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

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^*

[i] SD = Standard Deviation; OBPI = obstetric brachial plexus injury; NICU = neonatal intensive care unit; FTN = full-term nursery; PCL = Post-Traumatic Stress Disorder Checklist; PHQ-9 = Patient Health Questionnaire.

Table 2.

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 %

[i] OBPI = obstetric brachial plexus injury; NICU = neonatal intensive care unit; CI = confidence interval.

Table 3.

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%

[i] OBPI = obstetric brachial plexus injury; CI = confidence interval.

Table 4.

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 %

[i] OBPI = obstetric brachial plexus injury; NICU = neonatal intensive care unit; CI = confidence interval.

Table 5.

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%

[i] OBPI = obstetric brachial plexus injury, CI = confidence interval.

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DOI: https://doi.org/10.34763/jmotherandchild.20232701.d-23-00024 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488

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Language: English

Page range: 217 - 221

Submitted on: Feb 20, 2023

Accepted on: Sep 3, 2023

Published on: Nov 22, 2023

Published by: Institute of Mother and Child

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

OBPI,

parents,

PTSD,

Related subjects:

Pediatrics and juvenile medicine,

Paediatric haematology and oncology,

Public health

© 2023 Catherine Miller, Karan Dua, Nathan N. O’Hara, Catherine C. May, Joshua M. Abzug, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.

Volume 27 (2023): Issue 1 (June 2023)