Navigation Links
More maternal mental health surveillance is needed, suggests new study
Date:5/20/2014

Maternal depression is more common at four years following childbirth than at any other time in the first 12 months after childbirth, and there needs to be a greater focus on maternal mental health, suggests a new study published today (21 May) in BJOG: An International Journal of Obstetrics and Gynaecology.

The study using data from 1507 women from six public hospitals in Melbourne, Australia, examines the prevalence of maternal depression from early pregnancy to four years postpartum. The researchers identify the possible risk factors for depressive symptoms at four years postpartum, including previous depression, relationship transitions, intimate partner violence and social adversity.

Questionnaires were completed at recruitment and at 3, 6, 12, 18 months postpartum and four years postpartum. The Edinburgh Postnatal Depression Scale was used in the questionnaire and intimate partner abuse was assessed at 12 months postpartum and at four years using the Composite Abuse Scale.

Results show that almost one in three women reported depressive symptoms in the first four years after birth. The prevalence of depressive symptoms at four years postpartum was 14.5%, and was higher than at any time-point in the first 12 months postpartum.

Furthermore, women with one child at four years postpartum were more than twice as likely to report depressive symptoms at this time compared to women with subsequent children (22.9% and 11.3% respectively).

The strongest predictor of depressive symptoms at four years postpartum was having previously reported depressive symptoms either in early pregnancy or in the first 12 months after childbirth. Other factors associated with depressive symptoms were; young maternal age (18-24 years), stressful life events/social adversity in the year prior to the four year follow-up, intimate partner violence and low income. Exposure to intimate partner abuse in the first 12 months postpartum or in the year prior to the four year follow-up was associated with a four-fold increase in odds of reporting depressive symptoms at four years postpartum.

The authors emphasise a need for current services to extend surveillance of maternal mental health to cover the early years of parenting and recommend the integration of core mental health services within routine primary healthcare (antenatal and postnatal visits).

Dr Hannah Woolhouse, psychologist and Senior Research Officer, from the Murdoch Childrens Research Institute, Victoria, Australia and co-author said:

"These findings provide a compelling case for re-thinking current policy frameworks for maternal mental health surveillance.

"It is likely that current systems of maternal mental health surveillance in Australia and the UK will miss more than half the women experiencing depression in the early years of parenting. In particular, women who do not have subsequent children may be especially vulnerable to falling through the gaps as they will not be reconnected back into primary care services.

"There also needs to be a focus on social health and relationships as we have found a strong link between depressive symptoms and intimate partner violence."

John Thorp, BJOG Editor-in-chief added:

"Much research has been conducted around maternal mental health during the perinatal period, however, we know very little about the prevalence of maternal depression after the first 12 months of giving birth.

"The findings of this study reinforce the need for an increased focus on maternal health, particularly in the long term, as current guidance for professionals focuses on pregnancy and the early months after birth, and the need to take into account factors linked to the mother's life."


'/>"/>

Contact: Nicole Weingartner
sciencenewsroom@wiley.com
201-748-5808
Wiley
Source:Eurekalert

Related medicine news :

1. Study shows link between sleep apnea and hospital maternal deaths
2. Maternal deaths on the rise in the United States
3. Sharp decline in maternal and child deaths globally, new data show
4. Eliminating maternal mortality could extend life expectancy in reproductive ages
5. Clinical opinion published on use of maternal oxygen during labor
6. It takes a village -- Community-based methods for improving maternal and newborn health
7. Maternal-fetal medicine professionals identify ways to reduce first cesarean
8. Hospital-diagnosed maternal infections linked to increased autism risk
9. Partnerships at Base of Tanzania’s Maternal Health and Early Child Care Text Messaging Service Successful First Year
10. Scaling up: Ecuadorian Ministry of Health mobilizes resources to improve maternal and newborn care
11. Miriam Hospital researcher awarded $2.9 million NIH grant to study impact of maternal smoking
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... ... agency serving communities in the greater Dallas, Miami, and Raleigh regions, is organizing ... fighting to overcome a rare and deadly chromosome abnormality. , After struggling since ...
(Date:10/13/2017)... ... October 13, 2017 , ... The International Association of ... of excellence for the field of eating disorders, announces the opening of early ... in Orlando, Florida at the Omni Resort at ChampionsGate. , The ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance ... care insurance companies have a waiver for care if the client has a cognitive ... the family pays for care, is often waived, so the benefits from their insurance ...
(Date:10/13/2017)... ... , ... Talented host, actor Rob Lowe, is introducing a ... episode of "Success Files," which is an award-winning educational program broadcasted on PBS ... in-depth with passion and integrity. , Sciatica occurs when the sciatic nerve in ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... are now treating sleep apnea using cutting-edge Oventus O2Vent technology. As ... serious sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... Oct. 4, 2017 OBP Medical ... illuminating medical devices, today announced regulatory approval from ... Agency (or Agência Nacional de Vigilância Sanitária (ANVISA)) ... cordless surgical retractor with integrated LED light source ... illumination and exposure of a tissue pocket or ...
(Date:10/2/2017)... Oct. 2, 2017 The Rebound mobile app is ... to reverse the tide of prescription drug addiction. The app ... medicine intake and stepping down their dosage in a safe, ... in December 2017; the first 100,000 people to sign up ... http://www.rebound-solution.com/ ...
(Date:9/25/2017)... 25, 2017   Montrium , an industry ... today—from the IQPC Trial Master Files & Inspection ... that EastHORN Clinical Services has selected eTMF ... TMF management. EastHORN, a leading European contract research ... increase transparency to enable greater collaboration with sponsors, ...
Breaking Medicine Technology: