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Centro Latino Americano de Perinatologia, Saúde da Mulher e Reprodutiva

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Chronic post-traumatic stress in mothers of very low birth weight preterm infants born before 32 weeks of gestation

Rodríguez, DC; Ceriani Cernadas, JM; Abarca, P; Edwards, E; Barrueco, L; Lesta, P; Durán, P.
Arch. argent. pediatr ; 118(5): 306-312, Oct. 2020.
Artigo em Inglês | MMyP, UY-BNMED, BNUY | ID: biblio-1122955

Background:

The birth of very low birth weight (VLBW) preterm infants causes stress in mothers, which may continue for over 6 months. This is called chronic post-traumatic stress disorder (CPTSD).

Objective:

To detect CPTSD frequency and symptoms among mothers of VLBW preterm infants born before 32 weeks of gestation.

Methods:

Cross-sectional cohort study in mothers using a survey based on the Davidson Trauma Scale.

Results:

A total of 172 surveys were administered but 146 were included; 82 (56 %) did not have stress symptoms, while 64 (44 %) had CPTSD. Mothers with CPTSD accounted for 46.8 % of preterm infants born at ≤ 28 weeks versus 31.7 % in those without CPTSD (p = 0.032). Preterm infants with a birth weight < 1000 g were significantly more frequent among mothers with CPTSD, 53 % versus 34 % among those without stress (p = 0.011). No differences were observed in neonatal morbidity (p = 0.072). Severe morbidity in preterm infants was significantly more common among those with CPTSD, 43.8 % versus 28 % (p ≤ 0.004).Mothers who had a lower education accounted significantly for more cases of CPTSD (p = 0.013). No significant differences were seen in maternal age (p = 0.313), children's age (p = 0.405), and length of stay (p = 0.316).

Conclusion:

Among the mothers of VLBW preterm infants, 44 % had CPTSD, and this was significantly more common among those who had preterm infants born at ≤28 weeks, a birth weight <1000 g, severe morbidity, and a lower level of education. (AU)
Biblioteca responsável: UY4.1