Prevalence of postpartum depression and associated risk factors in tertiary health care centre

Authors

  • M. Sri Kiruba Nandini Department of Obstetrics and Gynecology, Apollo Cradle Hospital, Chennai, Tamil Nadu, India
  • Shanta Bhaskaran Department of Obstetrics and Gynecology, Apollo Cradle Hospital, Chennai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20240802

Keywords:

Postpartum depression, EPDS questionnaire, Psychological-emotional well-being

Abstract

Background: Postpartum depression (PPD) is defined as a depressive episode occurring during pregnancy or until 4-weeks post-childbirth. It is essential to diagnose postpartum depression since it can disrupt normal maternal and infant bonding and have a negative impact on both the short and long-term development of children. To determine the prevalence of postpartum depression and the associated risk factors in women delivering in a tertiary health care centre.

Methods: A prospective observational study was conducted in a tertiary health care centre from January 2021 to June 2022 for a period of 18 months. Pregnant women were assessed using the Edinburgh postnatal depression scale (EPDS) at 2-3 days postpartum and at 6 weeks postpartum. The cut-off score for detecting major depression is a score greater than or equal to 13.

Results: The study included 204 women, of which postpartum depression was present in 28 women. The prevalence of postpartum depression in this study group is 13.7%. Unplanned pregnancy, neonatal intensive care unit (NICU) admission of newborns, preterm delivery, lack of support from family, complications during pregnancy or birth, and delayed breastfeeding were significantly associated with postpartum depression.

Conclusions: Psychological and emotional well-being should also be given priority in addition to the physical well-being of women. All women who are at high risk should be screened so that PPD can be detected earlier, and support should be extended in the form of counselling and treatment.

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th edition. Arlington: APA. 2013.

Sheela CN, Venkatesh S. Screening for postnatal depression in a tertiary care Hospital. J Obstet Gynaecol India. 2016;66(1):72-6.

Llewellyn AM, Stowe ZN, Nemeroff CB. Depression during pregnancy and the puerperium. J Clin Psychiatry. 1997;58(15):26-32.

Kruthika K, Udayar SE, Mallapur MD. An epidemiological study of postnatal depression among women availing maternal health services in rural areas of Belagavi, Karnataka, India. Int J Community Med Public Health. 2017;4(3):759.

Bernard-Bonnin AC, Canadian Paediatric Society, Mental Health and Developmental Disabilities Committee. Maternal depression and child development. Paediatr Child Health. 2004;9(8):575-98.

Worthen RJ, Beurel E. Inflammatory and neurodegenerative pathophysiology implicated in postpartum depression. Neurobiol Dis. 2022;165(105646):105646.

Cox JL, Holden JM, Sagovsky R. Detection of Postnatal Depression: Development of the 10-item Edinburgh Postnatal Depression scale. Br J Psychiatry. 1987;150(6):782-6.

Gupta S, Kishore J, Mala YM, Ramji S, Aggarwal R. Postpartum depressionin north Indian women: prevalence and risk factors. J Obstet Gynaecol India. 2013;63(4):223-9.

Paswan U, Manju K. An observational assessment of prevalence of postnatal depression and to study the Associated risk factors of postnal depression. Int J Pharm Clin Res. 2021;13(6);785-92.

Shriraam V, Shah PB, Rani MA, Sathiyasekaran B. A community-based study of postpartum depression in rural Southern India. Indian J Soc Psychiatry. 2019;35:64-8.

Lanjewar S, Nimkar S, Jungari S. Depressed motherhood: Prevalence and covariates of maternal Postpartum Depression among urban mothers in India. Asian J Psychiatr. 2021;57(102567):102567.

Liu Y, Zhang L, Guo N, Jiang H. Postpartum depression and postpartum post- traumatic stress disorder: prevalence and associated factors. BMC Psychiatry.2021;21(1):487.

Abulaiti A, Abudurexiti M, Nuermaimaiti A, Kelimu A. Analysis of the incidence and influencing factors of postpartum depression and anxiety: A cross-sectional study in Xinjiang from 2018 to 2021. J Affect Disord. 2022;302:15-24.

Chandran M, Tharyan P, Muliyil J, Abraham S. Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India: Incidence and risk factors. Br J Psychiatry. 2002;181(6):499-504.

Zaidi F, Nigam A, Anjum R, Agarwalla R. Postpartum Depression in women: A risk factor analysis. J Clin Diagn Res. 2017;11(8):QC13-6.

Javalkar SR, Vanitha SS. A Study on Postnatal Depression among Women Attending Tertiary Care Hospital in Davanagere, Karnataka. Natl J Comm Med. 2018;9(3):167-71.

Selvam G, Balasubramanian J, Chanu SM. Frequency of postpartum depression among primi mothers undergoing delivery in JIPMER using Edinburgh postnatal depression scale. N Indian J Obgyn. 2020;6(2):106-12.

Alshikh Ahmad H, Alkhatib A, Luo J. Prevalence and risk factors of postpartum depression in the Middle East: a systematic review and meta-analysis. BMC Pregnancy Childbirth. 2021;21(1):542.

Chen Q, Li W, Xiong J, Zheng X. Prevalence and risk factors associated with postpartum depression during the COVID-19 pandemic: A literature review and meta-analysis. Int J Environ Res Public Health. 2022;19(4):2219.

Layton H, Owais S, Savoy CD, Van Lieshout RJ. Depression, anxiety, and mother-infant bonding in women seeking treatment for postpartum depression before and during the COVID-19 pandemic. J Clin Psychiatry. 2021;82(4):35146.

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Published

2024-03-28

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Original Research Articles