title: Maternal distress and perceptions of infant development following extracorporeal membrane oxygenation and conventional ventilation for persistent pulmonary hypertension.
abstract: Neurodevelopmental outcome and concurrent maternal distress were examined for infants who suffered persistent pulmonary hypertension at birth and were treated with either extracorporeal membrane oxygenation (ECMO) (n = 19) or conventional ventilation (CV) (n = 15). Mothers were asked to complete inventories assessing their infant's (mean age 8.74 months) developmental growth as well as their own psychological health. Relevant sociodemographic and treatment parameters were also entered into the analysis. The results indicated that ECMO and CV infants did not differ on developmental indices and impairment rates were 15-23% respectively, similar to previous reports. In addition, ECMO and CV mothers did not differ in their reports of psychological distress. Correlational analyses revealed that length of treatment for ECMO but not CV infants significantly predicted developmental delay and maternal distress. For CV mothers, maternal distress was associated with the perception of delayed language. The results are discussed in terms of the limited morbidity associated with ECMO and CV interventions and the possible role of a 'vulnerable child syndrome' in understanding the maternal-infant relationship following ECMO therapy.
authors.affiliation: Department of Physical Medicine and Rehabilitation, University of Michigan, Medical Center, Ann Arbor 48109-0050.
authors.forename: S
authors.initials: S
authors.lastname: Warschausky
authors.forename: J
authors.initials: J
authors.lastname: MacKenzie
authors.forename: R S
authors.initials: RS
authors.lastname: Roth
authors.forename: R H
authors.initials: RH
authors.lastname: Bartlett
mesh_terms: D002657:Child Development; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D006973:Hypertension / Q000503:physiopathology; D007223:Infant; D008171:Lung Diseases / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008425:Maternal Behavior / Q000523:psychology*; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology*; D012121:Respiration, Artificial