Postpartum depression in mothers with pregnancies complicated by fetal cardiac anomaly

Objective To investigate factors associated with positive postpartum depression (PPD) screen in pregnancies complicated by fetal congenital cardiac anomaly. Study design We reviewed all records of pregnancies complicated by fetal congenital cardiac anomaly receiving prenatal, intrapartum and postpar...

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Bibliographic Details
Published in:Journal of perinatology 2021-07, Vol.41 (7), p.1605-1610
Main Authors: Waldrop, Anne R., Sherwin, Elizabeth B., Anderson, Jill N., Boissiere, Jay C., Hintz, Susan R., Maskatia, Shiraz A., Girsen, Anna I., Blumenfeld, Yair J.
Format: Article
Language:English
Subjects:
692/308/174
692/699/375
692/699/75/1539
692/700/459/1748
Abnormalities
Depression, Postpartum - diagnosis
Depression, Postpartum - epidemiology
Female
Fetal diseases
Fetuses
Heart
Humans
Infant
Infant, Newborn
Infants
Medicine
Medicine & Public Health
Mental depression
Mothers
Neonates
Pediatric Surgery
Pediatrics
Perinatal Death
Postpartum
Postpartum depression
Postpartum Period
Pregnancy
Prenatal Care
Psychological aspects
Risk factors
Surgery
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Summary:Objective To investigate factors associated with positive postpartum depression (PPD) screen in pregnancies complicated by fetal congenital cardiac anomaly. Study design We reviewed all records of pregnancies complicated by fetal congenital cardiac anomaly receiving prenatal, intrapartum and postpartum care at our single center, October 2016-October 2019. Maternal, obstetric, and neonatal data were compared between women with and without a positive PPD screen at the 6-week postpartum visit. Results Out of 415 women referred for fetal congenital cardiac anomaly, 86 women had complete inclusion criteria. Twenty-four women (28%) had a positive PPD screen. The frequencies of planned future infant surgery (73.9 vs. 26.2%, p  = 0.01) and neonatal death prior to postpartum visit (12.5 vs. 0%, p  = 0.02) were significantly higher among women with a positive PPD screen. Conclusion In pregnancies complicated by fetal congenital cardiac anomaly, mothers of infants with planned future surgery or neonatal death are at significant risk for postpartum depression.
ISSN:0743-8346
1476-5543
DOI:10.1038/s41372-021-01017-6