Online Program

Pregnancy Intention and Postpartum depression in The United States

Tuesday, November 3, 2015

Amani Bassyouni, Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University, Richmond, VA
Saba Masho, MD, MPH, DrPH, Department of Family Medicine and Population Health, Division of Epidemiology, Virginia Commonwealth University, Richmond, VA
Objectives: Postpartum depression is responsible for a myriad of poor maternal and infant outcomes.  Nearly half of all pregnancies in the U.S. are unintended. The aim of this study is to assess the relationship between pregnancy intention and postnatal depression.

Methods: Data from the national Pregnancy Risk Assessment Monitoring System (PRAMS) 2011 was analyzed. The data included 33,715 women who recently delivered a live-born infant. Pregnancy intention was categorized into intended pregnancy, if the woman wanted the pregnancy sooner or then, and unintended pregnancy, if she wanted the pregnancy later or if pregnancy was not wanted. Postnatal depressive symptoms were assessed using a three item questionnaire that included feeling and experiences of depression, down, hopelessness and slowing down. Odds ratio and 95% confidence intervals were estimated using multiple logistic regression analysis.

Results: Approximately 21% women in the study  had experienced postpartum depressive symptoms. After adjusting for age, race, marital status, education, income, health insurance, prenatal care utilization, and vitamins intake, women who reported history of unintended pregnancy had a 30% higher odds of experiencing postpartum depressive symptoms (AOR =1.3, 95% CI = 1.2 - 1.5 ).

Conclusion: Unintended pregnancy and postpartum depression are highly prevalent public health problems in the United States. While there are many factors that might influence depression during pregnancy and shortly after delivery, pregnancy intention is a significant predictor that can be prevented.

Learning Areas:

Assessment of individual and community needs for health education
Other professions or practice related to public health
Social and behavioral sciences

Learning Objectives:
Identify the association between pregnancy intention and postpartum depression.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a research assistant in the Department of Family Medicine and Population Health at Virginia Commonwealth University with more than five years practice as primary care physician in Sudan and Saudi Arabia. I have research interests in maternal and child health, substance abuse among youth and adolescence, and health disparities among undeserved population. I am passionate about improving the health of people through scientific researches with community participation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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