TY - JOUR
T1 - Rates and precipitating factors for postpartum depression following screening in consecutive births
AU - Nelson, David B.
AU - Doty, Meitra
AU - Mcintire, Donald D.
AU - Leveno, Kenneth J.
N1 - Publisher Copyright:
© 2015 Taylor & Francis.
PY - 2016/7/17
Y1 - 2016/7/17
N2 - Objective: To measure the recurrence rate and precipitating factors of postpartum depression (PPD) following universal screening using the Edinburgh Postnatal Depression Scale (EPDS) in consecutive births.Methods: EPDS questionnaires were administered to all postpartum women at our hospital beginning in June 2008. For this study, perinatal factors were examined in relation to EPDS scores during consecutive births to identify factors in the development of PPD. Outcomes of women previously screening negative and returning for another delivery were analyzed using univariable and multivariable analysis for associations with PPD.Results: Between June 2008 and March 2010, 17 613 women were screened using EPDS questionnaires, and 3842 (22%) women returned and subsequently delivered another infant. A prior negative EPDS score significantly reduced the risk of a subsequent positive EPDS when compared with index testing (3% versus 6%; p < 0.01). Of those 3631 women previously screening negative and returning for a subsequent delivery, stillbirth and neonatal malformation were both associated with increased risk of PPD, p = 0.01 and p = 0.02, respectively. Following logistic regression, stillbirth remained significantly associated with symptoms of PPD (aOR 7.79, 95%CI 1.5-39.5).Conclusions: While prior negative screening portends a reduced risk for PPD, stillbirth in a subsequent pregnancy remains a powerful antecedent for PPD.
AB - Objective: To measure the recurrence rate and precipitating factors of postpartum depression (PPD) following universal screening using the Edinburgh Postnatal Depression Scale (EPDS) in consecutive births.Methods: EPDS questionnaires were administered to all postpartum women at our hospital beginning in June 2008. For this study, perinatal factors were examined in relation to EPDS scores during consecutive births to identify factors in the development of PPD. Outcomes of women previously screening negative and returning for another delivery were analyzed using univariable and multivariable analysis for associations with PPD.Results: Between June 2008 and March 2010, 17 613 women were screened using EPDS questionnaires, and 3842 (22%) women returned and subsequently delivered another infant. A prior negative EPDS score significantly reduced the risk of a subsequent positive EPDS when compared with index testing (3% versus 6%; p < 0.01). Of those 3631 women previously screening negative and returning for a subsequent delivery, stillbirth and neonatal malformation were both associated with increased risk of PPD, p = 0.01 and p = 0.02, respectively. Following logistic regression, stillbirth remained significantly associated with symptoms of PPD (aOR 7.79, 95%CI 1.5-39.5).Conclusions: While prior negative screening portends a reduced risk for PPD, stillbirth in a subsequent pregnancy remains a powerful antecedent for PPD.
KW - Edinburgh Postnatal Depression Scale
KW - postpartum depression
KW - recurrence
UR - http://www.scopus.com/inward/record.url?scp=84941249201&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84941249201&partnerID=8YFLogxK
U2 - 10.3109/14767058.2015.1083004
DO - 10.3109/14767058.2015.1083004
M3 - Article
C2 - 26365770
AN - SCOPUS:84941249201
SN - 1476-7058
VL - 29
SP - 2275
EP - 2279
JO - Journal of Maternal-Fetal and Neonatal Medicine
JF - Journal of Maternal-Fetal and Neonatal Medicine
IS - 14
ER -