Pregnancy complications and their association with postpartum depression symptoms: a retrospective study

IF 3.6 4区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Taliah Swart, Kerrie A Shandley, Minh Huynh, Christine M. Brown, D. Austin, J. Bhowmik
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引用次数: 0

Abstract

ABSTRACT Objective Postpartum depression affects around 17% of the women worldwide and has considerable implications for maternal and child health. While some risk factors have been identified, the association between pregnancy and delivery complications and postpartum depression is less well understood. This study aims to determine whether specific pregnancy complications are associated with risk of postpartum depression symptoms (PPDS). Method This study analysed a subset of variables collected as part of a larger study exploring pregnancy circumstances and maternal-foetal health outcomes. Mothers residing in Australia provided information on their biological children aged 3–13 years. Pregnancy complications were analysed using bivariate analyses and binary logistic regression. Results Mothers (N = 1,926) reported on N = 3,210 pregnancies (mean number of pregnancies = 1.27, SD = 0.97). At the time of childbirth, mothers were on average 30.1 years old (SD = 5.14). Experiencing a pregnancy complication increased the risk of PPDS (X2 = 16.45, df = 1, p < 0.001) However, logistic regression analyses indicated an increased risk of PPDS was associated with the specific pregnancy complications of cytomegalovirus (AOR = 7.06, 95% CI[1.51,32.98]), emergency caesarean (AOR = 1.67, 95% CI[1.31,2.12]), foetal distress before birth (AOR = 1.49, 95% CI[1.16,1.91]), induced labour (AOR = 1.55, 95% CI[1.25,1.91]) and placenta previa (AOR = 2.60, 95% CI[1.44,4.71]). Conclusion Specific pregnancy complications were associated with PPDS, suggesting that some complications may pose a greater risk for PPDS than others. This study contributes to the growing understanding of peripartum risk factors for postpartum depression, and suggests that early clinical identification of at-risk mothers and early prophylactic and supportive care may be warranted to reduce that risk. Key Points What is already known about this topic: Postpartum depression is a prevalent mental health condition affecting almost 1 in 5 mothers worldwide. A complicated pregnancy and delivery experience is associated with an increased risk of adverse psychosocial outcomes, including postpartum depression. Targeted interventions in the peripartum period for mothers identified to be at higher risk of postpartum depression may be effective at mitigating the impact. What this topic adds: Analysis of distinct and specific pregnancy complications against postpartum depression symptoms revealed that certain complications had a more significant impact than others in an Australia-based maternal cohort. Emergency caesarean delivery, cytomegalovirus, foetal distress, induced labour, and placenta previa were significant predictors of postpartum depression symptom development. Gestational diabetes, bleeding during pregnancy, low amniotic-fluid index, pre-eclampsia, and candida infections were not associated with postpartum depression symptoms in this study.
妊娠并发症及其与产后抑郁症状的关系:一项回顾性研究
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来源期刊
Australian Journal of Psychology
Australian Journal of Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
5.50
自引率
0.00%
发文量
19
期刊介绍: Australian Journal of Psychology is the premier scientific journal of the Australian Psychological Society. It covers the entire spectrum of psychological research and receives articles on all topics within the broad scope of the discipline. The journal publishes high quality peer-reviewed articles with reviewers and associate editors providing detailed assistance to authors to reach publication. The journal publishes reports of experimental and survey studies, including reports of qualitative investigations, on pure and applied topics in the field of psychology. Articles on clinical psychology or on the professional concerns of applied psychology should be submitted to our sister journals, Australian Psychologist or Clinical Psychologist. The journal publishes occasional reviews of specific topics, theoretical pieces and commentaries on methodological issues. There are also solicited book reviews and comments Annual special issues devoted to a single topic, and guest edited by a specialist editor, are published. The journal regards itself as international in vision and will accept submissions from psychologists in all countries.
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