scholarly journals Development of Postpartum Depression in Pregnant Women with Preeclampsia: A Retrospective Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Li Chen ◽  
Xiaodan Wang ◽  
Qian Ding ◽  
Nan Shan ◽  
Hongbo Qi

Background. Postpartum depression (PPD) and preeclampsia (PE) are both common diseases in obstetrics that affect maternal health and infant development. However, the relationship between the two diseases still requires clarification. Objective. The purpose of this study was to (1) determine the incidence rate of PPD in patients with PE and (2) identify the association between the prevalence of PPD and the severity of PE. Methods. We conducted a retrospective analysis of women with and without PE who delivered between January 1, 2017, and August 30, 2018, in the First Affiliated Hospital of Chongqing Medical University. We used a questionnaire survey methodology that included the Edinburgh Postnatal Depression Scale (EPDS) to test the influence of PE on the development of new-onset PPD in the 6 weeks after delivery. We determined PPD based on a score ≥10 on the EPDS. Bivariate analysis was used to compare data between the two groups. Results. A total of 180 women participated in this study. Thirty-five people screened positive for PPD, while the remaining 145 screened negative. The prevalence of PPD was 26.67% (24/90) in patients with PE, which was two times the prevalence in normal women (12.22%). Multiple logistic regression showed that women who had PE had nearly 3-fold increased odds of PPD compared to normal women and the risk of PPD increased with the aggravation of PE. Patients with severe PE had a more than 4-fold increased risk of screening positive for PPD. Conclusion. PE was independently associated with PPD. Furthermore, the risk of PPD seemed to increase with the aggravation of PE. Thus, additional prevention efforts and support methods should be provided for women with PE to reduce the incidence of PPD.

2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.


2022 ◽  
Author(s):  
Reva Mondal ◽  
Yajai Sitthimongkol ◽  
Nopporn Vongsirimas ◽  
Natkamol Chansatitporn ◽  
Kathy Hegadoren

Background: Nurses report high levels of workplace stress, which has been linked to an increased risk for experiencing depressive symptoms.Nurses’ workplace stress is also linked to increased absenteeism and decreased job satisfaction. Objectives: The objectives of this study were to examine: (1) the incidence of depressive symptoms among hospital-based registered nurses in Bangladesh; (2) common sources of workplace stress and their relationships to individual characteristics and depressive symptom scores; and (3) the potential mediating roles of coping strategies in the relationship between workplace stress and depressive symptoms. Methods: A cross-sectional study design involved three hundred and fifty-two registered nurses. Data were collected using a demographic questionnaire and three standardized tools measuring sources of nurses’ workplace stress, coping strategies, and depressive symptoms. Results: More than half of the participants scored ≥ 16 on the CES-D, which was associated with a major depression episode. Total NSS scores had a small but significant influence on scores on the depression scale. Coping strategies had no mediated effect on the relationship between workplace stress and scores on the depression scale. Low-reliability coefficients for subscales of two of the standardized tools highlight the challenge for researchers in developing countries to address contextual differences that may influence the meanings attached to individual items.  Conclusion: Findings suggest that the mental health of registered nurses in Bangladesh requires immediate attention in part by attending to workplace stressors. Further research should focus on a deeper understanding of Bangladeshi registered nurses’ work experiences and the unique contribution that workplace stressors have on their physical and mental health.


2021 ◽  
Vol 1 (3) ◽  
pp. 247-251
Author(s):  
Elsa Rizki Lilian ◽  
Andi Siswandi ◽  
Anggunan Anggunan

ABSTRACT: THE CORRELATIONS OF AGE AND HYPERTENSION WITH THE OCCURRENCE OF BPH IN THE SURGICAL WARD AT RSUD DR.H.ABDUL MOELOEK IN 2020Introduction: Lower Urinary Tractus Symptoms (LUTS) is a problem that is experienced by men around the world and one that often occurs is Benign prostate hyperplasia (BPH). BPH is a histological disorder characterized by the proliferation of prostate cells. It is estimated that 50% of men show BPH histopathology at the age of 60 years old and an increase of 90% at the age of 80 years old. Hypertension is also known to have a role in increasing prostate volume, in a cohort study it was found that hypertension resulted in an increased risk of 1.5 times to cause LUTS/BPH.Objective: To determine the relationship between age and hypertension on the incidence of BPH in Dr. H. Abdul Moeloek in 2020.Methods: This study is quantitative research, an observative analytic study design with a cross-sectional approach was carried out at RSUD Dr. H. Abdul Moeloek which was taken on October 16, 2020. The population was all patients in the Surgical Ward with total sampling. Data collection was obtained from secondary data from medical records. Data analysis was performed Univariate analysis (frequency distribution) and bivariate analysis with chi-square.Results: Respondents with BPH aged >50 years old were 32 respondents (97%) and respondents with BPH and hypertension were 20 respondents (60.6%). The results of the bivariate analysis using chi-square showed a significant relationship between BPH and age p value=0.000 (P<0.05) and the relationship between BPH and hypertension with p value=0.000 (p<0.05).Conclusion: There is a significant relationship between BPH with age and hypertension with the occurrence of BPH in the Surgical polyclinic at RSUD Dr.H.Abdul Moeloek in 2020. Keywords: BPH, Age, Hypertension  INTISARI: HUBUNGAN USIA DAN HIPERTENSI TERHADAP KEJADIAN BPH DI RSUD Dr.H.ABDUL MOELOEK Pendahuluan: Lower Urinary Tractus Symptoms (LUTS) adalah masalah yang banyak dialami oleh laki-laki di seluruh dunia dan salah satu yang sering terjadi adalah Benigna Prostat Hyperplasia (BPH). BPH adalah kelainan histologis yang khas di tandai dengan proliferasi sel-sel prostat. Diperkirakan 50% laki-laki menunjukan histopatologi BPH pada umur 60 tahun dan meningkat 90% pada umur 80 tahun  Hipertensi juga diketahui memiliki peranan dalam peningkatan volume prostat yakni pada suatu penelitian cohort diketahui adanya hipertensi mengakibatkan peningkatan resiko sebanyak 1,5 kali untuk menimbulkan gejala LUTS/BPH.Tujuan: Untuk mengetahui adanya hubungan usia dan hipertensi terhadap kejadian BPH di RSUD Dr. H. Abdul Moeloek Tahun 2020Metode: Jenis penelitian kuantitatif, rancangan penelitian analitik observatif dengan pendekatan cross sectional telah dilakukan di RSUD Dr.H.Abdul Moeloek Provinsi Lampung yang berlangsung pada 16 Oktober 2020. Populasi adalah seluruh pasien di Poli Bedah dengan pengambilan sampel secara total sampling. Pengumpulan data diperoleh dari data sekunder yang diperoleh dari rekam medis. Analisis data secara univariat (distribusi frekuensi) dan uji bivariat mengunakan chi squareHasil: Responden dengan BPH yang berusia >50 tahun sebanyak 32 responden (97%) dan responden dengan BPH dengan hipertensi sebanyak 20 responden (60,6%). Hasil Uji bivariat menggunakan chi square menunjukkan adanya hubungan signifikan antara BPH dengan usia diperoleh nilai p=0,000 (P<0,05) dan hubungan BPH dengan hipertensi nilai p=0,000 (p<0,05).Kesimpulan: Terdapat hubungan signifikan antara BPH dengan usia dan terdapat hubungan sgnifikan antara BPH dengan hipertensi di poli klinik bedah RSUD Dr.H.Abdul Moeloek tahun 2020.Kata kunci: BPH, Usia, Hipertensi


2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati

Background: The postpartum period was a physical and psychological adaptation process. Psychological disturbances could present in form of postpartum blues, postpartum depression, and postpartum psychosis. Objective: The objective of this research was to determine the incidence of postpartum depression, identify predictors of postpartum depression and identify the dominant predictors of postpartum depression. Methods: this research used a cross sectional design. Sample were pregnant women which were chosen by random sampling technique. Data was collected with questionnaire to measure the predictors of postpartum depression was carried out with the Revision Postpartum Depression Predictors Inventory (PDPI) questionnaire and to measure depression scores used with the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was done by univariate and bivariate analysis with with chi-square statistical tests and multivariate with logistic regression tests. Results: The results showed that the significant predictors were economic status, self-esteem, marital satisfaction, postpartum blues, and prenatal depression. The dominant predictor factor is satisfaction in marriage with a t value of 2.778 times. Conclusion: The results of the study show that marital satisfaction is a dominant predictor of postpartum depression, indicating that marital satisfaction or relationship quality is one of the important support systems because of the need for partner involvement in care actions during the pregnancy period until with the puerperium as efforts to prevent postpartum depression.     Keywords: postpartum depression, postpartum period, postpartum bues


2019 ◽  
Vol 50 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Haruka Kasamatsu ◽  
Akiko Tsuchida ◽  
Kenta Matsumura ◽  
Moeko Shimao ◽  
Kei Hamazaki ◽  
...  

AbstractBackgroundPostpartum depression is a major mental health issue. It not only adversely affects the mother's quality of life, but also mother-infant bonding. However, the relationship between postpartum depression (at multiple points after childbirth) and mother-infant bonding failure one year after birth is not well understood. This study investigates the relationship between postpartum depression at 1-month and 6-month after birth and mother-infant bonding failure at 1 year after birth with a large cohort.MethodsData from 83 109 mothers from the Japan Environment and Children's Study were analyzed. Mother-infant bonding 1-year after delivery was assessed using the Mother-to-Infant Bonding Scale Japanese version (MIBS-J). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS) at 1-month and 6-month after delivery. Twenty covariates during pregnancy and one month after delivery were controlled for deriving the odds ratios (ORs) describing postpartum depression to mother-infant bonding.ResultsEPDS Total Score crude ORs and adjusted ORs against the MIBS-J Total Score at 1-month and 6-month after delivery were calculated. Crude ORs were 1.111 (95% CI 1.110–1.112) and 1.122 (95% CI 1.121–1.124) respectively. In the fully adjusted model, ORs were 1.088 (95% CI 1.086–1.089) and 1.085 (95% CI 1.083–1.087), respectively.ConclusionsThis study demonstrated prospectively, in a large-scale cohort, that depression at multiple postpartum points, including associations with each EPDS and MIBS-J factors, may be a robust predictor of mother-infant bonding failure 1-year after birth.


2013 ◽  
Vol 30 (1) ◽  
pp. 7-17 ◽  
Author(s):  
Maria de Lima Salum e Morais ◽  
Tania Kiehl Lucci ◽  
Emma Otta

The aim of the study was to investigate the characteristics of infant development at four, eight and twelve months of age, as result of postpartum depression. The prevalence of Postpartum Depression - measured by the Edinburgh Postnatal Depression Scale - at four months after delivery was 30.3%; at eight months, 26.4%; and at 12 months, 25.0%. Chi-square tests were used to compare children of mothers with and without Postpartum Depression in relation to developmental milestones. It was found developmental delay in infants of mothers with Postpartum Depression in: two interactional indicators at four months, two motor indicators at eight months and one gross motor indicator at twelve months. However, children of mothers with Postpartum Depression showed better results in one fine motor and in two language items at 12 months. The results point to the necessity of considering external and internal factors of mother and infant in the study of the effects of maternal depression on child development.


2019 ◽  
Vol 4 (2) ◽  
pp. 107
Author(s):  
Chici Riansih ◽  
Sri Nabawiyati nurul Makiyah ◽  
Farida Kartini

Postpartum depression is one of serious problems that women experience after giving birth. Depression symptoms found in postpartum mothers include sadness, anxiety, crying, temperament, lack of appetite, insomnia, and inattentive to the baby. It is a part of the symptoms of maternal psychological disorders that lead to the postpartum depression. This study used quantitative research with analytic observational research design. The population of primiparous postpartum mothers is 60 people consisting of 20 postpartum mothers of Sectio Caesarea, 20 spontaneous postpartum mothers, and 20 vacuum extraction postpartum mothers in the Public Hospital of Yogyakarta Municipality. The sampling teachnique used consecutive sampling. The study utilized Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Bivariate analysis used ANOVA statistical test followed by post hoc test and Chi-Square test with 95% of confidence level. The results of the analysis show Respondents data who were at risk of postpartum depression in Sectio Caesarea intrapartum (16 or 80%) compared to vacuum extraction intrapartum (5 or 13%) and spontaneous intrapartum (7 or 35%). There was a difference on the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction with the risk of postpartum depression of p-value = 0.001 (p <0.05). The difference of the risk was significant on the type of Sectio Caesarea intrapartum when compared with vacuum extraction and spontaneous intrapartum, while between vacuum extraction and spontaneous intrapartum was not significantly different. The conclusion of this study is that there are differences in the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction on the risk of postpartum depression among primiparous mothers in Public Hospital of Yogyakarta Municipality.


2021 ◽  
Vol 31 (2) ◽  
pp. 93-103
Author(s):  
Sayareh Hajipoor ◽  
◽  
Sedigheh Pakseresht ◽  
Maryam Niknami ◽  
Zahra Atrkar Roshan ◽  
...  

Introduction: Postpartum depression is a common and severe problem that has adverse effects on maternal and family health. Social support is one of the determinants of health, and in recent years has received increasing attention, and its overlook is a significant risk factor for postpartum depression. Objective: This study aimed to determine the relationship between social support and postpartum depression in women referring to comprehensive health centers in Rasht City, Iran. Materials and Methods: The present study is a cross-sectional, analytical study performed on 300 mothers referred to the comprehensive health service centers in Rasht 2-4 weeks after their deliveries. They were selected by cluster sampling method, which was done systematically within each cluster. The study data were collected using a three-part questionnaire of demographic characteristics, Edinburgh Postpartum Depression Scale (EPDS), and Hopkins social support. The obtained data were analyzed using descriptive and inferential statistics (t-test, Friedman, Mann-Whitney, Kruskal-Wallis, Spearman correlation coefficient, and rank logistic regression). Results: The results showed that the mean±SD age of the study mothers was 29±5.3 years. About 63.7% of mothers had low postpartum depression, and their mean±SD total score of social support was 64.03±16.92. The most support received from the spauses and parents. There was a statistically significant relationship between social support received by mothers after childbirth with education level (P=0.003), job (P=0.001), spauses’ job (P=0.001), income (P=0.001), residence status (P=0.043), number of deliveries (P=0.05) and pregnancy desire (P=0.047) and there was a significant inverse correlation between depression score and social support score by spauses (P=0.004, r=-0.167), parents (P=0.002, r=-0.176) and total social support score (P=0.024, r =-0.130). After adjusting for individual social variables, the effect of social support score on the part of the spauses (P=0.001), parents (P=0.006), friends, and relatives (P=0.033) continued to be associated with the severity of depression. Also, the number of deliveries (P=0.05) and h spauses’ jobs (self-employed) were significant compared to the unemployed ones (P=0.049). Conclusion: The results showed a significant and inverse relationship between social support and symptoms of postpartum depression. Although these results show the most support from spauses and parents, the amount of support received in the area of spauses’ ​​parents, friends, and relatives were low. It is necessary to draw the attention of midwives and health care providers to mothers and inform them about the importance of social support and its prominent role in reducing postpartum depression.


2019 ◽  
Vol 2 (1) ◽  
pp. 77-81
Author(s):  
I Tor-Anyiin ◽  
T J Igbudu ◽  
S Tor-Agbidye

Postpartum depression affects 10-15% of women in the immediate post delivery period. It has adverse effects on the family and her members. There are trigger factors that contribute to the development of depression among mothers. These factors; when identified and addressed, present an opportunity in reducing the prevalence of postpartum depression and its adverse effects on the family. Hence, the objective of the study was to study the relationship between Intimate Partner Violence (IPV) and Postpartum Depression (PPD) among women in Federal Medical Centre Makurdi. This was a cross-sectional study of mothers who presented with their children at the immunization clinic. Three hundred and thirty postpartum women were selected by a systematic random sampling technique. PPD and IPV were assessed using the Edinburgh Postpartum Depression Scale and the HITS (Hit, Insult, Threaten and Scream) scale respectively. The results showed that the mean age of participants was 28±5years. The prevalence of PPD was 27.6% while that of IPV was 22.4%. A statistically significant relationship was demonstrated between IPV and PPD (χ2 = 143.15, p < 0.0001). The prevalence of PPD and IPV were high, affecting approximately a quarter of postpartum women in Makurdi. IPV contributes to the development of PPD (OR=35.35, CI=17.39-71.87). Hence the need for screening of these conditions by physicians. Appropriate prevention modalities against IPV could curb postpartum depression and its effects on the family.


2021 ◽  
Vol 3 (3) ◽  
pp. 297-304
Author(s):  
Dwi Retnaningsih ◽  
Roudhotul Auliyak ◽  
Mariyati Mariyati ◽  
Enggar Nurnaningsih

Depression in breast cancer patients includes mental shock, inability to accept reality, hopelessness, fear of death, and fear of the future. Depression creates long periods of sadness and worry, usually accompanied by feelings of worthlessness. Fatigue is a symptom that often appears in cancer patients undergoing chemotherapy. Associated with the conditions of the COVID-19 pandemic, cancer patients have an increased risk of transmitting COVID-19 because they have decreased endurance. This study aims to determine the relationship between depression and fatigue in breast cancer patients undergoing chemotherapy at Hospital Sultan Agung Semarang Indonesia. The instruments used in this study were questionnaire of the hospitals anxiety and Depression Scale (HADS) and questionnaire of fatigue, 30 female respondents who suffer from breast cancer and have undergone chemotherapy. Rank Spearman data analysis. P value = 0.000 and correlation coefficient value r = 0.671. There is a relationship between depression and fatigue in breast cancer patients undergoing chemotherapy which has an impact on adherence to chemotherapy for breast cancer patients. The higher the level of depression is, the more severe the level of fatigue in cancer patients.


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