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Prenatal Depression: Assessment and Outcomes among Medicaid Participants

The Journal of Behavioral Health Services & Research volume 47, pages 409–423 (2020)Cite this article

Abstract

This study used bivariate and regression-adjusted analyses of participant-level survey and medical data to investigate prevalence of depression among pregnant Medicaid participants, correlates of depression, and the relationship between depression and pregnancy outcomes. The sample included Medicaid participants with a single gestation and valid depression data who were enrolled in Strong Start for Mothers and Newborns 2, a national preterm birth prevention program, from 2013 to 2017 (N = 37,287; 85% of total enrollment). Depression rates in Strong Start were high (27.5%). Depression was associated with being black; having other children, an unplanned pregnancy, or challenges accessing prenatal care; not having a co-resident spouse or partner; and experiencing intimate partner violence. After these and other risk factors were controlled for, depression remained associated with higher rates of preterm birth. Systematic screening and holistic approaches to prenatal care that address depression and associated risks could help reduce rates of preterm birth and other poor pregnancy outcomes.

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Author information

Authors and Affiliations

  1. Urban Institute, Washington, DC, USA

    Sarah Benatar, Emily Johnston & Ian Hill

  2. Center for Medicare and Medicaid Innovation, Baltimore, Maryland, USA

    Caitlin Cross-Barnet

Authors
  1. Sarah Benatar
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  2. Caitlin Cross-Barnet
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  3. Emily Johnston
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  4. Ian Hill
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Correspondence to Sarah Benatar.

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Benatar, S., Cross-Barnet, C., Johnston, E. et al. Prenatal Depression: Assessment and Outcomes among Medicaid Participants. J Behav Health Serv Res 47, 409–423 (2020). https://doi.org/10.1007/s11414-020-09689-2

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  • DOI: https://doi.org/10.1007/s11414-020-09689-2

Keywords

  • Pregnancy
  • Depression
  • Preterm birth
  • Medicaid