Impact of unintended pregnancy on maternal mental health: a causal analysis using follow up data of the Panel Study on Korean Children (PSKC)

BMC Pregnancy and Childbirth

Young-Ho Khang⁴  Yu-mi Kim³  Sung-Cheol Yun¹  Jinwook Bahk² 

[1] Department of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, 388-1 Poongnap-2dong Songpa-gu, Seoul 138-736, South Korea;Institute of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu 110-799, Seoul, South Korea;Department of Preventive Medicine, Dong-A University College of Medicine, 26 Daesingongwon-ro, Seo-gu 602-715, Busan, South Korea;Department of Health Policy and Management, Seoul National University College of Medicine, 103 Daehak-ro, Jongno-gu 110-799, Seoul, South Korea

关键词: Unintended pregnancy;    Stress;    Propensity scores;    Perinatal depression;    Korea;    Inverse probability;   

Others  :  1161090
DOI  :  10.1186/s12884-015-0505-4

 received in 2014-05-26, accepted in 2015-03-17,  发布年份 2015

【 摘 要 】

Background

Pregnancy intention is important for maternal and child health outcomes. The purpose of this study was to examine the causal relation between pregnancy intention and maternal depression and parenting stress in Korean women who gave birth during 2008.

Methods

This study is a retrospective evaluation of prospectively collected data from the Panel Study on Korean Children from 2008 to 2010. Causal analyses were conducted using propensity score matching and inverse probability of treatment weighted methods. In addition, mediation analyses were performed to test mitigating effects of marital conflict, fathers’ participation in childcare, and mothers’ knowledge of infant development on the relation between unintended pregnancy and adverse maternal mental health.

Results

Results showed that the overall effect of an unintended pregnancy on maternal depression and parenting stress was statistically significant. An unintended pregnancy was associated with 20–22% greater odds of maternal depression, 0.28–0.39 greater depression score, and 0.85–1.16 greater parenting stress score. Relations between pregnancy intention and maternal depression, maternal depression score and parenting stress score were moderately explained by marital conflict and fathers’ participation in childcare.

Conclusions

Unintended pregnancy contributed to increased risks of maternal depression and parenting stress. Efforts to increase fathers’ participation in childcare and decrease marital conflict might be helpful to mitigate adverse impacts of unintended pregnancy on perinatal maternal mental health.

【 授权许可】

   
2015 Bahk et al.; licensee BioMed Central.

【 图 表 】

Figure 1.

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