A new study examines postpartum depression’s negative economic impact on Alabama over six years and urges policy solutions that could help alleviate the mental health disorders ramifications.

The study was published by the Public Affairs Research Council of Alabama (PARCA) and commissioned by Safer Birth in Bama, a non-profit committed to improving maternal healthcare in the state.

Postpartum depression is a long-term maternal mental health disorder that can negatively affect both the mother and child.

Due to a lack of state specific data PARCA used national figures and statistics to determine the approximate cost per woman dealing with postpartum depression.

The study found that approximately 9,369 women in Alabama experienced postpartum depression in 2023. The estimated cost was $37,369.60 for every mother and child pairing which equated to a total statewide cost of $350,115,782 for 2023.

Looking at the total economic impact of postpartum depression from 2023 to 2028, PARCA estimated the figure to be $610,173,754.90.

This total economic cost took into account direct economic results as well as burdens on the healthcare industry and the ripple effects on Alabama’s economy.

Contributing factors to the potential economic costs were higher maternal mortality rates, limited access to maternal care in rural areas, and a higher uninsured rate among women of reproductive age.

According to an August 2023 report by the Milken Institute, Alabama’s maternal mortality rate was 64.43 out of 100,000, the highest rate in the nation.

Jessica Thompson, R.N., President and Co-Founder of Safer Birth in Bama, said that legislators must do more to help Alabama’s mothers and children dealing with postpartum depression.

“Alabama lawmakers cannot put politics ahead of our state’s mothers and children,” Thompson said. “This study illustrates how we all suffer when a mother experiences postpartum depression and the downstream effects that often accompany the condition. Prompt and appropriate diagnosis and treatment of PPD is essential for mothers, their families and our communities.”

As of the study there are currently two bills, HB322 and SB191, in both legislative chambers related to postpartum depression.

The House version was filed by Rep. Frances Holk-Jones, R-Daphne, while the Senate version was filed by Sen. Vivian Davis-Figures.

Both pieces of legislation provide that the Alabama Medicaid Agency cover postpartum depression screening costs for new mothers. According to PARCA, the legislation would also improve treatment options for mothers.

“Unlike mothers on private plans, mothers on Medicaid face significant hurdles in accessing treatments recommended by their doctor,” Figures said. “This bill isn’t just about protecting our mothers and babies, it is about leveling the playing field so that all mothers, regardless of their health plan, can get back to their normal selves and enjoy motherhood.”

The PARCA study also noted that Alabama does not have county-level reporting of maternal mortality rates and adds that localized data could develop targeted strategies to improve health outcomes depending on the community.

The study concludes that addressing the long term economic and societal costs of postpartum depression entails more policy interventions to improve rural healthcare access, expanding healthcare coverage and better support programs for mothers.

“In conclusion, the economic impact of postpartum depression in Alabama is significant and multifaceted,” the study states. “Addressing this issue requires a coordinated effort from policymakers and treatment strategies.

By investing in maternal mental health, Alabama can reduce the economic burden and improve the overall well-being of mothers, children, and families across the state.”