Prevalence Of Post Partum Depression Among Postnatal Women At A Tertiary Care Centre Using Edinburgh Post Partum Depression Scale

2021 ◽  
Vol 12 (4) ◽  
pp. 2395-2399
Author(s):  
Sivasundari Maharajan ◽  
Dhanvarsha Sumaldha Subbiah Ramkumar ◽  
Nimrah Amthul ◽  
Shrutiravali
Keyword(s):  
Postpartum Depression ◽  
Negative Impact ◽  
Post Partum ◽  
Tertiary Care ◽  
Depression Scale ◽  
Medical Intervention ◽  
Tertiary Care Centre ◽  
Chi Square ◽  
Post Partum Depression ◽  
Chi Square Test

Postpartum depression is a grave mental health problem, which is more prevalent than society realizes and poses great risk. It has been associated with lack of breastfeeding, aversion towards the baby and negative impact on the development of the child. A total of 300 women who delivered between January 14 to March 31 of 2020 at Saveetha Medical College and Hospital were chosen following ethical clearance. After explaining the aspects of the Edinburgh Postpartum Depression Scale in their native language, the questionnaire was provided. A score of 10 and above were considered positive. Data were evaluated using SPSS and Chi square test. The prevalence of PPD was seen in 14% of women. It was higher with vaginal delivery, in women who had multiple births, lack of financial and social support, with domestic violence and alcoholic partner. Medical help was advised to women who scored 10 and above; only 5% sought medical intervention. Others did not recognize depression as a health issue. This shows the lack of awareness among the population. Medical health professionals should spread awareness, conduct more studies to evaluate the prevalence, the predisposing factors, methods for early diagnosis and ways to help women overcome “THE OTHER SIDE OF MOTHERHOOD”.

scholarly journals Post Partum Depression among Women Attending Maternal and Child Health Clinic in Selected Hospitals of Nepal

2019 ◽  
Vol 5 (1) ◽  
pp. 27-41
Author(s):  
Durga Mishra ◽  
Dhanedra Veer Shakya ◽  
Ram Sharan Pathak ◽  
Smriti Mishra
Keyword(s):  
Postpartum Depression ◽  
Post Partum ◽  
Group Discussion ◽  
Depression Scale ◽  
Public Health Problem ◽  
Health Clinic ◽  
Chi Square ◽  
Post Partum Depression ◽  
Child Health Clinic ◽  
Chi Square Test

Background: The postpartum non-psychotic depression is one of the most common complications of childbearing affecting about 10-15 % of women and is representative prevalence to consider as a public health problem affecting women and their families. The major objectives of this study were to assess magnitude of postpartum depression and to identify possible reasons. Methods:Mixed method was adopted for the study. Individual interview questionnaire andNepali version Edinburgh Postnatal Depression Scale (EPDS) were used as quantitative tool among 260 women attending MCH clinic for vaccinating their children under the age of one from  purposively selected three Tarai hospitals in Nepal. 248 respondents were included in the analysis. For the qualitative part, Focus Group Discussion (FGD), In-depth interview (IDI) and Key Informants Interview (KII) were used. Data analysis was done usingSPSS (20). Chi-square test was done to show strength of association. Theme building was done for qualitative analysis. Findings from both studies have been triangulated. Results: Among the 248 respondents 177 (71.4%) of them showed no signs of depression however,  in the 71 (28.6%) respondents  the postpartum depressionwas found through EPDS. The prevalence of postpartum depression was seen in all kinds of socio- economic and demographic characteristics but varied  in the magnitude. Conclusions: Women from anywhere can be sufferers of the post partum depression and the findings of this study would be an important evidence for an individual, family, community and policy makers and programme designers/implementers in managing this  problem properly.

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. 

Comparison of Clinical Outcomes With Drug Coated Balloons Versus Plain Balloon Angioplasty In Chronic Limb-Threatening Ischemia

2021 ◽  
pp. 153857442110225
Author(s):  
Joel Mathew John ◽  
Vimalin Samuel ◽  
Dheepak Selvaraj ◽  
Prabhu Premkumar ◽  
Albert A Kota ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
Interventional Procedure ◽  
Tertiary Care ◽  
Arterial Disease ◽  
Multivariable Logistic Regression Analysis ◽  
Tertiary Care Centre ◽  
Chi Square ◽  
Exact Test ◽  
Institutional Review ◽  
Chi Square Test

Objective: The use of drug coated balloon (DCB) for angioplasty has shown superior efficacy against plain balloons for treating complex infrainguinal arterial disease. We report and compare the clinical outcomes following application of DCB(Paclitaxel) and plain angioplasty (POBA) in our tertiary care centre. Methods: A retrospective, single centre analysis of 301 patients with chronic limb-threatening ischemia involving the infrainguinal segment was conducted between September 2014 and September 2018, after approval from the Institutional review board. We analyzed clinical outcomes by measuring postoperative ABI improvement, restenosis requiring reintervention procedure, minor and major amputations at the end of 18 months. . To find the association between the group variables (POBA and DCB) and other risk variables, Chi-square test/Fisher’s exact test was used. Multivariable logistic regression analysis was used. Results: Patients who underwent treatment with plain balloon (POBA) and DCB(Paclitaxel) angioplasty were 246(81.7%) and 55(18.3%) respectively. Our study group was predominantly male (Male: Female = 6.7:1), most patients were more than 50 years of age (n = 251, 83.4%). Smoking (n = 199, 66.1%) and diabetes (n = 210, 69.8%) were the most common atherosclerotic risk factors. Postoperative Ankle Brachial Pressure Index (ABI) improvement were similar in both groups (POBA = 57.7%; DCB = 69.8%; p = 0.103). Minor and major amputations following POBA were 26% and 22%; and DCB were 12.7% and 16.4% respectively. Re-stenosis requiring a re-interventional procedure within 18 months was 15%, (n = 37) following POBA; and 12.7% (n = 7) following DCB (p = 0.661). Conclusions: This retrospective study shows similar clinical limb related outcomes following POBA and DCB at 18 months. However, our comparative analysis between the POBA and DCB groups was totally unadjusted and not adjusted for common confounders such as age and sex. Hence, for one to draw definitive conclusions leading to changes in clinical practice; a randomized, prospective study with a larger patient cohort is needed.

Spinal Surgery During COVID-19 Pandemic in Saudi Arabia

2021 ◽  
pp. 12
Author(s):  
Faisal Konbaz ◽  
Taif Alqahtani ◽  
Nada Alharthi ◽  
Mohammad Baraja ◽  
Nazish Masud ◽  
...  
Keyword(s):  
Hospital Admission ◽  
Tertiary Care ◽  
Case Series ◽  
Medical Intervention ◽  
Care Hospital ◽  
Hospital Data ◽  
Chi Square ◽  
Chi Square Test ◽  
The Mean ◽  
American Society

Introduction: The COVID-19 pandemic has challenged the healthcare system’s capacities around the world. Due to the alarming situation, medical activities have been restricted to allocate resources to treat COVID-19-infected patients. However, medical emergencies still need urgent medical intervention. Considering the lack of reliable data regarding spinal surgeries during the COVID-19 pandemic, the present study sought to analyze the pattern of spinal surgeries in KSA. Methodology: A case series of patients who had urgent spine surgeries during COVID-19 pandemic was conducted in a tertiary care hospital. Data on patients’ demographics, COVID-19 test result, American Society of Anesthesia Score, SSS grade, diagnosis, and data related to surgery and postoperative findings were collected. All collected data were then processed and analyzed. Surgical outcomes based on source of admission were compared using Chi-square test. Result: A total of 63 patients who underwent spine surgery during the COVID-19 pandemic were included. The mean age of the patients was 53 ± 18 years and males were predominant (59%). The positive COVID-19 patients were 3%. Almost half of the patients were classified into ASA II. The majority were categorized into grade B (65%) according to SSS. The frequently diagnosed condition was fracture (33%), followed by spinal stenosis (18%) and metastatic (10%), while the most mentioned location was lumbar (61%). Postoperative complications were found in 11% of the patients. The readmission rate within 30 days, unplanned return to OR and ICU admission were 19%, 13%, and 11%, respectively. While the mean duration between admission and surgery was 8 ± 20 days, the mean duration of length of stay was 20 ± 29 days. Further, a significant association was seen between the admission source and the surgical procedure performed and surgical indication. Conclusion: It has been demonstrated that the surgical intervention was only provided to patients requiring immediate or urgent spinal management. However, the length of hospitalization and duration between hospital admission and surgery was substantially prolonged. Further studies are warranted to determine the factors leading to prolonged hospitalization and time between hospital admission and surgery.

A STUDY ON PREVALENCE OF POST-PARTUM DEPRESSION IN TERTIARY CARE HOSPITAL OF NORTH INDIA.

2021 ◽  
pp. 31-33
Author(s):  
Nidhi Johri ◽  
Priti Kumar
Keyword(s):  
Postpartum Depression ◽  
Tertiary Care Hospital ◽  
Post Partum ◽  
Tertiary Care ◽  
Depression Scale ◽  
North India ◽  
Postpartum Women ◽  
Care Hospital ◽  
Health Seeking ◽  
Prevalence Of Depression

Background: Depression is the most common complication postpartum affecting 10%–15% of women, contributing greatly to maternal mortality and morbidity, but the care availed is very low among the women who suffer. Aim and Objectives: The current study aimed to study the prevalence and associated risk factors of postpartum depression among recently delivered women in a tertiary care hospital of North India. Material and Methods: This was a hospital based cross-sectional study done between May 2019 and January 2020. All women in the study area who had a pregnancy outcome during the past 6 months and have completed 42 days since their last delivery were included in the study. The data on postpartum depression were collected using the Edinburgh Postnatal Depression Scale (EPDS). Results: There were 300 postpartum women in the study area who participated in the study. Mean age of the study participants was 24.5 years. The deliveries were Institutional in 98% of women. The prevalence of depression among the study women (an EPDS score of 10 and above) was 10%. Among women with depression, a history of depression before the last delivery was given by 40% of women. Only 7.5% of women had sought some form of health care for their problem. Conclusion: The study shows that the prevalence of depression among postpartum women is quite high and the health seeking for depression is very low. Health professionals and workers have to be trained to raise awareness, detect, and treat depression among postpartum women promptly

scholarly journals Frequency of Depression in Burn Patients at a Tertiary Care Hospital

2020 ◽  
Vol 11 (3) ◽  
pp. 3-7
Keyword(s):  
Tertiary Care ◽  
Depression Scale ◽  
Care Hospital ◽  
Burn Patients ◽  
Chi Square ◽  
Cross Sectional ◽  
Residential Status ◽  
Duration Of Illness ◽  
Chi Square Test ◽  
Medical University

Background: Burns are physically, psychologically and economically challenging injuries and the factors leading to them are many and under studied. Different studies have associated burn injuries with psychiatric disorders from different parts of the world. Objective: To determine the frequency of depression among the burn patients. Methodology: This cross sectional study was conducted at the Pak Italian Modern Burn Unit, Nishtar Medical University, Multan and the Department of Psychiatry, Nishtar Medical University, Multan. Non probability consecutive sampling technique was used to collect the data from study subjects, which consisted of 150 patients of burn. All patients were assessed by a single psychiatrist on Hospital Anxiety and Depression scale (HADS) scale for screening of depression. Chi square test was applied to determine association between the socio demographic factors of burn patients and depression. Results; Of these 150 study cases, 91 (60.7 %) were male patients while 59 (39.3 %) were female patients. Mean age of our study cases was 33.94 ± 8.88 years. The frequency of depression was noted as 88 (58.7%). Post stratification Pearson chi square test revealed significant associations between age (p=0.001), residential status (p=0.038), occupation (p= 0.000), etiology of burn (p=0.044) and duration of illness (p=0.000) with depression. Conclusion: A high frequency of depression was noted among burn patients in our study. Depression was significantly associated with age, residential status, occupation, duration of illness and etiology of the burn. Healthcare professionals treating such patients should anticipate depressive symptoms in these patients and treat them accordingly.

scholarly journals Instrumental delivery: a comparative study in a tertiary care hospital

2018 ◽  
Vol 7 (3) ◽  
pp. 1079
Author(s):  
Bhanu B. T. ◽  
Anitha G. S.
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Neonatal Morbidity ◽  
Fetal Distress ◽  
Care Hospital ◽  
Chi Square ◽  
Significant Difference ◽  
Chi Square Test ◽  
Maternal And Neonatal Outcomes ◽  
Vertex Presentation

Background: To compare maternal and neonatal outcomes of vacuum versus forceps application in assisted vaginal delivery.Methods: Women in labor with vertex presentation were delivered by indicated/propylactic vacuum or forceps. A total of 500 cases were included in this retrospective study. Maternal and neonatal morbidity were compared in terms of perineal lacerations, episiotomy extension, post-partum hemorrhage, Apgar score, neonatal jaundice, perinatal mortality, NICU admissions etc. Chi square test was used to analyze the data.Results: Maternal morbidity was significant in the forceps group. With regards to neonatal morbidity, in NICU admissions, statistically significant difference was noted.Conclusions: Vacuum and forceps should remain appropriate tools in the modern obstetrics. However, ventouse may be chosen first (if there is no fetal distress) as it is significantly less likely to injure the mother and decrease NICU admissions.

scholarly journals 22 Parental Perceptions and Patterns of Cannabis Use During Pregnancy and Breastfeeding at a Canadian Tertiary Obstetrics Centre

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e8-e8
Author(s):  
Sarah Manning ◽  
Anne Drover
Keyword(s):  
Post Partum ◽  
Tertiary Care ◽  
Family Doctor ◽  
Parental Perceptions ◽  
Cannabis Use ◽  
Long Term Effects ◽  
Online Questionnaire ◽  
Tertiary Care Centre ◽  
Chi Square ◽  
Study Participants

Abstract Background On October 17th, 2018, recreational cannabis use became legalized in Canada. Tetrahydrocannabinol (THC) is the main psychoactive compound in cannabis. It has the ability to cross the placenta and enter fetal tissues during pregnancy and accumulate in breast milk postpartum. There is limited research on the long-term effects of cannabis use, particularly on the developing brain. Canadian guidelines recommend that women who are thinking about becoming pregnant, are pregnant, or breastfeeding should abstain from using cannabis. Objectives The objective of this study was to investigate parental perceptions and patterns of cannabis use during the pre- and post-natal periods. Design/Methods Participants were recruited from the women’s health unit at a tertiary care centre; a total of 102 patients or partners of patients who were currently pregnant or less than 6 months post-partum were enrolled in the study. Participants consented to complete an anonymous, online questionnaire including previously validated demographic questions and newly developed questions on cannabis use during pregnancy and breastfeeding. Chi-square tests were used for data analysis. Results Overall, 5.0% of pregnant women and 6.3% of breastfeeding women used cannabis daily or weekly. Women who did not complete high school were significantly more likely to use cannabis during pregnancy than women who completed higher levels of education (p < 0.001). Additionally, women who smoked cigarettes or vaped tobacco during pregnancy were significantly more likely to use cannabis during pregnancy (p < 0.001; p < 0.001). Among all participants, 22.6% and 30.4% believed there was no harm or were unsure of the harm associated with cannabis use during pregnancy and breastfeeding, respectively. Around half of the women who used cannabis during pregnancy or breastfeeding indicated that knowledge of the possible effects on the fetus or child would decrease their cannabis use. The majority of participants reported obtaining their information on cannabis use during breastfeeding from the internet (34.0%); while only 8.1% reported receiving information from a family doctor, 6.5% from an OBGYN, and 1.6% from a pediatrician. Legalization of cannabis had no reported effect on cannabis use during pregnancy and breastfeeding for the majority of participants. Conclusion It is clear that parents lack information about the safety of cannabis use during pregnancy and breastfeeding. Perinatal counselling should put an emphasis on educating parents on the risks associated with cannabis use during fetal development. In addition, given the overwhelming benefits of breastfeeding, harm reduction approaches to cannabis use while breastfeeding should be investigated.

scholarly journals Perinatal depression and anxiety of primipara is higher than that of multipara in Japanese women

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Yukako Nakamura ◽  
Takashi Okada ◽  
Mako Morikawa ◽  
Aya Yamauchi ◽  
Maya Sato ◽  
...  
Keyword(s):  
Social Support ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Depression Scale ◽  
Japanese Version ◽  
Perinatal Period ◽  
Analysis Of Covariance ◽  
Chi Square ◽  
The Social ◽  
Chi Square Test

Abstract The proportion of women who experience a depressive state after delivery differs between primiparas and multiparas, so it is important to clarify the different factors related to depression between the two groups. In this study, we confirmed the differences in depressive states, the perinatal period, and social support between primiparas and multiparas, and clarified their characteristics. Data were extracted from a prospective cohort questionnaire survey conducted on pregnant women in Japan that included sociodemographic questions, the Edinburgh Postnatal Depression Scale, and the Japanese version of the Social Support Questionnaire. We carried out the chi-square test, Student’s t-test, and analysis of covariance to compare responses between primiparas and multiparas. A total of 1138 primiparas and 380 multiparas provided valid responses. We found that primiparas had higher rates of experiencing maternity blues and postpartum depression than multiparas. We also found that primiparas had higher anxiety scores than multiparas. Primiparas with postpartum depression perceived a lower number of persons available to provide social support than primiparas without postpartum depression. These findings suggest that it is important to provide pregnant women, especially for primiparas, with information that allows them to increase the number of people who can provide them with support.

scholarly journals Assessment of breastfeeding position and attachment (ABPA) in a tertiary care centre in Chennai, India: an observational descriptive cross-sectional study

2018 ◽  
Vol 5 (6) ◽  
pp. 2209
Author(s):  
Nalini Aswathaman ◽  
Mohamed Sajjid ◽  
C. N. Kamalarathnam ◽  
A. T. Arasar Seeralar
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Correct Position ◽  
Chi Square ◽  
Cross Sectional ◽  
Key Points ◽  
Chi Square Test ◽  
Correct Technique

Background: Effective breastfeeding becomes an art with experience. Correct position and attachment is the first step necessary for exclusive breast feeding. However, studies assessing correct position and attachment for breastfeeding in South India are sparse. Hence our study aimed to assess the percentage of mother infant dyads with correct breastfeeding position and attachment along with factors influencing them in a Tertiary care Hospital.Methods: A descriptive cross-sectional study was conducted among the stable dyads in Institute of Obstetrics and Gynaecology using quasi random sampling. 101 dyads were observed for correct position, attachment and effective suckling using WHO B-R-E-A-S-T feed observation form and were scored. Data was analyzed using SPSS software with chi square test, univariate logistic regression and spearman correlation test.Results: Among the 101 dyads, only 30.7% of them had good or average position, 52.47% had good or average attachment and 62.3% had effective suckling at breast. There was significant correlation between breast problem in mother with incorrect position and poor attachment. NICU stay and breast problems were significantly associated with poor attachment. Effective suckling improved significantly as gestational age matured and in infants who had no NICU stay.Conclusions: Practical demonstration on how to hold infants in correct breastfeeding position and drilling with key points for correct position and attachment as soon as possible after delivery will go a long way for promoting exclusive and effective breastfeeding by learning correct technique. Rechecking after counselling will reinforce this learned art.

Sign in / Sign up

Export Citation Format

Share Document