ArticleReproductive health2023
Intimate partner violence victimization during pregnancy increases risk of postpartum depression among urban adolescent mothers in South Africa.
Article in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.
- Early motherhood, early burden: depression among teenage pregnancy and early motherhood in Africa: a systematic review and meta-analysis.BMC pregnancy and childbirth · 2026Pooled it
- Neuroendocrine and psychosocial triggers of severe psychiatric onset in women: a systematic review with domain-specific quantitative and narrative synthesis.Frontiers in psychiatry · 2026Pooled it
- Implementation and evaluation of the effectiveness of the continuous midwifery care model in socially vulnerable women: a convergent parallel mixed methods study protocol.Journal of health, population, and nutrition · 2026Trial
- Intimate partner violence typology and major depressive disorder among postpartum adolescents in Central Uganda: a cross-sectional study.BMC psychiatry · 2026Article
- Prevalence and Screening Tools of Intimate Partner Violence Among Pregnant and Postpartum Women: A Systematic Review and Meta-Analysis.European journal of investigation in health, psychology and education · 2025Review
- Article
- Examining the associations between social support and postpartum depression symptoms among adolescent mothers in Nairobi, Kenya.Reproductive health · 2025Article
- Perinatal intimate partner violence among teen mothers and children's attachment disorders in Rwanda: potential mediating factors.European journal of psychotraumatology · 2024Article
- Analysis of independent risk factors for postpartum depression in elderly primiparas and the effects of mindfulness-based psychological intervention.American journal of translational research · 2024Article
- Prevalence, correlates, and trends of intimate partner violence against women in Sierra Leone: findings from 2013 and 2019 demographic and health surveys.Frontiers in public health · 2023Article
- Prevalence, Correlates, and Trends of Intimate Partner Violence Against Women in Cambodia: Findings From 2014 and 2021-22 Cross-Sectional Demographic and Health Surveys.Inquiry : a journal of medical care organization, provision and financingArticle
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Authors and funding
6 authors at 4 institutions in 2 countries.
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Abstract
backgroundIt is estimated that 38.8% of mothers develop postpartum depression (PPD) in South Africa. While empirical evidence documents an association between intimate partner violence (IPV) victimization in pregnancy and PPD among adult women, the association has been underexamined among adolescent mothers (< 19 years). The study's purpose is to examine whether IPV victimization during pregnancy is associated with PPD among adolescent mothers.
methodsAdolescent mothers (14-19 years) were recruited at a regional hospital's maternity ward in KwaZulu Natal, South Africa between July 2017-April 2018. Participants completed behavioral assessments at two visits (n = 90): baseline (up to 4 weeks postpartum) and follow-up (6-9 weeks postpartum, when PPD is typically assessed). The WHO modified conflict tactics scale was used to create a binary measure of any physical and/or psychological IPV victimization that occurred during pregnancy. Participants with scores ≥ 13 on the Edinburgh Postpartum Depression Scale (EPDS) were classified as having symptoms of PPD. We used a modified Poisson regression with robust standard errors to assess PPD in association with IPV victimization during pregnancy, controlling for relevant covariates.
resultsNearly one-half (47%) of adolescent mothers reported symptoms of PPD by 6-9 weeks post-delivery. Further, IPV victimization during pregnancy was highly prevalent (40%). Adolescent mothers who reported IPV victimization during pregnancy had marginally higher risk of PPD at follow-up (RR: 1.50, 95 CI: 0.97-2.31; p = 0.07). The association was strengthened and significant in covariate-adjusted analysis (RR: 1.62, 95 CI: 1.06-2.49; p = 0.03).
conclusionsPoor mental health was common among adolescent mothers, and IPV victimization during pregnancy was associated with PPD risk among adolescent mothers. Implementing IPV and PPD routine screenings during the perinatal period may aid in identifying adolescent mothers for IPV and PPD interventions and treatment. With the high prevalence of IPV and PPD in this vulnerable population and the potential negative impact on maternal and infant outcomes, interventions to reduce IPV and PPD are needed to improve adolescent mothers' well-being and their baby's health.
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