Sleep deprivation and fatigue in early postpartum and their association with          postpartum depression in primiparas intending to establish breastfeeding

Aims.Few epidemiological studies evaluated associations between perinatal complications and maternal mood at the early postpartum period and the findings are inconsistent. We aimed at investigating a wide range of complications during pregnancy, at delivery, and at the early postpartum period as determinants of postpartum depression (PPD) at 8 weeks postpartum.Methods.A total of 1037 women who enrolled in the Rhea mother–child cohort in Crete, Greece participated in the present study. Information on pregnancy, perinatal and postpartum complications was obtained from clinical records or by questionnaires. Postpartum depressive symptoms were assessed at 8 weeks postpartum using the Edinburgh Postnatal Depression Scale (EPDS). Multivariable linear and logistic regression models were fit to estimate the association between pregnancy, perinatal and postpartum complications and maternal depressive symptoms, adjusting also for potential confounders.Results.The prevalence of women with probable depression (EPDS score ≥ 13) was 13.6% at 8 weeks postpartum. Gestational hypertension and/or preeclampsia (β coefficient 1.86, 95% CI: 0.32, 3.41) and breastfeeding difficulties (β coefficient 0.77, 95% CI: 0.02, 1.53) were significantly associated with higher PPD symptoms. Sleep patterns during pregnancy, such as sleep deprivation (OR = 3.57, 95% CI: 1.91, 6.67) and snoring (OR = 1.81, 95% CI: 1.11, 2.93), and breastfeeding duration less than 2 months (OR = 1.77, 95% CI: 1.19, 2.64) were significantly associated with increase in the odds for PPD. Some other complications, such as unplanned pregnancy and hospitalisation during pregnancy were also associated with EPDS score, but these associations were explained by socio-demographic characteristics of the mother.Conclusions.We found that several pregnancy, perinatal and postpartum complications may have an adverse effect on maternal mood at the early postpartum period. These findings have considerable implications for developing effective prevention and early psychoeducational intervention strategies for women at risk of developing PPD.

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673. Sleep Components in Early Postpartum Predict Later Postpartum Depression

Biological Psychiatry ◽

10.1016/j.biopsych.2017.02.1082 ◽

2017 ◽

Vol 81 (10) ◽

pp. S272 ◽

Cited By ~ 1

Author(s):

Divya Rayapati ◽

Katherine McEvoy ◽

Katie Washington Cole ◽

Jennifer Payne ◽

Lauren Osborne

Keyword(s):

Postpartum Depression ◽

Early Postpartum

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Effects of Self Efficacy, Body Image and Family Support on Postpartum Depression in Early Postpartum Mothers

Journal of the Korea Academia-Industrial cooperation Society ◽

10.5762/kais.2015.16.6.4011 ◽

2015 ◽

Vol 16 (6) ◽

pp. 4011-4020 ◽

Cited By ~ 3

Author(s):

Ji-Won Lee ◽

Yong-Sook Eo ◽

Eun-Hye Moon

Keyword(s):

Body Image ◽

Postpartum Depression ◽

Family Support ◽

Self Efficacy ◽

Early Postpartum ◽

Postpartum Mothers

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Ethical aspects in the management of postpartum depression

Sæculum ◽

10.2478/saec-2019-0022 ◽

2019 ◽

Vol 47 (1) ◽

pp. 227-231

Author(s):

C. Băcilă ◽

C. Anghel ◽

D. Vulea

Keyword(s):

Postpartum Depression ◽

Legal Aspects ◽

Ethical Aspects ◽

Physiological Factors ◽

Ethical Concerns ◽

Early Postpartum ◽

Increased Risk ◽

Specific Symptoms ◽

Depressive Episodes

AbstractPostpartum depression is a relatively frequent psychiatric pathology that involves some challenges in the management and treatment of the case due to the increased risk of suicide and infanticide. Having a relatively early postpartum onset within 4-12 weeks, this pathology may have psychological, social and family repercussions in the long term, both on mother and father, but especially on the child. Postpartum depression is a relatively frequent psychiatric pathology involving some challenges in managing and treating the case due to the increased risk of suicide and infanticide. Having a relatively early postpartum onset within 4-12 weeks, this pathology may have psychological, social and family repercussions in the long term, both on the mother and father, but especially on the child.Postpartum depression manifests with symptoms typical of all depressive episodes, such as depressed mood, irritability, low tolerance to frustration, anxiety, hypersomnia, but also more specific symptoms such as feelings and guilty thoughts about correct child development, lack of empathy, lack of maternal behavior. Emotional, socio-cultural and physiological factors play an important role in the onset of this symptomatology.Postpartum depression raises ethical concerns about the proper conduct of the doctor. In this article we will address both deontological aspects such as doctor-patient confidentiality, suicide and infanticide, as well as the legal aspects that may occur in such situations. Thus, postpartum depression is a therapeutic challenge because of the multiple social, family and legal interferences it presents.

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