| Journal of Clinical Gynecology and Obstetrics, ISSN 1927-1271 print, 1927-128X online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Gynecol Obstet and Elmer Press Inc |
| Journal website https://www.jcgo.org |
Original Article
Volume 9, Number 3, September 2020, pages 37-42
Mommy Meltdown: Understanding Racial Differences Between Black and White Women in Attitudes About Postpartum Depression and Treatment Modalities
Tables
| Total | Black | White | |
|---|---|---|---|
| NICU: neonatal intensive care unit; PPROM: preterm premature rupture of the membranes. | |||
| Survey participants | 39 | 19 | 20 |
| Average age (range) | 25.8 (16 - 40) | 25.7 (16 - 40) | 26.1 (17 - 34) |
| Gestational age at birth | |||
| > 36 weeks | 33 (84.6%) | 17 (89.5%) | 16 (80%) |
| 32 - 36 weeks | 5 (12.8%) | 2 (10.5%) | 3 (15%) |
| 24 - 32 weeks | 1 (2.6%) | 0 | 1 (5%) |
| Mode of delivery | |||
| Vaginal | 33 (84.6%) | 16 (84.2%) | 17 (85%) |
| Cesarean section | 6 (15.4%) | 3 (15.8%) | 3 (15%) |
| Nursery type | |||
| Newborn | 34 (87.2%) | 18 (94.7%) | 16 (80%) |
| NICU | 5 (12.8%) | 1 (5.3%) | 4 (20%) |
| Complications | |||
| Preeclampsia | 5 | 1 | 4 |
| Diabetes mellitus | 3 | 2 | 1 |
| Fibroids | 1 | 1 | 0 |
| Pancreatic issues | 1 | 1 | 0 |
| Other undefined | 1 | 1 | 0 |
| Dystocia | 1 | 0 | 1 |
| PPROM | 1 | 0 | 1 |
| Postpartum cardiomyopathy | 1 | 0 | 1 |
| Postpartum hemorrhage | 1 | 0 | 1 |
| Black | White | P value | |
|---|---|---|---|
| EPDS: Edinburgh postnatal depression scale; PCP: primary care provider. | |||
| Average EPDS score | 7.44 | 10.67 | 0.839 |
| Diagnosed with postpartum depression, % (n) | 11% (2) | 15% (3) | 0.667 |
| Previous history of depression or anxiety, % (n) | 37% (7) | 40% (8) | 0.839 |
| Discussed mental health issues with PCP, % (n) | 26% (5) | 45% (9) | 0.249 |
| Discussed mental health issues with obstetrician, % (n) | 68% (13) | 70% (14) | 0.522 |
| Referred for counseling, % (n) | 5% (1) | 30% (6) | 0.052 |
| Counseling helpful, % (n) | 84% (16) | 80% (16) | 0.345 |
| Counseling positive experience, % (n) | 84% (16) | 65% (13) | 0.817 |
| Ever treated with medication, % (n) | 26% (10) | 35% (7) | 0.105 |
| Medications effective, % (n) | 67% (2) | 71% (5) | 0.88 |
| Black | White | P value | |
|---|---|---|---|
| Family history of depression, % (n) | 11% (2) | 40% (8) | 0.052 |
| Family discussed depression, % (n) | 53% (10) | 60% (12) | 0.643 |
| Family ashamed of social stigma of depression, % (n) | 5% (1) | 5% (1) | 0.916 |
| Family would view you different with diagnosis of depression, % (n) | 20% (3) | 0% (0) | 0.077 |
| Family would be supportive of depression diagnosis, % (n) | 94.7% (18) | 90% (18) | 0.579 |
| Family supportive of treatment for depression, % (n) | 100% (19) | 90% (18) | 0.157 |
| Supportive of what types of treatment? | |||
| Medications only, % (n) | 11.1% (2) | 6.3% (1) | |
| Counseling only, % (n) | 5.6% (1) | 6.3% (1) | |
| Both, % (n) | 83.3% (15) | 87.5% (14) |