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Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country

BACKGROUND: In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychologi...

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Autores principales: Gausia, Kaniz, Moran, Allisyn C, Ali, Mohammed, Ryder, David, Fisher, Colleen, Koblinsky, Marge
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124431/
https://www.ncbi.nlm.nih.gov/pubmed/21658218
http://dx.doi.org/10.1186/1471-2458-11-451
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author Gausia, Kaniz
Moran, Allisyn C
Ali, Mohammed
Ryder, David
Fisher, Colleen
Koblinsky, Marge
author_facet Gausia, Kaniz
Moran, Allisyn C
Ali, Mohammed
Ryder, David
Fisher, Colleen
Koblinsky, Marge
author_sort Gausia, Kaniz
collection PubMed
description BACKGROUND: In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh. METHODS: A total of 476 women including 122 women with perinatal deaths were assessed with the Edinburgh Postnatal Depression Scale (EPDS-B) at 6 weeks and 6 months postpartum, and followed up for negative social consequences at 6 months postpartum. Trained female interviewers carried out structured interviews at women's home. RESULTS: Overall 43% (95% CI: 33.7-51.8%) of women with a perinatal loss at 6 weeks postpartum were depressed compared to 17% (95% CI: 13.7-21.9%) with healthy babies (p = < 0.001). Depression status were significantly associated with women reporting negative life changes such as worse relationships with their husband (adjusted OR = 3.89, 95% CI: 1.37-11.04) and feeling guilty (adjusted OR = 2.61, 95% CI: 1.22-5.63) following the results of their last pregnancy outcome after 6 months of childbirth. CONCLUSIONS: This study highlights the greatly increased vulnerability of women with perinatal death to experience negative psychological and social consequences. There is an urgent need to develop appropriate mental health care services for mothers with perinatal deaths in Bangladesh, including interventions to develop positive family support.
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spelling pubmed-31244312011-06-28 Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country Gausia, Kaniz Moran, Allisyn C Ali, Mohammed Ryder, David Fisher, Colleen Koblinsky, Marge BMC Public Health Research Article BACKGROUND: In developed countries, perinatal death is known to cause major emotional and social effects on mothers. However, little is known about these effects in low income countries which bear the brunt of perinatal mortality burden. This paper reports the impact of perinatal death on psychological status and social consequences among mothers in a rural area of Bangladesh. METHODS: A total of 476 women including 122 women with perinatal deaths were assessed with the Edinburgh Postnatal Depression Scale (EPDS-B) at 6 weeks and 6 months postpartum, and followed up for negative social consequences at 6 months postpartum. Trained female interviewers carried out structured interviews at women's home. RESULTS: Overall 43% (95% CI: 33.7-51.8%) of women with a perinatal loss at 6 weeks postpartum were depressed compared to 17% (95% CI: 13.7-21.9%) with healthy babies (p = < 0.001). Depression status were significantly associated with women reporting negative life changes such as worse relationships with their husband (adjusted OR = 3.89, 95% CI: 1.37-11.04) and feeling guilty (adjusted OR = 2.61, 95% CI: 1.22-5.63) following the results of their last pregnancy outcome after 6 months of childbirth. CONCLUSIONS: This study highlights the greatly increased vulnerability of women with perinatal death to experience negative psychological and social consequences. There is an urgent need to develop appropriate mental health care services for mothers with perinatal deaths in Bangladesh, including interventions to develop positive family support. BioMed Central 2011-06-09 /pmc/articles/PMC3124431/ /pubmed/21658218 http://dx.doi.org/10.1186/1471-2458-11-451 Text en Copyright ©2011 Gausia et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Gausia, Kaniz
Moran, Allisyn C
Ali, Mohammed
Ryder, David
Fisher, Colleen
Koblinsky, Marge
Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_full Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_fullStr Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_full_unstemmed Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_short Psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
title_sort psychological and social consequences among mothers suffering from perinatal loss: perspective from a low income country
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3124431/
https://www.ncbi.nlm.nih.gov/pubmed/21658218
http://dx.doi.org/10.1186/1471-2458-11-451
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