Postpartum Depression Prevalence and Impact on Infant Health, Weight, and Sleep in Low-Income and Ethnic Minority Women and Infants
Abstract
This study aimed to investigate the prevalence of maternal depressive symptoms at 5 and 9 months postpartum in a low-income and predominantly Hispanic sample, and evaluate the impact on infant weight gain, physical health, and sleep at 9 months. Participants included 132 low-income mother-infant pairs who participated in a larger investigation on prenatal care utilization. Mothers were interviewed in person 24-48 h after birth and by phone at 5 and 9 months postpartum. Clinically significant levels of depressive symptoms were reported in 33% of the women at 5 months postpartum, and 38% at 9 months postpartum. Higher depressive symptoms at 5 months were associated with less infant weight gain from 5 to 9 months, p = .002, increased infant physical health concerns, p = .05, and increased infant nighttime awakenings at 9 months, p = .001. Results suggest a striking prevalence of clinically significant depressive symptoms through 9 months postpartum in this very low income, largely ethnic minority sample. Further, the effects of postpartum depression include significant ramifications for infant physical health.
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Maternal postpartum depression had a significant effect on child's weight; infants of depressed mothers gained less weight than infants of nondepressed mothers.
“Among them, five studies97,104,131,140,142 demonstrated a significant effect of maternal PPD on the child’s weight; infants of depressed mothers gained less weight than infants of nondepressed mothers.”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [104]
Maternal depressive symptoms at 5 months predicted more overall physical health concerns for infants at 9 months.
“Maternal depressive symptoms at 5 months seemed to predict more overall physical health concerns for infants at 9 months104 and a greater proportion of childhood illnesses.119”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [104]
Higher maternal depressive symptoms are associated with increased incidence of infant night-time awakenings.
“Two studies showed that higher depressive symptoms were associated with an increased incidence of infant night-time awakenings and predicted more problematic infant sleep patterns.104,108”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [104]
Higher maternal depressive symptoms predict more problematic infant sleep patterns.
“Two studies showed that higher depressive symptoms were associated with an increased incidence of infant night-time awakenings and predicted more problematic infant sleep patterns.104,108”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [104]
In low-income populations, maternal PPD seemed to be associated with less infant weight gain and stunting.
“However, in low-income populations, maternal PPD seemed to be associated with less infant weight gain and stunting.97,104,110,131,140,142”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [104]
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Self-citation
- Authors
- Gress-Smith, J. L., Luecken, L. J., Lemery-Chalfant, K., & Howe, R.
- Affiliations
- Arizona State University (US)
- Maricopa County Department of Public Health (US)
- Corresponding author
- Luecken, Linda J.
- ORCID
- Luecken, Linda J.
- Venue
- Maternal and Child Health Journal
- Published
- 2011-05-11
- Volume
- 16
- Issue
- 4
- Pages
- 887-893
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- OpenAlex
- W2067263597
- Cited by
- 225
- References
- 47
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 9 · 2023: 21 · 2022: 14 · 2021: 18 · 2020: 18 · 2019: 20 · 2018: 20 · 2017: 19 · 2016: 20 · 2015: 25 · 2014: 12 · 2013: 10 · 2012: 5
- FWCI
- 8.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Maternal and Child Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of State
- Arizona State University
- National Institutes of Health (5t32mh018387-28)
- National Institute of Mental Health (T32MH-018387)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
- Health Sciences › Health Professions › Pharmacy › Infant Health and Development
- Keywords
- postpartum depression, maternal depressive symptoms, low-income mothers, Hispanic mothers, ethnic minority women, infant weight gain, infant sleep, nocturnal awakenings, prevalence, antenatal care utilization
- MeSH terms
- Adult, Body Weight, Female, Hispanic or Latino, Humans, Infant, Infant Welfare, Minority Groups, Mothers, Poverty, Pregnancy, Pregnancy Complications, Prenatal Care, Sleep, Prevalence, Depression, Postpartum, Postpartum Period, Young Adult
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