Health Care Utilisation in the First Year of Life Among Infants of Mothers With Perinatal Depression or Anxiety

Farr, Sherry L.; Dietz, Patricia M.; Rizzo, Joanne; Vesco, Kimberly K.; Callaghan, William M.; Bruce, F. Carol; Bulkley, Joanna E.; Hornbrook, Mark C.; Berg, Cynthia J.

doi:10.1111/ppe.12012

Cited by 52 publications

(73 citation statements)

References 19 publications

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“…Lansakara et al [56] reported that 97 % of women had contact with a primary health care practitioner, either GP or CFH nurse with regard to their own health at least once during the first three months postpartum, and most (approximately 75 %), contacted both of these professionals at least once in first three months. Farr et al [57] also reported that infants of mothers with perinatal depression or anxiety were as likely to attend well baby visits and receive immunisations as their counterparts. This reinforces the importance of generalist health professionals and those providing universal CFH services taking the opportunity to inquire sensitively about the social and emotional health of pregnant women and parents with young infants.…”

Section: Discussionmentioning

confidence: 99%

“…They may be less likely to have a regular GP and use ED instead. Farr et al [57] also found that infants of mothers with prenatal and postpartum depression or anxiety were more likely to have ≥6 sick/emergency visits than infants whose mothers did not have PMH problems. Chee et al [58] similarly reported that women who had brought their infants for three or more non-routine visits to the infant’s doctor had a significantly higher prevalence of depression.…”

Section: Discussionmentioning

confidence: 99%

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Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

et al. 2016

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BackgroundPoor mental health in the perinatal period can impact negatively on women, their infants and families. Australian State and Territory governments are investing in routine psychosocial assessment and depression screening with referral to services and support, however, little is known about how well these services are used.The aim of this paper is to report on the health services used by women for their physical and mental health needs from pregnancy to 12 months after birth and to compare service use for women who have been identified in pregnancy as having moderate-high psychosocial risk with those with low psychosocial risk.MethodsOne hundred and six women were recruited to a prospective longitudinal study with five points of data collection (2–4 weeks after prenatal booking, 36 weeks gestation, 6 weeks postpartum, 6 months postpartum and 12 months postpartum) was undertaken. Data were collected via face-to-face and telephone interviews, relating to psychosocial risk factors, mental health and service use. The prenatal psychosocial risk status of women (data available for 83 of 106 women) was determined using the Antenatal Risk Questionnaire (ANRQ) and was used to compare socio-demographic characteristics and service use of women with ‘low’ and ‘moderate to high’ risk of perinatal mental health problems.ResultsThe findings indicate high use of postnatal universal health services (child and family health nurses, general practitioners) by both groups of women, with limited use of specialist mental health services by women identified with moderate to high risk of mental health problems. While almost all respondents indicated that they would seek help for mental health concerns most had a preference to seek help from partners and family before accessing health professionals.ConclusionThese preliminary data support local and international studies that highlight the poor uptake of specialist services for mental health problems in postnatal women, where this may be required. Further research comparing larger samples of women (with low and psychosocial high risk) are needed to explore the extent of any differences and the reasons why women do not access these specialist services.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

et al. 2016

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“…Additionally, there is some evidence that untreated postpartum mood disorders can contribute to higher rates of physical illness and hospitalization among infants. For instance, a study of 24,263 infants born between 1998 and 2007 showed that infants of mothers who were diagnosed with perinatal anxiety or depression were seen more often for ear infections, respiratory infections, and injury compared to infants of mothers without depression and anxiety (Farr et al 2013). Thus, early intervention for postpartum mood disorders has the potential to improve outcomes for both mothers and their children.…”

mentioning

confidence: 98%

Lifetime substance use as a predictor of postpartum mental health

Prevatt

Desmarais

Janssen

2016

Arch Womens Ment Health

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Postpartum mood disorders (PPMD) affect approximately 10-20% of women and have adverse consequences for both mom and baby. Lifetime substance use has received limited attention in relation to PPMD. The present study examined associations of lifetime alcohol and drug use with postpartum mental health problems. Women (n = 100) within approximately 3 months postpartum (M = 2.01, SD = 1.32) participated in semi-structured interviews querying lifetime substance use, mental health history, and postpartum symptoms of anxiety, stress, posttraumatic stress disorder (PTSD), depression, and obsessive compulsive disorder. The study was conducted in an urban Canadian city from 2009 to 2010. Analyses revealed that lifetime substance use increased the variability explained in postpartum PTSD (p = .011), above and beyond sociodemographic characteristics and mental health history. The same trend, though not significant, was observed for stress (p = .059) and anxiety (p = .070). Lifetime drug use, specifically, was associated with postpartum stress (p = .021) and anxiety (p = .041), whereas lifetime alcohol use was not (ps ≥ .128). Findings suggest that lifetime drug use is associated with PPMD. Future research should examine whether screening for lifetime drug use during antenatal and postpartum care improves identification of women experiencing PPMD.

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“…Some studies have investigated postnatal depression or anxiety and healthcare utilization in infants, with no difference in health-care utilization within the first 14 days post-birth (Paul et al 2013), and in preventative health-care services up to 1 year (Farr et al 2013). However, infants of mothers with depression or anxiety diagnosed during the postpartum period had more emergency visits than infants of mothers with no depression or anxiety (Farr et al 2013). Due to the smaller sample size, we may have been unable to detect differences in healthcare utilization in infants.…”

Section: Discussionmentioning

confidence: 99%

Health services utilization of women following a traumatic birth

Turkstra

Creedy

Fenwick

et al. 2015

Arch Womens Ment Health

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This cohort study compared 262 women with high childbirth distress to 138 non-distressed women. At 12 months, high distress women had lower health-related quality of life compared to non-distressed women (EuroQol five-dimensional (EQ-5D) scale 0.90 vs. 0.93, p = 0.008), more visits to general practitioners (3.5 vs. 2.6, p = 0.002) and utilized more additional services (e.g. maternal health clinics), with no differences for infants. Childbirth distress has lasting adverse health effects for mothers and increases health-care utilization.

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Health Care Utilisation in the First Year of Life Among Infants of Mothers With Perinatal Depression or Anxiety

Abstract: Background-Limited information is available on associations between maternal depression and anxiety and infant health care utilisation.

Cited by 52 publications

References 19 publications

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

Antenatal psychosocial risk status and Australian women’s use of primary care and specialist mental health services in the year after birth: a prospective study

Lifetime substance use as a predictor of postpartum mental health

Health services utilization of women following a traumatic birth

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