Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study
Objective: When the expectant mother is faced with an unforeseen event during pregnancy, she may experience emotional fragility and depression. This study was carried out to test the association between the time of diagnosis of critical congenital heart disease (CCHD) and depressive symptoms in puer...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Jornal de Pediatria |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0021755724000937 |
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| author | Daniela R. Vieira Patrícia P. Ruschel Márcia M. Schmidt Paulo Zielinsky |
| author_facet | Daniela R. Vieira Patrícia P. Ruschel Márcia M. Schmidt Paulo Zielinsky |
| author_sort | Daniela R. Vieira |
| collection | DOAJ |
| description | Objective: When the expectant mother is faced with an unforeseen event during pregnancy, she may experience emotional fragility and depression. This study was carried out to test the association between the time of diagnosis of critical congenital heart disease (CCHD) and depressive symptoms in puerperal women. Method: A case-control study. All mothers answered a semi-structured questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Pearson's correlation and multiple linear regression analysis were used to determine factors associated with depression. Results: 50 puerperal women, 23 cases and 27 controls. The proportion of puerperal depressive symptoms was 26.1 % among mothers of infants prenatally diagnosed with CCHD and 77.8 % among mothers of infants postnatally diagnosed (p = 0.001 [OR] 9.917; 95 % CI 2.703–36.379). Multiple linear regression analysis showed that the use of psychotropic drugs and time of diagnosis were significantly associated with puerperal depressive symptoms. Conclusion: Prenatal diagnosis of CCHD was associated with significantly lower levels of depressive symptoms. |
| format | Article |
| id | doaj-art-9c000dd63b97442381ef3690945bec6c |
| institution | Kabale University |
| issn | 0021-7557 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Jornal de Pediatria |
| spelling | doaj-art-9c000dd63b97442381ef3690945bec6c2025-01-04T04:55:47ZengElsevierJornal de Pediatria0021-75572025-01-0110115460Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control studyDaniela R. Vieira0Patrícia P. Ruschel1Márcia M. Schmidt2Paulo Zielinsky3Instituto de Cardiologia do Rio Grande do Sul- Fundação Universitária de Cardiologia (IC-FUC), Programa de Pós-Graduação em Ciências da Saúde, Cardiologia, Porto Alegre, RS, BrazilInstituto de Cardiologia do Rio Grande do Sul- Fundação Universitária de Cardiologia (IC-FUC), Serviço de Psicologia Clínica, Porto Alegre, RS, BrazilInstituto de Cardiologia do Rio Grande do Sul- Fundação Universitária de Cardiologia (IC-FUC), Programa de Pós-Graduação em Ciências da Saúde, Cardiologia, Porto Alegre, RS, BrazilInstituto de Cardiologia do Rio Grande do Sul- Fundação Universitária de Cardiologia (IC-FUC), Unidade de Cardiologia Fetal, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Departamento de Pediatria, Porto Alegre, RS, Brazil; Corresponding author.Objective: When the expectant mother is faced with an unforeseen event during pregnancy, she may experience emotional fragility and depression. This study was carried out to test the association between the time of diagnosis of critical congenital heart disease (CCHD) and depressive symptoms in puerperal women. Method: A case-control study. All mothers answered a semi-structured questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Pearson's correlation and multiple linear regression analysis were used to determine factors associated with depression. Results: 50 puerperal women, 23 cases and 27 controls. The proportion of puerperal depressive symptoms was 26.1 % among mothers of infants prenatally diagnosed with CCHD and 77.8 % among mothers of infants postnatally diagnosed (p = 0.001 [OR] 9.917; 95 % CI 2.703–36.379). Multiple linear regression analysis showed that the use of psychotropic drugs and time of diagnosis were significantly associated with puerperal depressive symptoms. Conclusion: Prenatal diagnosis of CCHD was associated with significantly lower levels of depressive symptoms.http://www.sciencedirect.com/science/article/pii/S0021755724000937Congenital heart diseasePostpartum depressionPregnancyFetal diagnosis |
| spellingShingle | Daniela R. Vieira Patrícia P. Ruschel Márcia M. Schmidt Paulo Zielinsky Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study Jornal de Pediatria Congenital heart disease Postpartum depression Pregnancy Fetal diagnosis |
| title | Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study |
| title_full | Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study |
| title_fullStr | Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study |
| title_full_unstemmed | Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study |
| title_short | Prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms: a case-control study |
| title_sort | prenatal diagnosis of critical congenital heart disease associated with lower postpartum depressive symptoms a case control study |
| topic | Congenital heart disease Postpartum depression Pregnancy Fetal diagnosis |
| url | http://www.sciencedirect.com/science/article/pii/S0021755724000937 |
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