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Published on: June 13, 2021
Parental postpartum depression among medical residents
Emma Bye1, Rebecca Leval2, Harlan Sayles3
1Olson Center for Women's Health, Department of Obstetrics and Gynecology, College of Medicine, University of Nebraska Medical Center, NE, 68198-3255, Omaha, USA. Emma.Bye8298@gmail.com.
Insights
Medical residents experience postpartum depression at four times the general population rate. This study highlights the need for increased support and resources for resident parents, particularly mothers, to address this critical issue.
Area of Science:
- Medical Education
- Psychiatry
- Public Health
Background:
- Postpartum depression (PPD) affects many new mothers, but rates among medical residents are not well-documented.
- Medical residents face unique stressors that may impact their mental health during the postpartum period.
Purpose of the Study:
- To quantify and compare the rate of parental postpartum depression (PPD) among medical residents to the general population.
- To identify specific support needs for resident parents.
Main Methods:
- An anonymous 22-item survey was distributed to medical residents and their partners.
- The survey collected quantitative and qualitative data on mental health, demographics, and program support.
Main Results:
- 42% of female resident parents reported PPD symptoms, over four times the general population rate (11%).
- Only 12% of affected female residents sought treatment or diagnosis.
- Male residents did not report increased depressive symptoms, but 19% noted PPD symptoms in their partners.
Conclusions:
- Medical residents, especially female residents, are at a significantly higher risk for PPD.
- There is a critical need for enhanced emotional support, transparent leave policies, and better accommodations for resident parents.
- Further research is warranted to explore PPD in medical resident parents due to the study's small sample size.
Abstract:
The study aimed to quantify and compare rate of parental postpartum depression (PPD) among medical residents to that of the general population and identify potential areas of further support for resident parents. Our team, University of Nebraska Medical Center (UNMC) OB/GYN and Creighton Psychiatry departments, developed and disseminated 22 item anonymous survey distributed via email link to targeted specialties as well as the "Physician Mom's Group" on Facebook. The survey included both quantitative and qualitative measures on medical resident and resident partner mental health, demographics, specialty, year in residency, support from residency program, parental leave, and an open comment section. Seventy-two resident parents, 64% of whom were female, completed the survey. 42% of female respondents reported feeling they suffered from PPD symptoms, representing more than four times the rate of PPD within the general population (11%). Only 12% of these women reported having sought treatment or were diagnosed with PPD. Male residents did not report an increased rate of depressive symptoms; however, 19% of respondents believed their partner's symptoms were consistent with PPD. Responses from the survey and open-ended questions emphasized need for emotional support, transparency in programmatic leave policy, breastfeeding accommodations, and additional parental leave time. This is the first study of its kind to examine PPD among both male and female medical resident parents. Limitations of the study included small sample size, which impacted statistical significance. The data and commentary are nonetheless useful in highlighting risk of PPD amongst medical residents and indicate further study is warranted.
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