Maternal parity and perinatal cortisol adaptation: The role of pregnancy-specific distress and implications for postpartum mood

Gillespie, Shannon L.; Mitchell, Amanda M.; Kowalsky, Jennifer M.; Christian, Lisa M.

doi:10.1016/j.psyneuen.2018.07.008

Cited by 43 publications

(32 citation statements)

References 55 publications

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“…However, Hartmann et al . 25 , in the opposite direction of our results, identified the association between multiparity and postpartum depression.…”

Section: Discussioncontrasting

confidence: 89%

Relationship between parity and the problems that appear in the postpartum period

Martínez‐Galiano

Hernández‐Martínez

Rodríguez‐Almagro

et al. 2019

Sci Rep

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Parity is associated with the incidence of problems in pregnancy, delivery and the puerperium. The influence of parity in the postpartum period has been poorly studied and the results are incongruous. The objective of this study was to identify the association between parity and the existence of distinct discomfort and problems during the postpartum period. Cross-sectional study with puerperal women in Spain. Data was collected on demographic and obstetric variables and maternal manifestations of discomfort and problems during the postpartum period. An ad hoc online questionnaire was used. Crude odds ratios (ORs) and adjusted odds ratios (aORs) with 95% confidence intervals (CIs) were estimated by conditional logistic regression. 1503 primiparous and 1487 multiparous participated in the study. 53.4% (803) of the primiparous women affirmed to have feelings of sadness, as opposed to 36.2% (539) of multiparous women (aOR: 1.60; 95% CI: 1.35–1.89). 48.3% (726) of primiparous had lactation problems vs 24.7% (367) of multiparous (aOR: 2.46; 95% CI: 2.05–2.94). 37.2% (559) of primiparous reported anxiety, while the percentage in multiparous was 25.7% (382) (aOR: 1.34; 95% CI: 1.12–1.61). 22.2% (333) of primiparous had depressive symptoms, and 11.6% (172) of multiparous (aOR: 1.65; CI 95%: 1.31–2.06). Faecal incontinence was more present in primiparous than in multiparous, 6.5% (97) and 3.3% (49) respectively (aOR: 1.60; 95% CI: 1.07–2.38). Parity is associated with the presence of certain problems in the postpartum period. Thus, primiparous are more likely to have lactation problems, depressive symptoms, anxiety, sadness, and faecal incontinence.

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“…However, Hartmann et al . 25 , in the opposite direction of our results, identified the association between multiparity and postpartum depression.…”

Section: Discussioncontrasting

confidence: 89%

Relationship between parity and the problems that appear in the postpartum period

Martínez‐Galiano

Hernández‐Martínez

Rodríguez‐Almagro

et al. 2019

Sci Rep

View full text Add to dashboard Cite

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“…In the general population various factors have been suggested to influence cortisol levels including age and gender (Miller et al, 2016; Roelfsema et al, 2017), with highly mixed findings regarding the seasons associated with highest and lowest cortisol levels (Fischer et al, 2017; Hadlow et al, 2014; King et al, 2000; Miller et al, 2016; Persson et al, 2008). Although research in the general population may not be relatable to pregnancy due to this up-regulation of the HPA axis, both fetal sex (Janssen et al, 2018) and parity (Gillespie et al, 2018) are associated with maternal cortisol. Research on seasonal variation in cortisol levels in pregnancy is limited to one study that utilised hair cortisol concentrations as a proxy for exposure during the third trimester of pregnancy and reported concentrations to be higher overall in summer and autumn (Braig et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Seasonal variation in salivary cortisol but not symptoms of depression and trait anxiety in pregnant women undergoing an elective caesarean section

Garay

Savory

Sumption

et al. 2019

Psychoneuroendocrinology

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“…Covariates were included in analyses to ensure that observed differences were not a function of these factors related to prenatal depression, anxiety, and stress, yet not central to the hypotheses examined in this study. Links between prenatal distress and duration of pregnancy, as well as relations with maternal age and parity, have been reported (Biaggi et al, 2016;Gillespie et al, 2018;Lee et al, 2007;Lorén-Guerrero et al, 2018;Marchesi et al, 2009). For example, a recent review noted that younger and older mothers were shown to be atrisk of internalizing symptoms, and that related distress was often elevated later in pregnancy, possibly because women experience increased symptoms as the transition to parenthood approaches (Biaggi et al, 2016).…”

Section: Analytic Strategymentioning

confidence: 99%

Is prenatal maternal distress context-dependent? Comparing United States and the Netherlands

Gartstein

Erickson

Cooijmans

et al. 2020

Journal of Affective Disorders

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Background: Maternal anxiety and depression symptoms during pregnancy can compromise a woman's wellbeing and affect offspring development. The present study represents a comparison of maternal late-pregnancy internalizing symptoms (i.e., depression and anxiety) between the United States of America (US) and the Netherlands. We hypothesized that women in the US would report higher levels of anxiety and depression during pregnancy compared to their Dutch counterparts, both on individual symptom indicators and overall latent distress, due to more favorable policies/accessible services relevant to perinatal health in the Netherlands. Methods: Pregnant women were recruited at two comparable sites in the Netherlands (n = 327) and the US (n = 228). Measures included self-reports of internalizing distress and key covariates (i.e., parity, gestational, and maternal age). Results: Expectant mothers in the US reported higher depressive and anxiety symptoms compared to their Dutch counterparts. Results were consistent across individual internalizing symptom indicators and the overall latent prenatal distress means computed for US and Dutch samples, with an estimated large effect size for the latter after controlling for covariates. Limitations: Despite their relatively large sizes, our samples were limited in their representativeness of the two cultures and mechanisms contributing to observed differences were not examined. Conclusions: Pregnant women in the US reported higher levels of depression and anxiety symptoms than women in the Netherlands. Implications concern perinatal policy and clinical services (e.g., emotional health support provided to mothers).

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Maternal parity and perinatal cortisol adaptation: The role of pregnancy-specific distress and implications for postpartum mood

Cited by 43 publications

References 55 publications

Relationship between parity and the problems that appear in the postpartum period

Relationship between parity and the problems that appear in the postpartum period

Seasonal variation in salivary cortisol but not symptoms of depression and trait anxiety in pregnant women undergoing an elective caesarean section

Is prenatal maternal distress context-dependent? Comparing United States and the Netherlands

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