Vital Signs: Postpartum Depressive Symptoms and Provider Discussions About Perinatal Depression — United States, 2018

MMWR Morbidity and Mortality Weekly Report, Journal Year: 2020, Volume and Issue: 69(19), P. 575 - 581

Published: May 14, 2020

Perinatal depression is a complication of pregnancy that can result in adverse maternal and infant outcomes. Screening to identify pregnant postpartum women with depressive symptoms recommended provide diagnosis, treatment, follow-up care reduce poor outcomes.CDC analyzed 2018 data from the Pregnancy Risk Assessment Monitoring System describe (PDS) among recent live birth assess whether health providers asked about during prenatal visits, by site characteristics.Among respondents 31 sites, prevalence PDS was 13.2%, ranging 9.7% Illinois 23.5% Mississippi. The exceeded 20% who were aged ≤19 years, American Indian/Alaska Native, smoked or after pregnancy, experienced intimate partner violence before self-reported whose had died since birth. reporting provider visits 79.1% overall, 51.3% Puerto Rico 90.7% Alaska. 87.4% 50.7% 96.2% Vermont.The varied characteristics. Whether perinatal not consistent across sites. Provision screenings appropriate referrals for ensure early effective management

Language: Английский

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Antenatal depression and its association with adverse birth outcomes in low and middle-income countries: A systematic review and meta-analysis

PLoS ONE, Journal Year: 2020, Volume and Issue: 15(1), P. e0227323 - e0227323

Published: Jan. 10, 2020

Depression in pregnancy (antenatal depression) many low and middle-income countries is not well documented has been given priority for intervention due to competing urgencies the belief that it does immediately cause fatalities, which mainly emanated from lack of comprehensive research on area. To fill this gap, systematic review was conducted investigate burden antenatal depression its consequences birth outcomes low- countries.We systematically searched databases: CINHAL, MEDLINE, EMCare, PubMed, PSyc Info, Psychiatry online, Scopus studies about association with adverse outcomes. We have included observational (case control, cross-sectional cohort studies), written English-language, scored range "good quality" Newcastle Ottawa Scale (NOS), were published between January 1, 2007 December 31, 2017. Studies excluded if a standardized approach used measure main outcomes, they restricted (high risk) populations, or had fair poor quality score NOS. Higgins Egger's test heterogeneity publication bias. Primary estimates pooled using random effect meta-analysis. The study protocol registered PROSPERO number CRD42017082624.We 64 (with 44, 035 women) nine 5,540 Antenatal higher lower-income (Pooled Prevalence (PP) = 34.0%; 95%CI: 33.1%-34.9%) compared (PP 22.7%, 20.1%-25.2%) increased over three trimesters. Pregnant women history economic difficulties, marital relationships, common mental disorders, social support, bad obstetric history, exposure violence more likely report depression. risk having preterm (2.41; 1.47-3.56) weight (1.66; 1.06-2.61) depressed mothers without depression.Antenatal low-income than found be factor births. economic, maternal, psychosocial factors responsible occurrence While there could agenda juggle health policymakers countries, interventions should reprioritized as vitally important order prevent maternal perinatal identified review.

Language: Английский

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Perinatal Depression: Challenges and Opportunities

Journal of Women s Health, Journal Year: 2020, Volume and Issue: 30(2), P. 154 - 159

Published: Nov. 6, 2020

Perinatal depression (PND) is a major depressive episode during pregnancy or within 4 weeks after childbirth up to year. Risk factors for PND include stressful life events, history of depression, poor social support, unplanned and unwanted pregnancies, relationship quality, current previous abuse, low socioeconomic status. This mental disorder has been shown have negative effects on mothers' quality their intimate relationships, birth outcomes, breastfeeding likelihood, as well long-term children's cognitive emotional development. To date, no nationally representative study examined whether there are and/or racial/ethnic differences in PND. discusses the prevalence risk PND, its health consequences mothers children, reasons underreporting undertreatment, evidence different screening instruments treatment options, existing supportive policies address this United States. We conclude with outlining next steps addressing gaps literature

Language: Английский

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Factors associated with parenting self‐efficacy: A systematic review

Journal of Advanced Nursing, Journal Year: 2021, Volume and Issue: 77(6), P. 2641 - 2661

Published: Feb. 15, 2021

To provide an overview of the parental, child, and socio-contextual factors related to general parenting self-efficacy (PSE) in population.Systematic review.Medline Ovid, Web Science, Embase, PsycINFO Ovid were systematically searched for studies published between January 1980-June 2020.Studies included if they described associations factor(s) PSE among parents children aged 0-18 years old population, English language peer-reviewed journal. Studies with participants from specific populations, describing development instruments PSE, qualitative studies, reviews, theses, conference papers book chapters excluded. Belsky's process model guided data synthesis.Of 3,819 articles, 30 articles met inclusion criteria. Eighty-nine identified. There was evidence child temperament, maternal satisfaction, stress, depression, household income, perceived social support PSE. Evidence inconsistent association educational level, parity, number mothers. no gender, age, marital status both mothers fathers; ethnicity, employment mothers; income fatigue parents.A range studied relation identified this systematic review. However, majority reported by one or two often implementing a cross-sectional design.There is some potentially modifiable information may be used health professionals supporting well-being. Future longitudinal are recommended study associated inform intervention strategies.

Language: Английский

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Preventing Pregnancy-Related Mental Health Deaths: Insights From 14 US Maternal Mortality Review Committees, 2008–17

Health Affairs, Journal Year: 2021, Volume and Issue: 40(10), P. 1551 - 1559

Published: Oct. 1, 2021

Each year approximately 700 people die in the United States from pregnancy-related complications. We describe characteristics of deaths due to mental health conditions, including substance use disorders, and identify opportunities for prevention based on recommendations fourteen state Maternal Mortality Review Committees (MMRCs) period 2008–17. Among 421 with an MMRC-determined underlying cause death, 11 percent were conditions. Pregnancy-related more likely than other causes be determined by MMRC preventable (100 versus 64 percent), occur among non-Hispanic White (86 45 43–365 days postpartum (63 18 percent). Sixty-three suicide. Nearly three-quarters a death had history depression, two-thirds past or current use. can used prioritize interventions inform strategies enable screening, care coordination, continuation throughout pregnancy postpartum.

Language: Английский

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Adverse childhood experiences and maternal anxiety and depression: a meta-analysis

BMC Psychiatry, Journal Year: 2021, Volume and Issue: 21(1)

Published: Jan. 11, 2021

Abstract Background It has been proposed that adverse childhood experiences (ACEs) can put women at risk for mental illness in the pregnancy and postpartum periods. While some studies have found strong support this proposition, others weak or no support. This study is a meta-analysis of association between ACEs maternal health to resolve between-study discrepancies, examine potential moderators associations. Methods Three electronic databases (i.e., MEDLINE, Embase, PsycINFO) were searched up November 2018 by sciences librarian. A hand search was conducted January 2020 relevant added. Included reported on associations depression and/or anxiety perinatal period (pregnancy 1-year postpartum). Pregnancy outcomes examined separately both anxiety. Random-effect meta-analyses conducted. Moderator analyses using meta-regression. Study quality evaluated 15-point scale. Results The initial yielded 4646 non-duplicate records full text review occurred 196 articles. total 15 ( N = 7788) included meta-analyses, which 2 also described narratively. Publication year ranged from 1998 2019. Mothers approximately 28.93 years age when they retrospectively their ACEs. All had self-report questionnaires outcomes. 7 12. pooled effect sizes prenatal 12; r .19; 95% CI= .13, .24) 7; .23; CI .06 .39) depressive symptoms significant. size significant 5; .14; .07, .21). indicated timing may be important understanding Conclusions confer health, albeit are small moderate magnitude. Trauma-informed approaches, as well increased during after pregnancy, help offset relative health.

Language: Английский

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Prevalence of postpartum depression in women amid the COVID‐19 pandemic: A systematic review and meta‐analysis

International Journal of Gynecology & Obstetrics, Journal Year: 2022, Volume and Issue: 157(2), P. 240 - 247

Published: Feb. 5, 2022

Language: Английский

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Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants

Cureus, Journal Year: 2023, Volume and Issue: unknown

Published: July 4, 2023

Postpartum depression (PPD) is a common and debilitating mental health condition affecting many mothers worldwide. This review article aims to explore the complex effects of PPD on infants, focusing maternal care. The transition motherhood critical period characterized by numerous physical, psychological, social changes, making women vulnerable onset PPD. Consequently, can significantly impact mother's ability provide optimal care for her infant, leading potential adverse consequences both parties. synthesizes existing research literature topic, encompassing studies from various disciplines, including psychology, psychiatry, obstetrics, pediatrics. It begins providing an overview prevalence risk factors associated with PPD, emphasizing importance early detection intervention. caregiving behaviors, such as bonding, sensitivity, responsiveness, then examined, highlighting disruptions in mother-infant relationship. Furthermore, delves into impaired infant development, emotional, cognitive, domains. Several contributing interplay between are discussed, hormonal psychosocial stressors, influence support networks. also addresses bidirectional nature relationship, whereby characteristics behaviors exacerbate or mitigate Moreover, explores role healthcare providers implementing effective screening, assessment, treatment strategies promote maternal-infant outcomes. By consolidating current knowledge this provides valuable insights multifaceted infants. Recognizing significance understanding mechanisms through which disrupts it inform development targeted interventions detection, treatment, supportive experiencing Ultimately, improving enhancing relationships yield long-term positive mothers' infants' well-being development.

Language: Английский

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Prediction of Postpartum Depression With Dataset Using Hybrid Data Mining Classification Technique

International Journal of Computational and Experimental Science and Engineering, Journal Year: 2025, Volume and Issue: 11(1)

Published: Jan. 12, 2025

Postpartum Depression is a condition or state which usually affects the woman immediately after child birth. The birth of baby not only brings delighted emotions such as excitement, but also fear and anxiety may sometimes lead to depression. It period physical, emotional behavioral changes that happen in some delivery. Apart from chemical changes, there are many factors affect during pregnancy period. If PPD identified treated at earlier stages, it serious issues for mother child. therefore vital importance sift through any early stage prevent consequences. objective this study find out presence without getting worse. Data mining plays an important role health care industry with successful outcome. helps hidden patterns, trends anomalies large dataset make predictions. proposed system combined classification technique prediction postpartum depression uses Support vector machine, Artificial Neural Network Hybrid classifier algorithm produce best result.

Language: Английский

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Peripartum Mental Illness in Mothers With Multiple Sclerosis and Other Chronic Diseases in Ontario, Canada

Neurology, Journal Year: 2025, Volume and Issue: 104(4)

Published: Jan. 22, 2025

Peripartum mood and anxiety disorders constitute the most frequent form of maternal morbidity in general population, but little is known about peripartum mental illness mothers with multiple sclerosis (MS). We compared incidence prevalence among MS, epilepsy, inflammatory bowel disease (IBD), diabetes women without these conditions. Using linked population-based administrative health data from ON, Canada, we conducted a cohort study IBD, diseases (comparators) who had live birth index dates, defined as 1 year before conception, between 2002 2017. validated definitions, estimated (any, depression, anxiety, bipolar disorder, psychosis, substance use, suicide attempt) during prenatal (PN) period (from conception to birth) 3 years postpartum. estimates cohorts using simple ratios (IRs) 95% CIs Poisson regression models adjusting for confounders. included 894,852 (1,745 MS; 5,954 epilepsy; 4,924 IBD; 13,002 diabetes; 869,227 comparators). At mean (SD) age was 28.6 (5.7) years. Any incident affected 8.4% MS prenatally 14.2% first postpartum year; depression were common disorders. The higher risk than PN (any IR 1.27; CI 1.08-1.50). After adjustment, an increased any (IR 1.26; 1.11-1.44) 1.33; 1.20-1.47, year) periods comparator mothers. Similarly, all specific illnesses except attempt vs prevalent 42% 50.3% year. Mothers elevated mothers, although residual confounding cannot be excluded. These findings emphasize need preventive interventions early treatment illness.

Language: Английский

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