NEW YORK (Reuters Health) Sept 02 - Results of a study published in
the August issue of the British Journal of General Practice confirm a
New Zealand study's findings that postnatal depression may increase
the risk of sudden infant death syndrome (SIDS).
"In New Zealand, an association has been shown between postnatal
depression and SIDS," Dr. D. M. B. Hall, of Sheffield Children's
Hospital, UK, and colleagues note. In a case-control study, they
tested this association. They collected demographic and obstetric data
from the Sheffield Child Development Study and administered the
Edinburgh Postnatal Depression Scale (EPDS) at 1 month postpartum.
The researchers report that there were 32,984 live births during
the study period (1988 to 1993). Forty-two babies died with the cause
registered as SIDS during this time, and 92 died from other causes.
Multivariate analysis showed that smoking was the most significant
risk factor for SIDS (odds ratio [OR] = 7.24). This was followed by a
high EPDS (OR = 3.20) and residence in an area of poverty (OR = 2.33).
"Intervention programmes to identify and treat depression should
recognise the probable multifactorial nature of the associations," Dr.
Hall and colleagues note. "The identification and treatment of
postnatal depression may be important for the safety and well-being of
the infant as well as that of the mother."
Br J Gen Pract 2002;52:636-640.