A study on prevalence of postpartum depression: a cross-sectional study using Edinburgh postnatal depression scale

Authors

  • Manjula R. Department of Community Medicine, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
  • Meenakshi Badakali Department of Obstetrics and Gynecology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
  • Priyanka C. Megharaj S. Nijalingappa Medical College, Bagalkot, Karnataka, India
  • Ashalata Mallapur Department of Obstetrics and Gynecology, S. Nijalingappa Medical College, Bagalkot, Karnataka, India
  • Narayan Mutalik Department of Psychiatry, S. Nijalingappa Medical College, Bagalkot, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20243191

Keywords:

Edinburgh postnatal depression scale, Postpartum depression

Abstract

Background: Postpartum depression (PPD) is defined as a non-psychotic depressive episode that starts in the postpartum period, generally defined as the year after delivery. It has been suggested that about 50-80% of women suffer from baby blues after birth. The present study was conducted to determine the prevalence of postpartum depression using the Edinburgh postnatal depression scale.

Methods: The study area chosen was the field practice area of urban health centre attached to department of community medicine, S. N. Medical College, Bagalkot, Karnataka. It was a cross-sectional study done during the period of January and June 2023. A predesigned proforma was used for obtaining the data. Data was entered in excel sheet and analysed using spss software.

Results: Among the 165 mothers who were willing to participate in the study, 33 mothers i.e., 20% of them were at a major risk of developing post-partum depression. Our study showed significant association with poor socioeconomic status, complication during labour, mode of delivery, gender of the baby. The association between the gender of the baby and postpartum depression was statistically significant.

Conclusions: Postpartum depression, as evident from the study, is a major public health problem which usually goes missed during the evaluation of mother and child’s health during mothers’ reproductive period. Hence women should be screened for potential risk factors and depressive symptoms during pregnancy and postpartum periods so that appropriate interventions, if needed, can be initiated in a timely fashion.

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References

Adewuya AO, Fatoye FO, Ola BA, Ijaodola OR, Ibigbami SMO. Sociodemographic and obstetric risk factors for postpartum depressive symptoms in Nigerian women. J Psychiatr Pract. 2005;11(5):353-8.

Nonacs R, Cohen LS. Postpartum mood disorders: diagnosis and treatment guidelines. J Clin Psychiatr. 1998;59(2):34-40.

Iranfar S, Shakeri J, Ranjbar M, NazhadJafar P, Razaie M. Is unintended pregnancy a risk factor for depression in Iranian women? East Mediterr Health J. 2005;11(4):618-24.

O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379-407.

Beck CT. State of the Science on postpartum depression: what nurse researchers have contributed- part 1. MCN Am J Matern Child Nurs. 2008;33(2):121-6.

O’Hara MW. Postpartum depression: what we know. J Clin Psychol. 2009;65(12):1258-69.

Beeghly M, Olson KL, Weinberg MK, Pierre SC, Downey N, Tronick EZ. Prevalence, stability, and sociodemographic correlates of depressive symptoms in Black mothers during the first 18 months postpartum. Matern Child Health J. 2003;7(3):15-68.

Grussu P, Quatraro RM. Prevalence and risk factors for a high level of postnatal depression symptomatology in Italian women: a sample drawn from ante-natal classes. Eur Psychiatr. 2009;249(5):327-33.

Cooper PJ, Tomlinson M, Swartz L, Woolgar M, Murray L, Molteno C. Post-partum depression and the mother infant relationship in a South African peri-urban settlement. Br J Psychiatr. 1999;175:554-8.

Hubner-Liebermann B, Hausner H, Wittmann M. Recognizing and treating peripartum depression. Dtsch Arztebl Int. 2012;109:419-24.

O’Hara MW, Schlecte JA, Lewis DA, Varner MW. Controlled prospective study of postpartum mood disorders: psychological, environmental and hormonal variables. J Abnor Psychol. 1991;100:63-73.

Lindahl V. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health 2005;8:77-87.

Whisman MA, Uebelacker LA, Weinstock LM. Psychopathology and marital satisfaction: the importance of evaluating both partners. J Consult Clin Psychol. 2004;72:830-8.

Kurstjens S, Wolke D. Effects of maternal depression on cognitive development of children over the first seven years of life. J Child Psychol Psychiatr. 2001;42:623-36.

Moehler E, Kagan J, Parzer P. Childhood behavioral inhibition and maternal symptoms of depression. Psychopathology. 2007;40:446-52.

Murray L, Arteche A, Fearon P. Maternal postnatal depression and the development of depression in offspring up to 16 years of age. J Am Acad Child Adolesc Psychiatr. 2011;50:460-70.

Robertson E, Celasun N, Stewart DE. Risk factors in postpartum depression. In: Maternal Mental Health and Child Health and Development, Department of Mental Health and Substance Abuse. World Health Organization; 2003.

Dennis CL, Chung-Lee L. Postpartum depression help-seeking barriers and maternal treatment preferences: a qualitative systematic review. Birth. 2006:33:323-31.

Woolhouse H, Brown S, Krastev A, Perlen S, Gunn J. Seeking help for anxiety and depression after childbirth: results of the maternal health study. Arch Womens Ment Health. 2009;12:75-83.

Sword W, Busser D, Ganann R, McMillan T, Swinton M: Women’s careseeking experiences after referral for postpartum depression. Qual Health Res. 2008;18:1161-73.

Flynn HA, Henshaw E, O’Mahen H, Forman J. Patient perspectives on improving the depression referral processes in obstetrics settings: a qualitative study. Gen Hosp Psychiatr. 2010;32:9-16.

Reay R, Matthey S, Ellwood D, Scott M. Long-term outcomes of participants in a perinatal depression early detection program. J Affect Disord. 2011;129:94-103.

Klainin P, Arthur DG. Postpartum depression in Asian cultures: a literature review. Int J Nurs Stud. 2009;46(10):1355-73.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatr. 1987;150:782-6.

Lee DTS, Yip ASK, Chiu HFK. A psychiatric epidemiological study of postpartum Chinese women. Am J Psychiatr. 2001;158:220-6.

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

Savarimuthu RJ, Ezhilarasu P, Charles H, Antonisamy B, Kurian S, Jacob KS. Post-partum depression in the community: a qualitative study from rural south India. Int J Soc Psychiatr. 2010;56(1):94-102.

Kumar R, Robson KM. A prospective study of emotional disorders in childbearing women. Br J Psychiatr. 1984;144:35-47.

O’Hara MW, Swain AM. Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatr.1996;8:37-54.

Armony-Sivan R, Shao J, Li M, Zhao G, Zhao Z, Xu G, et al. No relationship between maternal iron status and postpartum depression in two samples in China. J Pregnancy. 2012;2012:521431.

Shitu S, Geda B, Dheresa M. Postpartum depression and associated factors among mothers who gave birth in the last twelve months in Ankesha district, Awi zone, North West Ethiopia. BMC Pregnancy Childbirth. 2019;19:1-9.

Gaikwad S, Mundada V, Dhande V, Doibale M. Assessment of postnatal depression and some associated risk factors among mothers attending the immunisation outpatient department in a tertiary health care centre: a cross sectional study. Int J Community Med Public Health. 2019;6(10):1.

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Published

2024-10-28

How to Cite

R., M., Badakali, M., Megharaj, P. C., Mallapur, A., & Mutalik, N. (2024). A study on prevalence of postpartum depression: a cross-sectional study using Edinburgh postnatal depression scale. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(11), 3284–3290. https://doi.org/10.18203/2320-1770.ijrcog20243191

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Original Research Articles