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The Mental Health Implications of Obstetric Brachial Plexus Injuries (OBPI) on Parents


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Comparison of PTSD rates in mothers after obstetric brachial plexus injury to mothers of mothers of children in a full-term nursery.

N PTSD Event Rate Difference (95% CI) P-Value
OBPI 24 41.7% 36.4% (14.3% to 58.5%) 0.004
Full-term Nursery 19 5.3%

Comparison of PTSD rates in mothers after obstetric brachial plexus injury to mothers of children in a neonatal intensive care unit and mothers of children in a full-term nursery.

N PTSD Event Rate Difference (95% CI) P-Value
OBPI 24 41.7 % −1.2% (−32.3% to 29.4%) 1.0000
NICU 14 42.8 %

Patient Demographics.

Variable OBPI (n=24) NICU (n=14) FTN (n=19) P-Value
Age of child at time of screening, Median (IQR) 27 (1–45) 1 (0.1.25) 0 (0–0) 0.0017*
Ethnicity, n (%) 0.5103
African-American 17 (70.8) 10 (71.4) 12 (63.2)
White 4 (16.7) 4 (28.6) 6 (31.6)
Other 3 (12.5) - 1 (5.3)
Recently witnessed violence [None], n(%) 12 (100.0) 11 (84.6) 18 (100.0) 0.0889
Support available [Yes], n(%) 7 (58.3) 8 (61.5) 13 (72.2) 0.7169
Drug use [None], n(%) 11 (91.7) 12 (92.3) 9 (50.0) 0.4686
Married [Yes], n(%) 5 (41.7) 5 (38.4) 2 (28.6) 0.5882
Education Level, n(%) 0.8141
Less than High School - - 1 (5.6)
High School 4 (33.3) 4 (30.8) 7 (38.9)
Some College 4 (33.3) 3 (23.1) 5 (27.8)
College Degree 4 (33.3) 4 (30.8) 3 (16.7)
Graduate School - 2 (15.4) 2 (11.1)
Employed, n(%) 0.3499
Full-time 6 (50.0) 4 (30.8) 11 (61.1)
Part-time 1 (8.3) 2 (15.4) -
Not working 5 (41.7) 7 (53.8) 7 (38.9)
PCL score, mean (SD) 31.0 (13.1) 31.8 (17.7) 21.0 (5.05) 0.0191*
PHQ-9 score, mean (SD) 7.5 (7.6) 8.5 (7.5) 2.2 (3.0) 0.0105*

Comparison of depression rates in mothers after obstetric brachial plexus injury to mothers of children in a neonatal intensive care unit and mothers of children in a full-term nursery.

N Depression Event Rate Difference (95% CI) P-Value
OBPI 14 14.3 % −1.1% (−29.1% to 26.6%) 1.0000
NICU 13 15.4 %

Comparison of depression rates in mothers after obstetric brachial plexus injury to mothers of children in a full-term nursery.

N Depression Event Rate Difference (95% CI) P-Value
OBPI 14 14.3% 14.3% (−7.2% to 35.2%) 0.1723
Full-term Nursery 19 0.0%
eISSN:
2719-535X
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
Volume Open
Fachgebiete der Zeitschrift:
Medizin, Klinische Medizin, Kinder- und Jugendmedizin, Kinderhämatolgie und -Onkologie, Öffentliches Gesundheitswesen