Maternal Depressive Symptoms and Parenting Practices 3-Months Postpartum
Open accessAbstract
Using data from two postpartum depression randomized trials, we examined the association between postpartum depressive symptoms and parenting practices among a diverse group of mothers. We examined the association between safety practices (back sleep position, car seat use, smoke alarm), feeding practices (breastfeeding, infant intake of cereal, juice, water), and health care practices (routine well child and Emergency Room (ER) visits) with 3-month postpartum depressive symptoms assessed using the Edinburgh Depression Scale (EPDS ≥10). Fifty-one percent of mothers were black or Latina, 33 % had Medicaid, and 30 % were foreign born. Depressed mothers were less likely to have their infant use back sleep position (60 vs. 79 %, p < .001), always use a car seat (67 vs. 84 %, p < .001), more likely to feed their infants water, juice, or cereal (36 vs. 25 %, p = .04 respectively), and to bring their babies for ER visits (26 vs. 16 %, p = .03) as compared with non-depressed mothers. In multivariable model, depressed mothers remained less likely to have their infant use the back sleep position, to use a car seat, and to have a working smoke alarm in the home. Findings suggest the need to intervene early among mothers with depressive symptoms and reinforce positive parenting practices.
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The four remaining studies did not find a difference between depressed mothers and nondepressed mothers with respect to feeding practices.
“The four remaining studies did not find a difference between depressed mothers and nondepressed mothers with respect to feeding practices;26,60,70,72”
From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [26]
The Results (Multivariate Analyses) report no difference in feeding practices after adjustment. But the Results (Descriptive and bivariate analyses) report that mothers with depressive symptoms were more likely to introduce water, juice, or cereal early (36% vs. 25%, p=.04). The unqualified claim omits that distinction; this source also cannot establish the findings of the other three studies. (LLM, conf=0.86)
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Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes
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Self-citation
- Authors
- Balbierz, A., Bodnar-Deren, S., Wang, J. J., & Howell, E. A.
- Affiliations
- Icahn School of Medicine at Mount Sinai (US)
- Virginia Commonwealth University (US)
- Corresponding author
- Balbierz, Amy
- Venue
- Maternal and Child Health Journal
- Published
- 2014-11-06
- Volume
- 19
- Issue
- 6
- Pages
- 1212-1219
- ISSN
- 1092-7875 (ISSN-L)
- 1573-6628
- PMC
- PMC4422772
- OpenAlex
- W2027351458
- Cited by
- 84
- References
- 39
- Citations by year
- 2026: 1 · 2025: 9 · 2024: 21 · 2023: 9 · 2022: 6 · 2021: 5 · 2020: 5 · 2019: 8 · 2018: 8 · 2017: 5 · 2016: 3 · 2015: 4
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Maternal and Child Health Journal (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH077683, 5R01MH77683)
- National Institute on Minority Health and Health Disparities (P60MD000270)
- 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, parenting practices, infant sleep position, car seat use, smoke detectors, infant feeding practices, emergency department visits, well-child visits, low-income mothers, racial and ethnic minorities, early intervention
- MeSH terms
- Adult, Breast Feeding, Female, Humans, Infant, Infant Care, Infant Food, Infant, Newborn, Pregnancy, Parenting, Depression, Postpartum, Child Restraint Systems
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