Mental disorders in pregnancy and 5–8 years after delivery

Rondó, Patrícia Helen de Carvalho; Ferreira, Rita; Lemos, Jesuana Oliveira; Pereira-Freire, Joilane Alves

doi:10.1017/gmh.2016.26

Cited by 5 publications

(5 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The effect of mental disorders in the antepartum and postpartum period have numerous unwanted effects such as impact on the developing fetus resulting in preterm birth and low birth weight [2], and affects the cognitive behavior of the children [3]. These women with antepartum mental disorders at lower maternal age and per capita income have a strong correlation with psychiatric illnesses five to eight years after delivery [4].…”

Section: Introductionmentioning

confidence: 99%

Hospital Outcomes in Antepartum Mental Disorders: A Study on 897,397 Pregnant Inpatients

Bhimanadham

Mainali

Robert

et al. 2019

Behavioral Sciences

View full text Add to dashboard Cite

Objective: To evaluate the impact of antepartum mental disorders (AMD) in medical and psychiatric comorbidities, and inpatient outcomes during hospitalizations for pregnancy/birth-related complications. Methods: We used the national inpatient sample (NIS) data and included 19,170,562 female patients (age, 12–40 years) with a principal diagnosis of pregnancy/birth-related complications and grouped by co-diagnoses of AMD (N = 897,397). We used a binomial logistic regression model to evaluate the odds ratio (OR) for major severity of illness and adjusted for demographic confounders. Results: The hospitalizations with AMD increased by 22.1% (p < 0.001) from 2010 to 2014. White females (66.1%) and those from low-income families (<25th percentile, 31.8%) majorly had comorbid AMD. Depression (43.8%) and drug abuse (27%) were prevalent psychiatric disorders in AMD inpatients. Comorbid AMD inpatients had a higher likelihood for major severity of illness (OR 2.475, 95% CI 2.459–2.491, p < 0.001). They also had a longer hospitalization stay with a mean difference of 0.486 days (95% CI 0.480–0.491) and higher total charges by $1889.420 per admission (95% CI 1852.670–1926.170) than non-AMD inpatients. Conclusions: AMD is associated with worsening of severity of illness in pregnancy/birth-related complications and require acute inpatient care. Mental health assessment and treatment of AMD, and education about efficacy and safety of psychiatric medications may help to improve outcomes in these patients.

show abstract

Section: Introductionmentioning

confidence: 99%

Hospital Outcomes in Antepartum Mental Disorders: A Study on 897,397 Pregnant Inpatients

Bhimanadham

Mainali

Robert

et al. 2019

Behavioral Sciences

View full text Add to dashboard Cite

show abstract

“…Quanto à prevalência de sintomas de ansiedade no primeiro trimestre gestacional, outros estudos com gestantes brasileiras têm mostrado resultados distintos. Rondó et al 25 relataram prevalência semelhante (51%) à do nosso estudo, enquanto que no estudo de Cunha et al 26 a prevalência foi de 36%.…”

Section: Discussionunclassified

Sintomas de ansiedade gestacional e pós-parto e intenção de amamentar exclusivo até os seis meses: resultados de uma coorte prospectiva do Rio de Janeiro

Moraes¹,

Magalhães²,

Freitas-Vilela³

et al. 2021

DEMETRA

View full text Add to dashboard Cite

Objetivo: Avaliar a associação entre sintomas de ansiedade gestacional e pós-parto e intenção de amamentar exclusivamente até os seis meses. Métodos Coorte prospectiva com uma população de mulheres atendidas no serviço de obstetrícia de um centro de saúde do município do Rio de Janeiro. Os sintomas de ansiedade foram avaliados pelo Inventário de Ansiedade Traço/Estado no primeiro trimestre da gestação (ansiedade-traço) e 30-45 dias pós-parto (ansiedade-estado). A intenção de amamentar exclusivamente até seis meses foi avaliada por questionário aplicado 30-45 dias pós-parto. Variáveis independentes foram obtidas de questionários padronizados com dados socioeconômicos, obstétricos e nutricionais. As associações brutas e ajustadas foram testadas por regressão de Poisson com variâncias robustas. Resultados: Foram avaliadas 195 mulheres no primeiro trimestre gestacional e 185 no pós-parto. A prevalência de sintomas de ansiedade-traço ao início da gestação foi de 53%, e ansiedade-estado no pós-parto 29%. Cinquenta e nove por cento das mulheres pretendiam amamentar exclusivamente até seis meses. Nas análises ajustadas, a presença de sintomas de ansiedade-traço associou-se com a intenção de não amamentar exclusivamente até os seis meses (RP=1,70; IC95%=1,07–2,72). A presença de sintomas de ansiedade-estado no pós-parto perdeu a associação com o desfecho após os ajustes (RP=1,54; IC95%=0,97–2,44). Conclusões: A presença de sintomas de ansiedade-traço influencia negativamente na intenção de amamentar exclusivamente até os seis meses. Ressalta-se a importância de avaliar a saúde mental da mulher na gestação e pós-parto visando proteger a manutenção do aleitamento materno exclusivo.

show abstract

“…Research studies often focus on comparing vaginal births to cesarean births, attempting to decipher which group of mothers is more prone to, or severely affected by, postpartum depression (Kunwar et al, 2015;Chin et al, 2014;Jin et al, 2016). However, these studies frequently yield inconclusive results, failing to precisely quantify the incidence of PPD following either delivery mode (Rondó et al, 2016). The emphasis on delivery methods in the studies has contributed to the uncertainty surrounding PPD.…”

Section: Background Of the Studymentioning

confidence: 99%

“…Even so, research indicates a likelihood of mothers succumbing to symptoms of PPD if they have experienced a cesarean birth (Rondó et al, 2016), with biological and psychological factors contributing to the diagnosis. Biological factors include dysregulation in the hypothalamic-pituitary-adrenal system, inflammatory processes, and genetic vulnerabilities (Yim et al, 2015).…”

Section: Background Of the Studymentioning

confidence: 99%

Addressing Depression and Psychological Need Satisfaction of Post-Cesarean Mothers

Smith

2023

JSS

View full text Add to dashboard Cite

There were 1,174,545 cesarean births in the United States in 2021, with 316,349 being considered low risk/uncomplicated (meaning no multiple births, breech presentation, prior cesarean delivery, and preterm gestation). A challenging recovery period for those mothers impacts the fulfillment of their needs. Mothers experiencing a cesarean birth may experience mood disturbances, feelings of loss of control, and higher risks of pain, infection, and internal injury, requiring extended recovery. It is assumed that challenges of the postpartum period after cesarean delivery are linked to a mother's psychological health, as physical and psychological health is interrelated. Millions of mothers self-report symptoms of PPD and are often untreated or undiagnosed, even though research shows that the physical process includes factors contributing to postpartum depression. However, it is unclear if there is any significance between levels of postpartum depression and levels of basic need satisfaction/fulfillment for mothers who experience a cesarean delivery. Therefore, this study aimed to examine the connection in which depression predicts levels of need satisfaction, applying the self-determination theory. The original research question inquires if the level of depression can be used to predict levels of basic need satisfaction (i.e., autonomy, competence, relatedness) with mothers' post-CS. A predictive quantitative nonexperimental study was chosen to carry out the research. The participants included 157 American mothers, women who were 20 -54 years of age, experienced an uncomplicated CS, and were willing to self-report on the Postpartum Depression Screening Scale (PDSS) and the Balanced Measure of Psychological Needs (BMPN) scale, as well as report demographic information (age and race) through an online survey. The PDSS consisted of total scores that were categorized into two groups: High (score ≥ 60) and Low (score ≤ 59). The BMPN consisted of six variables identified by the instrument, including 5-point Likert scaled scores for satisfaction/dissatisfaction of autonomy, competence, and relatedness. The findings illustrated that when the age and race variables were How to cite this paper: Smith, D. (2023). Addressing Depression and Psychological Need Satisfaction of Post-Cesarean Mothers.

show abstract

Mental disorders in pregnancy and 5–8 years after delivery

Cited by 5 publications

References 40 publications

Hospital Outcomes in Antepartum Mental Disorders: A Study on 897,397 Pregnant Inpatients

Hospital Outcomes in Antepartum Mental Disorders: A Study on 897,397 Pregnant Inpatients

Sintomas de ansiedade gestacional e pós-parto e intenção de amamentar exclusivo até os seis meses: resultados de uma coorte prospectiva do Rio de Janeiro

Addressing Depression and Psychological Need Satisfaction of Post-Cesarean Mothers

Contact Info

Product

Resources

About