The predictors of post-partum depression in a tertiary centre

Authors

  • Sadiq Unnisa Department of Obstetrics and Gynecology, Yenepoya Medical College, Mangalore, Karnataka, India
  • Poluri Seetha Lavanya Department of Obstetrics and Gynecology, Yenepoya Medical College, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182323

Keywords:

EPDS scale, Postpartum depression, Predictors

Abstract

Background: The present study was undertaken to evaluate the association of different socio-demographic, obstetric and pregnancy outcome as predictor of PPD among the postnatal women during early puerperium and thus can be provided with special care. Objective was to evaluate the different predictors of post partum depression.

Methods: A prospective study was conducted in the department of obstetrics and gynaecology, Yenepoya medical college hospital Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.

Results: A prospective study was conducted in the Department of Obstetrics and Gynaecology, Yenepoya Medical College Hospital, Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.

Conclusions: Risk of PPD is more with the birth of a female baby, women who had CS, low S.E status, unemployment could predict higher risk for PPD. PPD screening should be an integral part of postnatal care using E PDS routinely. A multidisciplinary approach including obstetrician and psychiatrists can be jointly care of the depressed mothers.

References

World health organization international statistical classification of diseases and related health problems 10th Revision (ICD 10). Available:http://apps.who.int/classifications/apps/icd/icd10online/Published2007. Accessed 2014 Feb21

Pearlslein T Howard M,Salisbury A,Ziorick C post partum depression Am J obstet gynecol 2009 200:357-64. Doi10.1016/j.ajog.2008.11.033 PMID:19318144

Cox JL, Holden JM, Sagovksy R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150:782-6.

Mayberry LH, Horowitz JA, Declercq E. Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. J Obstet Gynecol Neonaal Nurs. 2007;36:542-9.

Bjerke SE, Vangen S, Nordhagen R, et al. Postpartum depression among Pakistani women in Norway: prevalence and risk factors. J Matern Fetal Neonatal Med. 2008;7:1-6.

Nielsen Forman D, Videbech P, Hedegaard M, et al. Postpartum depression: identification of women at risk. BJOG. 2000;107:1210-7.

Blackmore ER, Jones I, Doshi M, et al. Obstetric variables associated with bipolar affective puerperal psychosis. Br J Psych. 2006;188:32-6.

Josefsson A, Angelsioo L, Berg G, et al. Obstetric, somatic and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99:223-8.

Adewuya AO, Fatoye Fo, Ola BA, et al. Sociodemographic and Obstetric risk factors for postpartum Depressive symptoms in Nigerian women. J Psychiatr Pract. 2005;11:353-8.

Bergant AM, Heim K, Ulmer H, et al. early postnatal depressive mood: associations with obstetric and psychosocial factors. J Psychosom Res. 1999;46:391-4.

Patel V, Rodrigues M, Desouza N. Gender,poverty, and postanatal depression: a study of mothers in Goa, India . Am J Psychiatry 2002; 159:43-47. PMID:11772688

Hegde S, Latha K, Bhat s, Sharma P, Kamath A, Shetty A, Postpartum Depression: Prevalance and Associated factors among women in India. Journal of Women’s Health, Issues and Care 2012;1(1):1-7

Chandran M, Tharyan P, Muliyil J, Abraham. Postpartu, depression in cohort ofwomen from a rural area of Tamil Nadu. Incidence and risk factors. Br J Psyciatry 2002;181:499-504. PMID:12456520

Kosinska-Kaczynska K, Horosz E, Wielgos M, et al. Affective disorders in the first week after the delivery: prevalence and risk factors. Ginekol Pol. 2008;79:182-5.

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Published

2018-05-26

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Original Research Articles