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==Consequences on maternal and child health== Postpartum depression can interfere with normal [[Maternal bonding|maternal-infant bonding]] and adversely affect acute and long-term child development. Infants of mothers with PPD have higher incidences of excess crying, temperamental issues, and sleeping difficulties. Issues with sleeping in infants may exacerbate or be exacerbated by concurrent PPD in mothers. Maternal outcomes of PPD include withdrawal, disengagement, and hostility. Additional patterns observed in mothers with PPD include lower rates of initiation and maintenance of breastfeeding.<ref name="Pearlstein_2009"/> Children and infants of PPD-affected mothers experience negative long-term impacts on their cognitive functioning, inhibitory control, and emotional regulation. In cases of untreated PPD, violent behaviors and psychiatric and medical conditions in adolescence have been observed.<ref name="Pearlstein_2009"/> Suicide rates of women with PPD are lower than those outside of the perinatal period. Fetal or infant death in the first year postpartum has been associated with a higher risk of suicide attempt and higher inpatient psychiatric admissions.<ref name="Pearlstein_2009"/>
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