Postpartum depression and timing of spousal military deployment relative to pregnancy and delivery

Archives of Gynecology and Obstetrics
Jordan A LevineAva Marie S Conlin

Abstract

This study aimed to determine the relationship between spousal deployment and postpartum depression diagnosis among U.S. military wives, accounting for the timing of deployment with respect to pregnancy and delivery. A retrospective cohort study was conducted to evaluate the association between spousal deployment and postpartum depression among pregnant wives of active-duty service members. Electronic medical records for 161,454 births occurring between 2004 and 2009 were used to define postpartum depression. Three non-mutually exclusive exposure variables were created to categorize deployments as occurring before, during, or after the infant's delivery. A multivariable logistic regression model mutually adjusted for these exposure variables was fitted, producing an odds ratio for each of the three timing categories. A modest significant association was detected only in those whose husbands deployed in pregnancy and returned after delivery (i.e., deployed during delivery) [odds ratio (OR) 1.10, 95 % confidence interval (CI) 1.04-1.15]. An interactive effect between preexisting depression or anxiety and deployment during delivery was also detected in the data (OR 1.13, 95 % CI 1.07-1.20 for those without a preexisting diagnosis;...Continue Reading

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Citations

Aug 28, 2016·Pediatric Clinics of North America·Suzie C NelsonChristina G Weston
Jan 7, 2019·Journal of the Royal Army Medical Corps·Lauren Rose Godier-McBardM Fossey
Jun 27, 2020·Seminars in Reproductive Medicine·Kathryn MezwaGlenn Markenson
Aug 18, 2016·Maternal and Child Health Journal·Stacey L Klaman, Kea Turner
Oct 4, 2018·AIMS Public Health·Siti Roshaidai Mohd ArifinMargaret Maxwell
Nov 27, 2020·Military Medicine·Jordan GissemanCallie Cox-Bauer

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