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Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals
Thesis (MMed)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867613920349388800 |
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| access_status_str | Open Access |
| author | Ely, Cordelia |
| author2 | Wessels, Thandi |
| author_browse | Ely, Cordelia Wessels, Thandi |
| author_facet | Wessels, Thandi Ely, Cordelia |
| author_sort | Ely, Cordelia |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (MMed)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/127116 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA |
| last_indexed | 2026-06-10T12:43:48.768Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/127116 Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals Ely, Cordelia Wessels, Thandi Lachman, Anusha Van Wyk, Lizelle Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Paediatrics and Child Health. Outcome assessment (Medical care) -- Western Cape (South Africa) Premature infants -- Western Cape (South Africa) Maternal health services -- Western Cape (South Africa) UCTD Thesis (MMed)--Stellenbosch University, 2023. ENGLISH SUMMARY: Introduction: Perinatal mental disorders disproportionately affect mothers in low- and middle-income countries (LMIC) and may affect both maternal responses to their infant and infant outcomes. This study aimed to determine the mental health of mothers of vulnerable infants (preterm and low birth weight infants) using a variety of mental health screening tools and to determine infant outcomes of these mothers within the first 6 months after birth. Methods: This was a prospective cohort study of infants and their mothers hospitalized at Karl Bremer and Tygerberg Hospital, of the Northern and Tygerberg health sub-districts, Western Cape, South Africa. Participants were recruited from 1 November 2020 to 31 October 2021. Dyads were recruited if the low birth weight or preterm infant was admitted to either hospital at birth or within the first 3 months of life. Maternal mental health screening was performed using the Edinburgh Postnatal Depression score (EPDS), Patient History Questionnaire (PHQ9) and Generalised Anxiety Disorder scale (GAD7). Infants were followed until 6 months chronological age. Results: A total of 95 mother-dyad pairs were recruited, equating to 103-infants. Sixty-two mothers (65%) screened at risk for mental health problems. Significant differences between at-risk-mothers and not-at-risk mothers were HIV positive status, previous mental illness, , low neonatal birth weight z-score and respiratory distress. Infant survival after 6-months was90% whilst the mortality rate was 4% (5% were lost to follow up). Conclusion: This is the first study performed at Karl Bremer and Tygerberg Hospital to evaluate the risk for maternal mental health illnesses in premature and low birth weight births. The high prevalence of at-risk mothers justifies the need for screening in this population. There are risk factors that may assist in identifying at-risk mothers. AFRIKAANSE OPSOMMING: Geen opsomming beskikbaar. Masters 2023-03-04T14:00:37Z 2023-05-18T07:05:05Z 2023-03-04T14:00:37Z 2023-05-18T07:05:05Z 2023-03 Thesis http://hdl.handle.net/10019.1/127116 en_ZA Stellenbosch University 65 pages : illustrations, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Outcome assessment (Medical care) -- Western Cape (South Africa) Premature infants -- Western Cape (South Africa) Maternal health services -- Western Cape (South Africa) UCTD Ely, Cordelia Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title | Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title_full | Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title_fullStr | Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title_full_unstemmed | Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title_short | Maternal mental health outcomes after low birth weight and preterm deliveries at Tygerberg and Karl Bremer Hospitals |
| title_sort | maternal mental health outcomes after low birth weight and preterm deliveries at tygerberg and karl bremer hospitals |
| topic | Outcome assessment (Medical care) -- Western Cape (South Africa) Premature infants -- Western Cape (South Africa) Maternal health services -- Western Cape (South Africa) UCTD |
| url | http://hdl.handle.net/10019.1/127116 |
| work_keys_str_mv | AT elycordelia maternalmentalhealthoutcomesafterlowbirthweightandpretermdeliveriesattygerbergandkarlbremerhospitals |