TY  - JOUR
PY  - 2018//
TI  - Impact of intention and feeling toward being pregnant on postpartum depression: the Japan Environment and Children's Study (JECS)
JO  - Archives of women's mental health
A1  - Baba, Sachiko
A1  - Kimura, Takashi
A1  - Ikehara, Satoyo
A1  - Honjo, Kaori
A1  - Eshak, Ehab S.
A1  - Sato, Takuyo
A1  - Iso, Hiroyasu
A1  - Kawamoto, Toshihiko
A1  - Saito, Hirohisa
A1  - Kishi, Reiko
A1  - Yaegashi, Nobuo
A1  - Hashimoto, Koichi
A1  - Mori, Chisato
A1  - Ito, Shuichi
A1  - Yamagata, Zentaro
A1  - Inadera, Hidekuni
A1  - Kamijima, Michihiro
A1  - Nakayama, Takeo
A1  - Iso, Hiroyasu
A1  - Shima, Masayuki
A1  - Hirooka, Yasuaki
A1  - Suganuma, Narufumi
A1  - Kusuhara, Koichi
A1  - Katoh, Takahiko
SP  - 
EP  - 
VL  - 
IS  - 
N2  - 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>
LA  - en
SN  - 1434-1816
UR  - http://dx.doi.org/10.1007/s00737-018-0938-7
ID  - ref1
ER  -