OBJECTIVE: To study how social support is associated with ensuing maternal depression following stillbirth. DESIGN: Data from a population-based national postal questionnaire. Setting. Sweden. POPULATION: A total of 314 (83%) of all 380 Swedish-speaking women who gave birth to singleton stillborn infants in Sweden during 1991, identified through the Swedish Medical Birth Register. METHODS: Postal questionnaires addressing maternal social support and demographics were completed three years following the stillbirth. The association between support-related factors and later maternal depression was assessed using multivariable regression models. MAIN OUTCOME MEASURE: The Center for Epidemiologic Studies Depression Scale. RESULTS: In adjusted analyses, a father's refusal to talk about a stillborn baby with the mother was associated with an almost five-fold risk of later maternal depressive symptoms [adjusted risk ratio (RR) 4.6, 95% confidence interval (CI) 1.5-14.5]. The mother's belief that she could talk with the infant's father about the child was associated with a reduced risk (adjusted RR 0.5, 95% CI 0.1-0.9). CONCLUSIONS: Unwillingness of the father to discuss a stillborn infant with the mother was related to subsequent maternal depressive symptomatology.
OBJECTIVE: To study how social support is associated with ensuing maternal depression following stillbirth. DESIGN: Data from a population-based national postal questionnaire. Setting. Sweden. POPULATION: A total of 314 (83%) of all 380 Swedish-speaking women who gave birth to singleton stillborn infants in Sweden during 1991, identified through the Swedish Medical Birth Register. METHODS: Postal questionnaires addressing maternal social support and demographics were completed three years following the stillbirth. The association between support-related factors and later maternal depression was assessed using multivariable regression models. MAIN OUTCOME MEASURE: The Center for Epidemiologic Studies Depression Scale. RESULTS: In adjusted analyses, a father's refusal to talk about a stillborn baby with the mother was associated with an almost five-fold risk of later maternal depressive symptoms [adjusted risk ratio (RR) 4.6, 95% confidence interval (CI) 1.5-14.5]. The mother's belief that she could talk with the infant's father about the child was associated with a reduced risk (adjusted RR 0.5, 95% CI 0.1-0.9). CONCLUSIONS: Unwillingness of the father to discuss a stillborn infant with the mother was related to subsequent maternal depressive symptomatology.
Authors: Carol J R Hogue; Corette B Parker; Marian Willinger; Jeff R Temple; Carla M Bann; Robert M Silver; Donald J Dudley; Janet L Moore; Donald R Coustan; Barbara J Stoll; Uma M Reddy; Michael W Varner; George R Saade; Deborah Conway; Robert L Goldenberg Journal: Paediatr Perinat Epidemiol Date: 2015-02-14 Impact factor: 3.980
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Authors: Adam K Lewkowitz; Tess E K Cersonsky; Uma M Reddy; Robert L Goldenberg; Donald J Dudley; Robert M Silver; Nina K Ayala Journal: JAMA Netw Open Date: 2022-09-01