Maternal depression and rapid subsequent pregnancy among first time mothers.

MedStar author(s):
Citation: MCN, American Journal of Maternal Child Nursing. 38(4):215-20, 2013 Jul-Aug.PMID: 23812059Institution: MedStar Washington Hospital CenterDepartment: NursingForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Birth Order | *Depression, Postpartum/px [Psychology] | *Maternal Age | *Maternal Behavior/px [Psychology] | *Mothers/px [Psychology] | *Women's Health | Adolescent | Adult | Depression, Postpartum/ep [Epidemiology] | Female | Humans | Logistic Models | Longitudinal Studies | Mothers/sn [Statistics & Numerical Data] | Parity | Pregnancy | Prospective Studies | Risk Factors | Young AdultLocal holdings: Available online from MWHC library: 1996 - presentISSN:
  • 0361-929X
Name of journal: MCN. The American journal of maternal child nursingAbstract: CLINICAL IMPLICATIONS: In this sample of first time mothers, moderate-to-severe depression symptoms were associated with subsequent pregnancy within 6 months of first birth. Routine depression screening by nurses during the prenatal period offers opportunities for intensive contraceptive counseling and may help mothers achieve optimal birth spacing.METHODS: Multiple logistic regression analysis was conducted to determine the odds of subsequent pregnancy within 6 months of first birth.PURPOSE: To examine differences in prenatal depression among first-time mothers who had a subsequent pregnancy within 6 months of first birth and those who did not. Mothers with depression symptoms were expected to have a greater likelihood of rapid subsequent pregnancy.RESULTS: Twelve mothers (5.9%) became pregnant within 6 months of first birth. The odds of subsequent pregnancy were 7.24 greater (95% confidence interval [CI]: 2.18-24.04) among mothers with moderate-to-severe depression. White versus non-White race did not influence subsequent pregnancy (0.91, 95% CI: 0.18-4.49). Pregnancy was not significantly different between teen and adult mothers (odds ratio: 0.92, 95% CI: 0.24-3.68).STUDY DESIGN: The Parenting for the First Time study is a longitudinal multisite prospective descriptive study designed to identify and understand the dynamics of subthreshold neglectful parenting behaviors among first-time mothers. Data were collected from the prenatal period through the child's first 3 years of life. The Parenting for the First Time sample consisted of 684 first-time mothers between 15 and 36 years. Data were available on prenatal depression and subsequent pregnancy at 6 months for 279 participants (n = 279).All authors: Lanzi RG, Patchen LDigital Object Identifier: Date added to catalog: 2015-04-29
Holdings
Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article Available 23812059

Available online from MWHC library: 1996 - present

CLINICAL IMPLICATIONS: In this sample of first time mothers, moderate-to-severe depression symptoms were associated with subsequent pregnancy within 6 months of first birth. Routine depression screening by nurses during the prenatal period offers opportunities for intensive contraceptive counseling and may help mothers achieve optimal birth spacing.

METHODS: Multiple logistic regression analysis was conducted to determine the odds of subsequent pregnancy within 6 months of first birth.

PURPOSE: To examine differences in prenatal depression among first-time mothers who had a subsequent pregnancy within 6 months of first birth and those who did not. Mothers with depression symptoms were expected to have a greater likelihood of rapid subsequent pregnancy.

RESULTS: Twelve mothers (5.9%) became pregnant within 6 months of first birth. The odds of subsequent pregnancy were 7.24 greater (95% confidence interval [CI]: 2.18-24.04) among mothers with moderate-to-severe depression. White versus non-White race did not influence subsequent pregnancy (0.91, 95% CI: 0.18-4.49). Pregnancy was not significantly different between teen and adult mothers (odds ratio: 0.92, 95% CI: 0.24-3.68).

STUDY DESIGN: The Parenting for the First Time study is a longitudinal multisite prospective descriptive study designed to identify and understand the dynamics of subthreshold neglectful parenting behaviors among first-time mothers. Data were collected from the prenatal period through the child's first 3 years of life. The Parenting for the First Time sample consisted of 684 first-time mothers between 15 and 36 years. Data were available on prenatal depression and subsequent pregnancy at 6 months for 279 participants (n = 279).

Englishhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005721-201307000-00006&LSLINK=80&D=ovft

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