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

Mode Of Delivery ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

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.

Prevalence of postpartum depression in Nuuk, Greenland – a cross-sectional study using Edinburgh Postnatal Depression Scale

International Journal of Circumpolar Health ◽

10.3402/ijch.v72i0.21114 ◽

2013 ◽

Vol 72 (1) ◽

pp. 21114 ◽

Cited By ~ 4

Author(s):

Iben Motzfeldt ◽

Sabina Andreasen ◽

Amalia Lynge Pedersen ◽

Michael Lynge Pedersen

Keyword(s):

Postpartum Depression ◽

Postnatal Depression ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Prevalence, Knowledge and Risk Factors for Postpartum Depression in Western Nepal - A Cross-Sectional Study

Europasian Journal of Medical Sciences ◽

10.46405/ejms.v3i1.203 ◽

2021 ◽

Vol 3 (1) ◽

pp. 18-23

Author(s):

Sapana Karki ◽

Shila Gurung

Keyword(s):

Risk Factors ◽

Postpartum Depression ◽

Postnatal Depression ◽

Tertiary Care ◽

Depression Scale ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Associated Risk Factors

Background: Postpartum depression(PPD)can be defined as non-psychotic depression occurring within a year after childbirth, characterized by low mood, unusual thoughts, feeling of guilt, unexplained anxiety, worthlessness, and other depressive symptoms. Objective: This study aims to assess the prevalence, knowledge and risk factors of postpartum disorder. Methods: A cross-sectional descriptive study was conducted among 217 postpartum mothers in the outpatient department of psychiatry of a tertiary care hospital using the Edinburgh postnatal depression scale(EPDS). All the patients enrolled were directly interviewed using a structured questionnaire to identify the associated risk factors of postpartum depression. The data collected were checked for validity and analyzed using S.P.S. version 16.0. Results: Out of 217 patients, five women were found to have an EPDS(Edinburgh postnatal depression scale) score greater than 10. The prevalence of postpartum depression was found to be 2.3%.Upon evaluation of knowledge about postpartum depression, 90.3% of women were found to have a poor level of knowledge and 8.8% had a good knowledge level. The statistically significant factors associated with postpartum depression were the lack of support from family and partners (p<0.005). Conclusion: There was a comparatively low prevalence of P.P.D. in Western Nepal. Majority of the mothers (90.3%) were found not aware of P.P.D. The present study concluded on the need for educational intervention among the mothers regarding P.P.D. in Western Nepal.

Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

F1000Research ◽

10.12688/f1000research.20704.2 ◽

2020 ◽

Vol 8 ◽

pp. 1845 ◽

Cited By ~ 1

Author(s):

Shunji Suzuki

Keyword(s):

Postpartum Depression ◽

Exclusive Breastfeeding ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Perinatal Center ◽

Feeding Methods

Background: Some studies have demonstrated that breastfeeding can protect mothers from postpartum depression; therefore, we examined the association between postpartum depression and lactation status at one month after delivery at a Japanese perinatal center. Methods: We reviewed the obstetric records of all (total 809) nulliparous healthy women with vaginal singleton delivery at 37-41 weeks’ gestation at our institute between July 2018 and June 2019. A face-to-face interview with the women was conducted on admission for delivery to ask whether or not they hoped to perform exclusive breastfeeding for their babies, and an additional interview was conducted one month after delivery to ask about their feeding methods currently. Maternal mental status was examined based on the scores using the Edinburgh Postnatal Depression Scale (EPDS), and women with EPDS scores of ≥9 points were regarded as ‘positive screening’. Results: 592 women (73.1%) hoped to perform exclusive breastfeeding for their babies on admission. Of these, at one month, 442 (74.7%) performed exclusive breastfeeding, while 150 (25.3%) performed mixed or artificial feeding. The average EPDS scores and the incidence of EPDS scores ≥9 points in the women performing exclusive breastfeeding were 4.3 ± 3.6 and 14.3% (63/442), respectively. They did not differ from those in the women performing mixed or artificial breast feeding [4.2 ± 3.7, p = 0.60 and 13.3% (20/150), p = 0.78]. Conclusion: Development of postpartum depression does not seem to be associated with incomplete breastfeeding at our hospital, and therefore there are other risk factors indicated in the development of postpartum depression.

Self-reported perinatal depressive symptoms and postnatal symptom severity after treatment with antidepressants in pregnancy: a cross-sectional study across 12 European countries using the Edinburgh Postnatal Depression Scale

Clinical Epidemiology ◽

10.2147/clep.s156210 ◽

2018 ◽

Vol Volume 10 ◽

pp. 655-669 ◽

Cited By ~ 5

Author(s):

Angela Lupattelli ◽

Michael J Twigg ◽

Ksenia Zagorodnikova ◽

Myla E Moretti ◽

Mariola Drozd ◽

...

Keyword(s):

Depressive Symptoms ◽

Symptom Severity ◽

Postnatal Depression ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Perinatal Depressive Symptoms ◽

In Pregnancy

Validation of the Edinburgh Postnatal Depression Scale (EPDS) on the Thai–Myanmar border

Tropical Doctor ◽

10.1177/0049475517717635 ◽

2017 ◽

Vol 47 (4) ◽

pp. 339-347 ◽

Cited By ~ 3

Author(s):

Harriet Ing ◽

Gracia Fellmeth ◽

Jitrachote White ◽

Alan Stein ◽

Julie A Simpson ◽

...

Keyword(s):

Postnatal Depression ◽

Group Discussion ◽

Depression Scale ◽

Cross Sectional Study ◽

Diagnostic Interview ◽

Screening Tools ◽

Sectional Study ◽

Cross Sectional ◽

Local Staff

Postnatal depression is common and may have severe consequences for women and their children. Locally validated screening tools are required to identify at-risk women in marginalised populations. The Edinburgh Postnatal Depression Scale (EPDS) is one of the most frequently used tools globally. This cross-sectional study assessed the validity and acceptability of the EPDS in Karen and Burmese among postpartum migrant and refugee women on the Thai–Myanmar border. The EPDS was administered to participants and results compared with a diagnostic interview. Local staff provided feedback on the acceptability of the EPDS through a focus group discussion. Results from 670 women showed high accuracy and reasonable internal consistency of the EPDS. However, acceptability to local staff was low, limiting the utility of the EPDS in this setting despite its good psychometrics. Further work is required to identify a tool that is acceptable and sensitive to cultural manifestations of depression in this vulnerable population.

Variability of the Edinburgh Postnatal Depression Scale for Antenatal Depression Screening in Spanish: a Cross-Sectional Study.

10.21203/rs.3.rs-21035/v1 ◽

2020 ◽

Author(s):

María Esperanza Manso-Martínez ◽

Laura Esteban-Gonzalo ◽

Beatriz Marazuela-López ◽

Alfonso García-Luengo ◽

Arantzazu de-la-Torre-Gallego ◽

...

Keyword(s):

Roc Curve ◽

Postnatal Depression ◽

Depression Scale ◽

Antenatal Depression ◽

Cross Sectional Study ◽

Spanish Version ◽

Depression Screening ◽

Sectional Study ◽

Abstract Background Depression during pregnancy is a prevalent problem with significant potential health effects on women and children. The most widely used screening instrument is the Edinburgh Postnatal Depression Scale (EPDS). Two validations of the EDPS in Spanish have been published. Given the differences in cut-off point, sensibility and specificity among the Spanish EPDS validations, the aim of this study is to provide further information regarding the topic through a validation of the EPDS is Spain with a different sample.Methods Cross-sectional study. 194 women being followed up for normal pregnancy in Primary Healthcare in Spain completed the EPDS and had a semi-structured interview with a clinical psychologist using the DSM-5 manual criteria for diagnosing depression. The ROC curve was calculated to determine the optimal cut-off point, sensitivity and specificity.Results The age range of the participating pregnant women was from 18 to 42 years of age. The optimal cut-off point is 11/12, with a sensitivity of 93.33% and a specificity of 91.62%. The ROC curve has an area of 0.936. Discussion The cut-off point is slightly lower than that of the Spanish version validated in Chile. Likewise, compared to the version validated in Spain, the cut-off point is slightly higher. In our research, sensitivity is notably higher, and specificity slightly lower than in the Spanish version validated in Chile. Compared with the Spanish version validated in Spain, sensibility and specificity were notably higher in our research.Conclusions Given the differences in cut-off point, sensibility and specificity, we propose to continue searching for an optimal cut-off point in the Spanish version of the EPDS. In our opinion, further research is necessary in order to use the EPDS for antenatal depression screening in Spain. A multicentric study including pregnant women from all over the country would be suitable.

Relationship between postpartum depression and lactation status at a Japanese perinatal center: A cross-sectional study

F1000Research ◽

10.12688/f1000research.20704.1 ◽

2019 ◽

Vol 8 ◽

pp. 1845

Author(s):

Shunji Suzuki

Keyword(s):

Postpartum Depression ◽

Exclusive Breastfeeding ◽

Depression Scale ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Face To Face ◽

Perinatal Center ◽

Feeding Methods

Assessment of postnatal depression and some associated risk factors among mothers attending the immunisation outpatient department in a tertiary health care centre: a cross sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20194503 ◽

2019 ◽

Vol 6 (10) ◽

pp. 4412

Author(s):

Shruti Gaikwad ◽

Vinod Mundada ◽

Vishal Dhande ◽

Mohan Doibale

Keyword(s):

Risk Factors ◽

Health Care ◽

Postpartum Depression ◽

Postnatal Depression ◽

Tertiary Care ◽

Cross Sectional Study ◽

Outpatient Department ◽

Local Version ◽

Sectional Study ◽

Background: Postpartum depression is a signiﬁcant and common health problem that causes a considerable amount of impact to both the mother and baby and distress on the family and society. The objective of this study is to find out prevalence of postnatal depression among mothers attending immunization outpatient department (OPD) for immunization of their baby in a tertiary health care center and to study some risk factors responsible for it.Methods: This cross sectional study was conducted in a tertiary care teaching hospital of Maharashtra state during period September to February 2019. Total 188 mothers were screened for postpartum depression using local version of EPDS (Edinburgh Postnatal Depression Scale).Results: 24 (12.76%) mothers were found to have a score of 10–12 indicating moderate depressive symptoms, and 18 mothers had a score of 13 and above. (9.57%). Risk factors found to be significantly associated with postnatal depression rural residence of mother, lack of support during and after pregnancy, history of domestic abuse, and stressful life events in the past year.Conclusions: Since the prevalence of EPDS score >13 was found to be high in the current study, we recommend routine screening for PPD in our population.

Low serum albumin, aspartate aminotransferase, and body mass are risk factors for frailty in elderly people with diabetes: possible mechanistic role of dehydroepiandrosterone sulfate – a cross-sectional study

10.21203/rs.2.22681/v1 ◽

2020 ◽

Author(s):

Toshihiko Yanase ◽

Ikumi Yanagita ◽

Yuya Fujihara ◽

Chikayo Iwaya ◽

Yuichi Kitajima ◽

...

Keyword(s):

Risk Factors ◽

Regression Analysis ◽

Serum Albumin ◽

Body Mass ◽

Aspartate Aminotransferase ◽

Dehydroepiandrosterone Sulfate ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Independent Risk Factors

Abstract Background: Relatively low dehydroepiandrosterone sulfate (DHEA-S) and high cortisol/DHEA ratio have been suggested to be associated with frailty, evaluated using a physical scale. However, the significance of these two hormones for frailty in elderly patients with type 2 diabetes mellitus (T2DM) has not been assessed using a wider range of measures of frailty, including physical, mental, and social indices. Methods: We performed a cross-sectional study to investigate the significance of these two hormones for frailty in elderly T2DM patients (n=148; ≥65 years), using a broad assessment, the clinical frailty scale, and to reevaluate the risk factors for frailty in elderly T2DM patients. We compared parameters between the non-frail and frail groups using the unpaired t and Mann-Whitney U tests. The Jonckheere-Therpstra test was used to identify relationships with the severity of frailty and risk factors were identified using binary regression analysis. Results: Simple regression analysis identified a number of significant risk factors for frailty, including DHEAS <70 µg/dL and cortisol/DHEA-S ratio ≥0.2. Multiple regression analysis showed that low albumin (<4.0 g/dl) (odds ratio [OR]=5.79, p <0.001), low aspartate aminotransferase (AST) activity (<25 IU/L) (OR=4.34, p =0.009), and low body mass (BM) (<53 kg) (OR=3.85, p =0.012) were independent risk factors for frailty. A significant decrease in DHEA-S and a significant increase in the cortisol/DHEA-S ratio occurred alongside increases in the severity of frailty. DHEA-S concentration positively correlated with both serum albumin and BM. Conclusions: Hypoalbuminemia, low AST, and low BM are independent risk factors for frailty in elderly T2DM patients, strongly implying relative malnutrition in these frail patients. DHEA-S may be important for the maintenance of liver function and BM. A decrease in DHEA-S and an increase in the cortisol/DHEAS ratio may be involved in the mechanism of the effect of malnutrition in elderly T2DM patients.