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Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort

OBJECTIVE: To assess the feasibility of the family paediatrician’s (FP) role in identifying the signs of postpartum depression in parents in time to guarantee child well-being. DESIGN, SETTING AND PARTICIPANTS: Data for this observational prospective study were collected within the NASCITA (NAscere...

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Autores principales: Segre, Giulia, Clavenna, Antonio, Cartabia, Massimo, Bonati, Maurizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314581/
https://www.ncbi.nlm.nih.gov/pubmed/37355274
http://dx.doi.org/10.1136/bmjopen-2022-069797
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author Segre, Giulia
Clavenna, Antonio
Cartabia, Massimo
Bonati, Maurizio
author_facet Segre, Giulia
Clavenna, Antonio
Cartabia, Massimo
Bonati, Maurizio
author_sort Segre, Giulia
collection PubMed
description OBJECTIVE: To assess the feasibility of the family paediatrician’s (FP) role in identifying the signs of postpartum depression in parents in time to guarantee child well-being. DESIGN, SETTING AND PARTICIPANTS: Data for this observational prospective study were collected within the NASCITA (NAscere e creSCere in ITAlia) cohort. During the first visit, paediatricians collected sociodemographic data regarding the parents and information about their health status, the pregnancy and the delivery. Whooley questions were administered during the first and second visits (scheduled 60–90 days after childbirth). Moreover, on the third visit (5–7 months after childbirth) the FP was asked to answer ‘yes’ or ‘no’ to a question on the parental postpartum depression, based on his knowledge and on the acquired information. RESULTS: In 2203 couples who completed the assessment, 529 mothers (19.9%), 141 fathers (6.3%) and 110 (5%) couples reported any depressive symptomatology. Of these, 141 mothers (5.3% of the total sample) and 18 fathers (0.8% of the total sample) were classified as ‘likely depressed’. An association was found between maternal postnatal depressive symptoms and having a diagnosed psychiatric disorder during pregnancy (OR 9.49, 95% CI: 3.20 to 28.17), not exclusively breastfeeding at hospital discharge (OR 1.76, 95% CI: 1.19 to 2.61) and the presence of child sleeping disorders at 3 (OR 2.46, 95% CI: 1.41 to 4.28) and 6 months (OR 2.18, 95% CI: 1.37 to 3.47). Another significant predictor of postpartum depression was being primiparous (OR 1.99, 95% CI: 1.31 to 3.02). Concerning the fathers, a significant association was reported only between likely depressed fathers and child sleeping disorders at 3 months (OR 7.64, 95% CI: 2.92 to 19.97). Moreover, having a likely depressed partner was strongly associated with depressive symptoms in fathers (OR 85.53, 95% CI 26.83 to 272.69). CONCLUSIONS: The findings of this study support the feasibility of an active screening programme for parental postnatal depression during well-child visits as an integral part of postpartum care. TRIAL REGISTRATION NUMBER: NCT03894566; Pre-results.
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spelling pubmed-103145812023-07-02 Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort Segre, Giulia Clavenna, Antonio Cartabia, Massimo Bonati, Maurizio BMJ Open Paediatrics OBJECTIVE: To assess the feasibility of the family paediatrician’s (FP) role in identifying the signs of postpartum depression in parents in time to guarantee child well-being. DESIGN, SETTING AND PARTICIPANTS: Data for this observational prospective study were collected within the NASCITA (NAscere e creSCere in ITAlia) cohort. During the first visit, paediatricians collected sociodemographic data regarding the parents and information about their health status, the pregnancy and the delivery. Whooley questions were administered during the first and second visits (scheduled 60–90 days after childbirth). Moreover, on the third visit (5–7 months after childbirth) the FP was asked to answer ‘yes’ or ‘no’ to a question on the parental postpartum depression, based on his knowledge and on the acquired information. RESULTS: In 2203 couples who completed the assessment, 529 mothers (19.9%), 141 fathers (6.3%) and 110 (5%) couples reported any depressive symptomatology. Of these, 141 mothers (5.3% of the total sample) and 18 fathers (0.8% of the total sample) were classified as ‘likely depressed’. An association was found between maternal postnatal depressive symptoms and having a diagnosed psychiatric disorder during pregnancy (OR 9.49, 95% CI: 3.20 to 28.17), not exclusively breastfeeding at hospital discharge (OR 1.76, 95% CI: 1.19 to 2.61) and the presence of child sleeping disorders at 3 (OR 2.46, 95% CI: 1.41 to 4.28) and 6 months (OR 2.18, 95% CI: 1.37 to 3.47). Another significant predictor of postpartum depression was being primiparous (OR 1.99, 95% CI: 1.31 to 3.02). Concerning the fathers, a significant association was reported only between likely depressed fathers and child sleeping disorders at 3 months (OR 7.64, 95% CI: 2.92 to 19.97). Moreover, having a likely depressed partner was strongly associated with depressive symptoms in fathers (OR 85.53, 95% CI 26.83 to 272.69). CONCLUSIONS: The findings of this study support the feasibility of an active screening programme for parental postnatal depression during well-child visits as an integral part of postpartum care. TRIAL REGISTRATION NUMBER: NCT03894566; Pre-results. BMJ Publishing Group 2023-06-23 /pmc/articles/PMC10314581/ /pubmed/37355274 http://dx.doi.org/10.1136/bmjopen-2022-069797 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Paediatrics
Segre, Giulia
Clavenna, Antonio
Cartabia, Massimo
Bonati, Maurizio
Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title_full Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title_fullStr Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title_full_unstemmed Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title_short Postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the NASCITA cohort
title_sort postpartum depression screening in mothers and fathers at well-child visits: a feasibility study within the nascita cohort
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10314581/
https://www.ncbi.nlm.nih.gov/pubmed/37355274
http://dx.doi.org/10.1136/bmjopen-2022-069797
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