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
Hauptverfasser: Hunker, Diane F., Patrick, Thelma E., Albrecht, Susan A., Wisner, Katherine L.
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container_issue 4
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container_title Archives of women's mental health
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creator Hunker, Diane F.
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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
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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  &lt; .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 &lt; .001, p  = .92). Adverse events did not predict maternal outcomes at 2-weeks postpartum. 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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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