Feeding and Growth in Infants With Cleft Lip and/or Palate: Relationships With Maternal Distress

2020 ◽  
pp. 105566562095687
Author(s):  
Lauren L. Madhoun ◽  
Canice E. Crerand ◽  
Meghan O’Brien ◽  
Adriane L. Baylis
Keyword(s):  
Postnatal Depression ◽  
Cleft Lip ◽  
Edinburgh Postnatal Depression Scale ◽  
Short Form ◽  
Medical Center ◽  
Academic Medical Center ◽  
Depression Scale ◽  
Maternal Distress ◽  
Stress Index ◽  
Control Group

Objective: To examine relationships between early feeding and growth and maternal distress in infants with and without cleft lip and/or palate (CL/P). Design: Cross-sectional. Setting: Pediatric academic medical center in the Midwestern United States. Participants: Mothers of infants 1 to 12 weeks old with CL/P (n = 30) and without CL/P (control group, n = 30) were recruited at craniofacial clinic or pediatrician appointments. Main Outcome Measure(s): Maternal responses on the Feeding/Swallowing Impact Survey (FS-IS), Parenting Stress Index, Fourth Edition, Short Form (PSI-4-SF), and Edinburgh Postnatal Depression Scale. Infant feeding history and growth measurements were obtained. Results: Having an infant with CL/P revealed greater impact on maternal health-related quality of life due to feeding problems ( F = 4.83, P = .03). Mothers of infants with CL/P reported average range Total Stress scores on the PSI-4-SF, which were higher than controls ( F = 4.12, P = .05). Edinburgh Postnatal Depression Scale scores did not differ between groups. Compared to controls, infants with cleft palate had lower percentiles for weight ( t = 4.13, P = .04) and length ( t = 2.93, P = .01). Higher FS-IS scores were associated with longer feeding duration ( r = 0.32, P = .01) and lower weight ( r = −0.31, P = .02) and length ( r = −0.32, P = .02). Conclusions: Despite receiving early team care and feeding interventions, mothers of infants with CL/P reported higher stress and more challenges with feeding and growth. Future studies should examine targeted psychosocial interventions to improve feeding and growth outcomes in infants with CL/P.

scholarly journals Universal prevention of depression in women postnatally: cluster randomized trial evidence in primary care

2010 ◽  
Vol 41 (4) ◽  
pp. 739-748 ◽  
Author(s):  
T. S. Brugha ◽  
C. J. Morrell ◽  
P. Slade ◽  
S. J. Walters
Keyword(s):  
Primary Care ◽  
Postnatal Depression ◽  
Outcome Measure ◽  
Psychological Intervention ◽  
Short Form ◽  
Intervention Group ◽  
Depression Scale ◽  
Cluster Randomized Trial ◽  
Stress Index ◽  
Control Group

BackgroundTo test whether receiving care from a health visitor (HV) trained in identification and psychological intervention methods prevents depression 6–18 months postnatally in women who are not depressed 6 weeks postnatally.MethodThe study was a prospective cluster trial, randomized by GP practice, with follow-up for 18 months in 101 primary care teams in the Trent area of England. The participants were women scoring <12 on the postal Edinburgh Postnatal Depression Scale (EPDS) at 6 weeks postnatally (1474 intervention and 767 control women). Intervention HVs (n=89, 63 clusters) were trained in identifying depressive symptoms using the EPDS and face-to-face clinical assessment and in providing psychologically orientated sessions based on cognitive behavioral or person-centered principles. The control group comprised HVs (n=49, 37 clusters) providing care as usual (CAU). The primary outcome measure was the proportion of women scoring ⩾12 on the EPDS at 6 months postnatally. Secondary outcomes were mean EPDS score, Clinical Outcomes in Routine Evaluation – Outcome Measure (CORE-OM) score, State–Trait Anxiety Inventory (STAI), 12-item Short Form Health Survey (SF-12) and Parenting Stress Index Short Form (PSI-SF) scores at 6, 12 and 18 months.ResultsAfter adjusting for individual-level covariates, living alone, previous postnatal depression (PND), the presence of one or more adverse life events and the 6-week EPDS score, the odds ratio (OR) for EPDS ⩾12 at 6 months was 0.71 [95% confidence interval (CI) 0.53–0.97, p=0.031] for the intervention group (IG) women compared with the control (CAU) group women. Two subgroups were formed by baseline severity: a ‘subthreshold’ subgroup with a 6-week EPDS score of 6–11 (n=999) and a ‘lowest severity’ subgroup with a 6-week EPDS score of 0–5 (n=1242). There was no difference in psychological effectiveness by subgroup (interaction term: z=−0.28, p=0.782).ConclusionsThis study provides new evidence of a universal, enduring preventive effect for depression in women who screen negative for depression postnatally.

Maternal Distress and Infant Social Withdrawal (ADBB) Following Infant Cardiac Surgery for Congenital Heart Disease

2018 ◽  
Vol 9 (6) ◽  
pp. 624-637 ◽  
Author(s):  
Jennifer M. Re ◽  
Suzanne Dean ◽  
Jimmy Mullaert ◽  
Antoine Guedeney ◽  
Samuel Menahem
Keyword(s):  
Cardiac Surgery ◽  
Parenting Stress ◽  
Social Withdrawal ◽  
Short Form ◽  
Depression Scale ◽  
Well Being ◽  
Self Report ◽  
Maternal Distress ◽  
Stress Index ◽  
Increased Risk

Background: Mothers and infants are exposed to multiple stresses when cardiac surgery is required for the infant. This study reviewed infant responsiveness using a standardized objective observational measure of social withdrawal and explored its association with measures of maternal distress. Methods: Mother–infant pairs involving infants surviving early cardiac surgery were assessed when the infant was aged two months. Infant social withdrawal was measured using the Alarm Distress Baby Scale. Maternal distress was assessed using self-report measures for maternal depression (Edinburgh Postnatal Depression Scale), anxiety (Spielberger State-Trait Anxiety Scale), and parenting stress (Parenting Stress Index–Short Form). Potential associations between infant social withdrawal and maternal distress were evaluated. Results: High levels of maternal distress and infant social withdrawal were identified relative to community norms with a positive association. Such an association was not found between infant social withdrawal and the cardiac abnormality and surgery performed. Conclusion: The vulnerability of infants requiring cardiac surgery may be better understood when factors beyond their medical condition are considered. The findings suggested an association between maternal distress and infant social withdrawal, which may be consistent with mothers’ distress placing infants subjected to cardiac surgery at substantially increased risk of social withdrawal. However, it is unclear to what extent infant withdrawal may trigger maternal distress and what the interactive effects are. Further research is warranted. Trialing a mother–infant support program may be helpful in alleviating distress and improving the well-being and outcomes for these families.

An Uncontrolled Pilot Study of Ht7 for ‘stress’

2002 ◽  
Vol 20 (2-3) ◽  
pp. 74-77 ◽  
Author(s):  
Joseph Chan ◽  
Dianne Briscomb ◽  
Esther Waterhouse ◽  
Anne-Marie Cannaby
Keyword(s):  
Pilot Study ◽  
Psychological Stress ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Specific Effect ◽  
Control Group

Bilateral acupuncture needling at HT7 was an effective method for reducing the rating of ‘psychological stress’ in 16 out of of a group of 17 volunteers (94%), recruited from staff in a hospice. Ratings were made using the Edinburgh Postnatal Depression Scale (EPDS), which was felt to be the most useful scale of those considered, despite not being validated in this population. Four brief acupuncture sessions were performed at weekly intervals. The greatest fall in the EPDS scores was observed within the first two treatments. At the end of the study, there was an average reduction of 44% in the EPDS scores. Further research is needed, including a suitable control group, to determine whether the effect observed in this study was a specific effect of needling at HT7.

scholarly journals Validation of the Lithuanian version of the Edinburgh Postnatal Depression Scale

Medicina ◽  
2009 ◽  
Vol 45 (7) ◽  
pp. 544 ◽  
Author(s):  
Adomas Bunevičius ◽  
Laima Kusminskas ◽  
Robertas Bunevičius
Keyword(s):  
Internal Consistency ◽  
Roc Curve ◽  
Postnatal Depression ◽  
Depressive Disorders ◽  
Edinburgh Postnatal Depression Scale ◽  
Short Form ◽  
Depression Scale ◽  
Cutoff Score ◽  
Good Reliability ◽  
Major Health Problem

Depression is prevalent postpartum and is a major health problem. Objective. In this study, we aimed to evaluate how precise the Edinburgh Postnatal Depression Scale (EPDS) is in screening for depressive disorders postpartum. Materials and methods. A random sample of 94 women was interviewed two weeks postpartum using the Composite International Diagnostics Interview Short-Form (CIDI-SF). In addition, they filled in the EPDS. We evaluated (a) internal consistency of the EPDS by the means of Cronbach’s alpha coefficient; (b) area under the ROC curve, sensitivity, specificity of the EPDS against the CIDI-SF diagnoses of depressive disorders. Results. The internal consistency of the EPDS was 0.83. The optimal cutoff score of the EPDS for screening CIDI-SF diagnoses of depressive disorders was found to be 7 and more with an area under the ROC curve of 0.83, sensitivity of 92%, and specificity of 73%. Conclusions. The EPDS has a good reliability as a screening instrument, and a cutoff score of 7 and more has to be used in screening for postpartum depressive disorders.

Prevalence of Postnatal Psychiatric Morbidity in Mothers and Fathers

1994 ◽  
Vol 164 (6) ◽  
pp. 782-788 ◽  
Author(s):  
C. G. Ballard ◽  
R. Davis ◽  
P. C. Cullen ◽  
R. N. Mohan ◽  
C. Dean
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Psychiatric Morbidity ◽  
Depression Scale ◽  
Control Group ◽  
Two Stage ◽  
Stage Design ◽  
Mothers And Fathers ◽  
Prevalence Of Depression ◽  
Two Stage Design

In the first study to systematically examine postnatal depression in fathers, we examined depression in 200 postnatal couples, using a two-stage design. The prevalence of depression ascertained by the 13-item Edinburgh Postnatal Depression Scale (EPDS), using a cut-off score for ‘caseness’ of 13 or more in an unselected postnatal sample, was 27.5% in mothers at six weeks postpartum, 25.7% in mothers at six months postpartum, 9.0% in fathers at six weeks postpartum, and 5.4% in fathers at six months postpartum. The prevalence did not differ significantly in either mothers or fathers from a control group of parents with children between three and five years of age. As expected, mothers had a significantly higher prevalence of psychiatric ‘caseness’ at both six weeks and six months postpartum than fathers. Fathers were significantly more likely to be cases if their partners were also cases. The hypothesis that different aetiological factors would be important in brief and persistent disorders in mothers was upheld.

scholarly journals Association between Self-Reported Bruxism, Peripartum Depression and Myogenous Temporomandibular Disorders among Postpartum Women in Turkey

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Cansu Koca ◽  
Bengisu Yıldırım ◽  
İrem Şenyuva
Keyword(s):  
Temporomandibular Disorders ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Short Form ◽  
Temporomandibular Disorder ◽  
Depression Scale ◽  
Postpartum Women ◽  
Peripartum Depression ◽  
The Relationship ◽  
Representative Samples

Summary Background/Aim: It is possible to find studies in the literature evaluating the relationship among self-reported bruxism, psychological factors, and myogenous temporomandibular disorder. In addition, the relationship between these issues has not yet been clarified. The objective of this study was to evaluate the association between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorders among postpartum women in Turkey. Material and Methods: This study included 220 women, whom were asked about their bruxism behaviour during day and during sleep. Besides, all of them assessed with Short-Form Fonseca’s Anamnestic Index for myogenous temporomandibular disorder and the Edinburgh postnatal depression scale for peripartum depression. Results: The results showed that, self-reported bruxism was observed at a statistically significantly higher rate (94.3%) in peripartum depression group. 86.5% of the patients with self-reported bruxism had myogenous temporomandibular disorder (p<0.001). As a result, 80.0% of the patients with peripartum depression had myogenous temporomandibular disorder (p<0.001). Conclusions: In conclusion, a significant relationship has been found between peripartum depression and self-reported bruxism, self-reported bruxism and myogenous temporomandibular disorder, and peripartum depression and myogenous temporomandibular disorder. The present study is the first to evaluate the relationship between peripartum depression, self-reported bruxism, and myogenous temporomandibular disorder so it could be considered as a pilot attempt, and further studies using more representative samples are encouraged.

Infant-Driven Feeding Systems: Do They “Normalize” the Feeding Experience of Infants With Cleft Palate?

2021 ◽  
pp. 105566562098435
Author(s):  
Lauren L. Madhoun ◽  
Meghan O’Brien ◽  
Adriane L. Baylis
Keyword(s):  
Cleft Palate ◽  
Cleft Lip ◽  
Medical Center ◽  
Academic Medical Center ◽  
Bottle Feeding ◽  
Control Group ◽  
Cross Sectional ◽  
Level 1 ◽  
Level 2 ◽  
Feeding Systems

Objective: To examine feeding skills of infants with cleft palate with or without cleft lip (CP±L) using infant-driven feeding systems compared to healthy controls on standard bottles. Design: Cross-sectional cohort. Setting: Large pediatric academic medical center in the Midwestern United States. Participants: Infants with CP±L (n = 15) using the Dr. Brown’s Specialty Feeding System and typically developing infants without CP±L (n = 15) using the Dr. Brown’s Natural Flow Original or Options bottles. Main Outcome Measure(s): Bottle-feeding proficiency, duration, milk transfer, and signs of feeding difficulty. Results: Five-minute feeding proficiency differed significantly between groups with the control group taking 45% of the feed compared to 16% for the CP±L group on level 1 ( P < .001) and 30% on level 2 ( P < .001) nipples. Proportion of milk transfer was 96% ± 7% for controls and 75% ± 24% for the CP±L group ( P = .013). Feeding duration (minutes) differed between the control group (13 ± 3) and the CP±L groups on each nipple level (level 1: 29 ± 16; P = .003; level 2: 32 ± 11; P = .001). Milk transfer rate (mL/min) was 9 ± 3 for control infants compared to 3 ± 1 for infants with CP±L on level 1 ( P < .001) and 5 ± 1 on level 2 ( P = .007). Coughing occurred in 40% of infants with CP±L and 27% of controls. Conclusions: Even when using specialty bottles, infants with CP±L differ from noncleft infants in feeding proficiency, duration, and overall intake.

Gender Views and Relationships in Families of Children With Craniofacial Differences

2017 ◽  
Vol 55 (2) ◽  
pp. 189-195
Author(s):  
Danielle N. Shapiro ◽  
Jennifer Waljee ◽  
Steven Buchman ◽  
Kavitha Ranganathan ◽  
Seth Warshcausky
Keyword(s):  
Family Functioning ◽  
Parenting Stress ◽  
Relationship Quality ◽  
Cleft Lip ◽  
Short Form ◽  
Medical Center ◽  
Academic Medical Center ◽  
Positive Association ◽  
Gender Attitudes ◽  
Linear Modeling

Objective: Gender values and beliefs are known to influence family functioning. The aim of the current study was to describe the association between views about gender and family functioning within families with a child with a craniofacial difference (CFD). Design: Participants included 74 dyads composed of children (8-18 years old) with CFD (n = 36 female), including cleft lip/palate, and a parent (n = 56 female). Children and caregivers both completed the activities subscale of the Occupations, Activities, and Traits–Attitudes Measure (C/OAT-AM). Children completed selected items from the Parent Perception Inventory (PPI). Caregivers completed the nurturance subscale of the Parenting Dimensions Inventory–Short Form (PDI-S) and the Parenting Stress Scale (PSS). Setting: Participants were recruited from an outpatient program at an academic medical center. Results: There were no significant relationships among the participant demographics and the study variables, with the exception that more complex CFD diagnoses were correlated with increased parenting stress. General linear modeling showed that parents with more flexible gender attitudes reported more nurturing parenting behaviors. There was also a positive association between parental flexibility in gender views and child-reported parent-child relationship quality. An interaction showed that the relationship between parental flexibility in gender views and child-reported relationship quality was stronger for females and nonsignificant for males. Conclusions: Caregivers with more flexible gender attitudes perceived themselves as more nurturing and were seen more positively by their daughters with a CFD. This pattern may inform parenting interventions for CFD populations.

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