Date of Award

2009

Degree Type

Thesis

Degree Name

Master of Science

Program

Epidemiology and Biostatistics

Supervisor

Dr. Karen Campbell

Second Advisor

Dr. William Avison

Third Advisor

Dr. Verinder Sharma

Abstract

Depressive symptoms persisting from pregnancy to postpartum are a significant health concern for both mother and child. This thesis aims to elucidate the impact of neonatal admission to specialized care on trajectories of maternal depressive symptoms in a cohort of women from London, Ontario. We hypothesized that women giving birth to infants subsequently admitted to specialized care at birth were at higher risk for experiencing an increase in depressive symptoms from pregnancy to 2 years postpartum. Data were collected from the Prenatal Health Project at the University of Western Ontario. Univariable and multivariable regression models were used to determine the relationship between infant admission to specialized care and trajectories of depressive symptoms. Depression in pregnancy, lower current stress, higher current social support and higher current child health were associated with depressive symptoms that decrease from pregnancy to postpartum. Infant admission to specialized care was not significantly associated with trajectories of maternal depression.

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