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Prenatal Social Support, Postnatal Social Support, and Postpartum Depression

Purpose To assess the association of antenatal and postnatal social support with postpartum depression (PPD). Methods We carried out a prospective cohort study of 534 pregnant women between February and September 2007 in Hunan, China. The association between prenatal and postnatal social support wit...

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Published in:Annals of epidemiology 2009-09, Vol.19 (9), p.637-643
Main Authors: Xie, Ri-Hua, RN, MSc, PhD, He, Guoping, MD, Koszycki, Diana, PhD, CPsych, Walker, Mark, MD, Wen, Shi Wu, MB, PhD
Format: Article
Language:English
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Summary:Purpose To assess the association of antenatal and postnatal social support with postpartum depression (PPD). Methods We carried out a prospective cohort study of 534 pregnant women between February and September 2007 in Hunan, China. The association between prenatal and postnatal social support with PPD was examined. Results A total of 103 (19.29%) women had PPD. Women with low prenatal and postnatal social support had higher rates of PPD. For prenatal support, PPD was 28.20% in the lowest quartile versus 9.90% in the highest quartile (adjusted odds ratio [OR]: 3.38, 95% confidence interval [CI] = 1.64,6.98). For postnatal support, PPD was 44.10% in the lowest quartile versus 5.40% in the highest quartile (adjusted OR: 9.64, 95% CI = 4.09, 22.69). Conclusions Lower or lack of social support is a risk factor of PPD. The association between postnatal social support and PPD is much stronger than that of prenatal social support.
ISSN:1047-2797
1873-2585
DOI:10.1016/j.annepidem.2009.03.008