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Postpartum Depression After Mild and Severe Preeclampsia.

Postpartum Depression After Mild and Severe Preeclampsia.
Postpartum Depression After Mild and Severe Preeclampsia.
Objective: to describe the prevalence of postpartum depressive symptoms after preeclampsia, to assess the extent to which the prevalence of postpartum depressive symptoms differs after mild and severe preeclampsia, and to investigate which factors contribute to such differences.

Methods: women diagnosed with preeclampsia (n=161) completed the Edinburgh Postnatal Depression Scale (EPDS) at 6, 12, or 26 weeks postpartum. Multiple logistic regression analysis was used to investigate the association between severity of preeclampsia, contributing factors and postpartum depression (PPD) (1) at any time during the first 26 weeks postpartum and (2) accounting for longitudinal observations at three time points.

Results: after mild preeclampsia, 23% reported postpartum depressive symptoms at any time up to 26 weeks postpartum compared to 44% after severe preeclampsia (unadjusted odds ratio [OR] 2.65, 95% confidence interval [CI] 1.16-6.05) for depression at any time up to 26 weeks postpartum (unadjusted OR 2.57, 95% CI, 1.14-5.76) while accounting for longitudinal observations. Admission to the neonatal intensive care unit (NICU) (adjusted OR 3.19, 95% CI 1.15-8.89) and perinatal death (adjusted OR 2.96, 95% CI 1.09-8.03) contributed to this difference.

Conclusions: it appears that not the severity of preeclampsia itself but rather the consequences of the severity of the disease (especially admission to the NICU and perinatal death) cause postpartum depressive symptoms. Obstetricians should be aware of the high risk of postpartum depressive symptoms after severe preeclampsia, particularly among women whose infant has been admitted to the NICU or has died
1540-9996
Hoedjes, Meeke
a828f9db-26c0-4ffb-a739-a8021232a3ae
Berks, Durk
9ebdde64-882d-4a2a-b8b4-55f980a49537
Vogel, Ineke
8816563b-cd27-4945-8101-2c3d23ec6217
Franx, Arie
2376857f-07db-4821-9512-a7b55036b6f0
Bangma, Meike
b6444e01-251a-433e-b1f5-0ee7151c2d98
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Visser, Willy
22a87b8b-7516-43bf-a300-be0e8b8871e4
Duvekot, Johannes J.
834bc187-12a8-43bb-b059-3db20157165c
Habbema, J. Dik F.
29cf87c6-5e1a-4df6-97c7-4c6d0d7052ae
Steegers, Eric A.P.
6061f35a-1c75-4f9f-ac9f-ed369f475ce9
Raat, Hein
638fdd4c-7fe2-4c42-8606-1a1ce6ef20e3
Hoedjes, Meeke
a828f9db-26c0-4ffb-a739-a8021232a3ae
Berks, Durk
9ebdde64-882d-4a2a-b8b4-55f980a49537
Vogel, Ineke
8816563b-cd27-4945-8101-2c3d23ec6217
Franx, Arie
2376857f-07db-4821-9512-a7b55036b6f0
Bangma, Meike
b6444e01-251a-433e-b1f5-0ee7151c2d98
Darlington, Anne-Sophie E.
472fcfc9-160b-4344-8113-8dd8760ff962
Visser, Willy
22a87b8b-7516-43bf-a300-be0e8b8871e4
Duvekot, Johannes J.
834bc187-12a8-43bb-b059-3db20157165c
Habbema, J. Dik F.
29cf87c6-5e1a-4df6-97c7-4c6d0d7052ae
Steegers, Eric A.P.
6061f35a-1c75-4f9f-ac9f-ed369f475ce9
Raat, Hein
638fdd4c-7fe2-4c42-8606-1a1ce6ef20e3

Hoedjes, Meeke, Berks, Durk, Vogel, Ineke, Franx, Arie, Bangma, Meike, Darlington, Anne-Sophie E., Visser, Willy, Duvekot, Johannes J., Habbema, J. Dik F., Steegers, Eric A.P. and Raat, Hein (2011) Postpartum Depression After Mild and Severe Preeclampsia. Journal of Women's Health. (doi:10.1089/jwh.2010.2584). (PMID:21815820)

Record type: Article

Abstract

Objective: to describe the prevalence of postpartum depressive symptoms after preeclampsia, to assess the extent to which the prevalence of postpartum depressive symptoms differs after mild and severe preeclampsia, and to investigate which factors contribute to such differences.

Methods: women diagnosed with preeclampsia (n=161) completed the Edinburgh Postnatal Depression Scale (EPDS) at 6, 12, or 26 weeks postpartum. Multiple logistic regression analysis was used to investigate the association between severity of preeclampsia, contributing factors and postpartum depression (PPD) (1) at any time during the first 26 weeks postpartum and (2) accounting for longitudinal observations at three time points.

Results: after mild preeclampsia, 23% reported postpartum depressive symptoms at any time up to 26 weeks postpartum compared to 44% after severe preeclampsia (unadjusted odds ratio [OR] 2.65, 95% confidence interval [CI] 1.16-6.05) for depression at any time up to 26 weeks postpartum (unadjusted OR 2.57, 95% CI, 1.14-5.76) while accounting for longitudinal observations. Admission to the neonatal intensive care unit (NICU) (adjusted OR 3.19, 95% CI 1.15-8.89) and perinatal death (adjusted OR 2.96, 95% CI 1.09-8.03) contributed to this difference.

Conclusions: it appears that not the severity of preeclampsia itself but rather the consequences of the severity of the disease (especially admission to the NICU and perinatal death) cause postpartum depressive symptoms. Obstetricians should be aware of the high risk of postpartum depressive symptoms after severe preeclampsia, particularly among women whose infant has been admitted to the NICU or has died

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More information

Published date: 4 August 2011
Organisations: Faculty of Medicine, Faculty of Health Sciences

Identifiers

Local EPrints ID: 198655
URI: http://eprints.soton.ac.uk/id/eprint/198655
ISSN: 1540-9996
PURE UUID: d99a6c52-82a6-4187-8d74-fbdbd5b86aeb

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Date deposited: 06 Oct 2011 07:49
Last modified: 16 Jul 2019 23:23

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Contributors

Author: Meeke Hoedjes
Author: Durk Berks
Author: Ineke Vogel
Author: Arie Franx
Author: Meike Bangma
Author: Willy Visser
Author: Johannes J. Duvekot
Author: J. Dik F. Habbema
Author: Eric A.P. Steegers
Author: Hein Raat

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