{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,3]],"date-time":"2026-01-03T03:05:43Z","timestamp":1767409543854,"version":"3.40.5"},"reference-count":41,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T00:00:00Z","timestamp":1730246400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005627","name":"Thrasher Research Fund","doi-asserted-by":"publisher","award":["15194"],"award-info":[{"award-number":["15194"]}],"id":[{"id":"10.13039\/100005627","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>To determine the prevalence of postpartum depression (PPD) and postpartum stress (PPS) and identify associated risk factors among mothers of preterm and low birth weight (LBW) infants. We conducted a secondary analysis of data collected from 255 mothers with preterm and LBW infants admitted to the neonatal intensive care unit (NICU) at Korle\u2010Bu Teaching Hospital, Accra, Ghana. A standardized interviewer\u2010administered questionnaire collected data on maternal, pregnancy, birth, and infant characteristics. The questionnaire also included the Patient Health Questionnaire\u20109 (PHQ\u20109) and the Perceived Stress Scale\u20104 (PSS\u20104) to assess PPD and PPS, respectively. Simple and multivariable linear regression analyses were performed to identify factors associated with PPD and PPS. The prevalence of moderate to moderately severe PPD was 3.9%, and that of PPS was 43.5%. The multivariable linear regression analysis showed that an increased number of prenatal care visits (<jats:italic>\u03b2<\/jats:italic>\u2010estimate\u2009=\u20090.26; 95% confidence interval [CI] 0.08\u20130.43; <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01) was positively associated with higher scores on the PHQ\u20109, whereas gestational age at birth (<jats:italic>\u03b2<\/jats:italic>\u2009=\u2009\u22120.21; 95% CI \u20130.40 to \u22120.03; <jats:italic>P<\/jats:italic>\u2009=\u20090.02) was inversely associated with PHQ\u20109 scores. Moreover, a longer gestational period at the first prenatal care visit (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.25; 95% CI 0.05\u20130.45; <jats:italic>P<\/jats:italic>\u2009=\u20090.01) and following the Islamic religion were associated with elevated scores on the PSS\u20104 (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.95; 95% CI 0.11\u22121.80; <jats:italic>P<\/jats:italic>\u2009=\u20090.011). Our findings underscore the presence of moderate PPD levels and high PPS levels among mothers. Active screening, diagnosis, and treatment for mothers at risk of mental health disorders during the peripartum period could enhance coping mechanisms for mothers navigating the challenging NICU environment and transitioning to the home environment.<\/jats:p>","DOI":"10.1002\/ijgo.15998","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T18:19:46Z","timestamp":1730312386000},"page":"131-137","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and risk factors for postpartum depression and stress among mothers of preterm and low birthweight infants admitted to a neonatal intensive care unit in Accra, Ghana"],"prefix":"10.1002","volume":"169","author":[{"given":"John","family":"Pellegrino","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of South Carolina, Arnold School of Public Health  Columbia South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7788-4874","authenticated-orcid":false,"given":"Paddington T.","family":"Mundagowa","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics University of South Carolina, Arnold School of Public Health  Columbia South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kwame Sarfo","family":"Sakyi","sequence":"additional","affiliation":[{"name":"Public and Environmental Wellness, School of Health Sciences Oakland University  Rochester Michigan USA"},{"name":"Center for Learning and Childhood Development\u2010Ghana  Accra Ghana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prince Gyebi","family":"Owusu","sequence":"additional","affiliation":[{"name":"Center for Learning and Childhood Development\u2010Ghana  Accra Ghana"},{"name":"Michigan State University  East Lansing Michigan 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University of South Carolina, Arnold School of Public Health  Columbia South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-020-00912-z"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.11.033"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2005.03407.x"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2020.112769"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2023.0069"},{"volume-title":"Thinking Healthy: A Manual for Psychosocial Management of Perinatal Depression, WHO Generic Field\u2010Trial Version 1.0","year":"2015","author":"World Health 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