Very early premature birth as a predictor of postpartum depression
Objective. To conduct a comprehensive study of a mother’s psychoemotional state over time during the postpartum period after very early preterm birth (VEPB). Subjects and methods. On days 3 and 30 after birth, a comprehensive psychological case-control study was performed in a study group (n = 23) after VEPB (an average of 26.8±0.28 weeks) and in a control group (n = 23) following full-term birth (an average of 39.4±0.01 weeks). The methods included an interview using the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale (HDRS). Results. On 3-5 days after VEPB, anxiety levels were three times higher than that following full-term birth (36.1 versus 14.4 scores; p<0.05), which persisted at 30 days after birth. On days 3-5 and 30 after VEPB, HDRS depression scores were 1.7 and 2.3 times higher, respectively, than following full-term birth. Symptoms of severe postpartum depression were noted in 28.6% of the women in the study group on days 3 and 30 after birth. Conclusion. Delivery at 22-27 6/7 weeks of gestation is a predictor of severe postpartum depression with manifestations of anxiety. There is a need to organize psychological adaptation of women and their family members in the first month after VEPB.Malgina G.B., Shafieva K.A., Shikhova E.P.
Keywords
very early premature birth
extremely low birth weight infants
anxiety
depression
psychological adaptation
Supplementary Materials
- Table 1. The most important problems of psychological adaptation of mothers after VEPB
- Table 2. Results of the study patients on the Hamilton scale in the dynamics of post-partum period
- Fig. 1. Assessment of the level of anxiety on the Hamilton scale in the dynamics of the postpartum period in women and control group (% of patients)
- Fig. 2. Assessment of the level of depression scale HRSD in women compared groups in the postpartum period (% patients)
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Received 01.07.2016
Accepted 02.09.2016
About the Authors
Malgina Galina Borisovna, doctor of medical sciences, Scientific Director of Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.620028, Russia, Ekaterinburg, Repina str. 1. Tel.: +73433714293. E-mail: galinamalgina@mail.ru. ORCID ID 0000-0002-5500-6296
Shafieva Ksenia Alexandrovna, MD, aspirant, Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.
620028, Russia, Ekaterinburg, Repina str. 1. Tel.: +73433714293. E-mail: ksusha8707@rambler.ru
Shikhova Elena Pavlovna, PhD in Sociology, Associate Professor, Department of Psychology and Pedagogy, Deputy Dean of the medical-prophylactic faculty of Clinical Psychology, Ural State Medical University; perinatal psychologist, Ural Research Institute of Maternal and Infant Care, Ministry of Health of Russia.
620028, Russia, Ekaterinburg, Repina str. 1. Tel.: +73433714293. E-mail: shihovka@mail.ru
For citations: Malgina G.B., Shafieva K.A., Shikhova E.P. Very early premature
birth as a predictor of postpartum depression.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2017; (2): 39-44. (in Russian)
http://dx.doi.org/10.18565/aig.2017.2.39-44
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