Association Between Maternal Postpartum Depression and Unintentional Injury Among 4-Month-Old Infants in Japan

Overview

Journal Matern Child Health J

Specialty Health Services

Date 2015 Nov 2

PMID 26520154

Citations 14

Authors

Yui Yamaoka

Takeo Fujiwara

Nanako Tamiya

Affiliations

Soon will be listed here.

Abstract

Objectives: Unintentional injury among infants is a major public health issue; however, the relationship between unintentional infant injury and postpartum depression remains unclear. In this study, we aim to investigate the association between the two.

Methods: We administered an original questionnaire to mothers participating in a 3- or 4-month health check-up program (target n = 9707). This questionnaire assessed infant health, including types of unintentional injury experiences used in previous study, and maternal mental health such as postpartum depression, by the validated screening tool, the Edinburgh Postnatal Depression Scale (EPDS). Associations between infant injury and postpartum depression were assessed using logistic regression adjusted for covariates, including parental, infant, and household characteristics.

Results: In total, 6534 women responded to the questionnaire with valid answers on the EPDS (valid response rate, 67 %). Of the sample, 9.8 % of infants experienced unintentional injury (fall: 5.6 %; near-drowning: 1.2 %), and 9.5 % of mothers had postpartum depression (EPDS score of 9+). After adjusting for covariates, postpartum depression was significantly positively associated with any unintentional injury (odds ratio [OR] 1.59, 95 % confidence interval [CI] 1.24-2.04), and falls (OR 1.41, 95 % CI 1.02-1.95), although near-drowning was not significantly associated.

Conclusion: Postpartum depression might be a risk factor for unintentional injury of infants aged up to 4 months. Further prospective studies are needed to confirm the association between postpartum depression and unintentional injury of infants.

Citing Articles

Societal costs of untreated perinatal mood and anxiety disorders in Vermont.

Platt I, Pendl-Robinson E, Dehus E, ONeil S, Vohra D, Kenny M Arch Womens Ment Health. 2024; 27(4):585-594.

PMID: 38321244 DOI: 10.1007/s00737-024-01429-1.

Societal cost of nine selected maternal morbidities in the United States.

ONeil S, Platt I, Vohra D, Pendl-Robinson E, Dehus E, Zephyrin L PLoS One. 2022; 17(10):e0275656.

PMID: 36288323 PMC: 9603953. DOI: 10.1371/journal.pone.0275656.

Contribution of the Technical Efficiency of Public Health Programs to National Trends and Regional Disparities in Unintentional Childhood Injury in Japan.

Hashimoto A, Kawaguchi H, Hashimoto H Front Public Health. 2022; 10:913875.

PMID: 35903376 PMC: 9315066. DOI: 10.3389/fpubh.2022.913875.

Toward a Behavior Theory-Informed and User-Centered Mobile App for Parents to Prevent Infant Falls: Development and Usability Study.

Cooray N, Sun S, Ho C, Adams S, Keay L, Nassar N JMIR Pediatr Parent. 2021; 4(4):e29731.

PMID: 34932004 PMC: 8726019. DOI: 10.2196/29731.

Social prescription for isolated parenting in Japan: Socioeconomic characteristics of mothers with weak social connectivity in their community.

Honda H, Kita T Health Soc Care Community. 2021; 30(5):e1815-e1823.

PMID: 34661947 PMC: 9543771. DOI: 10.1111/hsc.13610.

References

Hong J, Lee B, Ha E, Park H . Parental socioeconomic status and unintentional injury deaths in early childhood: consideration of injury mechanisms, age at death, and gender. Accid Anal Prev. 2009; 42(1):313-9. DOI: 10.1016/j.aap.2009.08.010. View

Banti S, Mauri M, Oppo A, Borri C, Rambelli C, Ramacciotti D . From the third month of pregnancy to 1 year postpartum. Prevalence, incidence, recurrence, and new onset of depression. Results from the perinatal depression-research & screening unit study. Compr Psychiatry. 2011; 52(4):343-51. DOI: 10.1016/j.comppsych.2010.08.003. View

Fujiwara T, Okuyama M, Takahashi K . Paternal involvement in childcare and unintentional injury of young children: a population-based cohort study in Japan. Int J Epidemiol. 2009; 39(2):588-97. DOI: 10.1093/ije/dyp340. View

Kanaizumi S, Shibata M, Miyazaki Y, Nakashita T, Sakou K, Hoshino Y . [Frequency and prevention of childhood domestic injury according to age]. Nihon Koshu Eisei Zasshi. 2009; 56(4):251-9. View

Phelan K, Morrongiello B, Khoury J, Xu Y, Liddy S, Lanphear B . Maternal supervision of children during their first 3 years of life: the influence of maternal depression and child gender. J Pediatr Psychol. 2013; 39(3):349-57. PMC: 3959264. DOI: 10.1093/jpepsy/jst090. View

Morrongiello B, Ondejko L, Littlejohn A . Understanding toddlers' in-home injuries: II. Examining parental strategies, and their efficacy, for managing child injury risk. J Pediatr Psychol. 2004; 29(6):433-46. DOI: 10.1093/jpepsy/jsh047. View

Agran P, Anderson C, Winn D, Trent R, Walton-Haynes L, Thayer S . Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics. 2003; 111(6 Pt 1):e683-92. DOI: 10.1542/peds.111.6.e683. View

Leininger L, Ryan R, Kalil A . Low-income mothers' social support and children's injuries. Soc Sci Med. 2009; 68(12):2113-21. DOI: 10.1016/j.socscimed.2009.03.013. View

McLennan J, Kotelchuck M . Parental prevention practices for young children in the context of maternal depression. Pediatrics. 2000; 105(5):1090-5. DOI: 10.1542/peds.105.5.1090. View

10.

OConnor T, Davies L, Dunn J, Golding J . Distribution of accidents, injuries, and illnesses by family type. ALSPAC Study Team. Avon Longitudinal Study of Pregnancy and Childhood. Pediatrics. 2000; 106(5):E68. DOI: 10.1542/peds.106.5.e68. View

11.

Schwebel D, Brezausek C . Chronic maternal depression and children's injury risk. J Pediatr Psychol. 2008; 33(10):1108-16. PMC: 2734122. DOI: 10.1093/jpepsy/jsn046. View

12.

Madigan S, Wade M, Plamondon A, Jenkins J . Maternal abuse history, postpartum depression, and parenting: links with preschoolers' internalizing problems. Infant Ment Health J. 2015; 36(2):146-55. DOI: 10.1002/imhj.21496. View

13.

Schnitzer P, Dowd M, Kruse R, Morrongiello B . Supervision and risk of unintentional injury in young children. Inj Prev. 2014; 21(e1):e63-70. PMC: 4293371. DOI: 10.1136/injuryprev-2013-041128. View

14.

Milgrom J, Ericksen J, Negri L, Gemmill A . Screening for postnatal depression in routine primary care: properties of the Edinburgh Postnatal Depression Scale in an Australian sample. Aust N Z J Psychiatry. 2005; 39(9):833-9. DOI: 10.1080/j.1440-1614.2005.01660.x. View

15.

Yoshida K, Marks M, Kibe N, Kumar R, Nakano H, Tashiro N . Postnatal depression in Japanese women who have given birth in England. J Affect Disord. 1997; 43(1):69-77. DOI: 10.1016/s0165-0327(96)01419-x. View

16.

Cox J, Holden J, Sagovsky R . Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987; 150:782-6. DOI: 10.1192/bjp.150.6.782. View

17.

Kendrick D, Mulvaney C, Burton P, Watson M . Relationships between child, family and neighbourhood characteristics and childhood injury: a cohort study. Soc Sci Med. 2005; 61(9):1905-15. DOI: 10.1016/j.socscimed.2005.04.003. View

18.

Sekii H, Ohtsu T, Shirasawa T, Ochiai H, Shimizu T, Kokaze A . Childhood mortality due to unintentional injuries in Japan, 2000–2009. Int J Environ Res Public Health. 2013; 10(2):528-40. PMC: 3635160. DOI: 10.3390/ijerph10020528. View

19.

Chung E, McCollum K, Elo I, Lee H, Culhane J . Maternal depressive symptoms and infant health practices among low-income women. Pediatrics. 2004; 113(6):e523-9. DOI: 10.1542/peds.113.6.e523. View

20.

Phelan K, Khoury J, Atherton H, Kahn R . Maternal depression, child behavior, and injury. Inj Prev. 2007; 13(6):403-8. PMC: 2598291. DOI: 10.1136/ip.2006.014571. View