Pregnancy Intention and Post-partum Depressive Affect in Louisiana Pregnancy Risk Assessment Monitoring System
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Pregnancy Intention and Post-partum Depressive Affect in Louisiana Pregnancy Risk Assessment Monitoring System Elizabeth Y. Suh1 • Ping Ma2 • Lauren Futrell Dunaway1 • Katherine P. Theall1
Published online: 9 December 2015 Springer Science+Business Media New York 2015
Abstract Background Postpartum depression is associated with negative physical and mental health outcomes for both the mother and infant. This study examines the relationship between a mother and/or her partner’s pregnancy intentions and reported post-partum depressive symptoms (PPDs). Methods Using Louisiana pregnancy risk assessment monitoring system, 2000–2003, a secondary crosssectional analysis was conducted on 5549 mothers, stratified by race, who delivered a singleton, live birth and whose infant was still alive at the time of the survey. Bivariate and multivariable logistic regressions were conducted, taking into account the complex survey design. Results In multivariable models, unwanted pregnancies were associated with severe PPDs (aOR 1.76, 95 % CI 1.23–2.53). Furthermore, the association between husbands/partners’ who did not want or care about the pregnancy and mild PPDs remained for White women (aOR 1.32, 95 % CI 1.02–1.69); while among Black women, neither parent’s pregnancy intention were associated with
& Katherine P. Theall [email protected] Elizabeth Y. Suh [email protected] Ping Ma [email protected] Lauren Futrell Dunaway [email protected] 1
Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112, USA
2
University of Texas, Southwestern Medical Center, Dallas, TX, USA
mild or severe PPDs. Conclusions This study supports existing research demonstrating the association between pregnancy intention and PPDs. This study contributes to the limited information on the role that partner pregnancy intention plays on maternal mental health outcomes, however further discussion is needed on the impact of this role across races. Findings can be used in programs aiming to reduce adverse mental health outcomes among high-risk mothers. Keywords Pregnancy intention Postpartum depression Maternal mental health
Significance Nearly half of all pregnancies in the United States are unintended—either mistimed or unwanted. Though a limited number of studies have found that women with unwanted or mistimed pregnancies were at higher risk of reporting PPD, they have not consistently taken into consideration partner support, particularly father’s own pregnancy wantedness or intention. Furthermore, no studies to date that have examined the impact of partner support within racial groups. The objective of this study was to better understand the relationship between pregnancy intentions of both the mother and the father and maternal postpartum depressive affect, utilizing data from the state-wide Louisiana Pregnancy Risk Assessment Monitoring System (LaPRAMS) Phase IV (2000–2003) data. This study contributes to the limited information on
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