Physical health after childbirth and maternal depression in the first 12 months post partum: Results of an Australian nulliparous pregnancy cohort study |
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| Institution: | 1. Healthy Mothers Healthy Families Research Group, Murdoch Childrens Research Institute, Flemington Road, Parkville, Melbourne 3052, Australia;2. Clinical Epidemiology and Biostatistics Unit, Murdoch Childrens Research Institute, Flemington Road, Parkville, Melbourne 3052, Australia;3. General Practice and Primary Health Care Academic Centre, University of Melbourne, Melbourne 3053, Australia;1. Department of Obstetrics and Gynecology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands;2. The Royal Dutch Organisation for Midwives, Utrecht, The Netherlands;3. TNO Department of Child Health, Leiden, The Netherlands;4. Clinical Research Unit, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands;5. TNO Department of Life Style, Leiden, The Netherlands;6. The Robinson Institute | School of Paediatrics and Reproductive Health, University of Adelaide, 5000 SA Australia;1. Division of Reproductive Health, Department of Women''s and Children''s Health, Karolinska Institutet, Retziusväg 13 A, SE-171 77 Stockholm, Sweden;2. Centre for Clinical Research Dalarna, Falun, Sweden;1. Outpatient Department at Mennonite Christian Hospital, Hualien County, 44 Min-Chuan Road, Hualien 970, Taiwan;2. Changhua Christian Hospital, Changhua County, 135 Nanxial St., Changhua 500, Taiwan;3. Department of Nursing, National Taipei University of Nursing and Health Sciences, 365 Ming-Te Road, Taipei 112, Taiwan;4. Taipei Veterans General Hospital, 201, Sec 2, Shipai Rd., Taipei 11217, Taiwan;5. College of Nursing, National Taipei University of Nursing and Health Sciences, No. 365 Ming-Te Road, Taipei 11219, Taiwan |
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| Abstract: | Objectiveto investigate the relationship between maternal physical health problems and depressive symptoms in the first year after childbirth.Designprospective pregnancy cohort study.SettingMelbourne, Victoria, Australia.Population1507 nulliparous women.Methodswomen were recruited from six public hospitals between six and 24 weeks gestation. Written questionnaires were completed at recruitment and at three, six and 12 months post partum.Outcome measuresEdinburgh Postnatal Depression Scale (EPDS); standardised measures of urinary and faecal incontinence, a checklist of symptoms for other physical health problems.Resultsoverall, 16.1% of women reported depressive symptoms during the first 12 months post partum, with point prevalence at three, six and 12 months post partum of 6.9%, 8.8% and 7.8% respectively. The most commonly reported physical health problems in the first three months were tiredness (67%), back pain (47%), breast problems (37%), painful perineum (30%), and urinary incontinence (29%). Compared with women reporting 0–2 health problems in the first three months post partum, women reporting 5 or more health problems had a six-fold increase in likelihood of reporting concurrent depressive symptoms at three months post partum (Adjusted OR=6.69, 95% CI=3.0–15.0) and a three-fold increase in likelihood of reporting subsequent depressive symptoms at 6–12 months post partum (Adjusted OR=3.43, 95% CI 2.1–5.5).Conclusionspoor physical health in the early postnatal period is associated with poorer mental health throughout the first 12 months post partum. Early intervention to promote maternal mental health should incorporate assessment and intervention to address common postnatal physical health problems. |
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| Keywords: | Back pain Multimorbidity Postpartum depression Physical health |
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