RNCohortMidwifery2018

Lack of partner impacts newborn health through maternal depression: A pilot study of low-income immigrant Latina women.

Tomás Cabeza de Baca, Janet M Wojcicki, Elissa S Epel and 1 others

PMID 29990627

WHAT IT FOUND

Being single and unplanned pregnancy did not directly predict newborn health in low-income immigrant Latina mothers.

Partnered women reported lower prenatal depression, and depression was linked to poorer newborn health, but adding employment made that link uncertain.

Key findings

01Relationship status and planned pregnancy were not directly associated with newborn health.

02Partnered women reported lower prenatal depression, and higher prenatal depression was associated with poorer newborn health.

03When maternal employment status was added, neither depression nor employment status had a significant association with newborn health.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This was a secondary data analysis, so it cannot show that lack of a partner causes depression or that depression causes poorer newborn health. Relationship status was a simple single versus partnered proxy for support, and the study did not measure the quality of the relationship, conflict, or help from family and friends. Planned pregnancy was asked retrospectively when children were 12 months to 2 years, so recall may be imperfect. Missing data ranged from 4 to 38 cases, and 38 cases did not report planned pregnancy status. No measures of socioeconomic status, discrimination, or broader social support were included. Infants needing special care or with an Apgar score below 7 at five minutes after delivery were excluded, so the study may not apply to those newborns. Newborn health was combined from only birth weight and head circumference, so it does not capture broader infant health. When maternal employment status was added, the path from depression to newborn health was no longer significant, so the newborn health finding is not stable. The sample was low-income immigrant Latina women, mostly Spanish-speaking and first-time mothers, so results may not apply to other groups.

Declared interests

The authors declared no conflicts of interest.

The easy way to misread this

Do not conclude that being single harms newborn health. The study found no direct link between relationship status and newborn health. Adding employment also left no clear depression link to newborn health.

Read it on PubMed →