Mother-Infant Interaction, Life Events and Prenatal and Postpartum Depressive Symptoms Among Urban Minority Women in Primary Care

Abstract

To improve services in primary care, perinatal screenings for depression can help identify those women most at risk. When follow-up use of structured diagnostic instruments is not possible or cost-effective, clinician assessment of severity of depression will determine women with clinical levels of depression. Reducing negative life events is beyond the control of women or clinicians but cognitive interventions to help women focus on positive life events can reduce the deleterious effects of depression on mothers and their infants.

Symptoms of postpartum depression and early interruption of exclusive breastfeeding in the first two months of life

“…According to Gröer 15 , mothers that breastfeed experience less depression and rage and more positive life events than formula-feeders. Other studies show that depressive symptoms are not predictors of intention to breastfeed 16,17 . Misri et al 18 conclude that the onset of postpartum depression precedes interruption of breastfeeding, but the severity of depression does not appear to influence duration of breastfeeding.…”

Barreras de acceso a tratamiento de la depresión posparto en Centros de Atención Primaria de la Región Metropolitana: un estudio cualitativo

“…Otro aspecto a destacar es la relación del binomio madre-hijo(a) al momento de ofrecer alternativas de tratamiento. Los estudios muestran múltiples efectos negativos de la DPP en la salud mental y el desarrollo infantil 37,38 y que intervenir sólo en la depresión materna no asegura mejoras en la calidad vincular madre-bebé 39,40 . Respaldando esta propuesta, algunos estudios internacionales muestran una mayor satisfacción con los tratamientos en mujeres con DPP cuando estos consideran atención multidisciplinaria que incluye al padre y al bebé 41 .…”

Postpartum Depression and the Affordable Care Act: Recommendations for Social Work Educators

“…Babies born to mothers with postpartum depression often develop numerous longstanding problems including decreased cognitive skills (McGarry, Kim, Sheng, Egger, & Baksh, 2009), poor attention (Ramchandani, Stein, Evans, O'Connor, & the ALSPAC Study Team, 2005, and social withdrawal (Boyd, Zayas, & McKee, 2006). The fathers complain of feeling left out and less satisfied in their relationship with the mother (Mitnick, Heyman, & Slep, 2009).…”

“…Mothers with postpartum depression typically experience sadness; loss of interest in activities; noticeable changes in eating and sleeping patterns; problems in thinking, concentrating, and making decisions; feelings of worthlessness, shame, or guilt; thoughts of harming themselves (Centers for Disease Control [CDC], 2013); and increased need for psychiatric hospitalizations for depression and suicidality (Georgiopoulos, Bryan, Wollan, & Yawn, 2001;Kennedy, Beck, & Driscoll, 2002;Lucero, Beckstrand, Callister, & Sanchez Birkhead, 2012). The symptoms are persistent, eventually affecting not only the mother but her infant, spouse/partner, and extended family as well (Letoruneau, Tramonte, & Willms, 2013;Ngai & Ngu, 2015).Babies born to mothers with postpartum depression often develop numerous longstanding problems including decreased cognitive skills (McGarry, Kim, Sheng, Egger, & Baksh, 2009), poor attention (Ramchandani, Stein, Evans, O'Connor, & the ALSPAC Study Team, 2005, and social withdrawal (Boyd, Zayas, & McKee, 2006). The fathers complain of feeling left out and less satisfied in their relationship with the mother (Mitnick, Heyman, & Slep, 2009).…”