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Am J Perinatol ; 41(13): 1789-1796, 2024 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-38423031

RESUMEN

OBJECTIVE: This study aimed to determine the prevalence of partner violence and depression in neonatal intensive care unit (NICU) mothers. STUDY DESIGN: This was a descriptive study. Mothers were screened in a safe room away from their partner with the Edinburgh Postnatal Depression Scale (EPDS) and the Abuse Assessment Screen Tool (AAS) within 2 days of the newborn's admission. The EPDS was administered again 2 weeks later and then at discharge. RESULTS: Nearly 20% of mothers reported on the AAS that they had experienced physical abuse since pregnancy. Abuse significantly predicted baseline depression 48 hours after delivery. A significant relationship emerged between depression and past year partner violence, with 100% experiencing abuse in the past year after pregnancy. Regular hospital intake questions underreported NICU mothers' partner violence experience and feelings of depression. CONCLUSION: There was a marked difference between what mothers reported in their health history at admission versus evidence-based surveys in a private setting. These results challenge assumptions that accurate screening happens at hospital admission. It is imperative to use evidence-based scales after delivery to improve outcomes. KEY POINTS: · Intake questions undermeasure partner violence and depression.. · Clinical depression emerges by 2 weeks postdelivery.. · Screening is optimal postdelivery, rather than at admission..


Asunto(s)
Depresión Posparto , Unidades de Cuidado Intensivo Neonatal , Violencia de Pareja , Madres , Humanos , Femenino , Adulto , Recién Nacido , Violencia de Pareja/psicología , Violencia de Pareja/estadística & datos numéricos , Madres/psicología , Depresión Posparto/diagnóstico , Depresión Posparto/epidemiología , Adulto Joven , Prevalencia , Escalas de Valoración Psiquiátrica , Depresión/epidemiología , Depresión/diagnóstico , Embarazo , Tamizaje Masivo/métodos
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