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Postpartum depression effects on early interactions, parenting, and safety practices: A review
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In this paper studies are reviewed from the last decade on postpartum depression effects on early interactions, parenting, safety practices and on early interventions. The interaction disturbances of depressed mothers and their infants appear to be universal, across different cultures and socioeconomic status groups and, include less sensitivity of the mothers and responsivity of the infants. Several caregiving activities also appear to be compromised by postpartum depression including feeding practices, most especially breastfeeding, sleep routines and well-child visits, vaccinations and safety practices. These data highlight the need for universal screening of maternal and paternal depression during the postpartum period. Early interventions reviewed here include psychotherapy and interaction coaching for the mothers, and infant massage for their infants.
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“Both antenatal depression and anxiety are associated with an increased risk of emotion regulation difficulties (Glasheen et al., Citation2010; Leis et al., Citation2014) and social behaviour problems among children (Field, Citation2010).”
From The feasibility and acceptability of a single-session Acceptance and Commitment Therapy (ACT) intervention to support women self-reporting fear of childbirth in a first pregnancy. (2023) · cites this paper as Field, 2010
Experimental — accuracy not yet measuredIn the citing paper
“In depressed mothers, studies suggest women may avoid or limit exposure to distressing infant stimuli (Field, 2010; Murray et al., 1996; Pearson et al., 2012).”
From Approaching the biology of human parental attachment: Brain imaging, oxytocin and coordinated assessments of mothers and fathers (2014) · cites this paper as Field, 2010
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Maternal depression and parenting behavior
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Postpartum Depression is a Family Affair: Addressing the Impact on Mothers, Fathers, and Children
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“reproductive-aged women and is associated with concurrent psychiatric and substance use disorders(7) and adverse reproductive outcomes, including decreased fertility(8); poor pregnancy outcomes, such as preterm delivery or low birthweight (LBW) infant(9,10); and impaired maternal functioning and bonding.(11) Effective…”
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“Mothers with depression may have poorer interactions with their newborn such as lower touching, sensitivity and skin to skin (Field 2010, Bigelow et al. 2012) that in turn increases risk of breastfeeding difficulties.”
BackgroundThe neural and hormonal bases of human parentalcare
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Correlates of prenatal and postnatal mother-to-infant bonding quality: A systematic review
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“The negative association between depressive symptoms and mother-to-infant bonding quality might even be more pronounced once the baby is born since the development of a postnatal bond might also be affected by mother-baby interaction [40], a quality that might be compromised by maternal depressive symptoms [41].”
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A cry in the dark: depressed mothers show reduced neural activation to their own infant’s cry
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“their infants in face-to-face interaction and engage in less positive interaction with their infants (Field, 2010), patterns linked to long-term negative consequences for child cognitive and social–emotional development (Murray and Cooper, Received 11 August 2010; Accepted 27 September 2010”
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Parfitt, Y., & Ayers, S. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21443 · Cited by 267
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“PPD also has pervasive effects on mother–infant bonding, and affects the emotional, cognitive and behavioral development of the child (Field, 2010).”
BackgroundEpifanio, M. S., Genna, V., Luca, C. D., Roccella, M., & Grutta, S. L. (2015) · Pediatric Reports · doi:10.4081/pr.2015.5872 · Cited by 209
Welch, M. G., Firestein, M. R., Austin, J., Hane, A. A., Stark, R. I., Hofer, M. A., Garland, M., Glickstein, S. B., Brunelli, S. A., Ludwig, R. J., et al. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12405 · Cited by 217
“…et al., 1994, 2012); skin-to-skin care (Conde-Agudelo, Belizan, & DiazRossello, 2011; Feldman, Eidelman, Sirota, & Weller, 2002); massage therapy (Field, 2010; Field, Diego, Hernandez-Reif, Deeds, & Figuereido, 2006; Vickers, Ohlsson, Lacy, & Horsley, 2004); and exposure to adult language…”
Maternal Depression, Family Functioning and Children's Longitudinal Development
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“Additionally, postpartum depression is associated with disturbance in mother-infant interactions and bonding, as well as deficient parenting and parental safety practices [20, 23].”
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Do pediatricians ask about adverse childhood experiences in pediatric primary care?
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“With preschoolers,motherswith PPDwere less likely to engage in play behaviours, be nurturing and positive during face-to-face interactions, talk with their child, limit television/video watching, have regular daily routines, engage in safety practices such as turning down water heaters or using seat belts and were mor…”
BackgroundInfluentialPostpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants
Saharoy, R., Potdukhe, A., Wanjari, M. B., & Taksande, A. B. (2023) · Cureus · doi:10.7759/cureus.41381 · Cited by 234
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“These women and their babies have an increased risk of suffering from the pervasive and negative effects of perinatal depression (Field et al., 2010; Muzik and Borovska, 2010; Kingston et al., 2012), to the extent that, despite presenting symptoms of depression, they are not aware of the…”
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“Specific caregiving activities may also be disrupted, including breastfeeding, sleep routines, and healthcare engagement (e.g. for well-child visits; Field, 2010).”
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Postpartum Depression: A Review
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“More importantly, the findings have meaningful implications on themother and the quality of care she is able to provide her newborn baby during her first year postpartum, which is critical for the development of the child and his/her relationship with the mother (Field, 2010).”
BackgroundTreatment of post-partum depression: a review of clinical, psychological and pharmacological options
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“Long-term health effects of PPD to mothers, children, and family include increased maternal and infant mortality, increased hospitalizations, impaired mother-child bonding, and impaired long-term child development (Field, 2010; Jacques et al., 2019; Stein et al., 2014; Weobong et al., 2015).”
BackgroundTrajectories of Maternal Postpartum Depressive Symptoms
Putnick, D. L., Sundaram, R., Bell, E. M., Ghassabian, A., Goldstein, R. B., Robinson, S. L., Vafai, Y., Gilman, S. E., & Yeung, E. H. (2020) · PEDIATRICS · doi:10.1542/peds.2020-0857 · Cited by 162
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“…responsive caregiving, are more likely to discontinue breastfeeding early or have problems breastfeeding, are less likely to comply with recommended safety practices such as use of car seats, and their children have lower rates of preventive healthcare utilization and vaccination (Field, 2010).”
BackgroundPerinatal depression and infant mental health
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“compromise mother–child bonding and interaction (Field, 2010; Moehler, Brunner, Wiebel, Reck, & Resch, 2006) as well as child growth (Patel, DeSouza, & Rodrigues, 2003) and long-term development (Grace, Evindar, & Stewart, 2003; Kaplow & Widom, 2007; Kurstjens & Wolke, 2001).”
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“…depression and later breastfeeding outcomes, researchers have found that women with depressive symptomatology report breastfeeding problems (Edhborg et al. 2005; Tamminen 1988), more failed breastfeeding attempts (Fergerson et al. 2002), and less breastfeeding self-efficacy (Dai and Dennis 2003).”
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“…facets of interpersonal communication, such as rate of speech, voice quality, eye-to-eye contact, and emotional expressiveness and responsiveness (Field, 1998, 2010; Herrera, Reissland, & Shepherd, 2004; Murray, Fiory-Cowley, & Hooper, 1996; Nadel, Soussignan, Canet, Libert, & G´erardin, 2005).”
BackgroundThe Effects of Breastfeeding on Maternal Mental Health: A Systematic Review
Yuen, M., Hall, O. J., Masters, G. A., Nephew, B. C., Carr, C., Leung, K., Griffen, A., McIntyre, L. M., Byatt, N., & Simas, T. A. M. (2022) · Journal of Women s Health · doi:10.1089/jwh.2021.0504 · Cited by 154
“The majority of studies, 52 in total, examined the relationship between breastfeeding and symptoms of postpartum depression 57–61, 63– 70,72–104, 106– 111 ( Table 2 ).”
Thomason, E., Volling, B. L., Flynn, H. A., McDonough, S. C., Marcus, S. M., López, J. F., & Vázquez, D. M. (2014) · Infant Behavior and Development · doi:10.1016/j.infbeh.2014.05.009 · Cited by 149
“Postpartum depression is an important risk factor that negatively impacts children’s development, as well as parenting, maternal health, and well-being (C. T. Beck, 1998; Cummings, Davies, & Campbell, 2000; Downey & Coyne, 1990; Field, 2010).”
BackgroundPearson, R. M., Bornstein, M. H., Cordero, M., Scerif, G., Mahedy, L., Evans, J., Abioye, A., & Stein, A. L. (2015) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12483 · Cited by 148
“Despite widely documented evidence that maternal depression is associated with disruptions tomaternal care (Field, 2010), to our knowledge only a few studies have linked maternal depression to impaired EF (Comas, Valentino, & Borkowski, 2014; Hughes et al., 2013) and only one linked prenatal…”
BackgroundPearson, R. M., Melotti, R., Heron, J., Joinson, C., Stein, A., Ramchandani, P. G., & Evans, J. (2012) · Infant Behavior and Development · doi:10.1016/j.infbeh.2012.07.020 · Cited by 128
Chase, H. W., Moses‐Kolko, E. L., Zevallos, C. R., Wisner, K. L., & Phillips, M. L. (2013) · Social Cognitive and Affective Neuroscience · doi:10.1093/scan/nst083 · Cited by 131
“PPD strikes precisely at a time when sensitivity and synchrony of maternal–infant interactions are required to positively shape the child’s long-term behavioral, cognitive and socioemotional development (Feldman, 2007; Field, 2010).”
BackgroundNorholt, H. (2020) · Infant Behavior and Development · doi:10.1016/j.infbeh.2020.101441 · Cited by 148
Welch, M. G., Halperin, M. S., Austin, J., Stark, R. I., Hofer, M. A., Hane, A. A., & Myers, M. M. (2015) · Archives of Women s Mental Health · doi:10.1007/s00737-015-0502-7 · Cited by 134
“These conditions can be detrimental to the initiation of maternal behavior and the maintenance of dyadic relationships (Field 2010; Tietz et al. 2014).”
BackgroundHakanen, H., Flykt, M. S., Sinervä, E., Nolvi, S., Kataja, E., Pelto, J., Karlsson, H., Karlsson, L., & Korja, R. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.06.048 · Cited by 160
Kroska, E. B., & Stowe, Z. N. (2020) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/j.ogc.2020.05.001 · Cited by 136
Infants Perceived as “Fussy” Are More Likely to Receive Complementary Foods Before 4 Months
Wasser, H., Bentley, M. E., Borja, J. B., Goldman, B. D., Thompson, A. L., Slining, M. M., & Adair, L. S. (2011) · PEDIATRICS · doi:10.1542/peds.2010-0166 · Cited by 125
“9) 25 (55) 24 30 32 23 Overweight (25–29.”
Social support and depression across the perinatal period: A longitudinal study
Li, Y., Long, Z., Cao, D., & Cao, F. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13817 · Cited by 134
“…have adverse impacts on mother–child interactions such as maternalinfant bonding (Kinsey, Baptiste-Roberts, Zhu, & Kjerulff, 2014), parenting (Field, 2010) and maternal attachment (Perry, Ettinger, Mendelson, & Le, 2011) as well as child development such as infant temperament (Davis et al.,…”
BackgroundEffect of maternal postpartum depression on offspring's growth
Farías-Antúnez, S., Xavier, M. O., & Santos, I. S. (2017) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.12.013 · Cited by 125
Gotlib, I. H., Goodman, S. H., & Humphreys, K. L. (2020) · Current Directions in Psychological Science · doi:10.1177/0963721420901590 · Cited by 132
“…examine the relations between depression in mothers and caregiving behaviors and environments, and between maternal depression and aspects of young offsprings’ functioning that are known to be associated with the development of depression (Field, 2010; Lovejoy, Graczyk, O’Hare, & Neuman, 2000).”
BackgroundLefkovics, E., Baji, I., & Rigó, J. (2014) · Infant Mental Health Journal · doi:10.1002/imhj.21450 · Cited by 118
Lüscher, B., & Möhler, H. (2019) · F1000Research · doi:10.12688/f1000research.18758.1 · Cited by 105
Tikotzky, L. (2014) · Behavioral Sleep Medicine · doi:10.1080/15402002.2014.940111 · Cited by 121
“Research on maternal depression and child development has clearly demonstrated that depressed mothers show poor parenting practices and compromised mother-infant relationship (Cornish et al., 2006; Edhborg, Matthiesen, Lundh, & Widstrom, 2005; Field, 2010; Lovejoy, Graczyk, O’Hare, & Neuman, 2000; Martins & Gaffan, 20…”
BackgroundSawyer, A., Kaim, A., Le, H.-N., McDonald, D., Mittinty, M., Lynch, J., & Sawyer, M. (2019) · Journal of Medical Internet Research · doi:10.2196/13689 · Cited by 101
“For example, postnatal depression has the potential to negatively affect breastfeeding, infant sleep routines, and attendance at health checks, all of which can adversely affect children’s later growth and development [4].”
BackgroundOxytocin and postpartum depression: Delivering on what's known and what's not
Kim, S., Soeken, T. A., CROMER, S. J., Martinez, S. R., Hardy, L. R., & Strathearn, L. (2013) · Brain Research · doi:10.1016/j.brainres.2013.11.009 · Cited by 121
“A large number of studies have highlighted that mothers with PPD are slow to read, decipher, and respond to their infants’ signals (see reviews, Field, 2010; Tronick and Reck, 2009).”
BackgroundAntidepressant Drugs and Breastfeeding: A Review of the Literature
Davanzo, R., Copertino, M., Cunto, A. D., Minen, F., & Amaddeo, A. (2010) · Breastfeeding Medicine · doi:10.1089/bfm.2010.0019 · Cited by 119
“29 The reported association between PPD and negative effects on early infant growth has not been recently confirmed.”
Body image concerns during pregnancy are associated with a shorter breast feeding duration
Brown, A., Rance, J. Y., & Warren, L. (2014) · Midwifery · doi:10.1016/j.midw.2014.06.003 · Cited by 118
“Postnatal depression is linked to finding breast feeding more painful and difficult (Field, 2010).”
BackgroundCorwin, E. J., PAJER, K. A., Paul, S., Lowe, N. K., Weber, M., & McCarthy, D. O. (2015) · Brain Behavior and Immunity · doi:10.1016/j.bbi.2015.04.012 · Cited by 112
“, 2008) and carries significant and lifelong health consequences for women and their infants (Field, 2010).”
Zelkowitz, P., Gold, I., Feeley, N., Hayton, B. C., Carter, C. S., Tulandi, T., Abenhaim, H. A., & Levin, P. (2014) · Hormones and Behavior · doi:10.1016/j.yhbeh.2014.06.014 · Cited by 123
“Depressed mothers are less likely than other mothers to engage in maternal behaviors such as face-to-face visual contact, “baby talk”, affectionate touch, sensitivity and contingent responsivity that are associatedwith optimal infant cognitive and socioemotional development (Cohnet al., 1990; Feldman and Eidelman, 200…”
BackgroundBranquinho, M., Muñoz, M. D. L. F. R., Maia, B., Marques, M., Matos, M., Osma, J., Moreno-Peral, P., Cerón, S. C., Fonseca, A., & Vousoura, E. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.05.010 · Cited by 114
Oxytocin pathways in the intergenerational transmission of maternal early life stress
Töpfer, P., Heim, C. C., Entringer, S., Binder, E. B., Wadhwa, P. D., & Buß, C. (2016) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2016.12.026 · Cited by 118
“It is also suggested that OT may play an important role in the development of depression (McQuaid et al., 2014), which is a highly prevalent clinical consequence of ELS and a condition that may interfere with optimal parenting behavior (Beck, 1995; Feldman, 2015b; Field, 2010).”
BackgroundInfluentialJonas, W., Mileva‐Seitz, V. R., Girard, A. W., Bisceglia, R., Kennedy, J. L., Sokolowski, M. B., Meaney, M. J., Fleming, A. S., & Steiner, M. S. (2013) · Genes Brain & Behavior · doi:10.1111/gbb.12069 · Cited by 111
“Postpartum depression is associated with greater risk of parenting problems (Field 2010; Lovejoy et al. 2000; Paulson et al. 2006), with negative consequences for cognitive, emotional and behavioral development of the infant (Grace et al.”
BackgroundNguyen, P. H., Saha, K. K., Ali, D., Menon, P., Manohar, S., Mai, L. T., Rawat, R., & Ruel, M. T. (2013) · Public Health Nutrition · doi:10.1017/s1368980013001043 · Cited by 108
“from participating in the programme or from adopting recommended practices((6,41)).”
BackgroundChoi, K. W., Houts, R., Arseneault, L., Pariante, C. M., Sikkema, K. J., & Moffitt, T. E. (2018) · Development and Psychopathology · doi:10.1017/s0954579418000032 · Cited by 111
“(Field, 2010), which could set a long-term foundation for negative interactions and increased vulnerability to emo-”
BackgroundZubaran, C., & Foresti, K. (2013) · Sexual & Reproductive Healthcare · doi:10.1016/j.srhc.2012.12.001 · Cited by 106
“Apart from breastfeeding, several other caregiving activities are compromised by postpartum depression, including feeding practices, sleep routines, attending well-child visits, and vaccinations [11].”
BackgroundPaternal Depression in the Postnatal Period and Early Father–Infant Interactions
Sethna, V., Murray, L., Netsi, E., Psychogiou, L., & Ramchandani, P. G. (2015) · Parenting · doi:10.1080/15295192.2015.992732 · Cited by 109
“Most research has focussed on maternal postnatal depression and its potential impact on children’s development (Field, 2010).”
Racine, N. M., Eirich, R., Cooke, J. E., Zhu, J., Pador, P., Dunnewold, N., & Madigan, S. L. (2021) · Infant Mental Health Journal · doi:10.1002/imhj.21959 · Cited by 136
“…and young children are reliant on their caregivers to meet their basic needs (e.g., food, sleep, etc.), as well as their relational (e.g., sensitive parenting, conversational turns) and developmental needs (e.g., language input) (Anderson et al., 2021; De Wolff & van Ijzendoorn, 1997; Field, 2010).”
BackgroundPostpartum depression and infant feeding practices in a low income urban settlement in Nairobi-Kenya
Madeghe, B. A., Kimani, V. N., Stoep, A. V., Nicodimos, S., & Kumar, M. (2016) · BMC Research Notes · doi:10.1186/s13104-016-2307-9 · Cited by 107
“PPD can compromise care-giving activities and performance of parenting roles [7, 8].”
Background
Metadata
- Authors
- Field, T.
- Affiliations
- University of Miami (US)
- Corresponding author
- Field, Tiffany
- ORCID
- Field, Tiffany
- Venue
- Infant Behavior and Development
- Publisher
- Elsevier BV
- Published
- 2010-02
- Volume
- 33
- Issue
- 1
- Pages
- 1-6
- ISSN
- 0163-6383 (ISSN-L)
- PMC
- PMC2819576
- OpenAlex
- W2055689655
- Cited by
- 1,493
- References
- 49
- Citations by year
- 2026: 51 · 2025: 81 · 2024: 104 · 2023: 97 · 2022: 85 · 2021: 141 · 2020: 217 · 2019: 131 · 2018: 108 · 2017: 84 · 2016: 80 · 2015: 84 · 2014: 74 · 2013: 71 · 2012: 45
- FWCI
- 3.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Infant Behavior and Development (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH (AT# 00370)
- March of Dimes Grant (# 12-FYO3-48)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Health and Development
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Keywords
- postpartum depression, mother-infant interaction, maternal sensitivity, parenting practices, breastfeeding, infant feeding practices, infant immunization, child safety practices, early intervention, universal screening, paternal depression, infant massage, psychotherapy
- MeSH terms
- Child Rearing, Fathers, Female, Humans, Infant, Newborn, Mothers, Parent-Child Relations, Parenting, Depression, Postpartum
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