Prevalence of stressful life events during pregnancy and its association with postpartum depressive symptoms
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Experiencing stressful life events (SLEs) has negative consequences for both mother and infant. This study examined the predictive contributions of (1) experiences of each SLE separately and its association with postpartum depressive symptoms (PDS), (2) experiences of cumulative number of SLEs and PDS, and (3) the cumulative experiences of SLEs across three domains (relational, financial, physical health). Georgia’s Pregnancy Risk Assessment Monitoring System data were obtained from 2004 to 2011. Chi-square tests and a combination of weighted logistic regression models were conducted to predict self-reported PDS. Odds ratios (OR) and 95 % confidence intervals (CI) were reported. A total of 10,231 women were included in the analysis; 15 % of the mothers reported PDS. Arguments with partner, trouble paying bills, and separation/divorce significantly predicted increased odds of PDS. Increased odds of PDS were observed with increasing numbers of cumulative SLEs. Experiencing high stress in any domain significantly predicted PDS with the highest predictor being high stress across all domains, followed by experiencing a combination of high relational and financial stress. SLEs were associated with reporting PDS among new mothers in Georgia. It is important to assess for SLEs during prenatal care and provide resources aimed at reducing the impact of SLEs.
KeywordsPrenatal stress Life stress Postpartum depression Pregnancy risk assessment and monitoring system (PRAMS) Principal component analysis (PCA)
Georgia Pregnancy Risk Assessment Monitoring System (PRAMS) data were collected and provided by the PRAMS Project in the Maternal and Child Epidemiology Section of the Georgia Department of Public Health (GDPH). The Centers for Disease Control and Prevention Cooperative Agreement grant number UR6/DP000508 provided funding to GDPH for data collection and some staff support. We also acknowledge The PRAMS Working Group.
Compliance with ethical standards
Conflict of Interest
The authors declare that they have no conflict of interest.
- Brett K, Barfield W, Williams C (2008) Prevalence of self-reported postpartum depressive symptoms—17 states, 2004–2005. Morb Mortal Wkly Rep 57:361–366Google Scholar
- Burns ER, Farr SL, Howards PP (2015) Stressful life events experienced by women in the year before their infants’ births–United States, 2000–2010. Morb Mortal Wkly Rep 64:247–251Google Scholar
- Centers for Disease and Prevention (2015) Preconception health indicators. http://www.cdc.gov/prams/pramstat/pdfs/about/chart_domain-mental-health_pramstat-final.pdf
- Centers for Disease Control and Prevention (2014) Pregnancy Risk Assessment Monitoring System www.cdc.gov/PRAMS/
- Centers for Disease Control and Prevention (2015) PRAMStat PRAMS Data Query System http://nccd.cdc.gov/PRAMStat/
- Health Resources and Services Administration (2015) Find shortage areas: medically underserved areas/populations by State and County http://muafind.hrsa.gov/
- Lu MC, Jones L, Bond MJ, Wright K, Pumpuang M, Maidenberg M et al (2010) Where is the F in MCH? Father involvement in African American families. Ethn Dis 20:s2-49-61Google Scholar
- Matthews L (2005) MCH update. NGA Center for Best PracticesGoogle Scholar
- National Women’s Law Center (2010) Women and Medicaid in Georgia. National Women’s Law Center, Washington, D.CGoogle Scholar
- Nkansah-Amankra S, Luchok KJ, Hussey JR, Watkins K, Liu X (2010) Effects of maternal stress on low birth weight and preterm birth outcomes across neighborhoods of South Carolina, 2000-2003. Matern Child Health J 14(2):215–226Google Scholar
- Salm Ward TC, Robb SW, Kanu FA (2016) Prevalence and characteristis of bed-sharing among Black and White infants in Georgia. Matern Child Health J 20:347–362Google Scholar
- Warner RM (2008) Applied statistics: from bivariate through multivariate techniques. SAGE Publications, Los AngelesGoogle Scholar
- Woolhouse H, Mercuri K, Judd F, Brown SJ (2014) Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomized controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy Childbirth 14:369CrossRefPubMedPubMedCentralGoogle Scholar