@article{ref1,
title="Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children's Study (JECS)",
journal="Archives of women's mental health",
year="2018",
author="Baba, Sachiko and Kimura, Takashi and Ikehara, Satoyo and Honjo, Kaori and Eshak, Ehab S. and Sato, Takuyo and Iso, Hiroyasu and Kawamoto, Toshihiko and Saito, Hirohisa and Kishi, Reiko and Yaegashi, Nobuo and Hashimoto, Koichi and Mori, Chisato and Ito, Shuichi and Yamagata, Zentaro and Inadera, Hidekuni and Kamijima, Michihiro and Nakayama, Takeo and Iso, Hiroyasu and Shima, Masayuki and Hirooka, Yasuaki and Suganuma, Narufumi and Kusuhara, Koichi and Katoh, Takahiko",
volume="",
number="",
pages="-",
abstract="Pregnancy intention is reported to be associated with the risk of postpartum depression (PPD), but the impact of feelings toward being pregnant on PPD is unknown. We aimed to examine whether feelings toward being pregnant are associated with PPD at 1 month after childbirth. In our nationwide study between 2011 and 2014 in Japan, we used multivariate logistic regression analyses to examine the associations between pregnancy intention and feelings toward being pregnant with PPD [Edinburgh Postnatal Depression Scale (EPDS score > 9 or > 12)] among Japanese women. Among 92,431 women, 14.0 and 5.4% had PPD with EPDS scores > 9 and > 12, respectively. Compared with women who felt very happy to be pregnant, those whose pregnancy was unintended but happy, unintended and confused, those who felt troubled, and those who felt no emotion toward being pregnant had increased risks of PPD [multivariable odds ratios (95% confidence intervals (CIs)) = 1.17 (1.11-1.22), 1.39 (1.29-1.49), 1.74 (1.42-2.14), and 1.58 (1.22-2.02), respectively, for EPDS score > 9]. Those associations were more evident without antenatal possible mental illness (K6 score < 13). Women whose pregnancy was unintended should be regarded as targets for the early detection and prevention of PPD irrespective of whether they felt happy or confused.<p /> <p>Language: en</p>",
language="en",
issn="1434-1816",
doi="10.1007/s00737-018-0938-7",
url="http://dx.doi.org/10.1007/s00737-018-0938-7"
}