Maternal Depressive Symptoms and Parenting Practices 3-Months Postpartum
- PDF / 213,457 Bytes
- 8 Pages / 595.276 x 790.866 pts Page_size
- 20 Downloads / 181 Views
Maternal Depressive Symptoms and Parenting Practices 3-Months Postpartum Amy Balbierz • Susan Bodnar-Deren • Jason J. Wang • Elizabeth A. Howell
Ó Springer Science+Business Media New York 2014
Abstract Using data from two postpartum depression randomized trials, we examined the association between postpartum depressive symptoms and parenting practices among a diverse group of mothers. We examined the association between safety practices (back sleep position, car seat use, smoke alarm), feeding practices (breastfeeding, infant intake of cereal, juice, water), and health care practices (routine well child and Emergency Room (ER) visits) with 3-month postpartum depressive symptoms assessed using the Edinburgh Depression Scale (EPDS C10). Fifty-one percent of mothers were black or Latina, 33 % had Medicaid, and 30 % were foreign born.
A. Balbierz (&) J. J. Wang E. A. Howell Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY 10029-6574, USA e-mail: [email protected] J. J. Wang e-mail: [email protected] E. A. Howell e-mail: [email protected] S. Bodnar-Deren Department of Sociology, Virginia Commonwealth University, 919 W. Franklin Street, Office 304, Richmond, VA 23284-2040, USA e-mail: [email protected] E. A. Howell Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY 10029, USA E. A. Howell Department of Psychiatry, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, Box 1077, New York, NY 10029, USA
Depressed mothers were less likely to have their infant use back sleep position (60 vs. 79 %, p \ .001), always use a car seat (67 vs. 84 %, p \ .001), more likely to feed their infants water, juice, or cereal (36 vs. 25 %, p = .04 respectively), and to bring their babies for ER visits (26 vs. 16 %, p = .03) as compared with non-depressed mothers. In multivariable model, depressed mothers remained less likely to have their infant use the back sleep position, to use a car seat, and to have a working smoke alarm in the home. Findings suggest the need to intervene early among mothers with depressive symptoms and reinforce positive parenting practices. Keywords Depression Mothers Safety Feeding Health care
Introduction Postpartum depression negatively impacts infant development and has been associated with suboptimal parenting practices. [1–4] Screening positive for depression is associated with multiple negative consequences [5] for mothers and babies including poor maternal functioning, [6] impaired parenting practices, [7–9] reduced breastfeeding and bonding [1, 10] and has a negative impact on infant development [4, 11]. Socioeconomic status and race/ethnicity have been found to be associated with the prevalence of postpartum depression and minority low-income mothers are at increased risk [6, 12]. Parenting and early care giving relationships are important for early in
Data Loading...
