Department of Psychology, University of Turku, Turku, Finland.
Department of Nursing Science, University of Turku, Turku, Finland.
Pediatr Res. 2019 Jun;85(7):982-986. doi: 10.1038/s41390-019-0306-y. Epub 2019 Jan 23.
Mothers of preterm infants are at increased risk for postpartum depression, which may disturb parenting and child development. Strategies for prevention are needed. Therefore, we evaluated how an educational intervention for neonatal staff affected depression symptoms among mothers of preterm infants.
The Close Collaboration with Parents intervention was implemented in the NICU at Turku University Hospital in Finland. Maternal depression was compared between the pre-intervention and post-intervention cohorts using the Edinburgh Postnatal Depression Scale. The eligible infants were born ≤1500 g without major anomalies and survived. Data were available from 145 and 93 mothers in the pre-intervention and post-intervention cohorts, respectively, at 4 and/or 6 months of corrected age.
The depression scores were significantly lower in the post-intervention cohort than in the pre-intervention cohort; the estimated difference was 2.54 points (95% CI, 1.24-3.83), p < 0.001. A total of 10.3% of the mothers in the pre-intervention cohort and 2.1% in the post-intervention cohort exceeded the threshold for depression, p = 0.066.
The Close Collaboration with Parents intervention decreased depression symptoms among the mothers of very preterm infants. Systematic educational intervention targeted to the whole NICU staff can potentially prevent postnatal depression among mothers of preterm infants.
早产儿的母亲患产后抑郁症的风险增加，这可能会干扰育儿和儿童发育。需要预防策略。因此，我们评估了新生儿科工作人员的教育干预如何影响早产儿母亲的抑郁症状。
Close Collaboration with Parents 干预在芬兰图尔库大学医院的新生儿重症监护病房实施。使用爱丁堡产后抑郁量表比较干预前和干预后队列中的产妇抑郁情况。符合条件的婴儿出生体重≤1500g，无重大畸形且存活。在矫正年龄 4 个月和/或 6 个月时，分别有 145 名和 93 名母亲在干预前和干预后队列中具有可用数据。
干预后队列的抑郁评分明显低于干预前队列；估计差值为 2.54 分（95%CI，1.24-3.83），p<0.001。干预前队列中有 10.3%的母亲和干预后队列中有 2.1%的母亲抑郁评分超过阈值，p=0.066。
Close Collaboration with Parents 干预降低了极早产儿母亲的抑郁症状。针对整个新生儿重症监护病房工作人员的系统教育干预可能预防早产儿母亲的产后抑郁。
