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Predictors of crying problems in the early postpartum period

Kurth, Elisabeth and Spichiger, Elisabeth and Cignacco, Eva and Kennedy, Holly Powell and Glanzmann, René and Schmid, Monika and Staehelin, Katharina and Schindler, Christian and Stutz, Elisabeth Zemp. (2010) Predictors of crying problems in the early postpartum period. Journal of obstetric, gynecologic, & neonatal nursing, Vol. 39, H. 3. pp. 250-262.

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Official URL: http://edoc.unibas.ch/dok/A5842992

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Abstract

Objective To investigate maternal and infant factors associated with midwife-reported crying problems in the early postpartum period. Design Case control study. Setting Postnatal home care in Switzerland. Participants Seven thousand seven hundred and sixty-five mother/child dyads who received postnatal homecare by midwives (n=1,636 cases of midwife-reported crying problems, n=6,129 controls). Methods We investigated factors associated with infant crying problems during the postpartum period as documented in the Statistical Database of Independent Midwives' Services in Switzerland (2007). Using case control methodology, we matched all identified cases of crying problems with controls who had been cared for by the same midwife. A conditional logistic regression model was used to analyze the associations of reported crying problems with maternal and infant factors. Results Maternal health and mood problems in the immediate postpartum period were significantly associated with reported crying problems. Maternal health and mood problems included physical complications after birth, psychological decompensation, and depression. Further risk factors for infant crying problems were planned resumption of paid work directly after paid maternity leave (at 15-16 weeks postpartum) and immigrant status. A protective effect was observed for higher parity. Conclusions Crying problems in the early postpartum period are associated with mothers' physical, psychological, and social conditions. Care practices that promote new mothers' physical and psychological recovery after birth could be a promising strategy to prevent early crying problems. Specific support is important for mothers with early signs of depression or decompensation, intention to return early to paid work, immigrant background, and for first-time mothers
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Society, Gender and Health > Gender and Health (Zemp Stutz)
03 Faculty of Medicine > Departement Public Health > Institut für Pflegewissenschaft
03 Faculty of Medicine > Departement Public Health > Sozial- und Präventivmedizin
UniBasel Contributors:Spichiger, Elisabeth and Cignacco, Eva and Schindler, Christian and Zemp Stutz, Elisabeth and Kurth, Elisabeth and Staehelin, Katharina
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Blackwell
ISSN:0884-2175
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:24 May 2013 09:23
Deposited On:24 May 2013 09:18

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