Pregnant women are still therapeutic orphans

Wisner, Katherine L.; Stika, Catherine S.; Watson, Kathleen B.

doi:10.1002/wps.20776

Cited by 10 publications

(6 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, evidence shows that the presence of depressive symptoms with an onset in the first phases of the puerperium may affect the mother-child relationship, having a detrimental effect on the cognitive and emotional growth of the infant (21,23,24). Children of women with depression are at increased risk of having an insecure attachment, difficulties in interacting with others and delays in the competencies' acquisition (25)(26)(27). Moreover, frequently women with MB tend not to start or discontinue breastfeeding very early and have a significantly reduced interaction with the newborn (28,29).…”

Section: Introductionmentioning

confidence: 99%

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

et al. 2021

View full text Add to dashboard Cite

Background: The aims of the present study are to: (1) assess the frequency of maternity blues (MB); (2) identify the clinical and social characteristics more frequently associated with the onset of depressive symptoms after delivery; and (3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a full-blown depressive episode in the 12 months after delivery.Methods: This is a longitudinal observational study. All pregnant women who gave birth at the inpatient unit of Gynecology and Obstetrics of the University of Campania “Luigi Vanvitelli” from December 2019 to February 2021 have been invited to participate in the study. Upon acceptance, women were asked to complete the Italian version of the Edinburgh Postnatal Depression Scale along with an ad-hoc questionnaire on the women's sociodemographic, gynecological and peripartum characteristics as well as their psychiatric history. Women have been reassessed after one, 3, 6 and 12 months.Results: A total of 359 women were recruited within 3 days from delivery, with a mean EPDS total score of 5.51 (±4.20). Eighty-three women (23.1%) reported the presence of maternity blues. Mean EPDS total scores were 12.8 (±0.2) in the MB group vs. 4.26 (±0.2) in the group without MB (p <0.0001). MB predictors were the presence of an anxiety disorder with an onset 6 months prior to pregnancy, of preeclampsia, of increased fetal health rate, of conflicts with relatives other than partner and having a partner with an anxiety disorder. At multivariate analyses the presence of MB increased 7-time the risk to have a higher EPDS score at follow-up assessments (OR: 7.79; CI: 6.88–8.70, p <0.000). This risk is almost four times higher 1 months after the delivery (OR: 4.66; CI: 2.54–6.75, p < 0.000), almost three times higher after 3 months (OR: 2.98; CI: 0.50–5.46, p < 0.01) and almost six times higher after 12 months (OR: 5.88; CI: 3.20–8.54, p < 0.000).Conclusions: Although MB was a self-limiting condition in the majority of cases, depressive symptoms arose quite often immediately after the childbirth. Professionals should be trained to monitor symptoms of MB and its transition toward a depressive episode.

show abstract

Section: Introductionmentioning

confidence: 99%

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Legalized abortion opened new research avenues and sparked ethical debates regarding the social and legal complexities of biomedical research during pregnancy. Notably, concerns about the outcome of Roe and pressure from anti-abortion groups shaped the first federal “protections” governing research on pregnant patients—regulations first established in the 1970s that excluded pregnant women from clinical trials and created gaps in knowledge about prescription drug use during pregnancy and the postpartum period ( 25 , 26 ). In recent years, leading research and federal organizations have discussed the need to address these knowledge gaps and have called for a range of studies on reproductive and maternal health needs with an increased emphasis on the social, behavioral, biological, and environmental forces that shape health outcomes at the individual, local, state, and national levels ( 13 , 14 ).…”

Section: The Social Ethical and Legal Complexities Of Abortion-relate...mentioning

confidence: 99%

Renewed calls for abortion-related research in the post-Roe era

Schott,

Adams,

Dougherty

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

Nearly 50 years after Roe versus Wade, the United States Supreme Court’s decision in Dobbs versus Jackson Women’s Health Organization unraveled the constitutional right to abortion, allowing individual states to severely restrict or ban the procedure. In response, leading medical, public health, and community organizations have renewed calls for research to elucidate and address the burgeoning social and medical consequences of new abortion restrictions. Abortion research not only includes studies that establish the safety, quality, and efficacy of evidence-based abortion care protocols, but also encompasses studies on the availability of abortion care, the consequences of being denied an abortion, and the legal and social burdens surrounding abortion. The urgency of these calls for new evidence underscores the importance of ensuring that research in this area is conducted in an ethical and respectful manner, cognizant of the social, political, and structural conditions that shape reproductive health inequities and impact each stage of research—from protocol design to dissemination of findings. Research ethics relates to the moral principles undergirding the design and execution of research projects, and concerns itself with the technicalities of ethical questions related to the research process, such as informed consent, power relations, and confidentiality. Critical insights and reflections from reproductive justice, community engagement, and applied ethics frameworks have bolstered existing research ethics scholarship and discourse by underscoring the importance of meaningful engagement with community stakeholders—bringing attention to overlapping structures of oppression, including racism, sexism, and ways that these structures are perpetuated in the research process.

show abstract

“…Complete avoidance of medications during pregnancy due to limited scientific data can place the mother and/or baby at greater risk of harm from an untreated illness (e.g., asthma, depression, epilepsy), and may impart lasting health and economic effects on mothers, children, and society as a whole. 11 , 12 , 13 , 14 , 15 , 16 Pregnant women are considered therapeutic orphans in their access to new medications, 17 , 18 , 19 and targeted actions to address this inequity are urgently required.…”

Section: Introductionmentioning

confidence: 99%

How the structural determinants of health inequities impact access to prescription medication for pregnant women in Australia: a narrative review

Jackson,

Grzeskowiak,

Enticott

et al. 2024

The Lancet Regional Health - Western Pacific

View full text Add to dashboard Cite

Pregnant women are still therapeutic orphans

Cited by 10 publications

References 8 publications

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

The Transition From Maternity Blues to Full-Blown Perinatal Depression: Results From a Longitudinal Study

Renewed calls for abortion-related research in the post-Roe era

How the structural determinants of health inequities impact access to prescription medication for pregnant women in Australia: a narrative review

Contact Info

Product

Resources

About