Edinburgh Postnatal Depression Scale scores at 2‐week post‐partum may reflect those at 4‐week post‐partum: A single‐center retrospective observational study

Author(s):  
Hideki Matsuoka ◽  
Shuichiro Iwami ◽  
Marisa Maeda ◽  
Ai Suizu ◽  
Tsuyoshi Fujii
Author(s):  
Adriani

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS


2019 ◽  
Vol 36 (1) ◽  
pp. 146-156 ◽  
Author(s):  
Beatriz de Oliveira Rocha ◽  
Marcia Penido Machado ◽  
Livia Lima Bastos ◽  
Livia Barbosa Silva ◽  
Ana Paula Santos ◽  
...  

Background: Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation. Research aims: To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil. Method: We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II. Results: Delayed lactogenesis II occurred in 18.8% ( n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]). Conclusion: Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.


1993 ◽  
Vol 27 (3) ◽  
pp. 472-476 ◽  
Author(s):  
Philip Boyce ◽  
Joanne Stubbs ◽  
Angela Todd

One hundred and three post-partum women completed the Edinburgh Postnatal Depression Scale (EPDS) and were interviewed using the Diagnostic Interview Schedule. A cut-off score of 12.5 on the Edinburgh Postnatal Depression Scale identified all nine women who reached criteria for major depression. At this threshold the sensitivity (the percentage of true “cases’ identified) of the EPDS was 100%, its specificity (the percentage of true “non-cases’ identified as such) 95.7% and its positive predictive value (the percentage of all those tested as positive who were correctly identified as such) 69.2%. Although this study supported the validity of the EPDS, a replication of this study on a larger sample is suggested.


2020 ◽  
Vol 4 (1) ◽  
pp. 27-33
Author(s):  
Jehan Puspasari

Salah satu permasalahan yang dijumpai pada seorang wanita setelah melahirkan adalah depresi postparum. Masalah ini harus diatasi melalui intervensi keperawatan dalam meningkatkan kesehatan ibu dan bayi salah satunya melalui qigong exercise. Tujuan penelitian ini adalah untuk mengidentifikasi efektifitas qigong exercise dalam pencegahan gejala depresi postpartum pada ibu remaja. Penelitian quasi eksperimen ini menggunakan teknik purposive sampling dengan 27 responden ibu remaja. Alat ukur yang digunakan adalah kuesioner yang sudah terstruktur yaitu kuesioner demografi dan Edinburgh Postnatal Depression Scale (EPDS). Variabel depresi postpartum, baik pre intervensi maupun post intervensi dianalisis menggunakan uji Wilcoxon. Hasil penelitian menunjukkan bahwa ada pengaruh antara intervensi qigong exercise dengan pencegahan gejala depresi postpartum pada ibu remaja dengan p value 0,000. Ibu remaja yang sehat baik secara fisik maupun mental akan sangat berpengaruh terhadap peran pengasuhan kepada bayinya.


2014 ◽  
Vol 58 ◽  
pp. 181-188 ◽  
Author(s):  
Marcella Martins Alves Teofilo ◽  
Dayana Rodrigues Farias ◽  
Thatiana de Jesus Pereira Pinto ◽  
Ana Amélia Freitas Vilela ◽  
Juliana dos Santos Vaz ◽  
...  

2019 ◽  
Vol 7 (16) ◽  
pp. 2661-2663
Author(s):  
Belli Susandro Pinem ◽  
Elmeida Effendy

BACKGROUND: Postpartum depression is a commonly occurring psychiatric disorder. Prevalence of postpartum depression varies across cultures and countries. Many factors affect, trigger, or aggravate post-partum depression, including sociocultural factor. Bedapu is a unique tradition from Aceh Singkil on post-partum mothers. CASE REPORT: We reported a case of two women with postpartum depression who performed Bedapu tradition on themselves. Edinburgh Postnatal Depression Scale (EPDS) was conducted for screening and DSM-5 as the determinant of diagnostic criteria. CONCLUSION: Postpartum depression has varying symptom spectrum, and Bedapu affected it by aggravating the symptoms of postpartum depression.


2005 ◽  
Vol 39 (9) ◽  
pp. 833-839 ◽  
Author(s):  
Jeannette Milgrom ◽  
Jennifer Ericksen ◽  
Lisa Negri ◽  
Alan W. Gemmill

Objectives: First, to explore the utility of the Edinburgh Postnatal Depression Scale (EPDS) in routine primary care through a large community screening program. Next, to compare administration of a second EPDS versus the Beck Depression Inventory (BDI) in identifying postnatal depression in the prescreened population. Method: Screening with the EPDS through Maternal and Child Health Centres at 4 months post-partum. Women scoring ≥12 were assessed against DSM-IV criteria and completed a BDI and a second EPDS. These data were subjected to receiver operating characteristic (ROC) analyses. Results: Of 4148 screened, 533 (12.8%) scored ≥12. Of these, 344 were assessed against DSM-IV criteria: 193 (56%) – major depressive disorder; 67 (20%) – other diagnoses that incorporated depression. Positive predictive value at screening was therefore 76%. Another 45 (13%) had non-depressive disorders and 39 (11%) were psychiatric non-cases. The BDI was the better diagnostic instrument in the prescreened population, having a significantly higher efficiency as quantified by ROC curve analysis, though the absolute difference in efficiency was small (approximately 6%). Conclusions: Screening with the EPDS integrated well into routine primary care. Twostep screening offers one way of achieving acceptable balances of operational simplicity and diagnostic accuracy.


1992 ◽  
Vol 160 (6) ◽  
pp. 777-780 ◽  
Author(s):  
Patricia Hannah ◽  
Diana Adams ◽  
Angela Lee ◽  
Vivette Glover ◽  
M. Sandler

The Edinburgh Postnatal Depression Scale (EPDS) was used to rate 217 patients at five days and six weeks post-partum. There was a highly significant positive correlation between the two scores, together with similar symptom profiles. Of the 25 women who suffered postnatal depression (6–week EPDS score ≥13), 17 had similar symptoms in the first week postpartum (5–day EPDS score ≥10). Low birth weight of the baby, delivery by Caesarean section, a delivery much more difficult than expected, and bottle feeding were all significantly associated with a high EPDS score in the first week post-partum. Bottle feeding and delivery by Caesarean section were the only factors associated with depression at the sixth week. A recollection of low mood after a previous birth was also associated with post-natal depression after the current birth. This, together with an EPDS score of 13 or more at five days post-partum, increased the risk of post-natal depression at six weeks 85–fold.


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