This document summarizes research on perinatal mental health and its implications. It discusses how mood disorders are multi-dimensional, involving autonomic function, psychological responses, and hormonal levels. It also notes that rates of anxiety and depression follow a "U-shaped curve" over the course of pregnancy, and that stress during pregnancy can impact both obstetric and infant health outcomes as well as increase economic costs. The document then outlines several of the presenter's current research programs focusing on developing brief interventions for maternal mental health and preventative interventions for young people's mental health.
American Psychological Association's overview of the 2010 Stress in America survey, as presented on Nov. 9, 2010. Panelists were Dr. Norman Anderson, APA CEO; Dr. Katherine Nordal, APA executive director of professional practice; Dr. Kathryn Henderson from the Yale Rudd Center for Food Policy and Obesity; and Dr. Wheaton Griffin, director of YMCA camp for the YMCA of Greater New York
American Psychological Association's overview of the 2010 Stress in America survey, as presented on Nov. 9, 2010. Panelists were Dr. Norman Anderson, APA CEO; Dr. Katherine Nordal, APA executive director of professional practice; Dr. Kathryn Henderson from the Yale Rudd Center for Food Policy and Obesity; and Dr. Wheaton Griffin, director of YMCA camp for the YMCA of Greater New York
Preparation of child birth is very important to all the pregnant women's it is also cover the choice of birth. this is also important to Medical as well as community peoples to know what are the choices are available for the birth of the baby.
Professor Zoe Knowles - Health, wellbeing and the environmentInnovation Agency
Presentation by Professor Zoe Knowles, Liverpool John Moores University: Evaluating outcomes for the Natural Health Service at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Presentatie van dhr. prof. dr. Frank Verhulst op het Infantscongres Nijmegen op 28 juni 2016 over de verschillen in ontwikkeling van kinderen, het onderzoek GenerationR.
early intervention in high risk infants.pptxibtesaam huma
Early Intervention in High Risk Infants
-Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Objectives
By the end of the seminar one would know
What is high risk infants?
Determinants of high risk infants
Monthwise neurodevelopment of infants in gestational age
Early intervention
General NICU guidelines for high risk infants
Recent advances
What is High Risk Infant?
A High risk infant is broadly defined as one who requires more than the standard monitoring and care offered to a healthy term newborn infant.
According to American Academy of Pediatrics, High risk infant may be defined as
Preterm Infant
Infant with special healthcare needs or dependence on technology
Infant at risk because of family issues.
Infant with anticipated early death.
High-Risk Clinical Signs
At 4 months of age, hypertonicity of the trunk or extremities is recognized as a high-risk clinical sign.
Less alternate kicking movement compared with typically developing LBW infant.
Abnormalities of kicking described by Prechtl as “cramped-synchronized,” that is, limited in variety and characterized by “rigid movement with all limbs and the trunk contracting and relaxing almost simultaneously,”
Preterm Infant
Preterm infant is the infant which is born before 36 weeks of gestation
Usually preterm infant have low birth weight i.e. less than 2.5 kgs
Determinants of High Risk Infant
Biological Risk
Attributed to medical/physical condition presence of
Asphyxia
Neonatal seizures
Prenatal exposure to drugs or alcohol
Brain-lesions
Low birth weight
Established Risk
Associated with diagnosis that is clearly established like,
Congenital malformation
Chromosomal abnormalities
CNS disorders
Metabolic disease.
Environmental & social risk
Refers to competency in parenting roles and factors in family dynamics
Suboptimal levels of stimulation and interaction in NICU
Inadequate parent-infant attachment
Insufficient educational preparation for caregiver roles
Meager financial resources of parents
Limited or absent family support to assist in taking care of and nurturing the infants in home environment.
The systems of infants develop in their stipulated time during gestational period prenatal or preterm results in specific injury
Commonest condition which requires early intervention
Newborn Maturity Rating—Ballard Score
Widely adopted because of the time efficiency
Ballard instrument involves only six physical and six neurological criteria, with a 0 to 5 scale and a maturity rating
designed to be used for neonates (20 to 44 weeks gestation) from birth through 3 days of age and has demonstrated concurrent validity with the Dubowitz gestational age calculation tool.
Neonatal Behavioral Assessment Scale
30- to 45-minute examination consists of observing, eliciting, and scoring 28 behavioral items on a 9-point scale and 18 reflex items on a 4-point scale
Six behavioral state categories are outlined in the NBAS: deep sleep,
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Preparation of child birth is very important to all the pregnant women's it is also cover the choice of birth. this is also important to Medical as well as community peoples to know what are the choices are available for the birth of the baby.
Professor Zoe Knowles - Health, wellbeing and the environmentInnovation Agency
Presentation by Professor Zoe Knowles, Liverpool John Moores University: Evaluating outcomes for the Natural Health Service at the Health, wellbeing and the environment event on Monday 28 January 2019 at The Isla Gladstone Conservatory, Liverpool
Presentatie van dhr. prof. dr. Frank Verhulst op het Infantscongres Nijmegen op 28 juni 2016 over de verschillen in ontwikkeling van kinderen, het onderzoek GenerationR.
early intervention in high risk infants.pptxibtesaam huma
Early Intervention in High Risk Infants
-Dr. Quazi Ibtesaam Huma (MPT)
Dr. Suvarna Ganvir (Phd, Prof & HOD)
Dept. of Neurophysiotherapy
DVVPF’s College of Physiotherapy
Objectives
By the end of the seminar one would know
What is high risk infants?
Determinants of high risk infants
Monthwise neurodevelopment of infants in gestational age
Early intervention
General NICU guidelines for high risk infants
Recent advances
What is High Risk Infant?
A High risk infant is broadly defined as one who requires more than the standard monitoring and care offered to a healthy term newborn infant.
According to American Academy of Pediatrics, High risk infant may be defined as
Preterm Infant
Infant with special healthcare needs or dependence on technology
Infant at risk because of family issues.
Infant with anticipated early death.
High-Risk Clinical Signs
At 4 months of age, hypertonicity of the trunk or extremities is recognized as a high-risk clinical sign.
Less alternate kicking movement compared with typically developing LBW infant.
Abnormalities of kicking described by Prechtl as “cramped-synchronized,” that is, limited in variety and characterized by “rigid movement with all limbs and the trunk contracting and relaxing almost simultaneously,”
Preterm Infant
Preterm infant is the infant which is born before 36 weeks of gestation
Usually preterm infant have low birth weight i.e. less than 2.5 kgs
Determinants of High Risk Infant
Biological Risk
Attributed to medical/physical condition presence of
Asphyxia
Neonatal seizures
Prenatal exposure to drugs or alcohol
Brain-lesions
Low birth weight
Established Risk
Associated with diagnosis that is clearly established like,
Congenital malformation
Chromosomal abnormalities
CNS disorders
Metabolic disease.
Environmental & social risk
Refers to competency in parenting roles and factors in family dynamics
Suboptimal levels of stimulation and interaction in NICU
Inadequate parent-infant attachment
Insufficient educational preparation for caregiver roles
Meager financial resources of parents
Limited or absent family support to assist in taking care of and nurturing the infants in home environment.
The systems of infants develop in their stipulated time during gestational period prenatal or preterm results in specific injury
Commonest condition which requires early intervention
Newborn Maturity Rating—Ballard Score
Widely adopted because of the time efficiency
Ballard instrument involves only six physical and six neurological criteria, with a 0 to 5 scale and a maturity rating
designed to be used for neonates (20 to 44 weeks gestation) from birth through 3 days of age and has demonstrated concurrent validity with the Dubowitz gestational age calculation tool.
Neonatal Behavioral Assessment Scale
30- to 45-minute examination consists of observing, eliciting, and scoring 28 behavioral items on a 9-point scale and 18 reflex items on a 4-point scale
Six behavioral state categories are outlined in the NBAS: deep sleep,
Presented at Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Concorde, Shah Alam, 21-24 Ogos 2016, and Bengkel Latihan Pengumpulan Data Kajian Postnatal Depression- Malaysia Aspire 2016, Hotel Klagan, Kota Kinabalu, Sabah, 26-29 Ogos 2016.
Special Yoga Foundation (SYF) was commissioned by Havering Clinical Commissioning Group (CCG) to develop a programme as part of their wider prevention programme to build up mental health resilience in the 80 schools within the borough of Havering.
Motherly Joy: The Impact of Maternal Psychological Well-Being on Infant Birth...Amanda Rostic, MPH
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Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
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What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
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It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
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Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
1. PERINATAL MENTAL HEALTH
AND IMPLICATIONS FOR THE
LIFE COURSE
Dr James Newham
Postdoctoral Research Associate
james.newham@ncl.ac.uk
Dr Raghu Lingam
Clinical Senior Lecturer
2.
3. Mood disorders as a multi-dimensional
concept
Autonomic
function (increased
sympathetic nervous
system activation)
Psychological
responses
(change in mood
and affect)
Hormonal
levels
(increased
secretion of
cortisol)
4. ‘U shaped curve’ of mood in pregnancy
Anxiety/
Stress/
Depression
scores
Trimester
Increased fear of childbirth
Aches and pains
Changes in occupation status
Uncertainity of fetus
Pregnancy sickness
Adapting to being a parent
1 2 3
5. ‘U shaped curve’ of mood in pregnancy
Anxiety/
Stress/
Depression
scores
Trimester
Increased fear of childbirth
Aches and pains
Changes in occupation status
Uncertainity of fetus
Pregnancy sickness
Adapting to being a parent
1 2 3
6. Impact of stress in pregnancy on health
outcomes
• Obstetric
• Assisted
labour
• Prolonged
labour
• Preterm
delivery
• Low birth
weight
• Maternal
• Depression
• Anxiety
• Psychosis
• Impaired
attachment
• Infant
• Behavioural
difficulties
• ADHD
• Cognitive
performance
• Sleep
problems
• Conduct
disorders
7. Impact of stress in pregnancy on economic
outcomes
1 in 5 pregnant women
experience anxiety or
depression symptoms
Estimated that these
mental health problems
costs the NHS £1.2
billion each year
72% incurred from direct
effects on the child, and
NOT the mother
8. Economic impact of problem
Costs of perinatal DEPRESSION, impact on MOTHERS, £ per
case
Costs of perinatal ANXIETY, impact on MOTHERS, £ per case
11. Current research programmes
Mothers
1. Maternal mental health in North Yorkshire
2. Brief Interventions for parental health
3. BaBBLeS (Bumps And BaBies Longitudinal
Study)
Young people
4. Preventative mental health interventions
for young people aged 12-19 years
12. Maternal mental health in North Yorkshire
Funder: North Yorkshire County Council
Research Team: K Jackson, E Henderson,
J Newham, M Balaam, D Hunter, R Lingam
Objectives
Identify how services are delivered in rural areas
Identify barriers and facilitators to effective delivery
Explore how women in rural areas describe their needs and
experiences relating to perinatal mental health
13. Brief interventions for parental health
Funder: New South Wales
Department of Education & Training
Research Team: J Newham, S Ginja,
L Hurt, K McLean, S Goldfeld, R Lingam
Objectives
Identify BRIEF interventions that can be adapted into Health
Visitor services
6 outcomes related to Healthy Child Program
Our focus
Parental Mental Health
Child Social and Emotional Wellbeing
14. BaBBLeS (Bumps And BaBies Longitudinal Study)
Funder: Best Beginnings
Research Team: R Lingam, S Ginja
Objectives
To explore impact of Baby Buddy app on maternal self-efficacy,
parenting competence and wellbeing
Cohort study exploring impact of intervention from antenatal to 6
months postnatal
15. Preventative mental health interventions for
young people
Funder: Institute for Local Governance
Research Team: J Newham, E Henderson,
R McGovern, J Shucksmith, L Spencer,
E Geijer-Simpson, S Russell, A Reynolds,
S Robalino, P McArdle, E Kaner, Raghu Lingam
Objectives
Meta-synthesis
Mapping of service provision
Systematic review of reviews of preventative interventions for
young people
Interviews/focus groups with young people & service providers
16. Preventative mental health interventions for young
people - Findings from systematic review
21 relevant reviews describing 65 unique trials.
Outcome
Intervention type
Psychological/
Educational
Online
Relaxation
Universal Indicated Universal Indicated
Depression ? ?
Anxiety ? ?
Mental
health
Promotion
? ? ?
17. Thank you for listening!
For further details contact:
James.newham@ncl.ac.uk
Twitter: @JamesJNewham
Editor's Notes
Not going to talk about mechanisms
Poor mental health during perinatal period is recognised determinant for poorer (i) obstetric outcomes, (ii) long-term maternal mental health and (ii) psychological development in the offspring1,2. Impact on wider family unit
