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Peripartum length of stay for women with depressive symptoms during pregnancy.

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Title: Peripartum length of stay for women with depressive symptoms during pregnancy.
Authors: Lancaster CA (AUTHOR), Flynn HA (AUTHOR), Johnson TRB (AUTHOR), Marcus SM (AUTHOR), Davis MM (AUTHOR)
Source: Journal of Women's Health (15409996). Jan2010, Vol. 19 Issue 1, p31-37. 7p.
Subjects: Depression in women, Pregnancy complications, Delivery (Obstetrics), Gestational age, Poisson processes, Multivariate analysis, Diseases in women, Chronic diseases in pregnancy
Abstract: Background: Approximately 1 in 10 women suffers from depression during pregnancy. Little is known about whether antepartum depression affects a mother's length of stay at delivery. We aimed to compare peripartum length of stay in women with and without depressive symptoms during pregnancy. Methods: This study involved secondary data analysis of a larger study exploring antepartum depression. Each subject completed the Center for Epidemiological Studies Depression Scale (CES-D). We used bivariate analyses to compare patient characteristics of women with and without an elevated CES-D, and we used a multivariate Poisson regression to evaluate predictors of length of stay. Results: The study sample included 867 pregnant women. Overall, 18% of study subjects scored >=16 on the CES-D. In bivariate analyses, a longer stay was associated with an elevated CES-D and minority race, antepartum complications, cesarean delivery, prematurity, multiple gestation, and neonatal length of stay. In the final multivariate model adjusting for sociodemographic, antepartum, and obstetric factors, an elevated CES-D was associated with a significantly longer peripartum stay (0.26 days, CI 0.04-0.48). Conclusions: Depressive symptoms during pregnancy predict an increase in peripartum length of stay. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:Background: Approximately 1 in 10 women suffers from depression during pregnancy. Little is known about whether antepartum depression affects a mother's length of stay at delivery. We aimed to compare peripartum length of stay in women with and without depressive symptoms during pregnancy. Methods: This study involved secondary data analysis of a larger study exploring antepartum depression. Each subject completed the Center for Epidemiological Studies Depression Scale (CES-D). We used bivariate analyses to compare patient characteristics of women with and without an elevated CES-D, and we used a multivariate Poisson regression to evaluate predictors of length of stay. Results: The study sample included 867 pregnant women. Overall, 18% of study subjects scored >=16 on the CES-D. In bivariate analyses, a longer stay was associated with an elevated CES-D and minority race, antepartum complications, cesarean delivery, prematurity, multiple gestation, and neonatal length of stay. In the final multivariate model adjusting for sociodemographic, antepartum, and obstetric factors, an elevated CES-D was associated with a significantly longer peripartum stay (0.26 days, CI 0.04-0.48). Conclusions: Depressive symptoms during pregnancy predict an increase in peripartum length of stay. [ABSTRACT FROM AUTHOR]
ISSN:15409996
DOI:10.1089/jwh.2009.1383