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Mothers of Multiple Births at Increased Odds of Postpartum Depression BETHESDA, Md -- March 30, 2009 -- Mothers of multiples have a 43% increased odds of having moderate to severe depressive symptoms 9 months after giving birth compared with mothers of single-born children, according to a study published in the April issue of the journal Pediatrics. The study also found that only 27% of new mothers with depressive symptoms, regardless of the multiple births status, reported talking to a mental health specialist or a general medical provider. Yoonjoung Choi, MD, Johns Hopkins Bloomberg School of Public Health, Bethesda, Maryland, and colleagues used data from the Early Childhood Longitudinal Study -- Birth Cohort. They measured depressive symptoms in mothers using an abbreviated version of the Center for Epidemiologic Studies Depression (CES-D) scale. They then examined the association between multiple births and maternal mental health. "Our findings suggest that 19% of mothers of multiples had moderate to severe depressive symptoms 9 months after delivery, compared with 16% among mothers of singletons," said Dr. Choi. The researchers believe greater attention is needed in the paediatric settings to address maternal depression in families with multiple births. "The low numbers of women receiving mental health counselling despite symptoms reinforces the need for facilitating better referral of patients with depressive symptoms," said senior author Cynthia Minkovitz, MD, Johns Hopkins Bloomberg School's Department of Population, Family and Reproductive Health. "Paediatric practices should make an additional effort to educate new and expecting parents of multiples regarding their increased risk for maternal postpartum depression," she continued. "Furthermore, well-child visits are potentially valuable opportunities to provide education, screening and referrals for postpartum depression among mothers of multiples; such efforts require linkages between paediatric and adult systems of care and adequate community mental health resources." SOURCE: Johns Hopkins University Bloomberg School of Public Health E-mail this page to a friend or colleague! To print, use this version