Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital

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 ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Factors Associated ◽  
Delayed Onset ◽  
Scale Scores ◽  
Observational Cohort ◽  
Breastfeeding Cessation ◽  
Prospective Longitudinal

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.

Postnatal depression and elation among mothers and their partners: Prevalence and predictors

1997 ◽  
Vol 171 (6) ◽  
pp. 550-555 ◽  
Author(s):  
Abbie Lane ◽  
Rita Keville ◽  
Mary Morris ◽  
Anthony Kinsella ◽  
Michael Turner ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Unplanned Pregnancy ◽  
Depression Scale ◽  
Bottle Feeding ◽  
Mood Disturbance ◽  
Antenatal Visit ◽  
Factors Associated ◽  
Public Status ◽  
Increased Risk

BackgroundCorrelates and predictors of mood disturbance at 3 days and 6 weeks postpartum were assessed in Irish mothers and their partners.MethodThe Edinburgh Postnatal Depression Scale (EPDS) and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and obstetric data were collected at patients' first antenatal visit. Factors associated with EPDS scores of ≥ 13 and Highs scores of ≥ 8 were examined.ResultsOn the EPDS 11.4% of mothers scored ≥ 13 at 3 days postpartum and 11% at 6 weeks, while 18.3% of mothers scored ≥ 8 on the Highs Scale at 3 days and 9% at 6 weeks. Scores on the EPDS and Highs Scale were interrelated. Factors associated with EPDS scores of ≥ 13 at 6 weeks were single status, unemployment, unplanned pregnancy, public status and bottle-feeding. The best predictors of EPDS ≥ 13 at 6 weeks were mothers' scores on the EPDS and the Highs Scale at 3 days. Three per cent of partners scored ≥ 13 on the EPDS at 3 days postpartum and 1.2% at 6 weeks.ConclusionsFactors associated with mothers' mood disturbance were readily identifiable and collected routinely at antenatal intake. Mothers' mood within 3 days of delivery was the best predictor of later postnatal depression. Paternal mood disturbance was rare. Certain women may be at increased risk for postnatal mood disturbance and may be amenable to early identification and intervention.

scholarly journals Determination of the Prevalence of Postpartum Depression and Risk Factors Among Postpartum Patients at a Tertiary Government Urban Hospital Using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F): A Cross-Sectional Study

2020 ◽  
Author(s):  
Maria Carmina Lorenzana Santiago ◽  
Maria Antonia Esteban Habana
Keyword(s):  
Risk Factors ◽  
Regression Analysis ◽  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Mode Of Delivery ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Abstract Background Postpartum depression (PPD) occurs in 10-15% of deliveries worldwide. Unfortunately there is a dearth of local studies on its exact prevalence. Method This cross-sectional study aimed to determine the prevalence of and risk factors for PPD among postpartum patients at a tertiary government hospital using the Edinburgh Postnatal Depression Scale-Filipino Translation (EPDS-F), a 10-point questionnaire translated into Filipino and previously validated. Four hundred patients within 8 weeks postpartum were recruited and their EPDS-F scores and sociodemographic, medical and personal history, and delivery and perinatal outcome data were obtained. Results The overall prevalence of PPD was 14.5%, which is within the known worldwide prevalence. Among those that had family incomes below PhP10,000, the proportion that had high EPDS-F scores was 68.8%, while those that had low EPDS-F scores was 48.8% (significant at p=0.001). Among those that finished below tertiary education, the proportion that had high EPDS-F scores was 81%, while those that had low EPDS-F scores was 59.9% (significant at p=0.002). Among those who delivered vaginally, 62.1% had high EPDS-F scores vs 44.2% low EPDS-F (p=0.03). Of those that had epidural anesthesia (106 or 26.5%), 44.8% had high EPDS scores and 26.0% had low EPDS-F scores (p=0.04). Regression analysis showed that having an abdominal delivery is correlated with a lower EPDS-F score by 0.87% by logistic regression and 0.46 % by probit regression. Having a higher educational attainment and monthly income are associated with a lower EPDS-F score by regression analysis. Conclusions The prevalence may be skewed because a tertiary government institution caters to delicate pregnancies and those in low socioeconomic brackets. It may be worthwhile to compare responses from a public versus a private institution, also urban versus rural areas. It would be interesting also to evaluate the mode of delivery variable and how exactly it correlates with the development of postpartum depression.

scholarly journals Paternal Perinatal Depression Assessed by the Edinburgh Postnatal Depression Scale and the Gotland Male Depression Scale: Prevalence and Possible Risk Factors

2018 ◽  
Vol 12 (4) ◽  
pp. 720-729 ◽  
Author(s):  
Magdalena Carlberg ◽  
Maigun Edhborg ◽  
Lene Lindberg
Keyword(s):  
Risk Factors ◽  
Low Income ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Depression Screening ◽  
Male Depression ◽  
Lower Education ◽  
Demographic Risk ◽  
Demographic Risk Factors

Several studies have used the Edinburgh Postnatal Depression Scale (EPDS), developed to screen new mothers, also for new fathers. This study aimed to further contribute to this knowledge by comparing assessment of possible depression in fathers and associated demographic factors by the EPDS and the Gotland Male Depression Scale (GMDS), developed for “male” depression screening. The study compared EPDS score ≥10 and ≥12, corresponding to minor and major depression, respectively, in relation to GMDS score ≥13. At 3–6 months after child birth, a questionnaire was sent to 8,011 fathers of whom 3,656 (46%) responded. The detection of possibly depressed fathers by EPDS was 8.1% at score ≥12, comparable to the 8.6% detected by the GMDS. At score ≥10, the proportion detected by EPDS increased to 13.3%. Associations with possible risk factors were analyzed for fathers detected by one or both scales. A low income was associated with depression in all groups. Fathers detected by EPDS alone were at higher risk if they had three or more children, or lower education. Fathers detected by EPDS alone at score ≥10, or by both scales at EPDS score ≥12, more often were born in a foreign country. Seemingly, the EPDS and the GMDS are associated with different demographic risk factors. The EPDS score appears critical since 5% of possibly depressed fathers are excluded at EPDS cutoff 12. These results suggest that neither scale alone is sufficient for depression screening in new fathers, and that the decision of EPDS cutoff is crucial.

HDL-cholesterol concentrations are inversely associated with Edinburgh Postnatal Depression Scale scores during pregnancy: Results from a Brazilian cohort study

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 ◽  
...  
Keyword(s):  
Cohort Study ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Hdl Cholesterol ◽  
Scale Scores ◽  
Brazilian Cohort

scholarly journals Planned Place of Birth—Impact of Psychopathological Risk Factors on the Choice of Birthplace and Its Postpartum Effect on Psychological Adaption: An Exploratory Study

2022 ◽  
Vol 11 (2) ◽  
pp. 292
Author(s):  
Clara Winter ◽  
Juliane Junge-Hoffmeister ◽  
Antje Bittner ◽  
Irene Gerstner ◽  
Kerstin Weidner
Keyword(s):  
Risk Factors ◽  
Childhood Trauma ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Anxiety Scale ◽  
Mental Illnesses ◽  
Traumatic Experiences ◽  
Hospital Birth ◽  
Prenatal Distress

The choice of birthplace may have an important impact on a woman’s health. In this longitudinal study, we investigated the psychopathological risk factors that drive women’s choice of birthplace, since their influence is currently not well understood. The research was conducted in 2011/12 and we analyzed data of 177 women (obstetric unit, n = 121; free standing midwifery unit, n = 42; homebirth, n = 14). We focused antepartally (M  = 34.3 ± 3.3) on sociodemographic and risk factors of psychopathology, such as prenatal distress (Prenatal Distress Questionnaire), depressiveness (Edinburgh Postnatal Depression Scale), birth anxiety (Birth Anxiety Scale), childhood trauma (Childhood Trauma Questionnaire), and postpartally (M = 6.65 ± 2.6) on birth experience (Salmon’s Item List), as well as psychological adaption, such as postpartum depressive symptoms (Edinburgh Postnatal Depression Scale) and birth anxiety felt during birth (modified Birth Anxiety Scale). Women with fear of childbirth and the beginning of birth were likely to plan a hospital birth. In contrast, women with fear of touching and palpation by doctors and midwives, as well as women with childhood trauma, were more likely to plan an out-of-hospital birth. Furthermore, women with planned out-of-hospital births experienced a greater relief of their birth anxiety during the birth process than women with planned hospital birth. Our results especially show that women with previous mental illnesses, as well as traumatic experiences, seem to have special needs during childbirth, such as a safe environment and supportive care.

scholarly journals Hubungan Faktor Sosiodemografik dengan Depresi Postpartum di Rumah Sakit Daerah Banjarmasin

2020 ◽  
Vol 10 (1) ◽  
pp. 461-469
Author(s):  
Winda Ayu Fazraningtyas
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Beck Depression Inventory ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Depression Risk

LATAR BELAKANG Perempuan mengalami perubahan peran pada ibu hamil mulai dari status masih sendiri menjadi menikah dan kemudian menjadi seorang ibu. Selain itu, kesehatan mental merupakan hal yang penting untuk diketahui dan dimonitor, tetapi sering dilupakan dalam kesehatan reproduksi.TUJUAN Penelitian ini bertujuan untuk menentukan dan menganalisis hubungan faktor sosiodemografik dengan depresi postpartum.METODE Penelitian ini merupakan penelitian kuantitatif dengan metode survey deskriptif. Sebanyak 88 responden terlibat dalam penelitian ini yang dirawat inap di Rumah Sakit Umum Daerah Ulin Banjarmasin dan Rumah Sakit Daerah Dr. H.M. Anshari Saleh Banjarmasin. Instrument yang digunakan dalam penelitian ini adalah Edinburgh Postnatal Depression Scale (EPDS), Beck Depression Inventory-II (BDI-II), and Postpartum Depression Risk Factors (PPDRF).HASIL Hasil dari penelitian ini menunjukkan tidak ada hubungan antara tingkat depresi dengan usia ibu, suku, status pernikahan, tingkat pendidikan tertinggi, pekerjaan, dan pendapatan.KESIMPULAN Memiliki seorang anak dipertimbangkan sebagai sesuatu yang alamiah dan hal yang membahagiakan. Namun, masa transisi yang dialami oleh seorang perempuan menggambarkan kejadian yang penting dalam hidup dan meningkatkan kemungkinan untuk mengalami masalah psikologis. Kata Kunci: faktor sosiodemografik, depresi postpartum

Prevalence and factors associated with male postnatal depression in China

2020 ◽  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Spousal Relationship ◽  
Factors Associated ◽  
Postnatal Depressive Symptoms

Background and Objective: Male postnatal depression has recently begun to attract more research attention. However, it often remains unrecognized despite affecting not only the health of the child but also the spousal relationship and family welfare. This study aimed to estimate the prevalence of male postnatal depressive symptoms in Guangzhou, South China. It also explored sociodemographic factors and psychological variables as predictors of postnatal depression symptoms. Materials and methods: Chinese men whose children had been born within the last six months were screened using the Edinburgh Postnatal Depression Scale for depressive symptoms, the Vulnerable Personality Style Questionnaire for personality, and the Social Support Rating Scale for social support. Sociodemographic and psychosocial variables were descriptively analyzed and logistic regression was also employed to analyze the predictive impact of factors associated with depression. Results: A total of 212 new Chinese fathers participated in the study. The prevalence of postnatal depression was 24.1% assessed by the Edinburgh Postnatal Depression Scale cutoff score of 10. Depressive symptoms were found to be significantly associated with employment status and vulnerable personality traits. Higher family income, wanted pregnancy, having a child of the desired gender, more family support and objective support (OR = 0.598, 95% CI = 0.312-0.896) were all protective factors for depressive symptoms among new Chinese fathers. Conclusion: This study indicated that there is a need to routinely screen for postnatal depressive symptoms in men. Early identification and timely referral to healthcare professionals may prevent postnatal depression and improve the mental health of new fathers. It is important for healthcare providers to develop and evaluate information resources in print and online so as to establish how best to identify and manage paternal postnatal mental health needs. This study also suggests that new fathers need to be provided with targeted resources concerning postnatal mental health and informed as to how to access them and who can be approached for professional support.

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