scholarly journals Prevalence of Post-partum Depression among Sudanese Women Using Edinburgh Postnatal Depression Scale (EPDS) in Two Major Delivery Hospitals in Khartoum State

2020 ◽  
Author(s):  
Maram Osman Elawad Mabyoue
Keyword(s):  
Postpartum Depression ◽  
Post Partum ◽  
Occupational Status ◽  
Previous History ◽  
Depression Scale ◽  
Sampling Technique ◽  
Cutoff Score ◽  
University Graduates ◽  
Cross Sectional ◽  
History Of

Background: Postpartum depression is a mood disorder that can affect women after childbirth; it can occur at any time during the first year after delivery. Mothers experience depressive symptoms that may make it difficult for them to complete daily care activities. The aim of this study was to find out the prevalence of postpartum depression among Sudanese women as well as determining the association between postpartum depression (PPD), socio-demographic, and obstetric characteristics. Method:  In this cross-sectional study, 129 women selected through convenient sampling technique were interviewed; the participants were recruited from the postnatal and child welfare clinics at the Saad Abueleella and the Dream International Hospitals. To assess any possible depression, information was collected at six weeks postpartum using a structured questionnaire in addition to a screening tool. Results: At a cutoff score of ≥12, the prevalence of PPD was found to be 10.9% (Confidence Interval 6.5–17.3%); while 79.1% of mothers revealed no signs of PPD and scored <9 points, 10.1% scored 9–11, indicating a need for extra visits. Interestingly, 59.7% of the respondents were aged between 25 and 35 years, 76% were university graduates, 64.3% housewives, 20.9% had obstetric complications, 3.1% reported a history of PPD, and almost 97.7% breastfed their babies. Moreover, PPD was found to be associated with occupational status (p = 0.01) and a previous history of PPD (p = 0.01). Conclusion: The prevalence of postpartum depression was 10.9% among the studied sample. Interventions to address its risk factors should be implemented, physicians and health personnel should be qualified on screening and referring depressed mothers for further clinical assessment.  Keywords: Postpartum depression, Prevalence, Screening, Sudanese

scholarly journals Faktor Prediktor Terjadinya Depresi Postpartum di Rumah Sakit Panti Rapih Yogyakarta

2020 ◽  
Vol 1 (1) ◽  
pp. 61-70
Author(s):  
Agnes Mahayanti ◽  
Intansari Nurjannah ◽  
Widyawati
Keyword(s):  
Marital Satisfaction ◽  
Postpartum Depression ◽  
Postpartum Period ◽  
Statistical Tests ◽  
Depression Scale ◽  
Sampling Technique ◽  
Psychological Adaptation ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Postpartum Blues

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

Medical and psychosocial determinants of risk of postpartum depression: a cross-sectional study

2017 ◽  
Vol 29 (6) ◽  
pp. 347-355 ◽  
Author(s):  
Karolina Maliszewska ◽  
Mariola Bidzan ◽  
Małgorzata Świątkowska-Freund ◽  
Krzysztof Preis
Keyword(s):  
Postpartum Depression ◽  
Psychiatric Disorder ◽  
Premenstrual Syndrome ◽  
Postnatal Depression ◽  
Positive Family History ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
History Of ◽  
Neuroticism Scale

ObjectiveThe aim of this study was to investigate the degree of risk of maternal postpartum depression during the second month of puerperium.MethodIn total, 387 postnatal women filled out a questionnaire concerning their health and social status, as well as the following tests: the Edinburgh Postnatal Depression Scale (EPDS), the Patient Health Questionnaire-9 (PHQ-9), the Neo Five-Factor Inventory (NEO-FFI) Personality Inventory and the Berlin Social Support Scales. After 4–8 weeks, patients responded to another questionnaire with the EPDS and the PHQ-9.ResultsIn total, 48 patients (12.40%) were found to be at risk of postpartum depression between the fourth and eighth weeks after delivery. Premenstrual syndrome [adjusted odds ratio (ORa)=2.93, confidence interval (CI) 1.30–6.63] and EPDS>12 points during the first week after the delivery (ORa=3.74, CI 1.59–9.04) increased the risk of postnatal depression. A similar role is played by a high result in neuroticism scale of the NEO-FFI (ORa=1.50, CI 1.17–1.92) and a positive family history of any psychiatric disorder (ORa=1.03, CI 1.01–1.06).ConclusionA history of premenstrual syndrome and a higher risk of affective disorder soon after a childbirth are associated with greater chances of depressive symptoms in the second month postpartum. This is also the case if a patient is neurotic and has a relative with a history of any psychiatric disorder. Such women should have their mental status carefully evaluated.

scholarly journals Barriers to access to treatment for mothers with postpartum depression in primary health care centers: a predictive model

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Pablo Martínez ◽  
Paul A. Vöhringer ◽  
Graciela Rojas
Keyword(s):  
Postpartum Depression ◽  
Predictive Model ◽  
Short Form ◽  
Previous History ◽  
Depression Scale ◽  
Initial Assessment ◽  
P Value ◽  
Access To Treatment ◽  
History Of ◽  
History Of Depression

Objective to develop a predictive model to evaluate the factors that modify the access to treatment for Postpartum Depression (PPD). Methods prospective study with mothers who participated in the monitoring of child health in primary care centers. For the initial assessment and during 3 months, it was considered: sociodemographic data, gyneco-obstetric data, data on the services provided, depressive symptoms according to the Edinburgh Postpartum Depression Scale (EPDS) and quality of life according to the Short Form-36 Health Status Questionnaire (SF-36). The diagnosis of depression was made based on MINI. Mothers diagnosed with PPD in the initial evaluation, were followed-up. Results a statistical model was constructed to determine the factors that prevented access to treatment, which consisted of: item 2 of EPDS (OR 0.43, 95%CI: 0.20-0.93) and item 5 (OR 0.48, 95%CI: 0.21-1.09), and previous history of depression treatment (OR 0.26, 95%CI: 0.61-1.06). Area under the ROC curve for the model=0.79; p-value for the Hosmer-Lemershow=0.73. Conclusion it was elaborated a simple, well standardized and accurate profile, which advises that nurses should pay attention to those mothers diagnosed with PPD, presenting low/no anhedonia (item 2 of EPDS), scarce/no panic/fear (item 5 of EPDS), and no history of depression, as it is likely that these women do not initiate treatment.

scholarly journals Prevalence of Postpartum Depression in A Tertiary Health Care

2020 ◽  
Vol 58 (223) ◽  
pp. 137-140
Author(s):  
Priza Pradhananga ◽  
Prajita Mali ◽  
Lisasha Poudel ◽  
Minani Gurung
Keyword(s):  
Mental Health ◽  
Postpartum Depression ◽  
Early Stage ◽  
Maternal Mental Health ◽  
Depression Scale ◽  
Public Health Problem ◽  
Sampling Technique ◽  
Negative Consequences ◽  
Important Public Health Problem ◽  
Cross Sectional

Introduction: Postpartum Depression is an important public health problem in developing country like Nepal. Although prevalence of postpartum depression is high in our setting, it is most neglected area of mental health. These have negative consequences not only to mother but also to infant. Data related to postpartum depression in Nepal are limited, research in this particular field will contribute in knowing the gravity of the situation and helps to formulate the factor association to upcoming researchers. This research is done in order to find out the prevalence of postpartum depression. Methods: A descriptive cross-sectional study was carried out in Paropakar Maternity and Women’s Hospital, among total 348 postnatal mothers who were selected through convenient sampling technique. Validated Nepalese version of Edinburg Postnatal Depression Scale was used to screen depressive symptoms. Data was collected after receiving ethical approval letter. Data entry was done using SPSS version 20. Results: Out of total mothers, the prevalence of Postpartum Depression (PPD) was seen among 51 mothers (14.7%). Conclusions: Postpartum Depression being a common yet neglected area of maternal health in Nepal, should be detected in early stage. As, the study showed that about one sixth of mothers had postpartum depression, more focus should be given to maternal mental health.  

scholarly journals A comprehensive analysis of postpartum depression and delivery characteristics: a cross-sectional study

2021 ◽  
Vol 8 (1) ◽  
pp. 94-99
Author(s):  
Navdar Uzun ◽  
Mustafa Tekin ◽  
Fulya Uzun
Keyword(s):  
Postpartum Depression ◽  
Medical History ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Screening Tools ◽  
Cross Sectional ◽  
Number Of Children ◽  
Familial Support ◽  
History Of ◽  
Depression Level

Objective: We attempted to identify risk factors for postpartum depression (PPD) by evaluating individuals in terms of their birth patterns, as well as other characteristics, including income level, smoking habits, number of children, age, and history of antidepressants. Methods and results: Participants completed a questionnaire consisting of three sections: demographic characteristics, delivery characteristics, and Edinburgh Postpartum Depression Scale. Participants with a depression medical history had a higher depression level during the postpartum. There were significant correlations between postpartum depression, the husband’s working status, the desire fo r the pregnancy, and the patient’s depression medical history. PPD levels did not differ for other birth-related variables. Conclusions: It is important to use appropriate screening tools to identify mothers with PPD in the community. It is also important to instruct mothers about how to care for both their babies and themselves. For this reason, the mother should be monitored for the first six months postpartum, and social - familial support should also be monitored.

scholarly journals Paternal postpartum depression, its relationship to maternal postpartum depression and to insufficient income

2021 ◽  
Author(s):  
Grażyna Gebuza ◽  
Patrycja Kudziełko ◽  
Marzena Kaźmierczak ◽  
Agnieszka Dombrowska-Pali ◽  
Małgorzata Gierszewska ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Depressive Disorder ◽  
Postnatal Depression ◽  
Previous History ◽  
Depression Scale ◽  
Postnatal Period ◽  
Symptoms Of Depression ◽  
History Of ◽  
Financial Income ◽  
History Of Depression

Introduction: No studies on paternal postnatal depression (PPND) have been performed in Poland. Aim: The aim of the study was to estimate the symptoms of depression in women and men and identify the determinants of mental health of fathers after the birth of their child. Material and methods: Parents (142) participated in the study during the period 1 to 12 months after the birth. Results and discussion: The analyses reveal that 13% of fathers and 18% of mothers after the birth of their child had Edinburgh postnatal depression scale (EPDS) scores of 10 or higher, which indicates possible depression. At score 12 and more, the proportion detected by EPDS decreased to 7% of fathers and 13% of mothers, which is an indicator of major depressive disorder. At EPDS score 12 and more, a probable depressive disorder was indicated in 10% of fathers in the period of 1–3 months, 7% of fathers at 4–7 months and 4% of fathers at 8–12 months. The symptoms of maternal depression at a score of 12 and more were detected in 16% of women at 1–3 months, 12% at 4–7 months 11% at 8–12 months. PPND was significantly associated with depression in mothers OR 5.7, lower education OR 4.3, low financial income OR 6.0, decreased relationship satisfaction OR 3.3, and previous history of depression OR 3.2. Conclusions: Psychosocial factors were strong predictors of PPND up to a year after the birth of the child. The authors suggest the routine screening and assessment of both parents should occur during the woman’s pregnancy and in the postnatal period.

scholarly journals Study on prevalence of prelabour rupture of membranes and its maternal and fetal outcomes

2021 ◽  
Vol 10 (11) ◽  
pp. 4163
Author(s):  
Mamatha Poondru ◽  
R. Kala ◽  
A. Kumar
Keyword(s):  
Risk Factors ◽  
Tamil Nadu ◽  
Post Partum ◽  
Mode Of Delivery ◽  
Previous History ◽  
Active Management ◽  
Normal Vaginal Delivery ◽  
Maternal Complications ◽  
Cross Sectional ◽  
History Of

Background: The aim is to study the prevalence of prelabour rupture of the membranes (PROM), to identify risk factors, mode of delivery, and its maternal and fetal effects.Methods: This was a cross-sectional study conducted in the department of obstetrics and gynaecology at Government Head Quarters Hospital, Cuddalore, Tamil Nadu, with a duration of 6months (January 2020 – June 2020). The study was conducted on 800 pregnant women between 28-42 weeks of gestational age consecutively and those who met the inclusion and exclusion criteria were taken into study.Results: The prevalence of PROM was 27.9% (tPROM 24.6% and PPROM 3.2%). Most of the cases were primigravida (74%). Risk factors associated with PROM were low socioeconomic state (63.2%), urinary tract infection (UTI) (7.2%), vaginal infections (5.8%), and previous history of PROM (3.1%). Most of the patients were delivered by lower segment caesarean section (LSCS) (55.2%), normal vaginal delivery (39.9%) and forceps delivery (4.9%). The most common indication for LSCS was fetal distress (43.9%). Misoprostol induction was associated with more failed induction (2 times) than syntocinon. Maternal complications were post-partum haemorrhage (PPH) (8%), fever (6.7%), wound infection (6.2%), manual removal of placenta (4.4%), and puerperal sepsis (0.9%). Neonatal complications were neonatal intensive care unit (NICU) admissions (14%), respiratory distress syndrome (RDS) (11%), neonatal sepsis (2.6%). Maternal (54.5%) and neonatal (90%) morbidity were more in prolonged PROM >24 hours.Conclusions: Antenatal screening for genitourinary infections especially in cases of the previous history of abortions and PROM should be done. Oxytocin is the preferred method of induction over misoprostol in this study. Active management in term PROM cases can reduce the cesarean section rate.

scholarly journals Relationship of Family Support and Self-Efficacy with Postpartum Depression among Postpartum Mothers

2021 ◽  
Vol 7 (1) ◽  
pp. 33
Author(s):  
Cucu Eka Pertiwi ◽  
Ni Ketut Alit Armini ◽  
Eka Mishbahatul Mar’ah Has
Keyword(s):  
Postpartum Depression ◽  
Family Support ◽  
Self Efficacy ◽  
Depression Scale ◽  
Sampling Technique ◽  
Cross Sectional ◽  
Social Support Scale ◽  
Cross Sectional Design ◽  
Postpartum Mothers ◽  
Relationship Of

Introduction: The postpartum period is a challenging transition for postpartum mothers. The existence of major changes can make mothers experience mood disorders such as postpartum depression. The purpose of this study was to determine the relationship between family support and self-efficacy with the incidence of postpartum depression.Methods: This study uses a cross-sectional design. The population in this study was postpartum mothers. The sample involved 97 respondents using a consecutive sampling technique. The inclusion criteria in this study were postpartum mothers with 1-4 month periods. The exclusion criteria used were postpartum mothers with severe mental disorders. Data were collected using Sources of Social Support Scale questionnaires, Perceived Maternal Parental Self Efficacy, and Edinburgh Postpartum Depression Scale. The analysis uses the spearman rho test statistical test.Results: The results showed there was a relationship between family support and postpartum depression (p = 0.000; r = -0.364) and there was a relationship between self-efficacy and the incidence of postpartum depression (p = 0.000; r = -0.355).Conclusion: The higher the family support and self-efficacy, the lower the chance of postpartum depression. Postpartum mothers who get high family support will feel cared for, loved, and can share the burden so they can reduce stress which ultimately reduces postpartum depression. Postpartum mothers who have high self-efficacy tend to regard the task difficulties that she faces as an obstacle rather than as a threat that leads to the emergence of depression.

Post-partum depression risk factors in pregnant women

2016 ◽  
Vol 33 (S1) ◽  
pp. s279-s280
Author(s):  
A. Ugarte ◽  
P. López ◽  
C. Serrulla ◽  
M.T. Zabalza ◽  
J.G. Torregaray ◽  
...  
Keyword(s):  
Risk Factors ◽  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Depressive Disorders ◽  
Post Partum ◽  
Depression Scale ◽  
Personal History ◽  
Assisted Reproductive Technique ◽  
History Of ◽  
Competing Interest

IntroductionPostpartum depression has a prevalence of 15% and has consequences for mother and baby (delayed physical, social and cognitive development). It's essential to prevent the illness with an early identification of Risk Factors (RF).MethodsFive hundred and seventy-two women in 3rd trimester of pregnancy were evaluated and selected those with ≥ 1 RF (n = 290). We re-evaluated in the postpartum with Edinburgh Depression Scale and selected those with subsyndromal depressive symptoms (≥ 7.5) (n = 57). Clinical, demographic and functional data were collected.ResultsA total of 50.7% had RF. A percentage of 48.6 had family history of mental illness (MI), 34.1%had personal history of (MI) and 34.1% had some pregnancy associated illness. Twenty percent had needed some assisted reproductive technique, 14.1% had little family support and 15.2% had little couple support, 3.8% showed anxiety-depressive disorders during pregnancy, 19.7% had depressive symptoms after delivery. The mean age was 33.67. No significant differences between patients with and without RF (T-1858, P 0.064). Among women with RF, 59.6% were married, 35.1% single and 3.0% had other situation. 89.5% live with their own family, 8.8% with their family of origin, 1.8% alone. 50.8% had university studies.ConclusionsAssessing RF during pregnancy can help these women, since we see that the 19.7% will have serious risk of developing postpartum depression. The RF to take more into account are not those related to social-academic development, neither the presence of anxiety-depressive symptoms during pregnancy, but the family or personal history of (MI) and the presence of a pregnancy associated illness. Early detection and treatment may prevent the development of this disease improving the quality of life of mother and babies’ development.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals PREVALENSI DAN FAKTOR RISIKO DEPRESI POST PARTUM DI KOTA DENPASAR TAHUN 2019

2020 ◽  
Vol 2 (2) ◽  
pp. 100
Author(s):  
I Komang Lindayani ◽  
Gusti Ayu Marhaeni
Keyword(s):  
Risk Factors ◽  
Postpartum Depression ◽  
Post Partum ◽  
Univariate Analysis ◽  
Social Factor ◽  
Depression Scale ◽  
Observational Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Post Partum Depression

Depresi post partum dapat dialami oleh ibu nifas sejak 2 minggu sampai dengan 1 tahun setelah melahirkan. Kondisi ini jika dideteksi sejak awal dan dapat penanganan yang tepat, akan dapat mencegah masalah lebih lanjut. Identifikasi gejala depresi dan faktor risiko terjadinya depresi post partum penting dilakukan. Kuesioner Edinburgh Postpartum Depression Scale (EPDS)sudah sangat umum digunakan di seluruh dunia untuk mendeteksi adanya depresi post partum dengan tingkat sensitivitas sebesar 80% dan spesifitas 84,4%. Penelitian ini bertujuan untuk menghitung prevalensi kejadian depresi post partum di Kota Denpasar Tahun 2019, mengetahui faktor risiko yang berhubungan dengan kejadian depresi post partu dan menganalisis hubungan antara faktor risiko yang ditemukan. Penelitian ini merupakan jenis penelitian observasional dengan desain cross sectional. Penelitian dilaksanakan di 3 (tiga) puskesmas rawat inap yaitu Puskesmas I Denpasar Timur, IV Denpasar Selatan dan II Denpasar Barat. Responden berjumlah 67 orang. Instrumen yang digunakan adalah kuesioner EPDS,  kuesioner faktor yang terkait dengan kehamilan, persalinan dan nifas, dan kuesioner faktor sosial. Analisis univariat dengan menghitung proporsi, analisis bivariat dengan menggunakan uji Chi Square dan analisis multivariate dengan menggunakan regresi logistic. Hasil penelitian menunjukkan prevalensi kejadian depresi post partum sebesar 25,4%. Faktor risiko yang berhubungan secara bermakna dengan kejadian depresi post partum antara lain : jenis keluarga, nutrisi untuk bayi dan dukungan keluarga. Sedangkan faktor risiko usia, pendidikan, pekerjaan, penghasilan keluarga, paritas, status kehamilan, komplikasi persalinan dan jenis kelamin bayi tidak menunjukkan adanya hubungan yang signifikan. Hasil regresi logistik menunjukkan nutrisi untuk bayi memiliki hubungan yang paling kuat dengan kejadian depresi post partum. Post partum depression can be experienced by postpartum mothers from 2 weeks to 1 year after giving birth. This condition, if detected early and can be handled properly, will be able to prevent further problems. Identification of depressive symptoms and risk factors for post partum depression is important. The Edinburgh Postpartum Depression Scale (EPDS) questionnaire has been very commonly used worldwide to detect post partum depression with a sensitivity level of 80% and a specificity of 84.4%. This study aims to calculate the prevalence of post partum depression events in Denpasar City in 2019, determine the risk factors associated with the incidence of post partum depression and analyze the relationship between risk factors found. This research is an observational research with cross sectional design. The study was conducted in 3 (three) inpatient puskesmas, namely Puskesmas I Denpasar Timur, IV Denpasar Selatan and II Denpasar Barat. Respondents numbered 67 people. The instruments used were EPDS questionnaire, factor questionnaire related to pregnancy, childbirth and puerperium, and social  factor questionnaire. Univariate analysis by calculating proportions, bivariate analysis using the Chi Square test and multivariate analysis using logistic regression.The results showed the prevalence of post partum depression was 25.4%. Risk factors significantly related to the incidence of post partum depression include: type of family, nutrition for infants and family support. While risk factors for age, education, occupation, family income, parity, pregnancy status, complications of childbirth and sex of the baby did not show a significant relationship. Logistic regression results show that nutrition for infants has the strongest association with the incidence of post partum depression. 

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