Persistent Postpartum Depression During the COVID-19 Pandemic and the Role of Social Supports

Rates of postpartum depression have been higher than typical during the COVID-19 pandemic. This study examines the persistence of depressive symptoms at 12-30 months postpartum and the role of perceived access to social support in depression outcomes. In total, 242 individuals who gave birth in the United States during the COVID-19 pandemic responded to an online survey that assessed depressive symptoms and supports in the postpartum period. A subset of 12 participants completed semi-structured interviews. Over 35% of respondents reported symptoms consistent with clinical depression at 12-30 months postpartum. Lower household income, COVID-related worries during pregnancy, experiences of intimate partner violence, and lack of perceived access to informal supports were predictors of depressive symptoms. Qualitative findings contextualize and highlight the role of supports in postpartum wellbeing. This study adds to the growing research about persistent postpartum depression and highlights the necessity of informal and formal supports in the postpartum period.