Abstract
Design: Prospective cohort study.
Setting: Assisted reproductive technology (ART) clinics in two large Australian cities and public and private antenatal clinics and/or classes in the vicinity of ART clinics.
Patient(s): Nulliparous women who had conceived spontaneously (n = 295) or through ART (n = 297) in three age-groups: younger, 20 to 30 years (n = 173); middle, 31 to 36 years (n = 214); and older, ≥37 years (n = 189).
Intervention(s): Semistructured interviews and questionnaires.
Main Outcome Measure(s): Major depressive disorder in the first 4 months after birth as assessed by structured diagnostic interview.
Result(s): The study performed 592 complete pregnancy assessments and 541 postpartum assessments. The prevalence of major depressive disorder was 7.9%, at the lower end of community rates. Neither maternal age-group nor mode of conception was statistically significantly related to depression.
Conclusion(s): Older first-time mothers, whether conceiving through ART or spontaneously, do not show increased vulnerability to postnatal depression.
| Original language | English |
|---|---|
| Pages (from-to) | 1218 - 1224 |
| Number of pages | 7 |
| Journal | Fertility and Sterility |
| Volume | 96 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - 2011 |
Cite this
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Older first-time mothers and early postpartum depression : A prospective cohort study of women conceiving spontaneously or with assisted reproductive technologies. / McMahon, C A; Boivin, Jacky; Gibson, F L; Fisher, Jane; Hammarberg, Karin; Wynter, Karen; Saunders, Doug.
In: Fertility and Sterility, Vol. 96, No. 5, 2011, p. 1218 - 1224.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Older first-time mothers and early postpartum depression
T2 - A prospective cohort study of women conceiving spontaneously or with assisted reproductive technologies
AU - McMahon, C A
AU - Boivin, Jacky
AU - Gibson, F L
AU - Fisher, Jane
AU - Hammarberg, Karin
AU - Wynter, Karen
AU - Saunders, Doug
PY - 2011
Y1 - 2011
N2 - Objective: To evaluate whether older first-time mothers (≥37 years) have higher rates of postpartum depression compared with younger first-time mothers, controlling for mode of conception and known risk factors for postpartum depression.Design: Prospective cohort study.Setting: Assisted reproductive technology (ART) clinics in two large Australian cities and public and private antenatal clinics and/or classes in the vicinity of ART clinics.Patient(s): Nulliparous women who had conceived spontaneously (n = 295) or through ART (n = 297) in three age-groups: younger, 20 to 30 years (n = 173); middle, 31 to 36 years (n = 214); and older, ≥37 years (n = 189).Intervention(s): Semistructured interviews and questionnaires.Main Outcome Measure(s): Major depressive disorder in the first 4 months after birth as assessed by structured diagnostic interview.Result(s): The study performed 592 complete pregnancy assessments and 541 postpartum assessments. The prevalence of major depressive disorder was 7.9%, at the lower end of community rates. Neither maternal age-group nor mode of conception was statistically significantly related to depression.Conclusion(s): Older first-time mothers, whether conceiving through ART or spontaneously, do not show increased vulnerability to postnatal depression.
AB - Objective: To evaluate whether older first-time mothers (≥37 years) have higher rates of postpartum depression compared with younger first-time mothers, controlling for mode of conception and known risk factors for postpartum depression.Design: Prospective cohort study.Setting: Assisted reproductive technology (ART) clinics in two large Australian cities and public and private antenatal clinics and/or classes in the vicinity of ART clinics.Patient(s): Nulliparous women who had conceived spontaneously (n = 295) or through ART (n = 297) in three age-groups: younger, 20 to 30 years (n = 173); middle, 31 to 36 years (n = 214); and older, ≥37 years (n = 189).Intervention(s): Semistructured interviews and questionnaires.Main Outcome Measure(s): Major depressive disorder in the first 4 months after birth as assessed by structured diagnostic interview.Result(s): The study performed 592 complete pregnancy assessments and 541 postpartum assessments. The prevalence of major depressive disorder was 7.9%, at the lower end of community rates. Neither maternal age-group nor mode of conception was statistically significantly related to depression.Conclusion(s): Older first-time mothers, whether conceiving through ART or spontaneously, do not show increased vulnerability to postnatal depression.
UR - http://www.sciencedirect.com/science/article/pii/S0015028211024885
U2 - 10.1016/j.fertnstert.2011.08.037
DO - 10.1016/j.fertnstert.2011.08.037
M3 - Article
VL - 96
SP - 1218
EP - 1224
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 5
ER -