Onset and persistence of postpartum XXXX in an inner-city maternal health clinic system.

@entity1 @entity717 @entity308
OBJECTIVE: Postpartum @entity308 lead to @entity717 and disturbed mother- @entity1 relationships, but information regarding the rates of @entity308 in minority @entity1 is noticeably lacking. The goal of this study was to determine whether the risk factors for and rate of postpartum @entity308 in a predominantly African American and Hispanic clinic population would be similar to those reported for Caucasian @entity1 . METHOD: Investigators systematically screened all @entity1 scheduled for their first postpartum visit on selected days at four publicly funded inner-city community maternal health clinics in Dallas County (N=802). A multistage screening process included the Edinburgh Postnatal Depression Scale, the Inventory of Depressive Symptomatology, and the Structured Clinical Interview for DSM-IV for a maximum of three assessments during the initial 3-5-week postpartum period. RESULTS: The estimated rate of @entity308 during the postpartum period among @entity1 in this setting was between 6.5% and 8.5%. Only 50% of the @entity308 @entity1 reported onset following birth. Bottle-feeding and not living with one's spouse or significant other were associated with @entity308 at the first evaluation; persistent @entity308 were linked with the presence of other young @entity1 at home. Greater severity of @entity308 at first contact predicted @entity308 several weeks later. CONCLUSIONS: Rates of postpartum @entity308 among Latina and African American postpartum @entity1 are similar to epidemiologic rates for Caucasian postpartum and nonpostpartum @entity1 . As previously shown for Caucasian @entity1 , @entity308 in many Latina and African American postpartum @entity1 begins before delivery, revealing the need to screen pregnant @entity1 for @entity308 .
