Abstract
This study describes postpartum depression rates and risk factors for mothers with infants with cleft lip and/or palate as postpartum depression has been associated with a range of negative maternal and child outcomes. A retrospective chart review from August 2009 to May 2015 included medical diagnoses, demographics, receipt of prenatal diagnosis, and the Edinburgh Postnatal Depression Scale (EPDS). Mothers (N = 206) had infants (59.2% male; mean age in weeks 5.1 ± 6.9) with isolated cleft lip (18%), cleft palate (22.8%), or cleft lip and palate (59.2%). Mothers ranged from 16 to 45 years old (mean age 29 ± 6.2) and half had received a prenatal diagnosis. Patients mostly had public insurance (57.8%) and represented diverse ethnicities. Based on the EPDS, 11.7% of mothers met the depression cutoff of 10 or higher. The majority endorsed self-blame (68.9%), difficulty coping (59.2%), and feeling anxious (57.3%). Mothers of infants with cleft lip or cleft lip and palate who did not receive a prenatal diagnosis had higher total EPDS scores, anxiety, and incidence of feeling scared. Higher EPDS scores were predicted by not having a prenatal diagnosis and by older maternal age. Mothers of infants with a cleft had similar rates of post...Continue Reading
References
Oct 1, 1992·American Journal of Medical Genetics·M SagiT Cohen
Nov 9, 1991·BMJ : British Medical Journal·L S ChittyM O Lobb
Aug 1, 1990·The British Journal of Psychiatry : the Journal of Mental Science·L Murray, A D Carothers
Jun 1, 1989·The British Journal of Psychiatry : the Journal of Mental Science·B HarrisH Fung
Jun 1, 1987·The British Journal of Psychiatry : the Journal of Mental Science·J L CoxR Sagovsky
Jan 1, 1993·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·L G FarkasJ C Posnick
Dec 1, 1996·The British Journal of Oral & Maxillofacial Surgery·M BronshteinZ Blumenfeld
Jul 6, 2000·British Journal of Plastic Surgery·A Davalbhakta, P N Hall
Feb 28, 2003·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·N Johnson, Jonathan R Sandy
Jun 5, 2003·Journal of Affective Disorders·Lluïsa Garcia-EstevePuri Navarro
Feb 3, 2005·Pediatrics·Cynthia S MinkovitzKaren Swartz
Sep 1, 2005·Archives of Women's Mental Health·R C BoydR Somberg
Feb 16, 2006·Journal of Epidemiology and Community Health·Janet W Rich-EdwardsMatthew W Gillman
Apr 7, 2006·American Journal of Mental Retardation : AJMR·George H S Singer
Dec 1, 2006·Clinical Practice and Epidemiology in Mental Health : CP & EMH·Cosme Alvarado-EsquivelSergio Martínez-García
Nov 6, 2007·Mental Retardation and Developmental Disabilities Research Reviews·Donald B BaileyAmy Ford
Aug 1, 2009·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Sarah R BakerDerrick Willmot
Dec 8, 2009·Infant Behavior & Development·Tiffany Field
Mar 18, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·W MaarseA B Mink van der Molen
Jul 16, 2010·Journal of Clinical Psychology in Medical Settings·Debra S LefkowitzJacquelyn R Evans
Sep 9, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·James M RobbinsWhitney Burnett
Sep 30, 2010·Birth Defects Research. Part A, Clinical and Molecular Teratology·Samantha E ParkerUNKNOWN National Birth Defects Prevention Network
Oct 19, 2011·Journal of Pediatric Psychology·Rosario MontirossoRenato Borgatti
Mar 5, 2014·Developmental Psychology·Ragnhild B NesMargarete E Vollrath
Feb 17, 2017·MMWR. Morbidity and Mortality Weekly Report·Jean Y KoSherry L Farr
Citations
Oct 11, 2019·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Lauren L MadhounAdriane L Baylis
Sep 15, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Lauren L MadhounAdriane L Baylis
Mar 12, 2019·Annals of Plastic Surgery·Sherelle Laifer-NarinThomas Imahiyerobo
Aug 28, 2020·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Yukihiro SatoUNKNOWN Japan Environment and Children’s Study (JECS) Group
Dec 22, 2019·BMC Pediatrics·Shinobu TsuchiyaUNKNOWN Japan Environment & Children’s Study Group