New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women’s Intentions

Borra, Cristina; Iacovou, Maria; Sevilla, Almudena

doi:10.1007/s10995-014-1591-z

Cited by 229 publications

(174 citation statements)

References 28 publications

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“…This includes further analysis of the role of other perinatal risk factors and mediating variables such as breastfeeding and infant attachment (HahnHolbrook et al, 2013;Borra et al, 2014). Research should address a limitation of current studies which only analyse the association between a single perinatal condition and one or two child development outcomes; studies need to take adequate account of comorbidities and accumulating effects on children.…”

Section: Discussionmentioning

confidence: 99%

Lifetime costs of perinatal anxiety and depression

Bauer

Knapp

Parsonage

2016

Journal of Affective Disorders

273

202

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BackgroundAnxiety and depression are common among women during pregnancy and the year after birth. The consequences, both for the women themselves and for their children, can be considerable and last for many years. This study focuses on the economic consequences, aiming to estimate the total costs and health-related quality of life losses over the lifetime of mothers and their children. MethodA pathway or decision modelling approach was employed, based on data from previous studies. Systematic and pragmatic literature reviews were conducted to identify evidence of impacts of perinatal anxiety and depression on mothers and their children. ResultsThe present value of total lifetime costs of perinatal depression (anxiety) was £75,728 (£34,811) per woman with condition. If prevalence estimates were applied the respective cost of perinatal anxiety and depression combined was about £8,500 per woman giving birth; for the United Kingdom, the aggregated costs were £6.6 billion. The majority of the costs related to adverse impacts on children and almost a fifth were borne by the public sector. LimitationsThe method was exploratory in nature, based on a diverse range of literature and encountered important data gaps. ConclusionsFindings suggest the need to allocate more resources to support women with perinatal mental illness. More research is required to understand the type of interventions that can reduce long-term negative effects for both mothers and offspring. Highlights Using modelling techniques, we estimated the lifetime costs of perinatal depression and anxiety reflecting the impact on mothers and children 1 ALSPAC = Avon Longitudinal Study of Parents and Children, ED = Education, HRQoL = Health-related quality of life, HSC = Health and social care, OOP = Out-of-pocket expenditure, NHS = National Health Service, p = probability, PL = Productivity loss, pp. = percentage points, PTB = Pre-term birth, RD = Risk difference, UC = Unpaid care, UK = United Kingdom, wks. = weeks, yrs. = years 2  We found that costs were substantial and that the majority related to the impact on children  There is a need to understand the role of interventions in alleviating symptoms and reducing long-term negative effects for both mothers and offspring.  New costing methods are required for conditions with transgenerational origins and impact.

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Section: Discussionmentioning

confidence: 99%

Lifetime costs of perinatal anxiety and depression

Bauer

Knapp

Parsonage

2016

Journal of Affective Disorders

273

202

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“…Unemployment and lower income status could have weighed heavily on the participants’ perception of stress and maternal adjustment, which may have directly affected their experience of symptoms suggestive of depression. In addition, the adolescent participants were less likely to breast feed and had lower levels of educational attainment, both risk factors for PPD (Borra, Iacovou, & Sevilla, 2015; Goyal et al, 2010). Furthermore, as a concept within the developmental component of the Person domain, maturation may also affect how a symptom is experienced (Dodd et al, 2001).…”

Section: Discussionmentioning

confidence: 99%

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

Torres¹,

Goyal²,

Burke-Aaronson³

et al. 2017

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To compare symptoms of depression, maternal adjustment, and perceived stress in late adolescent and young adult mothers and to examine the patterns of these symptoms during the first 3 months after birth. Design Secondary analysis of existing longitudinal data. Setting San Francisco Bay Area with participants in their home environment Participants Ethnically diverse women who were expecting their first infants were recruited during the third trimester from childbirth education classes and antenatal clinics. The final sample included thirty-four participants in the late adolescent group (18–20 years) and 48 participants in the young adult group (21–24 years). Methods The Center for Epidemiologic Studies Depression Scale was used to assess depression symptoms; the Maternal Adjustment and Maternal Attitudes Scale was used to assess maternal adjustment; and the 10-item Perceived Stress Scale was used to assess perceived stress. Repeated measures ANOVA were used to examine changes over time in depression, maternal adjustment, and perceived stress scores. Results Compared to young adult participants, late adolescent participants had higher mean depression scores (F(1, 61) = 8.02, p = 0.006) and perceived stress scores (F(1, 62) = 9.45, p = 0.003) at all time points. Scores for maternal adjustment could not be compared because of the low internal validity of the instrument. Conclusions Results indicate that late adolescent mothers may have more symptoms of depression and stress in late pregnancy and the early postpartum period than young adult mothers. Clinicians in maternity and pediatric settings should be vigilant in screening for depression and stress in this vulnerable population during their transition to motherhood.

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“…3 Depresi postpartum mempunyai dampak negatif yang signifikan pada kognitif, sosial dan perkembangan anak-anak. 4 Efek depresi bukan saja pada ibu, tetapi bayi pada ibu depresi akan mengalami keterlambatan kognitive, psikologi, neurologi dan perkembangan motorik. 5 …”

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Diniyah¹

2017

MIK

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Background:The incidence of postpartum depression develops during pregnancy or after delivery with a prevalence of 10-15% incidence in developed countries and about 20% -40% in developing countries. Objective: The purpose of this study was to know the description of the incidence of postpartum depression in RS KiA Sadewa Methods: The type of this study was cross sectional with postpartum maternal population in 2 weeks postpartum with the number of 78 respondents. The inclusion criteria of postpartum maternal and postnatal cesarean delivery, postpartum visit and / or infant immunization examination in otpatient Rs KIA Sadewa , and willing to be the respondent by signing the informed concent sheet. The preceding criteria for previous depression, delivery of twins, and complications in the mother and / or infant (preeclampsia / eclampsia, postpartum infections, BB <2500 g) would increase the risk of postpartum depression. Result:The picture of postpartum depression in KIA Sadewa Hospital based on age in respondents <20 years and age 20-35 years found 3 respondents at risk of postpartum depression, based on education on respondents with low education there are 4 respondents at risk of experiencing postpartum depression. Primiparous mother got 5 (11,9%) respondents risked experiencing of postpartum depression, with type of vaginal delivery as many as 4 (11,1%) respondent at risk of postpartum depression Conclussion: Based on the results of this study concluded that postpartum KIA Sadewa women at risk of experiencing postpartum depression, so that early detection and counseling related penatalksanaan postpartum depression.

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New Evidence on Breastfeeding and Postpartum Depression: The Importance of Understanding Women’s Intentions

Cited by 229 publications

References 28 publications

Lifetime costs of perinatal anxiety and depression

Lifetime costs of perinatal anxiety and depression

Patterns of Symptoms of Perinatal Depression and Stress in Late Adolescent and Young Adult Mothers

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