Timing of Postpartum Depressive Symptoms

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In 2019 and 2020, seven PRAMS sites (n = 1,990 respondents) participated in the Call-Back Survey. Of these, 36 respondents were excluded because of missing data on PDS in the Call Back Survey. The final analytic sample consisted of 7 PRAMS sites and 1,954 respondents with data on PDS at 9 to 10 months.

Figure 1.
Flow diagram showing how the final analytic sample for the PRAMS Call-Back Survey was derived. Abbreviations: PDS, postpartum depressive symptoms; PRAMS, Pregnancy Risk Assessment Monitoring System.

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Of the 161 respondents with PDS at 9–10 months, 75 (42.6%; 95% CI, 31.7%–54.3%) had PDS at 2-6 months and 86 (57.4%; 95% CI, 45.7%–68.4%) did not have PDS at 2 to 6 months. Of the 1,767 respondents without PDS at 9-10 months, 1,573 (90.5%; 95% CI, 88.4%–92.3%) did not have PDS at 2-6 months and 194 (9.5%; 95% CI, 7.7%–11.6%) had PDS at 2-6 months.

Figure 2.
Prevalence of self-reported postpartum depressive symptoms at 2 to 6 months among women with and without postpartum depressive symptoms at 9 to 10 months. Because of missing data for the variable for postpartum depressive symptoms at 2 to 6 months, the number of respondents with and without PDS at 9 to 10 months (n = 1,928) is less than in the full analytic sample (n = 1,954).

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