Postpartum mental health after Hurricane Katrina: A cohort study

Interviews were conducted in 2006–2007 with women who had been pregnant during or shortly after Hurricane Katrina. 292 New Orleans and Baton Rouge women were interviewed at delivery and 2 months postpartum. Depression was assessed using the Edinburgh Depression Scale and PTSD using the Post-Traumatic Stress Checklist. Women were asked about their experience of the hurricane with questions addressing threat, illness, loss, and damage. Chi-square tests and log-binomial/Poisson models were used to calculate associations and relative risks (RR).Black women and women with less education were more likely to have had a serious experience of the hurricane. 18% of the sample met the criteria for depression and 13% for PTSD at two months postpartum. Feeling that one's life was in danger was associated with depression and PTSD, as were injury to a family member and severe impact on property. Overall, two or more severe experiences of the storm was associated with an increased risk for both depression (relative risk (RR) 1.77, 95% confidence interval (CI) 1.08–2.89) and PTSD (RR 3.68, 95% CI 1.80–7.52).Postpartum women who experience natural disaster severely are at increased risk for mental health problems, but overall rates of depression and PTSD do not seem to be higher than in studies of the general population.Disaster increases community psychopathology [1], with depression and PTSD being especially common [1,2]. In most cases, symptoms recede with time, and many victims prove resilient [3]. However, a certain proportion of the population will develop long-lasting problems [4]. Some aspects of the disaster, such as number of lives lost and whether it was natural or human-caused, may enhance psychopathology [1]. The person's own experience of the hurricane also influences their later mental health. Studies have shown that fearing one's life was at risk [4-7], having a relative die [8,9], and being injured [4] all predict psychopathology.Personal characteristics also affect