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Evaluation of Maternal Functioning in Mothers of Infants Admitted to the Neonatal Intensive Care Unit.

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Title: Evaluation of Maternal Functioning in Mothers of Infants Admitted to the Neonatal Intensive Care Unit.
Authors: Barkin, Jennifer L., Stausmire, Julie M., Te, Minda N., Pazik-Huckaby, Alicia, Serati, Marta, Buoli, Massimiliano, Harding, Roberta S., Bruss, Cynthia A., Stausmire, Kari L.
Source: Journal of Women's Health (15409996). Jul2019, Vol. 28 Issue 7, p941-950. 10p. 1 Diagram, 4 Charts.
Subjects: Gestational diabetes, Hypoglycemia, Infant health services, Hospital care of newborn infants, Multivariate analysis, Neonatal intensive care, Postpartum depression, Psychological tests, Multiple regression analysis, Edinburgh Postnatal Depression Scale, Neonatal intensive care units, Discharge planning, Attitudes of mothers, Severity of illness index, Functional assessment
Abstract: Objective: Factors associated with maternal functioning in biological mothers whose infants were admitted to a Neonatal Intensive Care Unit (NICU) were identified as measured by a modified version of the Barkin Index of Maternal Functioning. Materials and Methods: This multivariable regression analysis explored sociodemographic and clinical data from 146 mother–infant dyads admitted to a Level III NICU between February 2015 and May 2016. Eligible dyads included: (1) adult biological mothers with singleton infants discharged home alive after NICU admission meeting criteria and (2) infants discharged home alive from the NICU with adult, biological mothers after a minimum 6-day admission. Results: Lower scores on the Edinburgh Postnatal Depression Scale (p < 0.0001), and an infant admission diagnosis of hypoglycemia (p = 0.0295) were significantly associated with higher levels of maternal functioning. Conclusions: The significant association between maternal functioning and depressive symptom score is corroborated by the literature. Results relative to a diagnosis of infant hypoglycemia and higher levels of maternal functioning are intriguing, considering current literature linking increased postpartum depression to gestational diabetes. The severity of other possible admission diagnoses may provide a partial explanation. We believe this is the first study suggesting a potential role between infant admission diagnosis and the level of maternal functioning. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Objective: Factors associated with maternal functioning in biological mothers whose infants were admitted to a Neonatal Intensive Care Unit (NICU) were identified as measured by a modified version of the Barkin Index of Maternal Functioning. Materials and Methods: This multivariable regression analysis explored sociodemographic and clinical data from 146 mother–infant dyads admitted to a Level III NICU between February 2015 and May 2016. Eligible dyads included: (1) adult biological mothers with singleton infants discharged home alive after NICU admission meeting criteria and (2) infants discharged home alive from the NICU with adult, biological mothers after a minimum 6-day admission. Results: Lower scores on the Edinburgh Postnatal Depression Scale (p < 0.0001), and an infant admission diagnosis of hypoglycemia (p = 0.0295) were significantly associated with higher levels of maternal functioning. Conclusions: The significant association between maternal functioning and depressive symptom score is corroborated by the literature. Results relative to a diagnosis of infant hypoglycemia and higher levels of maternal functioning are intriguing, considering current literature linking increased postpartum depression to gestational diabetes. The severity of other possible admission diagnoses may provide a partial explanation. We believe this is the first study suggesting a potential role between infant admission diagnosis and the level of maternal functioning. [ABSTRACT FROM AUTHOR]
ISSN:15409996
DOI:10.1089/jwh.2018.7168