Mautner Eva, Stern Christina, Avian Alexander, Deutsch Maria, Fluhr Herbert, Greimel Elfriede
Division of Obstetrics, Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
Department of Medical Psychology and Psychotherapy, Medical University of Graz, Graz, Austria.
Front Pediatr. 2022 May 10;10:864373. doi: 10.3389/fped.2022.864373. eCollection 2022.
The neonatal intensive care unit causes maternal stress and postpartum depressive symptoms in preterm and term mothers. Personal resources like maternal resilience are usually not considered in counselling these women.
This study aims to evaluate the resilience and differences in postpartum depression after admission of newborns at the neonatal intensive care unit.
This prospective pilot study was conducted in a single teaching hospital in Austria from December 2016 until December 2018. Sixty women completed two internationally validated questionnaires, the Edinburgh Postnatal Depression Scale (EPDS) to evaluate depressive symptoms and the Resilience Scale RS-13 to measure maternal resilience during the postpartum period (3 to 10 days postpartum). Additionally, women answered two open questions about burdens and relief.
Twenty women (34%) showed lower resilience scores. The 39 high-resilient women (66%) showed significantly less depression ( = 0.005). Women reported social support from their partner ( = 15), health professionals and psychologists ( = 15), family and friends ( = 12), and child-specific relief, e.g., spending time with the newborn and involvement in care ( = 7) as the most helpful variable during the first postpartum period.
The experience of having a newborn at the neonatal intensive care unit is a challenging event for women. Women have different resilience parameters. Mothers with lower resilience will benefit from social support and emotional health-promoting activities.
新生儿重症监护病房会给早产和足月产母亲带来压力及产后抑郁症状。在为这些女性提供咨询时，通常未考虑诸如母亲心理复原力等个人资源。
本研究旨在评估新生儿入住新生儿重症监护病房后母亲的心理复原力及产后抑郁的差异。
这项前瞻性试点研究于2016年12月至2018年12月在奥地利的一家教学医院进行。60名女性完成了两份国际认可的问卷，即用于评估抑郁症状的爱丁堡产后抑郁量表（EPDS）和用于测量产后期间（产后3至10天）母亲心理复原力的心理复原力量表RS - 13。此外，女性还回答了两个关于负担和缓解因素的开放性问题。
20名女性（34%）心理复原力得分较低。39名高心理复原力女性（66%）的抑郁症状明显较少（P = 0.005）。女性报告称，伴侣的社会支持（n = 15）、健康专业人员和心理学家的支持（n = 15）、家人和朋友的支持（n = 12）以及与孩子相关的缓解因素，如与新生儿相处及参与护理（n = 7），是产后初期最有帮助的因素。
新生儿入住新生儿重症监护病房对女性来说是一个具有挑战性的事件。女性有不同的心理复原力参数。心理复原力较低的母亲将从社会支持和促进心理健康的活动中受益。
