Prevalence and predictors of symptoms of Perinatal Mood and anxiety Disorders among a sample of Urban Black Women in the South

Hernandez, Natalie; Francis, Sherilyn; Allen, Morgan; Bellamy, Erica; Sims, Omar T.; Oh, Hyejung; Guillaume, Dominique; Parker, Andrea G.; Chandler, Rasheeta

doi:10.1007/s10995-022-03425-2

Cited by 14 publications

(6 citation statements)

References 36 publications

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“…The trauma of childbirth along with racism-related trauma from healthcare provider mistreatment can elicit a complex mental and emotional response that have far reaching consequences on the health and well-being of Black women and their infants. Risk of postpartum mood disorders among Black women has been attributed to stress and lack of support; 37 however, our findings reveal that obstetric racism may increase the risk of postpartum depression and post-traumatic stress disorder among Black mothers. Given the significance of this finding, additional research is needed to examine the relationship between obstetric racism and posttraumatic stress disorder after childbirth among Black women.…”

Section: Discussioncontrasting

confidence: 54%

Obstetric racism and perceived quality of maternity care in Canada: Voices of Black women

Boakye,

Prendergast,

Bandari

et al. 2023

Womens Health (Lond Engl)

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Background: Obstetric racism in healthcare encounters impact on access to quality maternal healthcare for Black childbearing women yet remains underexplored in Canada. Understanding the experiences of Black Canadian women is critical to inform policy and create targeted interventions to address obstetric racism and advanced maternal health equity. Objective: The aim of this study was to explore the experiences of obstetric racism and its influence on perceived quality of maternity care among Black women in Toronto, Canada. Design: Qualitative research was conducted using a critical qualitative inquiry approach. Methods: We conducted a semi-structured interviews with 24 Black women who were pregnant and/or have given birth in the last 3 years. The interviews explored their experiences seeking care during pregnancy/childbirth and perceived quality of care. Results: Two themes were generated through the process of thematic analysis: (1) Manifestations and Impacts of Obstetric Racism and (2) Strategies for Addressing Obstetric Racism. Narratives of being dismissed, objectified, dehumanized, trauma and paternalism were reflected in the accounts of the participants. These experiences undermined the quality of care, hindered therapeutic relationships and contributed to mistrust. Conclusion: Black women understood the nature and impact of obstetric racism as it relates to the quality of maternal health care, their safety, and well-being. Participants recommended the need for anti-Black racism training specific to caring of Black childbearing women and increasing Black healthcare provider representation in perinatal settings as strategies to address obstetric racism. Investment in Black maternal health research is urgently needed to generate meaningful evidence to inform policy and interventions to advanced maternal health equity.

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Section: Discussioncontrasting

confidence: 54%

Obstetric racism and perceived quality of maternity care in Canada: Voices of Black women

Boakye,

Prendergast,

Bandari

et al. 2023

Womens Health (Lond Engl)

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“…Alternatively, serial testing with a two-question screen from the USPSTF, followed by a second more specific instrument for those who have a positive result, may be a reasonable strategy to reduce false positives while minimizing false negatives [ 40 ]. Given that Black, Indigenous and people of color in the US experience both higher rates of PPD and significant treatment disparities [ 41 , 42 ], an anti-oppressive lens should be used in selecting screening instruments that are appropriate for the populations served by the NICU. Furthermore, although the literature emphasizes the importance of screening for anxiety and trauma symptoms in addition to PPD [ 19 ], only two NICUs reported using validated instruments to screen for symptoms of PTSD or anxiety.…”

Section: Discussionmentioning

confidence: 99%

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

Bloyd

Murthy

Song³

et al. 2022

Children

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Universal screening for postpartum mood and anxiety disorders (PMADs) has been recommended for all new parents at outpatient postpartum and well-child visits. However, parents of newborns admitted to the NICU are rarely able to access these services during their infant’s prolonged hospitalization. The objective of this study was to determine the prevalence of mental health screening and treatment programs for parents or other primary caregivers in NICUs across the country. In this cross-sectional study, US NICU medical directors were invited to complete an online survey about current practices in mental health education, screening, and treatment for primary caregivers of preterm and ill infants in the NICU. Comparative analyses using Fisher’s exact test were performed to evaluate differences in practices among various NICU practice settings. Survey responses were obtained from 75 out of 700 potential sites (10.7%). Of participating NICUs, less than half routinely provided caregivers with psychoeducation about mental health self-care (n = 35, 47%) or routinely screened caregivers for PPD or other mental health disorders (n = 33, 44%). Nearly one-quarter of the NICUs did not provide any PMAD screening (n = 17, 23%). Despite consensus that postpartum psychosocial care is essential, routine mental health care of primary caregivers in the NICU remains inadequate.

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“…For Latina women, the prevalence of perinatal depression is estimated to be between 54.2-60% (Center for Disease Control, 2008;Lucero et al, 2012;Shellman et al, 2014). Similarly, over 40% of Black women experience postpartum depression, over double the rate of the general population (Hernandez et al, 2022;Wisner et al, 2013). Furthermore, women of color experience more serious and chronic symptoms of depression than White women, despite meeting comparable criteria for mental illness (Guintivano et al, 2018;Mukherjee et al, 2018;Parker, 2021).…”

Section: Perinatal Mental Health Outcomes In Black and Latina Womenmentioning

confidence: 99%

The Role of Social Support in Determining Perinatal Anxiety and Depression Outcomes for Black and Latina Women

Parsons,

Saint Laurent,

et al. 2023

GradStudentJofPsych

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Racial and ethnic minoritized groups in the United States face higher maternal morbidity and mortality rates and elevated risks for postpartum depression and other perinatal mood disorders. Social support (SS) protects against perinatal mood disorders, particularly for Black and Latina women. This study aimed to determine if having two or more SS people was related to perinatal anxiety and depression outcomes in a convenience sample of Black and Latina women. Mothers (n = 51) with children between ages zero and three completed a socio-demographic and mental health status (PHQ4) survey. A two-way ANOVA was performed to analyze the effect of high SS and race on mental health scores. There was no significant difference in mental health scores for those with two or more social supports versus those with one or fewer social supports (p = 0.4865). A two-group comparison generally showed that mothers with high SS had a lower mental health score (M = 0.39), and mothers with low SS had a higher score (M = 0.60). There was a significant relationship between SS and both race and age (p = 0.0498, race, p = 0.0010, age). Therefore, this study found no relationship between having two or more SS people and perinatal anxiety and depression outcomes. Future studies should examine how other contextual factors impact SS and mental health outcomes for Black and Latina mothers.

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Prevalence and predictors of symptoms of Perinatal Mood and anxiety Disorders among a sample of Urban Black Women in the South

Cited by 14 publications

References 36 publications

Obstetric racism and perceived quality of maternity care in Canada: Voices of Black women

Obstetric racism and perceived quality of maternity care in Canada: Voices of Black women

National Cross-Sectional Study of Mental Health Screening Practices for Primary Caregivers of NICU Infants

The Role of Social Support in Determining Perinatal Anxiety and Depression Outcomes for Black and Latina Women

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