Abstract
No increased risk of postpartum major depression (PPMD) was reported in women conceiving through assisted reproductive technologies (ART). However, ART may be associated with a higher risk of parenting difficulties in women with PPMD. In 359 women with a PPMD admitted to a Mother-Baby Unit (MBU), ART-women (4.2%) showed a 5-fold higher rate of parenting difficulties than those with spontaneous pregnancy (73.33% vs. 35.17%, multivariate ORa = 5.09 [1.48–17.48] p = 0.01). Specific support for mother-child relationship should be implemented in ART-women with PPMD.
References
Field T (2010) Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev 33:1–6. https://doi.org/10.1016/j.infbeh.2009.10.005
Fisher J, Rowe H, Hammarberg K (2012) Admissions for early parenting difficulties among women with infants conceived by assisted reproductive technologies: a prospective cohort study. Fertil Steril 97:1410–1416. https://doi.org/10.1016/j.fertnstert.2012.02.050
Foyston Z, Higgins L, Smith DM, Wittkowski A (2023) Parents’ experiences of life after medicalised conception: a thematic meta-synthesis of the qualitative literature. BMC Pregnancy Childbirth 23:520. https://doi.org/10.1186/s12884-023-05727-x
Glangeaud-Freudenthal NM, Sutter AL, Thieulin AC, Dagens-Lafont V, Zimmermann MA, Debourg A, Massari B, Cazas O, Cammas R, Rainelli C, Poinso F, Maron M, Nezelof S, Ancel PY, Khoshnood B (2011) Inpatient mother-and-child postpartum psychiatric care: factors associated with improvement in maternal mental health. Eur Psychiatry 26:215–223. https://doi.org/10.1016/j.eurpsy.2010.03.006
Gressier F, Letranchant A, Cazas O, Sutter-Dallay AL, Falissard B, Hardy P (2015) Post-partum depressive symptoms and medically assisted conception: a systematic review and meta-analysis. Hum Reprod 30:2575–2586. https://doi.org/10.1093/humrep/dev207
Hammarberg K, Fisher JR, Wynter KH (2008) Psychological and social aspects of pregnancy, childbirth and early parenting after assisted conception: a systematic review. Hum Reprod Update 14:395–414. https://doi.org/10.1093/humupd/dmn030
Maehara K, Iwata H, Kimura K, Mori E (2022) Experiences of transition to motherhood among pregnant women following assisted reproductive technology: a qualitative systematic review. JBI Evid Synth 20:725–760. https://doi.org/10.11124/JBIES-20-00545
McMahon CA, Ungerer JA, Beaurepaire J, Tennant C, Saunders D (1997) Anxiety during pregnancy and fetal attachment after in-vitro fertilization conception. Hum Reprod 12:176–182. https://doi.org/10.1093/humrep/12.1.176
O’Dea GA, Youssef GJ, Hagg LJ, Francis LM, Spry EA, Rossen L, Smith I, Teague SJ, Mansour K, Booth A, Davies S, Hutchinson D, Macdonald JA (2023) Associations between maternal psychological distress and mother-infant bonding: a systematic review and meta-analysis. Arch Womens Ment Health 26:441–452. https://doi.org/10.1007/s00737-023-01332-1
Sutter-Dallay AL, Glangeaud-Freudenthal NMC, Gressier F (2020) Perinatal mental health around the world: priorities for research and service development in France. B J Psych Int 17:53–55. https://doi.org10.1192/bji.2020.18
Warmelink JC, Marissink L, Kroes L, Ranjbar F, Henrichs J (2023) What are antenatal maternity care needs of women who conceived through fertility treatment? A mixed methods systematic review. J Psychosom Obstet Gynaecol 44:2148099. https://doi.org/10.1080/0167482X.2022.2148099
Acknowledgements
The authors thank members of MBUs from: Bordeaux, Montesson, Strasbourg, Le Vesinet, Créteil, Villejuif, Paris, Brussels, Limoges, Ottiginies, Marseille, Gent, Lille, Besançon, Albi, and Brumath who contributed to data collection; and the women who participated in the study.
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N. Glangeaud-Freudenthal and A.L. Sutter-Dallay designed the study. F. Gressier performed the statistical analyses, supervised by B. Falissard. F. Gressier, A. Mezzacappa and A.L. Sutter-Dallay interpreted data. F. Gressier has written the first draft of the article. N. Glangeaud-Freudenthal, B. Falissard, E. Corruble, and A.L. Sutter-Dallay have revised the manuscript. All authors contributed to and have approved the final manuscript.
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Gressier, F., Mezzacappa, A., Glangeaud-Freudenthal, N. et al. Assisted reproductive technologies could be associated with higher risk of parenting difficulties in women with postpartum major depression. Arch Womens Ment Health (2024). https://doi.org/10.1007/s00737-024-01454-0
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DOI: https://doi.org/10.1007/s00737-024-01454-0