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MADRID -- The seriously negative effects of maternal depression on infant development have been well documented, but the cause-and-effect relationship may actually be bidirectional: Certain neonatal characteristics could put the mother at psychiatric risk, Dr. Anne-Laure Sutter said at the World Psychiatric Association International Congress 2001.
In particular, deficits in the infant's ability to attend and respond to outside stimuli appear to be associated with an increased incidence of postpartum depression, said Dr. Sutter of Hopital Charles Perrens, Bordeaux Cedex, France.
Dr. Sutter reported data from a prospective study of 422 mothers and babies attending a state maternity hospital. As part of a larger study, the infants were assessed at 3 days with the Brazelton Neonatal Behavioral Assessment Scale, an instrument that includes a neurologic examination and evaluation of sensorality and reactivity. The mother's psychiatric status was assessed 6 weeks after delivery, using the Edinburgh Postnatal Depression Scale.
At that time, 6% of the mothers met criteria for postpartum depression. The one neonatal factor that correlated significantly with maternal disorder was a low score on the "orientation" scale of the Brazelton evaluation, Dr. Sutter said.
Other Brazelton scales--including those for motor activity and autonomic stability--and ...
Source: HighBeam Research, Unresponsive infants linked to postpartum depression. (Poor...