Impact of perinatal asphyxia on parental mental health and bonding with the infant: a questionnaire survey of Swiss parents

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Ressource 1Download: Horsch et al 2017_BMJ Paed Open.pdf (358.90 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_1A72C0F9AF15
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of perinatal asphyxia on parental mental health and bonding with the infant: a questionnaire survey of Swiss parents
Journal
BMJ Paediatrics Open
Author(s)
Horsch Antje, Jacobs Ingo, Gilbert Leah, Favrod Céline, Schneider Juliane, Morisod Harari Mathilde, Bickle Graz Myriam
ISSN
2399-9772
Publication state
Published
Issued date
09/2017
Peer-reviewed
Oui
Volume
1
Number
1
Pages
e000059
Language
english
Abstract
Objective
To compare current mental health symptoms and infant bonding in parents whose infants survived perinatal asphyxia in the last 2 years with control parents and to investigate which sociodemographic, obstetric and neonatal variables correlated with parental mental health and infant bonding in the asphyxia group.
Design
Cross-sectional questionnaire survey of parents whose children were registered in the Swiss national Asphyxia and Cooling register and of control parents (Post-traumatic Diagnostic Scale, Hospital Anxiety and Depression Scale, Mother-to-Infant Bonding Scale).
Results
The response rate for the asphyxia group was 46.5%. Compared with controls, mothers and fathers in the asphyxia group had a higher frequency of post-traumatic stress disorder (PTSD) symptoms (p<0.001). More mothers (n=28, 56%) had a symptom diagnosis of either full or partial PTSD than controls (n=54, 39%) (p=0.032). Similarly, more fathers (n=31, 51%) had a symptom diagnosis of either partial or full PTSD than controls (n=19, 33%) (p=0.034). Mothers reported poorer bonding with the infant (p=0.043) than controls. Having a trauma in the past was linked to more psychological distress in mothers (r=0.31 (95% CI 0.04 to 0.54)) and fathers (r=0.35 (95% CI 0.05 to 0.59)). For mothers, previous pregnancy was linked to poorer bonding (r=0.41 (95% CI 0.13 to 0.63)). In fathers, therapeutic hypothermia of the infant was related to less frequent PTSD symptoms (r=−0.37 (95% CI −0.61 to −0.06)) and past psychological difficulties (r=0.37 (95% CI 0.07 to 0.60)) to more psychological distress. A lower Apgar score was linked to poorer bonding (r=−0.38 (95% CI −0.64 to −0.05)).
Conclusions
Parents of infants hospitalised for perinatal asphyxia are more at risk of developing PTSD than control parents.
Keywords
asphyxia, posttraumatic stress disorder, mother, mental health, bonding
Open Access
Yes
Create date
16/11/2017 10:30
Last modification date
20/08/2019 12:51
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