Database - Alliance francophone pour l'accouchement respecté (AFAR)

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Created on : 05 Feb 2018
Modified on : 05 Feb 2018

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Bibliographical entry (without author) :

Stressful events during pregnancy and postpartum depressive symptoms. J Womens Health (Larchmt). 2015 May;24(5):384-93

Author(s) :

Stone SL, Diop H, Declercq E, Cabral HJ, Fox MP, Wise LA.

Year of publication :

2015

URL(s) :

https://www.ncbi.nlm.nih.gov/pubmed/25751609
https://doi.org/10.1089/jwh.2014.4857

Résumé (français)  :

Les femmes qui ont rapporté des facteurs de stress durant la grossesse (et plus spécifiquement celles ayant une source de stress lié au partenaire) ont une prévalence accrue de développer un stress post traumatique en post partum. Ces données devraient amener à faire des dépistages systématiques durant la grossesse et à proposer de l’aide.

Abstract (English)  :

BACKGROUND:
Understanding the influence of perinatal stressors on the prevalence of postpartum depressive symptoms (PDS) and help-seeking for PDS using surveillance data can inform service provision and improve health outcomes.

METHODS:
We used Massachusetts Pregnancy Risk Assessment Monitoring System (MA-PRAMS) 2007-2010 data to evaluate associations between selected perinatal stressors and PDS and with subsequent help-seeking behaviors. We categorized 12 stressors into 4 groups: partner, traumatic, financial, and emotional. We defined PDS as reporting “always“ or “often“ to any depressive symptoms on PRAMS Phase 5, or to a composite score ≥10 on PRAMS Phase 6 depression questions, compared with women reporting “sometimes,“ “rarely“ or “never“ to all depressive symptoms. The median response time to MA-PRAMS survey was 3.2 months (interquartile range, 2.9-4.0 months). We estimated prevalence ratios (PRs) and 95% confidence intervals (95% CIs) using modified Poisson regression models, controlling for socioeconomic status indicators, pregnancy intention and prior mental health visits.

RESULTS:
Among 5,395 participants, 58% reported ≥1 stressor (partner=26%, traumatic=16%, financial=29% and emotional=30%). Reporting of ≥1 stressor was associated with increased prevalence of PDS (PR=1.68, 95% CI: 1.42-1.98). The strongest association was observed for partner stress (PR=1.90, 95% CI: 1.51-2.38). Thirty-eight percent of mothers with PDS sought help. Mothers with partner-related stressors were less likely to seek help, compared with mothers with other grouped stressors.

CONCLUSIONS:
Women who reported perinatal common stressors-particularly partner-related stressors-had an increased prevalence of PDS. These data suggest that women should be routinely screened during pregnancy for a range of stressors and encouraged to seek help for PDS.

Sumário (português)  :

Comments :

aucun type de recommandation sur la prise en charge lors de l’accouchement

Argument (français) :

Argument (English):

Argumento (português):

Keywords :

➡ depression, anxiety ; psychology ; traumatism ; post-traumatic stress

Author of this record :

Alison Passieux — 05 Feb 2018