Comparing older and younger Japanese primiparae: fatigue, depression and biomarkers of stress

International Journal of Nursing Practice
Emi MoriAkiko Saeki

Abstract

This cohort study of primiparae was conducted to answer the following questions: Do older (≧ 35 years) and younger (20-29 years) Japanese primiparous mothers differ when comparing biomarkers of stress and measures of fatigue and depression? Are there changes in fatigue, depression and stress biomarkers when comparing older and younger mothers during the postpartum period? The Postnatal Accumulated Fatigue Scale and the Edinburgh Postnatal Depression Scale were administered in a time-series method four times: shortly after birth and monthly afterwards. Assays to measure biomarkers of stress, urinary 17-ketosteroids, urinary 17-hydroxycorticosteroids and salivary chromogranin-A, were collected shortly after delivery and at 1 month postpartum in both groups and a third time in older mothers at the 4th month. Statistical testing showed very little difference in fatigue, depression or stress biomarkers between older and younger mothers shortly after birth or 1 month later. Accumulated fatigue and depression scores of older mothers were highest 1 month after delivery. Additional cohort studies are required to characterize physical/psychological well-being of older Japanese primiparae.

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Citations

May 14, 2016·Japan Journal of Nursing Science : JJNS·Kunie MaeharaKoji Tamakoshi
Jul 7, 2018·The Journal of Obstetrics and Gynaecology Research·Yukie IizukaKazutomo Ohashi
Jul 29, 2019·BMJ Open·Jane HendersonMaggie Redshaw
Dec 10, 2019·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Vincenzo ZanardoGianluca Straface
Apr 19, 2017·Public Health Nursing·Kyoko Yoshioka-Maeda, Mariko Kuroda
Dec 26, 2018·Journal of Affective Disorders·Nathan WilsonBei Bei
Aug 11, 2020·Best Practice & Research. Clinical Obstetrics & Gynaecology·Emmanuel Attali, Yariv Yogev

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