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Published in: Maternal and Child Health Journal 6/2015

01-06-2015

Maternal Depressive Symptoms and Parenting Practices 3-Months Postpartum

Authors: Amy Balbierz, Susan Bodnar-Deren, Jason J. Wang, Elizabeth A. Howell

Published in: Maternal and Child Health Journal | Issue 6/2015

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Abstract

Using data from two postpartum depression randomized trials, we examined the association between postpartum depressive symptoms and parenting practices among a diverse group of mothers. We examined the association between safety practices (back sleep position, car seat use, smoke alarm), feeding practices (breastfeeding, infant intake of cereal, juice, water), and health care practices (routine well child and Emergency Room (ER) visits) with 3-month postpartum depressive symptoms assessed using the Edinburgh Depression Scale (EPDS ≥10). Fifty-one percent of mothers were black or Latina, 33 % had Medicaid, and 30 % were foreign born. Depressed mothers were less likely to have their infant use back sleep position (60 vs. 79 %, p < .001), always use a car seat (67 vs. 84 %, p < .001), more likely to feed their infants water, juice, or cereal (36 vs. 25 %, p = .04 respectively), and to bring their babies for ER visits (26 vs. 16 %, p = .03) as compared with non-depressed mothers. In multivariable model, depressed mothers remained less likely to have their infant use the back sleep position, to use a car seat, and to have a working smoke alarm in the home. Findings suggest the need to intervene early among mothers with depressive symptoms and reinforce positive parenting practices.
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Metadata
Title
Maternal Depressive Symptoms and Parenting Practices 3-Months Postpartum
Authors
Amy Balbierz
Susan Bodnar-Deren
Jason J. Wang
Elizabeth A. Howell
Publication date
01-06-2015
Publisher
Springer US
Published in
Maternal and Child Health Journal / Issue 6/2015
Print ISSN: 1092-7875
Electronic ISSN: 1573-6628
DOI
https://doi.org/10.1007/s10995-014-1625-6

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