Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Association between neonatal homecare for preterm infants and incidence of severe postpartum depression in mothers

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Development of visual attention from age 7 to age 12 in children with familial high risk for schizophrenia or bipolar disorder

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Dysregulated Lipid Metabolism Precedes Onset of Psychosis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Predictors of remission from the ultra-high risk state for psychosis

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Risk variants and polygenic architecture of disruptive behavior disorders in the context of attention-deficit/hyperactivity disorder

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

BACKGROUND: Understanding the association between neonatal homecare and postpartum depression could contribute to the design of evidence-based interventions to prevent postpartum depression. We aimed to determine whether the change from inpatient stays in neonatal intensive care units to offering neonatal homecare was associated with a reduced incidence rate of severe postpartum depression among mothers who gave birth prematurely.

METHODS: We conducted a register-based population-wide study of all mothers who gave birth prematurely 1994-2017 to live-born infants and spent at least one night in the Neonatal Intensive Care Unit. We performed an interrupted time series analysis to investigate the incidence rate ratio of severe postpartum depression before and after the implementation of neonatal homecare. Neonatal homecare was implemented between 1994 and 2016.

RESULTS: The total population consisted of 46,456 mothers and the median age was 30 years and interquartile range of 27-34 years. Overall 4.5 % of the mothers were diagnosed with severe postpartum depression. Prior to neonatal homecare no change in the incidence of severe postpartum depression was found; (incidence rate ratio=1.01 [95 % confidence interval: 0.97-1.05] every half year, p=0.69). The implementation was associated with a level change with an incidence rate ratio reduction of 23 % (incidence rate ratio=0.77 [95 % confidence interval: 0.64-0.93], p=0.007).

LIMITATIONS: Limitations include potential underdiagnosis in early periods, lack of randomization, and different periods of implementation of neonatal homecare.

CONCLUSIONS: We found a possible association between the implementation of neonatal homecare and a 23 % reduced incidence rate of severe postpartum depression among mothers of preterm infants.

Original languageEnglish
JournalJournal of Affective Disorders
Volume278
Pages (from-to)453-459
Number of pages7
ISSN0165-0327
DOIs
Publication statusPublished - 1 Jan 2021

ID: 61716109