Format

Send to

Choose Destination
BJOG. 2013 Aug;120(9):1116-22. doi: 10.1111/1471-0528.12255. Epub 2013 May 8.

Pregnancy intention and postpartum depression: secondary data analysis from a prospective cohort.

Author information

1
Department of Obstetrics and Gynecology, UNC School of Medicine, Chapel Hill, NC 27599, USA. rmercier@med.unc.edu

Abstract

OBJECTIVE:

To assess the relationship between unintended pregnancy and postpartum depression.

DESIGN:

Secondary analysis of data from a prospective pregnancy cohort.

SETTING:

The study was performed at the University of North Carolina prenatal care clinics.

POPULATION/SAMPLE:

Pregnant women enrolled for prenatal care at the University of North Carolina Hospital Center.

METHODS:

Participants were questioned about pregnancy intention at 15-19 weeks of gestation, and classified as having an intended, mistimed or unwanted pregnancy. They were evaluated for postpartum depression at 3 and 12 months postpartum. Log binomial regression was used to assess the relationship between unintended pregnancy and depression, controlling for confounding by demographic factors and reproductive history.

MAIN OUTCOME MEASURES:

Depression at 3 and 12 months postpartum, defined as Edinburgh Postpartum Depression Scale score >13.

RESULTS:

Data were analysed for 688 women at 3 months and 550 women at 12 months. Depression was more likely in women with unintended pregnancies at both 3 months (risk ratio [RR] 2.1, 95% confidence interval [95% CI] 1.2-3.6) and 12 months (RR 3.6, 95% CI 1.8-7.1). Using multivariable analysis adjusting for confounding by age, poverty and education level, women with unintended pregnancies were twice as likely to have postpartum depression at 12 months (RR 2.0, 95% CI 0.96-4.0).

CONCLUSION:

While many elements may contribute to postpartum depression, unintended pregnancy could also be a contributing factor. Women with unintended pregnancy may have an increased risk of depression up to 1 year postpartum.

KEYWORDS:

Depression; pregnancy intention; unwanted pregnancy

PMID:
23651010
PMCID:
PMC3708972
DOI:
10.1111/1471-0528.12255
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center