OBJECTIVE: To determine whether early discharge (< 72 hours) after childbirth increased the risk for women developing postnatal depression. DESIGN: Prospective cohort design consisting of an initial interview, and six-weekly assessments for 24 weeks using a self-report questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Women discharged within 72 hours were compared with the remaining women. SETTING: Tertiary referral hospital in western Sydney, New South Wales, 1993. PARTICIPANTS: All 749 women delivering over a three-month period were recruited. Of the 522 participants, 425 women completed the study. MAIN OUTCOME MEASURES: Women scoring > 13 on the EPDS on two or more occasions were considered potential "cases" of postnatal depression. The diagnosis was confirmed using the Structured Clinical Interview for DSM-III-R disorders (SCID). RESULTS: Of the 153 women (36%) discharged early, 22 women (14.4%) developed postnatal depression over the study period compared with 20 of the 272 women (7.4%) who had standard length of stay. Women who were discharged within 72 hours had a significantly increased risk for developing postnatal depression (odds ratio [OR], 2.12; 95% confidence interval [CI], 1.07-4.21). This risk persisted when other sociodemographic, obstetric and psychosocial risk factors were controlled for in a logistic regression analysis (OR, 3.06; 95% CI, 1.22-7.69). CONCLUSION: Women planning early discharge after childbirth should be carefully assessed before discharge and follow-up should be rigorous. The potential to develop postnatal depression should be considered in all women choosing early discharge from hospital.
OBJECTIVE: To determine whether early discharge (< 72 hours) after childbirth increased the risk for women developing postnatal depression. DESIGN: Prospective cohort design consisting of an initial interview, and six-weekly assessments for 24 weeks using a self-report questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Women discharged within 72 hours were compared with the remaining women. SETTING: Tertiary referral hospital in western Sydney, New South Wales, 1993. PARTICIPANTS: All 749 women delivering over a three-month period were recruited. Of the 522 participants, 425 women completed the study. MAIN OUTCOME MEASURES: Women scoring > 13 on the EPDS on two or more occasions were considered potential "cases" of postnatal depression. The diagnosis was confirmed using the Structured Clinical Interview for DSM-III-R disorders (SCID). RESULTS: Of the 153 women (36%) discharged early, 22 women (14.4%) developed postnatal depression over the study period compared with 20 of the 272 women (7.4%) who had standard length of stay. Women who were discharged within 72 hours had a significantly increased risk for developing postnatal depression (odds ratio [OR], 2.12; 95% confidence interval [CI], 1.07-4.21). This risk persisted when other sociodemographic, obstetric and psychosocial risk factors were controlled for in a logistic regression analysis (OR, 3.06; 95% CI, 1.22-7.69). CONCLUSION:Women planning early discharge after childbirth should be carefully assessed before discharge and follow-up should be rigorous. The potential to develop postnatal depression should be considered in all women choosing early discharge from hospital.
Authors: Cindy-Lee Dennis; Paula Ravitz; Sophie Grigoriadis; Melissa Jovellanos; Ellen Hodnett; Lori Ross; John Zupancic Journal: Trials Date: 2012-04-19 Impact factor: 2.279
Authors: Anita Lyubenova; Dipika Neupane; Brooke Levis; Yin Wu; Ying Sun; Chen He; Ankur Krishnan; Parash M Bhandari; Zelalem Negeri; Mahrukh Imran; Danielle B Rice; Marleine Azar; Matthew J Chiovitti; Nazanin Saadat; Kira E Riehm; Jill T Boruff; John P A Ioannidis; Pim Cuijpers; Simon Gilbody; Lorie A Kloda; Scott B Patten; Ian Shrier; Roy C Ziegelstein; Liane Comeau; Nicholas D Mitchell; Marcello Tonelli; Simone N Vigod; Franca Aceti; Jacqueline Barnes; Amar D Bavle; Cheryl T Beck; Carola Bindt; Philip M Boyce; Adomas Bunevicius; Linda H Chaudron; Nicolas Favez; Barbara Figueiredo; Lluïsa Garcia-Esteve; Lisa Giardinelli; Nadine Helle; Louise M Howard; Jane Kohlhoff; Laima Kusminskas; Zoltán Kozinszky; Lorenzo Lelli; Angeliki A Leonardou; Valentina Meuti; Sandra N Radoš; Purificación N García; Susan J Pawlby; Chantal Quispel; Emma Robertson-Blackmore; Tamsen J Rochat; Deborah J Sharp; Bonnie W M Siu; Alan Stein; Robert C Stewart; Meri Tadinac; S Darius Tandon; Iva Tendais; Annamária Töreki; Anna Torres-Giménez; Thach D Tran; Kylee Trevillion; Katherine Turner; Johann M Vega-Dienstmaier; Andrea Benedetti; Brett D Thombs Journal: Int J Methods Psychiatr Res Date: 2020-10-22 Impact factor: 4.182