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8. Maternal Mental Health Disorders Following Very Preterm Birth at 5 Years Post-Birth.

Author

Yates, Rosemary, Anderson, Peter J, Lee, Katherine J, Doyle, Lex W, Cheong, Jeanie L Y, Pace, Carmen C, Spittle, Alicia J, Spencer-Smith, Megan, and Treyvaud, Karli

Subjects
MENTAL illness, PREMATURE labor, MATERNAL health, POSTPARTUM depression, POST-traumatic stress, MENTAL depression, SELF-monitoring (Psychology)
Abstract

Objective: Mothers of children born very preterm (VP) are at increased risk of developing postnatal depression, anxiety, and post-traumatic stress symptoms. However, mental health disorder rates are rarely assessed in this population compared with full-term peers, and it is unclear if postnatal distress symptoms precede higher rates of maternal mental health disorders at 5 years post-birth in both birth groups.Methods: Mothers of children born VP (n = 65; mean [SD] age at birth, 33.9 [5.0]; 72.1% tertiary educated) and full-term (n = 90; mean [SD] age at birth, 33.4 [4.0]; 88.2% tertiary educated) completed questionnaires assessing symptoms of depression, anxiety, and trauma within 4 weeks of birth. At 5 years post-birth, they participated in a structured diagnostic interview assessing mood, anxiety, and trauma-related mental health disorders, both current and over the lifetime.Results: There was little evidence for differences between mothers in the VP and full-term groups in rates of any mental health disorder at 5 years (VP = 14%, full-term = 14%) or lifetime (VP = 41%, full-term = 37%). In mothers of children born VP, elevated postnatal post-traumatic stress symptoms were associated with higher rates of mental health disorders at 5 years (odds ratio = 21.5, 95% confidence interval = 1.35-342).Conclusions: Findings suggest that preterm birth may not lead to increased odds of later developing maternal mental health disorders, despite known risks of elevated postnatal distress following a VP birth. However, those with post-traumatic stress symptoms following a VP birth could be more vulnerable, and assessment and monitoring is recommended. [ABSTRACT FROM AUTHOR]

Published
2022
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15. Neurobehaviour between birth and 40 weeks’ gestation in infants born <30 weeks’ gestation and parental psychological wellbeing: predictors of brain development and child outcomes

Author

Spittle, Alicia J, primary, Thompson, Deanne K, additional, Brown, Nisha C, additional, Treyvaud, Karli, additional, Cheong, Jeanie LY, additional, Lee, Katherine J, additional, Pace, Carmen C, additional, Olsen, Joy, additional, Allinson, Leesa G, additional, Morgan, Angela T, additional, Seal, Marc, additional, Eeles, Abbey, additional, Judd, Fiona, additional, Doyle, Lex W, additional, and Anderson, Peter J, additional

Published
2014
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