Psychosocial employment characteristics and postpartum maternal mental health symptoms

Schwab‐Reese, Laura; Ashida, Sato; Peek‐Asa, Corinne

doi:10.1002/ajim.22666

Cited by 15 publications

(9 citation statements)

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“…A study in Thai by Limlomwongse and Liabsuetrakulalso established that undesirable attitudes towards one's pregnancy double the risk of PPD [32]. Besides, a consistent finding was recorded with numerous earlier studies in Indonesia [30], Midwestern state [33], Turkey [31] and Ethiopia [20] in which unplanned pregnancy higher postnatal depression. Moreover, studies by Patel et al [62] concluded that a planned pregnancy was protective from developing depression in postnatal women which further strengthen the current result.…”

Section: Discussionsupporting

confidence: 61%

“…Psychosocial and demographic variables cited as a contributory factor for postpartum depression includes poor social support [ 21 ], low education level, poverty [ 22 ], and childbirth without the presence of relatives [ 23 ], earlier history of depression [ 24 ], and poor woman autonomy [ 25 ]. Also, pregnancy, newborn and birth-related factors such as prime-parity [ 26 , 27 ], multiple children at home [ 28 ], multi-parity [ 29 ], unwanted or negative attitude toward pregnancy [ 20 , 30 – 33 ], premarital pregnancy [ 34 , 35 ], depression during pregnancy [ 29 , 36 ], miscarriage [ 37 ], and prenatal high anxiety [ 31 ] are some of the related factors for the high magnitude of postpartum depression. Moreover, husband and partner-related factors such as intimate partner violence [ 20 , 38 , 39 ], alcoholism in the husband [ 40 ], low husbands educational level [ 28 ], psychiatric problems in the husband [ 41 ], and husbands unemployment [ 30 , 42 ] were so far identified as associated factors.…”

Section: Introductionmentioning

confidence: 99%

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The association of intimate partner violence with postpartum depression in women during their first month period of giving delivery in health centers at Dessie town, 2019

2020

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Background Postpartum depression is a common psychiatric complaint of women following delivery and a multitude of psychosocial, maternal, newborn and husband-related factors were contributing to it. This condition has a detrimental impact on the mother–infant caregiving relationship and hastens the infant’s cognitive, emotional and social development. However, a shortage of empirical evidence existed especially in developing countries including Ethiopia. Therefore, we implemented this study to determine the magnitude of postpartum depression and its correlates. Methods A cross-sectional survey was implemented on 378 postnatal women in the maternal and child health clinic of Dessie health centers within 4 weeks of their delivery. Postpartum depression was assessed using the Edinburgh Postnatal Depression Scale (EPDS). Intimate partner violence was operationalized as a psychological, physical and sexual abusive action imposed on women by their associates. We estimated the crude and adjusted odds ratio with its 95% CI using binary logistic regression to know the association and statistical significance was declared using a p-value < 0.05. Results More than one-fourth, 102 (27%) (95% CI 22.5, 31.5) of participants were obtained to have postpartum depression. Being single from socio-demographic variables (AOR = 4.9, 95% CI 1.27, 16.74), dissatisfaction with child gender (AOR = 3.1, 95% CI 1.62, 6.69), unplanned pregnancy (AOR = 2.5, 95% CI 1.76, 7.23) and depression during current pregnancy (AOR = 3.2, 95% CI 2.81, 8.91) from pregnancy and newborn-related variables, intimate partner violence; psychological (AOR = 6.5, 95% CI 1.98, 15.85), sexual and physical violence (AOR = 3.46, 95%CI 2.34, 18.55), current husbands alcoholism (AOR = 2.2, 95% CI 1.48, 5.34) from husband/partner-related variables and current substance use (AOR = 1.8, 95% CI 1.16, 3.75) were found to have a statistically significant association with postpartum depression. Conclusion More than one-fourth of the interviewed women (27%) were found to have postpartum depression. Being single from socio-demographic variables, dissatisfaction with child gender, unplanned pregnancy, and depression during current pregnancy from pregnancy and newborn-related variables, intimate partner violence, and current husband’s alcoholism from husband/partner-related variables and current substance use were the related factors. This suggests the need for integrating postpartum depression services into the existing postnatal maternal and child health services and basing intervention geared primarily to the mentioned factors above.

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Section: Discussionsupporting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

The association of intimate partner violence with postpartum depression in women during their first month period of giving delivery in health centers at Dessie town, 2019

2020

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“…In accordance with the latter, there is recent evidence that maternal work participation may have a positive influence on mental and somatic health (Klumb and Lampert, 2004; Buehler and O'Brien, 2011; Frech and Damaske, 2012; Cruise et al, 2018). Nevertheless, further results suggest a negative (in line with the scarcity hypothesis) or missing association between maternal work participation and the mother's mental and somatic health (Schwab-Reese et al, 2017; Liu et al, 2018). Consistent with findings on negative associations, women have been found to have a greater risk for suffering from work-privacy conflict than men probably due to multiple private and occupational burdens (Garthus-Niegel et al, 2016).…”

Section: Introductionmentioning

confidence: 92%

The Impact of Parental Role Distributions, Work Participation, and Stress Factors on Family Health-Related Outcomes: Study Protocol of the Prospective Multi-Method Cohort “Dresden Study on Parenting, Work, and Mental Health” (DREAM)

et al. 2019

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The Dresden Study on Parenting, Work, and Mental Health (“ DR esdner Studie zu E lternschaft, A rbeit, und M entaler Gesundheit”, DREAM ) aims to prospectively investigate the relationship between parental work participation, role distribution, stress factors, and their effects on perinatal outcomes and long-term family mental and somatic health in a community sample targeting N = 4,000 individuals, i.e., 2,000 couples, expecting a child and residing in Dresden, Germany (interim sample of N = 1,410 participants, recruitment ongoing). Various questionnaires are completed at four measurement points from pregnancy to 2 years postpartum (prolongation into middle childhood planned). Applying a multi-method approach, long-term endocrinological data (analyses of hair cortisol concentrations and other endogenous hormones, “DREAM HAIR ”) and qualitative interview data (regarding gender role attitudes and distribution of domestic work, child care, and paid employment; “DREAM TALK ”) are obtained. In this study protocol, the theoretical background, methods, and preliminary results considering sociodemographic characteristics during pregnancy and birth-related factors at 8 weeks postpartum are presented. Additionally, there is a focus on our endocrinological sub-study DREAM HAIR . In this sub-study currently comprising N = 152 participants, i.e., 88 families (recruitment ongoing), we want to gain knowledge on the transgenerational processes of stress regulation and psychopathology in the whole family by analyzing hair cortisol concentrations in both parents and children during the course from pregnancy (or after birth regarding children) to at least 2 years postpartum. By comparing data of the community sample to a clinical sample of mothers with postpartum mental disorders, their children, and their partners during the period between admission and discharge from a mother-baby unit and post-treatment (“DREAM MBU ”), the course of mothers' psychopathology, parent-infant interaction, and infant regulation disorders with special regard to long-term endocrine correlates will be examined. With previous studies neglecting the fathers or partners involved, a major advantage of DREAM is the use of a multi-method and multi-level approach by examining the whole family in a longitudinal design. Therefore, the DREAM study will contribute to a better understanding of the role of social, work, and stress factors for mental and somatic health and its long-term endocrine correlates in the natural course of becoming a family.

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“…Even though every woman is potentially at risk of developing postpartum depressive symptoms, an early age of childbearing is more vulnerable to develop postpartum depression [7]; low education level, poverty [8], poor social support [9], and childbirth without the presence of relatives [10] were factors that increased the risks of depressive symptoms after delivery. Besides the above factors, previous history of depression [11], obstetric complication, miscarriage [12], parous women, an unplanned pregnancy [13], intimate partner violence [14], stressful life events [15], and poor woman autonomy [16] were factors of postpartum depressive symptoms. Postpartum depressive symptoms have physical and mental health consequences for mothers and their families.…”

Section: Introductionmentioning

confidence: 99%

Postpartum depression and associated factors among mothers in Bahir Dar Town, Northwest Ethiopia

et al. 2019

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Background Postpartum depressive symptoms are the occurrence of major depressive episode within 4 weeks following delivery. Globally, 10%–20% of mothers suffer from depressive symptoms during their postpartum course. Therefore, assessing postpartum depressive symptoms has a pivotal role in ensuring that their mental health needs are met. Methods An institution-based cross-sectional study was conducted including 511 mothers coming for postnatal care service in public health centers in Bahir Dar Town. Data were collected using a pre-tested, structured, and interviewer-administered questionnaire, while the Edinburgh Postnatal Depression Scale (EPDS) was used to assess individuals’ depressive symptoms. The systematic random sampling technique was employed to recruit the study participants. Adjusted odds ratio with a 95% confidence interval (CI) was used to declare the statistical significance of the factors. Results Postpartum depressive symptoms among mothers were found to be 22.1 (95%, CI 18.6%, 25.8%). In multivariate logistic regression, stressful life events (AOR = 4.46, 95% CI 2.64, 7.54), domestic decision making (AOR = 4.26, 95% CI 2.54, 7.14), unplanned pregnancy (AOR = 1.86, 95% CI 1.02, 3.41), partner violence (AOR = 3.16, 95% CI 1.76, 5.67), and hospitalization of their babies (AOR = 2.24, 95% CI 1.17, 4.310) were factors significantly associated with postpartum depressive symptoms. Conclusions Postpartum depressive symptoms among mothers were common in the study area. Stressful life events, lack of empowerment in domestic decision making, intimate partner violence, unplanned pregnancy, and hospitalization of their baby were factors significantly associated with postpartum depression. The Ministry of Health needs to give training on how to screen postpartum depressive symptoms among mothers, and interventions that would address the above factors would benefit in tackling further complications.

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Psychosocial employment characteristics and postpartum maternal mental health symptoms

Cited by 15 publications

References 50 publications

The association of intimate partner violence with postpartum depression in women during their first month period of giving delivery in health centers at Dessie town, 2019

The association of intimate partner violence with postpartum depression in women during their first month period of giving delivery in health centers at Dessie town, 2019

The Impact of Parental Role Distributions, Work Participation, and Stress Factors on Family Health-Related Outcomes: Study Protocol of the Prospective Multi-Method Cohort “Dresden Study on Parenting, Work, and Mental Health” (DREAM)

Postpartum depression and associated factors among mothers in Bahir Dar Town, Northwest Ethiopia

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