title: Postpartum depression among women with unintended pregnancy.
abstract: OBJECTIVE To analyze the association between unintended pregnancy and postpartum depression. METHODS This is a prospective cohort study conducted with 1,121 pregnant aged 18 to 49 years, who attended the prenatal program devised by the Brazilian Family Health Strategy, Recife, PE, Northeastern Brazil, between July 2005 and December 2006. We interviewed 1,121 women during pregnancy and 1,057 after childbirth. Unintended pregnancy was evaluated during the first interview and postpartum depression symptoms were assessed using the Edinburgh Postnatal Depression Screening Scale. The crude and adjusted odds ratios for the studied association were estimated using logistic regression analysis. RESULTS The frequency for unintended pregnancy was 60.2%; 25.9% presented postpartum depression symptoms. Those who had unintended pregnancies had a higher likelihood of presenting this symptoms, even after adjusting for confounding variables (OR = 1.48; 95%CI 1.09;2.01). When the Self Reporting Questionnaire (SRQ-20) variable was included, the association decreased, however, remained statistically significant (OR = 1.42; 95%CI 1.03;1.97). CONCLUSIONS Unintended pregnancy showed association with subsequent postpartum depressive symptoms. This suggests that high values in Edinburgh Postnatal Depression Screening Scale may result from unintended pregnancy.
authors.forename: Cynthia Nunes de Oliveira
authors.initials: CN
authors.lastname: Brito
authors.forename: Sandra Valongueiro
authors.initials: SV
authors.lastname: Alves
authors.forename: Ana Bernarda
authors.initials: AB
authors.lastname: Ludermir
authors.forename: Thália Velho Barreto de
authors.initials: TV
authors.lastname: Araújo
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D015331:Cohort Studies; D019052:Depression, Postpartum / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011247:Pregnancy; D049168:Pregnancy, Unplanned / Q000523:psychology*; D011446:Prospective Studies; D057566:Self Report; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult