{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T10:12:46Z","timestamp":1788862366173,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine whether women's emotional reaction when they first recognize their pregnancy is associated with postpartum depressive symptoms and whether risk increases across positive, ambivalent, and negative feelings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study at a tertiary perinatal center in Japan. At the first prenatal visit, women answered the free\u2010text question, \u201cHow did you feel when you found out you were pregnant?\u201d Responses were coded as positive, ambivalent, or negative; unclear descriptions were excluded. All women who delivered at \u2265\u200922\u2009weeks' gestation between 2018 and 2024 were eligible. Postpartum depressive symptoms at 1\u2009month were assessed using the Edinburgh Postnatal Depression Scale. Multivariable logistic regression with multiple imputation for missing EPDS and covariates estimated adjusted odds ratios (aORs) and 95% confidence intervals (CIs), adjusting for age, parity, single status, employment, prior mental illness, infertility treatment, plurality, and prior miscarriage. Complete\u2010case analyses were performed as sensitivity analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 8932 women, 6835 (76.5%) reported positive, 1729 (19.4%) ambivalent, and 368 (4.1%) negative feelings. The PPD prevalence was 3.5%, 6.2%, and 9.0%, respectively. Compared with positive feelings, aORs were 1.69 (95% CI, 1.30\u20132.19) for ambivalent and 2.56 (95% CI, 1.73\u20133.79) for negative feelings (P for trend &lt;\u20090.001). Estimates were similar in complete\u2010case analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Free\u2010text emotional reactions at pregnancy recognition, categorized as positive, ambivalent, or negative, were strongly and progressively associated with postpartum depressive symptoms. Simple assessment of women's feelings when they discover pregnancy may help identify those at increased risk early in the perinatal course.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70297","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:19:20Z","timestamp":1777508360000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Emotional Reaction at Pregnancy Recognition and Risk of Postpartum Depressive Symptoms"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-5509-5252","authenticated-orcid":false,"given":"Takuma","family":"Yamada","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Seirei Hamamatsu General Hospital  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rena","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nursing (Midwifery) Seirei Hamamatsu General Hospital  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mamiko","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Nursing (Midwifery) Seirei Hamamatsu General Hospital  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taeko","family":"Oota","sequence":"additional","affiliation":[{"name":"Department of Nursing (Midwifery) Seirei Hamamatsu General Hospital  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takeshi","family":"Murakoshi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seirei Hamamatsu General Hospital  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16121"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1607649"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61277-0"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2018.17091031"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.18948"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-135"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2020.110259"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1363\/3919407"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-8910.2015049005257"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00737-018-0938-7"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/02646838.2022.2097208"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare11152196"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995\u2010025\u201004143\u20101"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1363\/47e2215"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1009527631043"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691058.2021.2022211"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17228445"},{"issue":"4","key":"e_1_2_12_19_1","first-page":"525","article-title":"Validation and Reliability of the Japanese Version of the EPDS (Edinburgh Postnatal Depression Scale)","volume":"7","author":"Okano T.","year":"1996","journal-title":"Arch Psychiatr Diagn Clin Eval"},{"issue":"5","key":"e_1_2_12_20_1","first-page":"360","article-title":"Understanding Interobserver Agreement: The Kappa Statistic","volume":"37","author":"Viera A. 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