Maternal Adverse Childhood Experiences, Postpartum Healthcare and Depressive Symptoms: Pregnancy Risk Assessment Monitoring System Database, 2016-2022
Location
Hager-Lubbers Exhibition Hall
Description
PURPOSE: Adverse Childhood Experiences (ACEs) are a predictor of adverse outcomes later in life, particularly for maternal health outcomes. This project aimed to evaluate the associations between ACEs and postpartum depressive symptoms (PDS) and utilization of postpartum healthcare. SUBJECTS: We analyzed data from the CDC’s Pregnancy Risk Assessment and Monitoring System for 2016-2022, which is a population-based surveillance system implemented by state health departments among women with a recent live birth. METHODS AND MATERIALS: Our sample was limited to four jurisdictions with data on ACEs (n= 21,160). Self-reported outcomes included postpartum check-up, asked about depression during postpartum visit, and PDS (depressed since birth, no interest since birth). ANALYSES: Multivariable logistic regression models accounting for survey complex weighting were used to estimate odds ratios and 95% confidence intervals (CIs) for the associations of ACEs and postpartum outcomes. RESULTS: Black and low-income mothers experienced more PDS, but were less likely to be asked about depression during a postpartum visit. Women who had certain ACEs were more likely to experience postpartum depression and postpartum lack of interest. In adjusted models, women who had 4 or more ACEs had 2.50 times the odds of having postpartum depression (95% CI: 2.08 - 2.99) and 1.85 times the odds of having no interest since birth (95% CI: 1.58 - 2.16). CONCLUSIONS: Women who had 4 or more ACEs were more likely to have PDS. Providing postpartum support and resources for women with a history of ACEs is critical.
Maternal Adverse Childhood Experiences, Postpartum Healthcare and Depressive Symptoms: Pregnancy Risk Assessment Monitoring System Database, 2016-2022
Hager-Lubbers Exhibition Hall
PURPOSE: Adverse Childhood Experiences (ACEs) are a predictor of adverse outcomes later in life, particularly for maternal health outcomes. This project aimed to evaluate the associations between ACEs and postpartum depressive symptoms (PDS) and utilization of postpartum healthcare. SUBJECTS: We analyzed data from the CDC’s Pregnancy Risk Assessment and Monitoring System for 2016-2022, which is a population-based surveillance system implemented by state health departments among women with a recent live birth. METHODS AND MATERIALS: Our sample was limited to four jurisdictions with data on ACEs (n= 21,160). Self-reported outcomes included postpartum check-up, asked about depression during postpartum visit, and PDS (depressed since birth, no interest since birth). ANALYSES: Multivariable logistic regression models accounting for survey complex weighting were used to estimate odds ratios and 95% confidence intervals (CIs) for the associations of ACEs and postpartum outcomes. RESULTS: Black and low-income mothers experienced more PDS, but were less likely to be asked about depression during a postpartum visit. Women who had certain ACEs were more likely to experience postpartum depression and postpartum lack of interest. In adjusted models, women who had 4 or more ACEs had 2.50 times the odds of having postpartum depression (95% CI: 2.08 - 2.99) and 1.85 times the odds of having no interest since birth (95% CI: 1.58 - 2.16). CONCLUSIONS: Women who had 4 or more ACEs were more likely to have PDS. Providing postpartum support and resources for women with a history of ACEs is critical.