Birth Experience, Postpartum PTSD and Depression before and during the Pandemic of COVID-19 in Russia

The aim of the study is to investigate the changes in the maternal healthcare system during the pandemic and their associations with maternal mental health in Russia. A sample of Russian women who gave birth during the first year of the COVID-19 pandemic (n = 1645) and matched controls, i.e., women who gave birth before the COVID-19 pandemic (n = 611), completed an anonymous Internet survey about recent childbirth. They were assessed for childbirth-related posttraumatic stress disorder (PTSD) and postpartum depression (PPD). Clinically relevant symptoms of PPD and PTSD were high before the pandemic and showed no significant change during the pandemic (p = 0.48 and p = 0.64, respectively). We found a notable increase in the frequency of obstetric violence (p = 0.015) during the pandemic, which, in turn, has a strong correlation with birth-related PTSD and PPD. The problem of ethical communication with patients among maternal healthcare professionals is acute in Russia, and it has been exacerbated by the pandemic. Family and doula support during labor can be a potential protective factor against obstetric violence.

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Physical and Sedentary Activities and Childhood Overweight/Obesity: A Cross-Sectional Study among First-Year Children of Primary Schools in Modena, Italy

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18063221 ◽

2021 ◽

Vol 18 (6) ◽

pp. 3221

Author(s):

Stefania Paduano ◽

Antonella Greco ◽

Lucia Borsari ◽

Chiara Salvia ◽

Stefano Tancredi ◽

...

Keyword(s):

Digital Media ◽

Primary Schools ◽

Parental Education ◽

Protective Factor ◽

Dietary Habits ◽

Family Characteristics ◽

Public Health Issue ◽

First Year ◽

Cross Sectional ◽

Sedentary Activities

Children obesity is a serious public health issue. This study aimed to investigate physical/sedentary activities of first-year primary schools children in Modena, and their association with overweight/obesity and dietary habits of children and family characteristics to identify the risk factors for unhealthy lifestyles. Child physical/sedentary activities were gathered through an anonymous questionnaire administered to parents, as well as family characteristics and weight/height of child and parents. Logistic regression models, eventually adjusted for parents’ sociodemographic characteristics, were used to analyze data. Questionnaires were delivered by 660 families (74.2%), of which 72 without anthropometric data were excluded. Three out of four children spent in physical activities less than 7 h/week, while 63.9% dedicated to sedentary activities two or more hours/day. From multivariate analysis, the habit significantly affecting children’s overweight/obesity was spending time on tablets/Personal Computers/mobile phones/videogames. Higher parental education level resulted in a protective factor for implementing unhealthy lifestyles in terms of time dedicated to physical/sedentary activities. Our results suggest the need of interventions to increase time for physical activity and to promote a responsible use of digital media involving the entire families to reach all parents regardless of their education and nationality with a possible relapse on other family members.

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Duration of maternal mental health-related outcomes after an infant’s death: A retrospective matched-cohort study using linkable administrative data

International Journal for Population Data Science ◽

10.23889/ijpds.v3i4.677 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Elizabeth Wall-Wieler ◽

Leslie Roos ◽

James Bolton

Keyword(s):

Mental Health ◽

Psychotropic Medication ◽

Maternal Mental Health ◽

Medication Use ◽

First Year ◽

Death Of A Child ◽

Health Related ◽

One Year ◽

Child's Death ◽

Linkable Administrative Data

IntroductionMothers have increased mental illness such as anxiety and depression after the death of a child. Objectives and ApproachThe mental health of all mothers who experience the death of an infant (< 1 years old) in Manitoba, Canada between April 1, 1999, and March 31, 2011 (n = 534) is examined in the four years leading up to, and the four years following, the death of their child to determine how long increased levels of mental-health realted outcomes remain elevated after the death of an infant. Mental health-related outcomes of these mothers are compared with a matched (3:1) cohort of mothers who did not experience the death of a child (n = 1,602). ResultsCompared with mothers who did not experience the death of a child, mothers experiencing this event had higher rates of anxiety diagnoses and psychotropic prescriptions starting 6 months before the death. Elevated rates of anxiety continued for the first year and elevated rates of psychotropic prescriptions continued for six months after the death of the child. Mothers who experienced the death of a child had higher rates of depression diagnoses in the year after the death. Relative rates (RR) of depression (RR = 4.94), anxiety (RR = 2.21), and psychotropic medication use (RR = 3.18) were highest in the six months after the child’s death. Conclusion/ImplicationsElevated rates of depression, anxiety, and psychotropic medication use after the death of a child end within one year of the child’s death.

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Here/In This Issue and There/Abstract Thinking: The First Year: Incorporating Maternal Mental Health Into Child Psychiatric Practice

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1016/j.jaac.2017.01.001 ◽

2017 ◽

Vol 56 (3) ◽

pp. 183-184

Author(s):

David S. Hong

Keyword(s):

Mental Health ◽

Maternal Mental Health ◽

Psychiatric Practice ◽

First Year ◽

Abstract Thinking ◽

Child Psychiatric

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Father involvement in the first year of life: Associations with maternal mental health and child development outcomes in rural Pakistan

Social Science & Medicine ◽

10.1016/j.socscimed.2019.112421 ◽

2019 ◽

Vol 237 ◽

pp. 112421 ◽

Cited By ~ 4

Author(s):

Joanna Maselko ◽

Ashley K. Hagaman ◽

Lisa M. Bates ◽

Sonia Bhalotra ◽

Pietro Biroli ◽

...

Keyword(s):

Mental Health ◽

Child Development ◽

Father Involvement ◽

Maternal Mental Health ◽

First Year ◽

Rural Pakistan ◽

Development Outcomes ◽

First Year Of Life

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Factors associated with the development of skin allergies in premature newborns in the first year of life

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2021.20200261 ◽

2021 ◽

Vol 42 ◽

Author(s):

Leonardo Bigolin Jantsch ◽

Bruna Paola de Lima Bridi ◽

Giovana Dornelles Callegaro Higashi ◽

Andrea Moreira Arrué ◽

Diúlia Calegari de Oliveira ◽

...

Keyword(s):

Preterm Infants ◽

Protective Factor ◽

Newborn Infants ◽

Late Preterm ◽

First Year ◽

Cross Sectional ◽

Late Preterm Infants ◽

Factors Associated ◽

Skin Allergy ◽

First Year Of Life

ABSTRACT Objective To identify the factors associated with the development of skin allergies in the first year of life in moderate and late preterm infants. Method: This is a cross-sectional study with 151 moderate and late preterm infants, born between May 2016 and May 2017. Participants were evaluated in the 3rd, 6th, 9th and 12th months of life, in telephone interviews. Statistical analyzes were performed in the SPSS software with frequency comparison tests and logistic regression. Results: The prevalence of skin allergy, in the perception of caregivers, among late and moderate preterm infants was 16%. Factors such as being admitted to neonatal intensive care (p = 0.006) and not being breastfed (p = 0.041) showed a significant association with the development of skin allergies in the 3rd and 12th months of life, respectively. Conclusion: Skin allergy, in the perception of caregivers, is more severe in newborn infants who have clinical respiratory and gastrointestinal manifestations, be it conditioning or cause-effect. Breastfeeding proved to be a protective factor in the first year of life.

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Posttraumatic Stress Disorder Postpartum of a Woman Recovered from Drug Addiction: A Case Report

Reports ◽

10.3390/reports3020014 ◽

2020 ◽

Vol 3 (2) ◽

pp. 14

Author(s):

Evangelia Antoniou ◽

Eirini Orovou ◽

Vasileios Stavropoulos ◽

Ermioni Palaska ◽

Angeliki Sarella ◽

...

Keyword(s):

Posttraumatic Stress Disorder ◽

Case Report ◽

Cesarean Section ◽

Posttraumatic Stress ◽

Life Events ◽

Drug Addiction ◽

Stress Disorder ◽

Traumatic Life Events ◽

Postpartum Ptsd ◽

The Impact

There is high degree of prevalence and variety of risk factors of postpartum Posttraumatic Stress Disorder (PTSD). However, some postpartum women seem to struggle with their past traumatic life events and previous PTSD can result in them sinking deeper into a new PTSD, a postpartum PTSD. The person who has undergone detoxification has endured a very painful process and there is a strong association between drug addiction and mortality. The aim of this case report study is to raise the understanding of health professionals regarding the impact that these two factors might have on ex-drug addicted women. Data were collected from the Maternity unit of the University Hospital of Larisa in Greece. A mother on day 2 after elective cesarean section confirmed her participation and filled in a Life Events Checklist (LEC-5), Posttraumatic Checklist (PCL-5), Criteria A, and a socio-demographic questionnaire. After the sixth postpartum week, the woman answered via telephone, adapted for postpartum PCL-5. This case study describes vividly and painfully the impact of past drug addiction not only on her cesarean section but also how it affected her postpartum period. Eight past traumatic life events led to the creation of a chronic PTSD, i.e., trauma re-experiencing, avoidance, negative thoughts and feelings, agitation, and reactivity. Unfortunately, in cases of traumatic childbirth, especially cesarean section, when there are past traumatic experiences, such as addiction or sexual abuse, postpartum PTSD is an unbearable experience.

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Clinical and neurophysiologic prospective study with time-event and long-term analysis of the chronic neurotoxicity associated with oxaliplatin in patients with colorectal cancer (CRC).

Journal of Clinical Oncology ◽

10.1200/jco.2017.35.15_suppl.e15150 ◽

2017 ◽

Vol 35 (15_suppl) ◽

pp. e15150-e15150

Author(s):

Javier Cassinello ◽

Carolina Serrano ◽

Melchor Alvarez De Mon

Keyword(s):

Predictive Factor ◽

Protective Factor ◽

Female Gender ◽

First Year ◽

Clinical Scales ◽

Fine Fiber ◽

End Of Treatment ◽

Maximum Improvement

e15150 Background: The sensitive, symmetric, chronic neurotoxicity is a frequent dose-dependent and dose-limiting secondary effect of oxaliplatin (COXALIN). Time-event and long-term studies about COXALIN and its progression after the end of treatment ( coasting) are lacking. Methods: A prospective, translational, clinical and neurophysiologic study was performed in patients (p) with CRC treated with oxaliplatin. We analyzed COXALIN during and after treatment (at the time of initial, maximum coasting, improvement and maximum improvement). We followed p every 3 months the first year and every 6 months thereafter. The NCI-CTC V3.0 sensitive and modified TNSc (without motor and autonomic skills) clinical scales and Quantitave Sensitive Test and ENG were used. Results: 41 chemo naive p with CRC were included, 22 men, median age 60 y (IA:55-73).Oxaliplatin was administrated as adjuvant treatment in 36p. FOLFOX combination was used in 40p. The median cumulative doses was 825,25 mg/m2 (IA: 697-963). The median follow-up was 21,5m (11-27). 38 p developed COXALIN at median 5,5 m (IA: 4,4-6,6) and maximum coasting at median 8,5 m (IA: 7,6-9,5); in multivariant analysis, cumulative dose at 3 months (p = 0,039; OR 2,5; p = 0,027; HR 0,5) was predictive factor and female gender (p = 0,017; OR 0,11) was protective factor. Fine fiber neuropathy was detected in 47,4% p. All p improved at median 8,7m (IA: 7,1-10,2) since COXALIN, reaching the maximum improvement at 13,4 m (IA:16,0-20,4); on multivariate analysis, the COXALIN intensity was the predictive factor (p = 0,03; HR 0,42). 76,6%p showed residual COXALIN (73,9% p subclinical/mild, 17,4% p moderated and 8,7% p severe). A high correlation was found between clinical scales and neurophysiologic studies along the study (p < 0,0001). Sensitive NCI-CTC scale was more sensible than modified TNSc to evaluate COXALIN intensity in our study. Conclusions: We confirm coasting in COXALIN which prolongs 6 months after treatment. About 80% p showed residual COXALIN in the long-term but it was subclinical or mild in most cases. Sensitive NCI-CTC 3.0 scale is a simple and reliable method for the follow-up of COXALIN.

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