Reproductive Health is Maternal Health: Investigating the Association of Maternal Stress and Depression with Postpartum Contraception Use
Dhaurali, Shubhecchha
2023
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Introduction: Postpartum contraception provides future pregnancy intention choice and can decrease maternal stress. In this study, we examined the association between psychosocial stressors during pregnancy and depression with postpartum contraception. We also looked for any links between pregnancy intention and postpartum depression.
Methods: We used data from the 2016-2019 Pregnancy Risk ... read moreAssessment Monitoring System from four states and a large city (N = 22,935). We used logistic regression models to examine a) the association between psychosocial stressors (any stressor; and emotional, financial, partner-related, and traumatic stressors, specifically) and postpartum depression with use of postpartum contraception, and b) the association between pregnancy intention (intended, unintended, unsure) and postpartum depression.
Results: Approximately 56% of the sample reported at least one psychosocial stressor, 76% reported postpartum contraception use, and 14% reported postpartum depression. Women who experienced any psychosocial stressor (aOR = 0.91, 95% CI 0.85-0.97, p≤0.01), partner-related stressors (aOR=0.83, 95% CI=0.77-0.89, p≤0.001), or trauma-related stressors (aOR=0.85, 95% CI=0.77-0.94, p≤0.001) had lower odds of postpartum contraception than their counterparts. Postpartum depression was negatively associated with postpartum contraception (aOR=0.80, 95% CI=0.73-0.87, p≤0.001). Women reporting unintended (aOR=1.73, 95% CI=1.50-2.00, p≤0.001) or unsure pregnancies (aOR=1.32, 95% CI=1.19-1.46, p≤0.001) had higher odds of postpartum depression than those who reported their pregnancy was intended.
Conclusions: Maternal stress and depression are associated with postpartum contraception use, and pregnancy intention is associated with postpartum depression. Family planning and reproductive health counseling for postpartum individuals should include assessments for psychosocial stressors, postpartum depression, and pregnancy intention for improved health.
Thesis (B.A.)--Tufts University, 2023.
Submitted to the Dept. of Community Health.
Advisor: Andrea Acevedo.
Committee: Andrea Acevedo, Leah Abrams, Keren Ladin.
Keywords: postpartum contraception, postpartum depression, psychosocial stress, stressful life eventsread less - ID:
- 73666k36t
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