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Complete Health Indicator Report of Postpartum Depression

Definition

The percentage of Utah women who reported postpartum depression symptoms divided by the number of Utah women who delivered a live infant.

Numerator

The number of Utah women who reported postpartum depression symptoms.

Denominator

The number of Utah women who delivered a live infant.

Data Interpretation Issues

The data here represent self-reported postpartum depression symptoms and not clinical diagnoses of postpartum depression.

Why Is This Important?

Postpartum depression is the most common complication related to childbirth. While postpartum depression is treatable, many women who suffer from it remain undiagnosed. Untreated postpartum depression can last as long as one to two years and may affect the ability of a woman to function in normal daily tasks. Further, untreated postpartum depression may impact family relationships, a woman's ability to bond with her baby, and the cognitive development of her baby as well as other children in the home. There may be a variety of reasons a woman does not receive treatment for postpartum depression including the inability to recognize the signs and symptoms as well as the uncertainty of knowing who to ask for help.

Healthy People Objective MICH-34:

(Developmental) Decrease the proportion of women delivering a live birth who experience postpartum depressive symptoms
U.S. Target: Developmental

Other Objectives

The following developmental Healthy People 2030 objective: Increase the proportion of women who get screened for postpartum depression.

How Are We Doing?

In 2020, 14.9% of women reported symptoms of postpartum depression.

How Do We Compare With the U.S.?

The latest comparative data for postpartum depression symptoms is from 2016. Utah's rate was 14.9% compared to 12.9% among the 30 states reporting.

What Is Being Done?

The Maternal and Infant Health Program (MIHP) has been working on increasing awareness of postpartum depression and the need to screen for it among health care providers through a variety of methods. The Utah Maternal Mental Health Referral Network is a directory of professionals and support groups with training in perinatal mental health. Providers can be located by county, payer type, or specialty. The resource can be found at: [https://maternalmentalhealth.utah.gov/].

Evidence-based Practices

In 2018, the American College of Obstetricians and Gynecologists (ACOG) issued the following updated mental health screening recommendations for perinatal caregivers: * Screen patients at least once during the perinatal period using a standardized, validated tool. * Closely monitor patients with current depression or anxiety, or risk factors for perinatal mood disorders. * Couple screening with appropriate follow-up and treatment. Clinical staff should be prepared to initiate medical therapy or refer patients for mental or behavioral health resources when indicated. *Systems should be in place to ensure follow-up for diagnosis and treatment. In 2019, the American Academy of Pediatrics (AAP) issued the following statement, "On the basis of knowledge regarding peak occurrence times for PPD, routine screening in which a validated screening tool is used should occur at well-infant visits at 1, 2, 4, and 6 months."

Available Services

Timely access to mental health resources is vital for parents and providers. Maternal mental health resources, including counselors/therapists, support groups, and other types of providers trained in maternal mental health can be found on the statewide referral network: [https://maternalmentalhealth.utah.gov]. At this site, providers can be found based on location, provider type, and insurance type. Listed providers work with people who have complications during pregnancy and postpartum, infertility, miscarriages, losses, and issues with partner support among other services. Information and materials about maternal mental health and prevention resources can be found on the Maternal and Infant Health website: [https://mihp.utah.gov/maternal-mental-health] To speak with someone who will administer a mental health screening in Spanish or English, in addition to providing resources for support, please contact Help Me Grow Utah at 801-691-5322. Education and resources are regularly shared on the Utah Maternal Mental Health Program's Instagram page [https://www.instagram.com/maternalmentalhealthutah] and Facebook page [https://www.facebook.com/MaternalMentalHealthUtah]. The Utah Department of Health Maternal and Infant Health Program maintains a Community Resources Guide with contact information for several mental health agencies. The Community Resources Guide can be found at [https://mihp.utah.gov/wp-content/uploads/MIHP_English_Community_Resources.pdf].


Related Indicators

Risk Factors

Postpartum depressive symptoms are higher among those: * Of younger maternal age * Who are unmarried * With multiple life stressors * Living with chronic disease * Who experience physical abuse before or during pregnancy * Have an unintended pregnancy or were unsure if they wanted to be pregnant

Related Risk Factors Indicators:




Graphical Data Views

Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Maternal Age, Utah PRAMS, 2017-2020

::chart - missing::
confidence limits

Age GroupPercentage of WomenLower LimitUpper LimitNote
Record Count: 7
17 or Under28.1%17.1%42.7%
18-1926.4%19.4%34.8%
20-2421.1%18.4%24.2%
25-2913.3%11.6%15.2%
30-3410.9%9.0%13.0%
35-3914.8%11.8%18.4%
40+9.2%4.8%17.0%*

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never).   [[br]] [[br]]*Use caution in interpreting; the estimate has a coefficient of variation > 30% and is therefore deemed unreliable by Utah Department of Health standards.

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Race and Ethnicity, Utah PRAMS, 2019-2020

::chart - missing::
confidence limits

EthnicityPercentage of WomenLower LimitUpper Limit
Record Count: 4
Hispanic or Latino16.3%12.8%20.5%
White, Non-Hispanic14.6%12.8%16.5%
Other, Non-Hispanic17.3%12.1%24.1%
All Utahns14.8%13.1%16.7%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never)

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Marital Status, Utah PRAMS, 2019-2020

::chart - missing::
confidence limits

Marital StatusPercentage of WomenLower LimitUpper Limit
Record Count: 2
Married13.1%11.5%14.8%
Other23.1%19.2%27.4%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never)

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Prenatal Care Payor, Utah PRAMS, 2019-2020

::chart - missing::
confidence limits

Health Insurance Plan TypePercentage of WomenLower LimitUpper Limit
Record Count: 4
Private/Employer Coverage12.3%10.7%14.2%
Medicaid21.5%17.8%25.6%
No Health Insurance Coverage15.1%9.5%23.2%
Some Other Insurance Coverage16.9%9.8%27.4%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never).   [[br]][[br]]"Some Other Insurance Coverage" also includes self-payment.

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Year, Utah PRAMS, 2012-2020

::chart - missing::
confidence limits

Lower LimitUpper Limit
Record Count: 9
201211.2%9.5%13.1%
201312.4%10.4%14.6%
201412.2%10.4%14.4%
201511.9%10.0%14.0%
201614.7%12.5%17.1%
201714.9%12.7%17.4%
201814.3%12.2%16.8%
201915.0%12.9%17.4%
202014.9%12.8%17.2%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never)


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Physical Abuse During the Perinatal Time Period, Utah PRAMS, 2019-2020

::chart - missing::
confidence limits

Yes indicates reported physcial abuse before or during pregnancy.
Yes/NoPercentage of WomenLower LimitUpper Limit
Record Count: 2
Yes40.7%30.0%51.5%
No15.1%13.8%16.4%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never)

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health


Percentage of Utah Women Who Reported Postpartum Depression Symptoms by Pregnancy Intention, Utah PRAMS, 2019-2020

::chart - missing::
confidence limits

Percentage of WomenLower LimitUpper Limit
Record Count: 3
Intended13.7%12.2%15.2%
Unintended18.1%15.0%21.2%
Not Sure22.9%18.8%27.1%

Data Notes

Women were categorized as having reported postpartum depression symptoms if they answered 'Always' or 'Often' to either of these questions: "Since your new baby was born, how often have you felt down, depressed, or hopeless?" And, "Since your new baby was born, how often have you had little interest or little pleasure in doing things?" (Answer options included: always, often, sometimes, rarely, never)

Data Source

Utah Pregnancy Risk Assessment Monitoring System (PRAMS), Utah Department of Health

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 01/25/2022, Published on 03/02/2022
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 12 August 2022 15:24:03 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Wed, 2 Mar 2022 17:38:31 MST