Poor Prepregnancy and Antepartum Mental Health Predicts Postpartum Mental Health Problems among US Women: A Nationally Representative Population-Based Study

Witt, Whitney P.; Wisk, Lauren E.; Cheng, Erika R.; Hampton, John M.; Creswell, Paul D.; Hagen, Erika W.; Spear, Hilary A.; Maddox, Torsheika; DeLeire, Thomas

doi:10.1016/j.whi.2011.01.002

Cited by 59 publications

(46 citation statements)

References 49 publications

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“…55 In fact, one of the strongest predictors of PPD is untreated depression antepartum or early in the pregnancy. [56][57][58] These are similar findings to those of Meadows-Oliver et al who discovered that the rate of depression in adolescent mothers (between 46% and 54%) was significantly higher than in the general adolescent population (7.5%). 59 Given that unplanned pregnancies occur at a higher rate in this population, as opposed to women in general, the need for education and depression screening for adolescents is critically important.…”

supporting

confidence: 88%

A review of research and nursing management of mental health problems in pregnancy and motherhood

Jarosinski¹,

Fox²

2016

NRR

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Abstract:In this article, the authors explore the risks pregnant women experience due to mental illness and intimate partner violence (IPV) and discuss the nursing role involved in the management of their care. For many women, pregnancy is a time of hopeful anticipation, yet for others, pregnancy reflects a new or an ongoing struggle with mental illness. The sequelae of untreated mental illness can be as severe as infanticide, maternal suicide, lack of maternal attachment, and inability to parent. Newborns whose mothers misuse alcohol and drugs are at risk of fetal alcohol spectrum disorders and neonatal addiction syndrome. Women who live with IPV risk their physical and mental well-being as well as the safety of their newborn. Implications for practice include the use of assessment tools early and during the treatment trajectory; otherwise, mental illness and IPV in pregnancy would go undetected/untreated. Identifying postpartum depression early is key toward providing timely care for both the mother and infant; yet, few obstetric practices use a depression assessment tool such as the Edinburgh Postnatal Depression Scale. During the initial intake assessment, the Edinburgh Postnatal Depression Scale can provide the means of early treatment through targeted assessment. Further implications include specialized services for substance-misusing pregnant women whose issues are different and separate from those of men, integration of services to address their multifaceted needs, and educating nurses to the reality of comorbidity as the norm rather than the rare occurrence, with a truly holistic approach that diminishes stigma.

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supporting

confidence: 88%

A review of research and nursing management of mental health problems in pregnancy and motherhood

Jarosinski¹,

Fox²

2016

NRR

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“…Active duty military women have a 50% higher age-adjusted risk of unintended pregnancy compared to the general population [2], and this elevated risk may persist among Veterans, although unintended pregnancy rates have not been reported in the literature and are not captured in Veterans Affairs (VA) administrative medical records [3]. Women Veterans have high rates of medical and psychiatric comorbidities including obesity, depression, posttraumatic stress disorder (PTSD) and substance abuse [4][5][6], which further elevate their risk of morbidity associated with unintended pregnancy [7][8][9][10][11][12]. Given the rapidly growing numbers of young women Veterans [13], efforts to address unintended pregnancy in this high-risk population are warranted.…”

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confidence: 99%

Contraceptive adherence among women Veterans with mental illness and substance use disorder

et al. 2015

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“…2,3 Self-reported symptoms of antenatal mood disorders are associated with risk behaviors (e.g., smoking 4 and substance use during pregnancy 5 ), pregnancy complications (e.g., preeclampsia 6,7,8 and low birth weight 9 ), and long term adverse outcomes in the mother (e.g. poor postpartum mental health 5 ) and her offspring (e.g. childhood obesity 10 ).…”

mentioning

confidence: 99%

Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy

Huang

Arnold

Qiu

et al. 2014

Journal of Women's Health

121

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Objective: To evaluate associations between early pregnancy 25-hydroxyvitamin D (25[OH]D) concentrations and antepartum depression and anxiety symptoms and potential modifiers thereof. Materials and Methods: In a pregnancy cohort (N = 498), we examined cross-sectional associations of early pregnancy (mean = 15.4 weeks gestation) serum 25[OH]D concentrations and depression and anxiety symptoms. Symptoms were measured using Depression, Anxiety, and Stress Scales (DASS-21) and Patient Health Questionnaire Depression Module (PHQ-9) instruments. Regression models were fit and effect modification by prepregnancy body mass index and leisure-time physical activity (LTPA) were assessed using interaction terms and stratified analyses. ( < 28.9 ng/mL) had 1.11 higher PHQ-9 scores than those in the highest quartile ( ‡ 39.5 ng/mL, p < 0.05). However, associations were attenuated and statistically insignificant in fully adjusted models. Inverse associations of 25[OH]D with depression symptoms were significant among participants who reported no LTPA, but not among women who reported any LTPA (interaction p = 0.018). Conclusions: Our study provides modest evidence for inverse cross-sectional associations of early pregnancy maternal vitamin D concentrations with antepartum depression symptoms. We also observed that these associations may be modified by physical activity.

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Poor Prepregnancy and Antepartum Mental Health Predicts Postpartum Mental Health Problems among US Women: A Nationally Representative Population-Based Study

Cited by 59 publications

References 49 publications

A review of research and nursing management of mental health problems in pregnancy and motherhood

A review of research and nursing management of mental health problems in pregnancy and motherhood

Contraceptive adherence among women Veterans with mental illness and substance use disorder

Association of Serum Vitamin D with Symptoms of Depression and Anxiety in Early Pregnancy

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