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THE IMPORTANCE OF FACTOR LOADINGS OF PUERPERAE WITH POSTPARTUM DEPRESSION FOR NEWBORNS WITH HYPOXIC-ISCHEMIC ENCEPHALOPATHY IN COMPREHENSIVE REHABILITATION: A RANDOMIZED CONTROLLED TRIAL

Alexandr Valentinovich Filonenko, Vera Alexandrovna Filonenko, Andrey Vasilievich Golenkov

Abstract


Background:

New principles of a comprehensive approach to rehabilitation of a newborn with hypoxic-ischemic encephalopathy (HIE) were scientifically substantiated and developed in the study. They are based on the interaction of factor loadings of the «mother-newborn» system, which are caused by damage to the nervous system of the child and postpartum puerperal psycho-emotional condition.

Objective:

In this paper, we aimed to determine the factor loadings of the puerperia’s postpartum depression (PD) on the condition of breast-feeding newborns with HIE.

Methods:

The analysis of 65 pairs «mother-baby» object parameters of neuroticism, accentuation of character, PD, anxiety of puerperae, cerebral blood flow and autonomic reactivity of newborns, their skin conductivity before and after standard treatment.

Results:

Factor loadings of mothers to newborns are high. The effect of power loaded on the infant, causing a critical threshold of 70.2% (p <0.01) dispersion pronounced by factor analysis with quartimax rotation. Of these, 39.7% (more than half) fall on the mother.

Conclusions:

Reducing the negative power of postnatal maternal factors is promising direction of rehabilitation in newborns with HIE. The necessity of focusing on the psychological adaptation of the mother in the neonatal period for preventing the consequences and somatic diseases in infancy is substantiated.


Keywords


Hypoxic-ischemic encephalopathy; Newborn; Postpartum Depression; Puerpera

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References


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