Is difficult childbirth related to postpartum maternal outcomes in the early postpartum period?
Unplanned, adverse events during labor or delivery may generate a negative response during the early postpartum period, resulting in disruption of usual functioning and mood. High levels of maternal depressive symptoms are associated with parenting, infant attachment, behavioral problems and cogniti...
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Veröffentlicht in: | Archives of women's mental health 2009-08, Vol.12 (4), p.211-219 |
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creator | Hunker, Diane F. Patrick, Thelma E. Albrecht, Susan A. Wisner, Katherine L. |
description | Unplanned, adverse events during labor or delivery may generate a negative response during the early postpartum period, resulting in disruption of usual functioning and mood. High levels of maternal depressive symptoms are associated with parenting, infant attachment, behavioral problems and cognition (Beck
2002
). The purpose of this study was to examine the relationship of adverse events in labor or delivery and depressive symptoms, functional status and infant care at 2-weeks postpartum. The secondary aim was to explore the role of social support as a possible moderator in the relationship between adverse birth events and maternal outcomes. A secondary analysis of data (
n
= 123) was performed using data collected in a prospective, observational study examining the effects of antidepressant use during pregnancy. Adverse events did not significantly predict depressive symptoms (odds ratio = 1.34,
p
= .536), functional status (R
2
change = .001,
p
= .66), or infant care (R
2
change = .004,
p
= .48) at 2-weeks postpartum when controlling for depression during pregnancy, antidepressant use at delivery, education level, age, and parity. Social support had significant effects on depressive symptoms (
p
= .02), functional status (
p
= .014), and infant care (
p
|
doi_str_mv | 10.1007/s00737-009-0068-3 |
format | Article |
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2002
). The purpose of this study was to examine the relationship of adverse events in labor or delivery and depressive symptoms, functional status and infant care at 2-weeks postpartum. The secondary aim was to explore the role of social support as a possible moderator in the relationship between adverse birth events and maternal outcomes. A secondary analysis of data (
n
= 123) was performed using data collected in a prospective, observational study examining the effects of antidepressant use during pregnancy. Adverse events did not significantly predict depressive symptoms (odds ratio = 1.34,
p
= .536), functional status (R
2
change = .001,
p
= .66), or infant care (R
2
change = .004,
p
= .48) at 2-weeks postpartum when controlling for depression during pregnancy, antidepressant use at delivery, education level, age, and parity. Social support had significant effects on depressive symptoms (
p
= .02), functional status (
p
= .014), and infant care (
p
< .001) but did not moderate the effect of adverse events when predicting depressive symptoms (odds ratio = 1.01,
p
= .045), functional status (R
2
change = .009,
p
= .056) and infant care (R
2
change < .001,
p
= .92). Adverse events did not predict maternal outcomes at 2-weeks postpartum. Social support was related to depressive symptoms, functional status and infant care, but did not moderate the effects of adverse events.</description><identifier>ISSN: 1434-1816</identifier><identifier>EISSN: 1435-1102</identifier><identifier>DOI: 10.1007/s00737-009-0068-3</identifier><identifier>PMID: 19350370</identifier><language>eng</language><publisher>Vienna: Springer Vienna</publisher><subject>Adult ; Antidepressive Agents - therapeutic use ; Babies ; Childbirth & labor ; Depression, Postpartum - drug therapy ; Depression, Postpartum - epidemiology ; Depression, Postpartum - etiology ; Female ; Humans ; Logistic Models ; Medicine ; Medicine & Public Health ; Neonatal care ; Obstetric Labor Complications - epidemiology ; Obstetric Labor Complications - psychology ; Ohio - epidemiology ; Original Contribution ; Parturition - psychology ; Pennsylvania - epidemiology ; Postpartum depression ; Postpartum period ; Pregnancy ; Prospective Studies ; Psychiatry ; Psychotherapy ; Social Support ; Surveys and Questionnaires ; Young Adult</subject><ispartof>Archives of women's mental health, 2009-08, Vol.12 (4), p.211-219</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c467t-6ef963b886a44d420784ed3f0e6ba73a4924dab5dbb0f61655f41754a140598a3</citedby><cites>FETCH-LOGICAL-c467t-6ef963b886a44d420784ed3f0e6ba73a4924dab5dbb0f61655f41754a140598a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00737-009-0068-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00737-009-0068-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19350370$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hunker, Diane F.</creatorcontrib><creatorcontrib>Patrick, Thelma E.</creatorcontrib><creatorcontrib>Albrecht, Susan A.</creatorcontrib><creatorcontrib>Wisner, Katherine L.</creatorcontrib><title>Is difficult childbirth related to postpartum maternal outcomes in the early postpartum period?</title><title>Archives of women's mental health</title><addtitle>Arch Womens Ment Health</addtitle><addtitle>Arch Womens Ment Health</addtitle><description>Unplanned, adverse events during labor or delivery may generate a negative response during the early postpartum period, resulting in disruption of usual functioning and mood. High levels of maternal depressive symptoms are associated with parenting, infant attachment, behavioral problems and cognition (Beck
2002
). The purpose of this study was to examine the relationship of adverse events in labor or delivery and depressive symptoms, functional status and infant care at 2-weeks postpartum. The secondary aim was to explore the role of social support as a possible moderator in the relationship between adverse birth events and maternal outcomes. A secondary analysis of data (
n
= 123) was performed using data collected in a prospective, observational study examining the effects of antidepressant use during pregnancy. Adverse events did not significantly predict depressive symptoms (odds ratio = 1.34,
p
= .536), functional status (R
2
change = .001,
p
= .66), or infant care (R
2
change = .004,
p
= .48) at 2-weeks postpartum when controlling for depression during pregnancy, antidepressant use at delivery, education level, age, and parity. Social support had significant effects on depressive symptoms (
p
= .02), functional status (
p
= .014), and infant care (
p
< .001) but did not moderate the effect of adverse events when predicting depressive symptoms (odds ratio = 1.01,
p
= .045), functional status (R
2
change = .009,
p
= .056) and infant care (R
2
change < .001,
p
= .92). Adverse events did not predict maternal outcomes at 2-weeks postpartum. Social support was related to depressive symptoms, functional status and infant care, but did not moderate the effects of adverse events.</description><subject>Adult</subject><subject>Antidepressive Agents - therapeutic use</subject><subject>Babies</subject><subject>Childbirth & labor</subject><subject>Depression, Postpartum - drug therapy</subject><subject>Depression, Postpartum - epidemiology</subject><subject>Depression, Postpartum - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neonatal care</subject><subject>Obstetric Labor Complications - epidemiology</subject><subject>Obstetric Labor Complications - psychology</subject><subject>Ohio - epidemiology</subject><subject>Original Contribution</subject><subject>Parturition - psychology</subject><subject>Pennsylvania - epidemiology</subject><subject>Postpartum depression</subject><subject>Postpartum period</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Psychiatry</subject><subject>Psychotherapy</subject><subject>Social Support</subject><subject>Surveys and Questionnaires</subject><subject>Young Adult</subject><issn>1434-1816</issn><issn>1435-1102</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>QXPDG</sourceid><recordid>eNp1kU1v1DAQhq0KRD9_QC-VxYFbYBw7dnJphSoolSpxgbPlxJOuKycOtoPUf4-XXdEFiYM_5HnmHc-8hFwyeM8A1IdUNq4qgK4s2Vb8iJwwwZuKMahf_b6LirVMHpPTlJ4AoOk68YYcs443wBWcEH2fqHXj6IbVZzpsnLe9i3lDI3qT0dIc6BJSXkzM60Sn8hZn42lY8xAmTNTNNG-Qoon--ZBcMLpgb87J69H4hBf784x8__zp2-2X6uHr3f3tx4dqEFLlSuLYSd63rTRCWFGDagVaPgLK3ihuRFcLa_rG9j2MksmmGQVTjTBMlJ5aw8_I9U53WfsJ7YBzjsbrJbrJxGcdjNN_R2a30Y_hp1agVClWBN7tBWL4sWLKenJpQO_NjGFNWipRhsqggG__AZ_Cup1J0qxroAVVdwViO2iIIaWI45-fMNBb7_TOO12801vvNC85V4ctvGTszSpAvQNSCc2PGA8q_1f1F-TxpjY</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Hunker, Diane F.</creator><creator>Patrick, Thelma E.</creator><creator>Albrecht, Susan A.</creator><creator>Wisner, Katherine L.</creator><general>Springer Vienna</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7R6</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>888</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K6X</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQGEN</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>QXPDG</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090801</creationdate><title>Is difficult childbirth related to postpartum maternal outcomes in the early postpartum period?</title><author>Hunker, Diane F. ; Patrick, Thelma E. ; Albrecht, Susan A. ; Wisner, Katherine L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c467t-6ef963b886a44d420784ed3f0e6ba73a4924dab5dbb0f61655f41754a140598a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Antidepressive Agents - therapeutic use</topic><topic>Babies</topic><topic>Childbirth & labor</topic><topic>Depression, Postpartum - drug therapy</topic><topic>Depression, Postpartum - epidemiology</topic><topic>Depression, Postpartum - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neonatal care</topic><topic>Obstetric Labor Complications - epidemiology</topic><topic>Obstetric Labor Complications - psychology</topic><topic>Ohio - epidemiology</topic><topic>Original Contribution</topic><topic>Parturition - psychology</topic><topic>Pennsylvania - epidemiology</topic><topic>Postpartum depression</topic><topic>Postpartum period</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Psychiatry</topic><topic>Psychotherapy</topic><topic>Social Support</topic><topic>Surveys and Questionnaires</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hunker, Diane F.</creatorcontrib><creatorcontrib>Patrick, Thelma E.</creatorcontrib><creatorcontrib>Albrecht, Susan A.</creatorcontrib><creatorcontrib>Wisner, Katherine L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>GenderWatch</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>GenderWatch (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Index</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest Women's & Gender Studies</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>Diversity Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of women's mental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hunker, Diane F.</au><au>Patrick, Thelma E.</au><au>Albrecht, Susan A.</au><au>Wisner, Katherine L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is difficult childbirth related to postpartum maternal outcomes in the early postpartum period?</atitle><jtitle>Archives of women's mental health</jtitle><stitle>Arch Womens Ment Health</stitle><addtitle>Arch Womens Ment Health</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>12</volume><issue>4</issue><spage>211</spage><epage>219</epage><pages>211-219</pages><issn>1434-1816</issn><eissn>1435-1102</eissn><abstract>Unplanned, adverse events during labor or delivery may generate a negative response during the early postpartum period, resulting in disruption of usual functioning and mood. High levels of maternal depressive symptoms are associated with parenting, infant attachment, behavioral problems and cognition (Beck
2002
). The purpose of this study was to examine the relationship of adverse events in labor or delivery and depressive symptoms, functional status and infant care at 2-weeks postpartum. The secondary aim was to explore the role of social support as a possible moderator in the relationship between adverse birth events and maternal outcomes. A secondary analysis of data (
n
= 123) was performed using data collected in a prospective, observational study examining the effects of antidepressant use during pregnancy. Adverse events did not significantly predict depressive symptoms (odds ratio = 1.34,
p
= .536), functional status (R
2
change = .001,
p
= .66), or infant care (R
2
change = .004,
p
= .48) at 2-weeks postpartum when controlling for depression during pregnancy, antidepressant use at delivery, education level, age, and parity. Social support had significant effects on depressive symptoms (
p
= .02), functional status (
p
= .014), and infant care (
p
< .001) but did not moderate the effect of adverse events when predicting depressive symptoms (odds ratio = 1.01,
p
= .045), functional status (R
2
change = .009,
p
= .056) and infant care (R
2
change < .001,
p
= .92). Adverse events did not predict maternal outcomes at 2-weeks postpartum. Social support was related to depressive symptoms, functional status and infant care, but did not moderate the effects of adverse events.</abstract><cop>Vienna</cop><pub>Springer Vienna</pub><pmid>19350370</pmid><doi>10.1007/s00737-009-0068-3</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | MEDLINE; SpringerLink Journals - AutoHoldings |
subjects | Adult Antidepressive Agents - therapeutic use Babies Childbirth & labor Depression, Postpartum - drug therapy Depression, Postpartum - epidemiology Depression, Postpartum - etiology Female Humans Logistic Models Medicine Medicine & Public Health Neonatal care Obstetric Labor Complications - epidemiology Obstetric Labor Complications - psychology Ohio - epidemiology Original Contribution Parturition - psychology Pennsylvania - epidemiology Postpartum depression Postpartum period Pregnancy Prospective Studies Psychiatry Psychotherapy Social Support Surveys and Questionnaires Young Adult |
title | Is difficult childbirth related to postpartum maternal outcomes in the early postpartum period? |
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