The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

Eastwood, John; Ogbo, Felix Akpojene; Hendry, Alexandra; Noble, Justine; Page, Andrew

doi:10.1371/journal.pone.0169907

Cited by 156 publications

(166 citation statements)

References 79 publications

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“…The odds for ceasing EBF in the early postnatal period were higher among mothers who received interventions during delivery, pregnant mothers who smoked cigarettes in pregnancy, and those who reported a history of intimate partner violence (IPV). The negative impact of antenatal depressive symptoms on cessation of EBF in this population has been reported elsewhere [40]. …”

Section: Discussionsupporting

confidence: 53%

“…SES was based on the Socio-Economic Index for Areas, based on the mother’s address provided, which is a ranking given to areas in Australia according to relative socio-economic advantage and disadvantage, consistent with Australian Bureau of Statistics taxonomy [39]. Deciles of SES were categorised into high (top 10% of the population), middle (middle 80% of the population) and low (bottom 10% of the population) groups as consistent with previous reports [40]. IPV was collected based on the following question: “within the last year, have you been hit, slapped or hurt in other ways by your partner or ex-partner?” Antenatal depressive symptoms were measured using the Edinburgh Postnatal Depression Scale (EPDS, categorised as score ≥13 or score <13) which has been validated and recommended for use in Australia [41].…”

Section: Methodsmentioning

confidence: 84%

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Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

et al. 2016

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BackgroundOptimal breastfeeding has benefits for the mother-infant dyads. This study investigated the prevalence and determinants of cessation of exclusive breastfeeding (EBF) in the early postnatal period in a culturally and linguistically diverse population in Sydney, New South Wales, Australia.MethodsThe study used routinely collected perinatal data on all live births in 2014 (N = 17,564) in public health facilities in two Local Health Districts in Sydney, Australia. The prevalence of mother’s breastfeeding intention, skin-to-skin contact, EBF at birth, discharge and early postnatal period (1–4 weeks postnatal) were estimated. Multivariate logistic regression models that adjusted for confounders were conducted to determine association between cessation of EBF in the early postnatal period and socio-demographic, psychosocial and health service factors.ResultsMost mothers intended to breastfeed (92%), practiced skin-to-skin contact (81%), exclusively breastfed at delivery (90%) and discharge (89%). However, the prevalence of EBF declined (by 27%) at the early postnatal period (62%). Younger mothers (<20 years) and mothers who smoked cigarettes in pregnancy were more likely to cease EBF in the early postnatal period compared to older mothers (20–39 years) and those who reported not smoking cigarettes, respectively [Adjusted Odds Ratio (AOR) =2.7, 95%CI 1.9–3.8, P <0.001 and AOR = 2.5, 95%CI 2.1–3.0, P <0.001, respectively]. Intimate partner violence, assisted delivery, low socio-economic status, pre-existing maternal health problems and a lack of partner support were also associated with early cessation of EBF in the postnatal period.ConclusionsOur findings suggest that while most mothers intend to breastfeed, and commence EBF at delivery and at discharge, the maintenance of EBF in the early postnatal period is sub-optimal. This highlights the need for efforts to promote breastfeeding in the wider community along with targeted actions for disadvantaged groups and those identified to be at risk of early cessation of EBF to maximise impact.

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Section: Discussionsupporting

confidence: 53%

Section: Methodsmentioning

confidence: 84%

Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

et al. 2016

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“…No relationship between depressive symptoms during pregnancy and postpartum emerged among the results of the study. Nevertheless, antenatal depressive symptoms are a well‐established predictor for PPD . The result of the study could have derived from the considerably low rate of PPD (4.8%) in the sample.…”

Section: Discussionmentioning

confidence: 95%

“…Therefore, both depression during pregnancy and history of psychological problems may cause depression were risk factors of PPD. Irrespective of the rate of prevalence; untreated PPD affects both maternal and infant wellbeing . For infants, it is important to start life by establishing a healthy mother‐infant attachment and benefiting from breastfeeding, the success of which is a result of a combination of physiological and sociocultural factors .…”

Section: Discussionmentioning

confidence: 99%

Depressive symptoms during pregnancy and postpartum: a prospective cohort study

Şahin

Seven

2018

Perspect Psychiatr Care

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Purpose The aim was to determine the prevalence and risk factors of postpartum depression, and changes over time from pregnancy to postpartum period. Design and Methods A prospective cohort study was conducted in 23 cities in Turkey, with 497 pregnant women. Findings Of women, 13.5% had a high level of depressive symptoms during pregnancy and 4.8% during the postpartum period. Significant relationships emerged between total Edinburgh Postnatal Depression Scale score and mean age of participants and their husbands, duration of marriage, parity, and history of receiving professional psychological support. Practice Implications Family planning education could be an important intervention to prevent depression in young couples.

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“…A recent study by Eastwood et al . found that 7% of Australian women scored >12 on routine EPDS assessment during pregnancy . The EPDS has also been validated in the African population with a cut‐off score of >11 having a sensitivity of 68% and a specificity of 93% …”

Section: Introductionmentioning

confidence: 99%

Risk assessment for antenatal depression among women who have undergone female genital mutilation or cutting: Are we missing the mark?

Boghossian

Freebody

Moses

et al. 2019

Aust NZ J Obst Gynaeco

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Background Although prohibited by specific legislation in Australia, patterns of global migration underscore the importance for local clinicians to recognise and manage potential complications associated with female genital mutilation/cutting (FGM/C). The incidence of antenatal depression in Australia is 10% and may be higher among those with a history of FGM/C (RANZCOG 2 statement: Perinatal Anxiety and Depression, 2012). The phenomenon of cultural embedding could represent a protective factor against an increase in mental health problems among these women. Aim To determine whether women who have undergone FGM/C are at greater risk of depression in the antenatal period as defined by the Edinburgh Postnatal Depression Scale (EPDS). Materials and Methods A multicentre retrospective case‐control study was performed. Participants who had delivered at either of two hospitals, had migrated from FGM/C‐prevalent countries and who had undergone FGM/C were assessed and compared with the control group, case‐matched by language and religion. Results Eighty‐nine cases were included with an equal number of matched controls. No significant difference in the EPDS score was demonstrated when analysed as a continuous variable (P = 0.41) or as a categorical variable with a cut‐off score of 12 (P = 0.12). There was no difference in the number of women who identified as having thoughts of self‐harm between the two groups. Conclusion There was no identified increase in the risk of antenatal depression among women who have undergone FGM/C from high‐prevalence countries. Consideration must be given to the utility of the EPDS in this population, as well as factors such as cultural embedding.

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The Impact of Antenatal Depression on Perinatal Outcomes in Australian Women

Cited by 156 publications

References 79 publications

Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

Prevalence and determinants of cessation of exclusive breastfeeding in the early postnatal period in Sydney, Australia

Depressive symptoms during pregnancy and postpartum: a prospective cohort study

Risk assessment for antenatal depression among women who have undergone female genital mutilation or cutting: Are we missing the mark?

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