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18-07-2022 | Postpartum Depression | Original Article

Preterm birth and postpartum depression within 6 months after childbirth in a Brazilian cohort

Authors: Juliana Arantes Figueiredo de Paula Eduardo, Felipe Pinheiro Figueiredo, Marcos Gonçalves de Rezende, Daiane Leite da Roza, Stella Felippe de Freitas, Rosangela Fernandes Lucena Batista, Antônio Augusto Moura da Silva, Marco Antônio Barbieri, Ricardo Carvalho Cavalli, Heloisa Bettiol, Alexandre Archanjo Ferraro, Cristina Marta Del-Ben

Published in: Archives of Women's Mental Health | Issue 5/2022

Abstract

Preterm birth (PTB) and postpartum depression (PPD) are important public health issues, and although literature mainly supports the association between them, some reviews have highlighted methodological limitations in the studies in this field, restricting the interpretation of such finding. This study aimed at assessing the association between PTB and PPD, by comparing groups of preterm and full-term mothers in two Brazilian cities with contrasting sociodemographic indicators. This prospective convenience cohort study assessed 1421 women during pregnancy, at childbirth, and in the postpartum period. The Edinburgh Postnatal Depression Scale (EPDS) was administrated to assess PPD within 6 months after delivery and women were considered probably depressed if scores were EDPS ≥ 12. PTB was defined as the delivery before 37 completed weeks of pregnancy. A multivariate Poisson regression was used to estimate relative risk for PPD in mothers of preterm infants, and the final analysis models were adjusted for psychosocial variables, selected according to the directed acyclic graph (DAG) approach. Frequencies of PPD were not significantly different in mothers of preterm and full-term infants, in neither city. In the final adjusted model, PTB was not associated with PPD. The association between PTB and PPD was not confirmed in two large samples from two Brazilian cities with contrasting socioeconomic profile. However, maternal health during pregnancy plays an important role in predicting PPD. Prenatal care should promote maternal mental health as an effort towards decreasing unfavored outcomes for mothers, infants, and families.

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Title: Preterm birth and postpartum depression within 6 months after childbirth in a Brazilian cohort
Authors: Juliana Arantes Figueiredo de Paula Eduardo
Felipe Pinheiro Figueiredo
Marcos Gonçalves de Rezende
Daiane Leite da Roza
Stella Felippe de Freitas
Rosangela Fernandes Lucena Batista
Antônio Augusto Moura da Silva
Marco Antônio Barbieri
Ricardo Carvalho Cavalli
Heloisa Bettiol
Alexandre Archanjo Ferraro
Cristina Marta Del-Ben
Publication date: 18-07-2022
Publisher: Springer Vienna
Keywords: Postpartum Depression
Premature Birth
Postpartum Depression
Published in: Archives of Women's Mental Health / Issue 5/2022
Print ISSN: 1434-1816
Electronic ISSN: 1435-1102
DOI: https://doi.org/10.1007/s00737-022-01248-2

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Preterm birth and postpartum depression within 6 months after childbirth in a Brazilian cohort

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Keynote webinar | Spotlight on medication adherence

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