birth weight infant.
11089824 - Effect of community-based peer counsellors on exclusive breastfeeding practices in dhak...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  7     ISSN:  1536-0903     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-16     Completed Date:  2007-10-11     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  200-6     Citation Subset:  IM    
School of Nursing, University of Louisville, Louisville, KY 40292, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Abortion, Spontaneous / psychology*
Attitude to Health
Case-Control Studies
Chi-Square Distribution
Depression, Postpartum / diagnosis,  epidemiology,  psychology*
Fathers / psychology*
Follow-Up Studies
Infant, Newborn
Life Change Events
Mothers / psychology*
Neonatal Nursing
Nursing Methodology Research
Pilot Projects
Risk Factors
Severity of Illness Index
Stillbirth / psychology*
Stress, Psychological / diagnosis,  epidemiology,  psychology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  A matter of size: Part 2. Evaluating the large-for-gestational-age neonate.
Next Document:  Is meconium screening appropriate for universal use? Science and ethics say no.