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Cited by 48Infant Health and DevelopmentMaternal Mental Health During Pregnancy and PostpartumPediatric Pain Management Techniques

Unsettled infant behaviour and health service use: A cross‐sectional community survey in Melbourne, Australia

McCallum, Sonia M, Rowe, Heather J, Gurrin, Lyle, Quinlivan, Julie A, Rosenthal, Doreen A, Fisher, Jane RW·2011·Journal of Paediatrics and Child Health
DOI 10.1111/j.1440-1754.2011.02032.x
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Abstract

AIMS: To investigate factors associated with health service use by women and their infants in Victoria, Australia. METHODS: Cross-sectional screening survey of 875 women with 4-month-old infants attending immunisation clinics in five local government areas in Melbourne between May 2007 and August 2008. The self-report instrument assessed socio-demographic characteristics, unsettled infant behaviour, maternal mood (Edinburgh Postnatal Depression Scale) and, the outcome, health service use during the first 4 months post-partum. RESULTS: Mothers and their infants used on average 2.8 different health services in the first 4 months post-partum (range 0-8). After adjustment for other factors, high health service use (defined as >3 different services) was more common in mothers whose infants were unsettled with persistent crying, resistance to soothing and poor sleep. A one-point increase on the unsettled infant behaviour measure was associated with an 8% (2-14%) increase in the use of >3 services, 9% (3-16%) in use of emergency departments, 7% (2-13%) in use of telephone helplines and 9% (3-14%) of parenting services. Poorer maternal mental health was also implicated with a one-point increase on the Edinburgh Postnatal Depression Scale associated with a 4% (0.4-8%) increase in the likelihood of using more than three services. CONCLUSIONS: Unsettled infant behaviour is associated with increased use of multiple health services. The high use of emergency departments by families with unsettled infants found in this study suggests that enhancement of primary health-care capacity might be required.

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Crossref · 10.1111/j.1440-1754.2011.02032.x

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  • Women with worse depressive symptoms were more likely to consult a general practitioner or mental health professional, but not other services.

    “Women with worse depressive symptoms were more likely to consult a general practitioner or mental health professional, but not other services.”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [78]

  • A one-point increase in the EPDS was associated with a 4% (0.4%-8%) increase in the likelihood of using more than three services, adjusted for socioeconomic position, partner status, language, gestational age, and unsettled infant behavior.

    “Poorer maternal mental health was also implicated with a one-point increase in the EPDS associated with a 4% (0.4%–8%) increase in the likelihood of using more than three services (adjusted for socioeconomic position, partner status, language, gestational age, and unsettled infant behavior).”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [78]

  • Two studies demonstrated an effect of maternal PPD on health care practices and utilization measures.

    “Two studies63,78 demonstrated an effect of maternal PPD on health care practices and utilization measures (Table 1).”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [78]

  • Depressed mothers appeared to be more likely to consult general practitioners, pediatricians, or mental health professionals for medical reasons (nonroutine care) than for routine care.

    “As previously observed in cases of women’s health, depressed mothers appeared to be more likely to consult general practitioners, pediatricians, or mental health professionals for medical reasons (nonroutine care) than for routine care.57,63,78”

    From Consequences of maternal postpartum depression: A systematic review of maternal and infant outcomes (2019) · cites this paper as [78]

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Authors
McCallum, S. M., Rowe, H. J., Gurrin, L., Quinlivan, J. A., Rosenthal, D. A., & Fisher, J. R.
Affiliations
  • The University of Melbourne (AU)
  • The University of Notre Dame Australia (AU)
Corresponding author
Fisher, Jane RW
ORCID
Venue
Journal of Paediatrics and Child Health
Publisher
Wiley
Published
2011-06-17
Volume
47
Issue
11
Pages
818-823
ISSN
  • 1034-4810 (ISSN-L)
  • 1440-1754
DOI
10.1111/j.1440-1754.2011.02032.x
OpenAlex
W1934605141
Cited by
48
References
27
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2022: 2 · 2021: 8 · 2020: 2 · 2019: 4 · 2018: 2 · 2017: 5 · 2016: 6 · 2015: 1 · 2014: 3 · 2013: 5 · 2012: 1
FWCI
9.81
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Journal of Paediatrics and Child Health (publishedVersion)
  • PubMed (publishedVersion)
  • ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
  • ANU Open Research (Australian National University) (submittedVersion)
Funders
  • National Health and Medical Research Council
  • National Medical Research Council
Topics
  • Health Sciences › Health Professions › Pharmacy › Infant Health and Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
infant crying, infant sleep, health care utilization, postpartum depression, emergency department utilization, parenting services, telephone helpline, primary care
MeSH terms
Adult, Cross-Sectional Studies, Female, Health Services, Humans, Infant, Victoria, Infant Behavior, Young Adult

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