scholarly journals THE CURRENT STATE OF THE PROBLEM OF PERINATAL PSYCHOSOMATIC DISORDERS IN PREGNANT WOMEN.

2019 ◽  
Vol 6 (4) ◽  
pp. 226-231
Author(s):  
N. Scherbina ◽  
L. Potapova ◽  
I. Scherbina ◽  
O. Lipko ◽  
O. Mertsalova
Keyword(s):  
Postpartum Depression ◽  
Pregnant Women ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Intrauterine Infection ◽  
Adverse Outcomes ◽  
Psychosomatic Disorders ◽  
Cronbach Alpha ◽  
Current State ◽  
Internal Agreement

THE CURRENT STATE OF THE PROBLEM OF PERINATAL PSYCHOSOMATIC DISORDERS IN PREGNANT WOMEN Scherbina N., Potapova L., Scherbina I., Lipko O., Mertsalova O. Objective: to study the characteristics of the psychosomatic state of women during pregnancy using the Edinburgh Postpartum Depression Scale (EPDS). Materials and Methods: sixty pregnant women in the III trimester of pregnancy were tested using the EPDS questionnaire, a 10-point self-assessment scale that covers the general symptoms of depression. To determine the internal consistency and reliability of this scale, the Cronbach alpha indicator, a statistical indicator that allows evaluation of whether the features included in the questionnaire measure the same thing (high internal agreement), or different things (low internal agreement), was calculated. Results: Subjectively, all pregnant women noted  simplicity, unambiguity and clear wording of the questions, which indicated good acceptability of this questionnaire for the use in the complex of standard monitoring of pregnant women in an antenatal clinic. The Cronbach alpha coefficient was 0.775, which corresponds to a sufficient degree of consistency of the internal elements of the scale. Screening for depressive disorders using EPDS during pregnancy revealed psychosomatic problems of the perinatal period. Data obtained using this scale demonstrate high rates of depressive manifestations in pregnant women. Psychopathological disorders were detected in 40% of women, while in 23% the symptoms of the current "major" depression were identified. The frequency of development of depressive symptoms increases significantly in the presence of a high obstetric risk, characteristic of the current pregnancy (threat of premature birth, hypertensive disorders during pregnancy, intrauterine infection of the fetus, retardation of the fetus development), as well as compromised obstetric and gynecological history. EPDS can be used as a reliable diagnostic tool to prevent pregnancy-related adverse outcomes. Conclusions: identifying the risk factors of pregnancy, screening and examining psychosomatic symptoms with EPDS, and timely referral for psychiatric care are key issues for reducing the risk among women with psychosomatic disorders during pregnancy and the postpartum period. Keywords: pregnancy, psychosomatic disorders, Edinburgh postpartum depression scale.   Абстракт. СУЧАСНИЙ СТАН ПРОБЛЕМИ ПЕРИНАТАЛЬНИХ ПСИХОСОМАТИЧНИХ РОЗЛАДІВ У ВАГІТНИХ. Щербина М., Потапова Л., Щербина I., Ліпко О., Мерцалова О. Мета дослідження: вивчити особливості психосоматичного стану жінок під час вагітності з використанням Единбурзької шкали післяпологової депресії (EPDS). Матеріали і методи: проведено тестування за опитувальником EPDS 60 вагітних жінок в III триместрі вагітності. EPDS є шкалою самооцінки, складається з 10 пунктів охоплює загальну симптоматику депресії. Для визначення внутрішньої узгодженості і надійності зазначеної шкали розраховувався показник альфа Кронбаха, статистичний показник, що дозволяє оцінити вимірюють чи ознаки, що входять в опитувальник одне і те ж (висока внутрішня згода, або різні речі (низький внутрішній згоду). Результати дослідження: суб'єктивно все вагітні відзначали простоту, однозначність і зрозумілу формулювання питань, що свідчило про хорошу прийнятності даного опитувальника для застосування в комплексі стандартного спостереження за вагітними в жіночій консультації. Значення коефіцієнта альфа Кронбаха склало 0,775, що відповідає достатньому ступені узгодженості внутрішніх елементів шкали. Проведений скринінг на наявність депресивних розладів за допомогою EPDS під час вагітності дозволив виявити психосоматичні проблеми перинатального періоду. Дані, отримані на основі застосування цієї шкали демонструють високі показники присутності депресивних проявів у вагітних жінок. Психопатологічні розлади виявлено у 40% жінок, при цьому у 23% визначені симптоми поточної «великої» депресії. Частота розвитку депресивних симптомів значно підвищується при наявності високого акушерського ризику, характерного для поточної вагітності (загроза передчасних пологів, гіпертензивні порушення під час вагітності, внутрішньоутробне інфікування плода, ретардація плода), а також обтяженого акушерського і гінекологічного анамнезів. EPDS може бути використана як надійний діагностичний інструмент для попередження несприятливих наслідків, пов'язаних з вагітністю. Висновок: виявлення факторів ризику  вагітності, скринінг і вивчення психосоматичних симптомів у вагітних із використанням  EPDS, а також своєчасне направлення для надання психіатричної допомоги, є ключовими питаннями зниження ризику серед жінок з психосоматичними розладами під час вагітності та в післяпологовому періоді. Ключові слова: вагітність, психосоматичні розлади, Единбурзька шкала післяродової депресії.    Абстракт СОВРЕМЕННОЕ СОСТОЯНИЕ ПРОБЛЕМЫ ПЕРИНАТАЛЬНЫХ ПСИХОСОМАТИЧЕСКИХ  РАССТРОЙСТВ У БЕРЕМЕННЫХ. Щербина Н., Потапова Л., Щербина И., Липко О., Мерцалова О. Цель исследования: изучить особенности психосоматического состояния женщин во время беременности с использованием Эдинбургской шкалы послеродовой депрессии (EPDS).Материалы и методы: проведено тестирование по опроснику EPDS 60 беременных женщин в III триместре беременности. EPDS является шкалой самооценки, состоит из 10 пунктов и охватывает общую симптоматику депрессии. Для определения внутренней согласованности и надежности указанной шкалы рассчитывался показатель альфы Кронбаха, статистический показатель, позволяющий оценить измеряют ли признаки, входящие в опросник одно и то же (высокое внутреннее согласие, или разные вещи (низкое внутреннее согласие). Результаты исследования: Субьективно все беременные отмечали простоту, однозначность и понятную формулировку вопросов, что свидетельствовало о хорошей приемлемости данного опросника для применения в комплексе стандартного наблюдения за беременными в женской консультации. Значение коэффициента альфа Кронбаха составило 0,775, что соответствует достаточной степени согласованности внутренних элементов шкалы. Проведенный скрининг на наличие депрессивных расстройств с помощью EPDS во время беременности позволил выявить психосоматические проблемы перинатального периода. Данные, полученныена основе применения этой шкалы демонстрируют высокие показатели присутствия депрессивных проявлений у беременных женщин. Психопатологические расстройства выявлены у 40% женщин, при этом у 23% определены симптомы текущей «большой» депрессии. Частота развитии депрессивных симптомов значительно повышается при наличии высокого акушерского риска, характерного для текущей беременности (угроза преждевременных родов, гипертензивные нарушения во время беременности, внутриутробное инфицирование плода, ретардация плода), а также отягощенного акушерского и гинекологического анамнезов. EPDSможет быть использована как надежный диагностический инструмент для предотвращения неблагоприятных исходов, связанных с беременностью. Заключение: выявление факторов риска беременности и родов, скрининг и изучение психосоматических симптомов cиспользованием EPDS, а также своевременное направление для оказания психиатрической помощи, являются ключевыми вопросами снижения риска среди женщин с психосоматическими расстройствами во время беременности и в послеродовом периоде. Ключевые слова: беременность, психосоматические расстройства, Эдинбургская шкала послеродовой депрессии.

scholarly journals Postpartum depression and the scarcity of generalizable evidence: A mini-review of existing literature and the way forward

2021 ◽  
Vol 11 (2) ◽  
pp. 81-84
Author(s):  
Fidelis E Uwumiro ◽  
Victory O Okpujie ◽  
Kingsley O Anokwuru
Keyword(s):  
Postpartum Depression ◽  
Mental Health Professionals ◽  
Depressive Disorders ◽  
Early Recognition ◽  
Depression Scale ◽  
Diagnostic Tools ◽  
Diagnostic And Statistical Manual ◽  
The Bible ◽  
Patient Health ◽  
Distinct Disease

The first known reference to Postpartum Depression (PPD), was Hippocrates’ 4th century hypothesis that drainage of lochia, if suppressed, could flow to the brain resulting in agitation, delirium, and episodes of mania. This hypothesis became dogma and lasted over a millennium. Over the years, knowledge of PPD has evolved but researchers still struggle to establish it as a distinct disease entity. It was initially recognized as Major Depressive Disorder (MDD) with postpartum onset in the 1994 revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), the “bible” of diagnostic criteria for mental health professionals and researchers. It is currently recognized as MDD with peripartum onset (DSM-V) and researchers have admitted that persuasive evidence to indicate that postpartum depression is distinct from other existing depressive disorders, has not been found. Several diagnostic tools such as the Edinburg Postpartum Depression Scale (EDPS), the Beck Depression Inventory (BDI-II), Patient Health Questionnaire (PHQ-9), and the Postpartum Depression Screening Scale (PDSS) are available for use but none of these is universally accepted. With much of the published literature plagued with bias and structural inconsistencies, the credibility of the evidence has been greatly diminished. The difficulty with disease designation, the absence of a universally accepted tool for diagnosis and the scarcity of generalizable evidence on the subject has impaired the early recognition and effective management of PPD. It is therefore expedient, to critically appraise some of the available literature and proffer solutions to navigating this conundrum.

scholarly journals THE NURSING PROFESSIONAL OF THE HEALTH STRATEGY OF FAMILY FACING POSTPARTUM DEPRESSION

2021 ◽  
Keyword(s):  
Postpartum Depression ◽  
Pregnant Women ◽  
Exploratory Study ◽  
Depression Scale ◽  
Family Health ◽  
Signs And Symptoms ◽  
Well Being ◽  
Individualized Care ◽  
Informed Consent Form ◽  
The Relationship

Care in Primary Health Care for women in the pregnancy-puerperal cycle must take place in an integral way, with individualized care that considers the life history, feelings and the environment in which the woman lives, seeking her physical and mental well- being to prevent postpartum depression. Given this fact, a postpartum consultation is recommended as essential by the Ministry of Health for the early detection of preventable complications common in the period, such as puerperal depression (BRAZIL, 2012). It is known that each woman has a way of reacting to the postpartum due to the different situations that occur, such as the relationship with her partner and her family, her social and cultural life, meaning that, each pregnancy is a unique and individual experience. . (SARMENTO, SETÚBAL, 2012). Therefore, we will address the relationship between nurses and postpartum depression in family health strategies in a city in the state of Rio de Janeiro. It will be a qualitative, descriptive and exploratory study, whose overall objective is to analyze how nurses perform to postpartum women with postpartum depression. OBJECTIVE: The objective of this study is to find out about the role of nurses in Family Health Strategies (FHS) in the city of Valença, RJ. METHOD: This is a descriptive and exploratory study, with a qualitative approach. There are 19 ESFs in the municipality, but 9 strategies were selected, however only 5 wanted to participate. A Google Forms form was sent along with the Free and Informed Consent Form to the email of the selected nurses, but only 5 were returned. Data was collected through a semi-structured interview. RESULTS: Through the data gathered, it was seen that nurses have difficulties in identifying the signs and symptoms of PPD, as well as an approach due to the difficulties encountered both because of the non- adherence of pregnant women in prenatal consultations, which makes it difficult for these pregnant women to adhere to postpartum consultations at the unit and the nurses' work routine, which makes tracking difficult. The use of the Edinburgh Postnatal Depression Scale is being questioned. CONCLUSIONS: With the lack of adherence of these puerperal women in the consultations, it is very difficult to identify the signs and symptoms of Postpartum Depression, the nurse must seek the population closer to the unit in carrying out health education in the strategy, creating bonds besides giving the postpartum autonomy over their care. The professional must work together with their team in the actions of permanent education, thus, empowering community health workers in the identification, therefore this professional brings the community closer to the strategy, which facilitates users' adherence to the health service.

scholarly journals Domestic Violence as a Risk Factor for Postpartum Depression Among Ethiopian Women: Facility Based Study

2018 ◽  
Vol 14 (1) ◽  
pp. 109-119 ◽  
Author(s):  
Addishiwet Fantahun Adamu ◽  
Yohannes Mehretie Adinew
Keyword(s):  
Domestic Violence ◽  
Postpartum Depression ◽  
Random Sampling ◽  
Depressive Disorders ◽  
Addis Ababa ◽  
Significant Proportion ◽  
Depression Scale ◽  
Health Centers ◽  
Depression Symptoms ◽  
Cross Sectional

Background:Mental illness in women leads to an increased maternal morbidity and mortality. Postpartum depression accommodates various groups of depressive disorders and syndromes that occur within the first immediate year after delivery. Thus, this study aimed to assess the prevalence of postpartum depression symptoms and correlates among mothers attending public health centers of Addis Ababa, Ethiopia.Methods:Facility-based cross-sectional study was conducted on 618 women in their postpartum period. Simple random sampling technique was used to select three out of ten sub cities in Addis Ababa. Then, nine health centers were selected by lottery method from the three sub-cities. The number of women included from each health center was determined by proportional allocation. Study participants were enrolled by systematic random sampling. The Edinburgh Postnatal Depression Scale was used at a cutoff point>13 to detect depression. Descriptive statistics were done. The bivariate and multivariate analysis was also carried out to identify predictors of postpartum depression.Results:Significant proportion 144 (23.3%) of the women had the symptom of postpartum depression. Respondents who were the victims of domestic violence [AOR 3.1; 95% CI: 1.6-5.9], reported to have diagnosed with postpartum depression [AOR 4.41; 95% CI: 2.4-8.3], and dissatisfied with their marriage [AOR 2.9; 95% CI: 1.5-5.6] had higher odds of reporting postpartum depression symptoms.Conclusion:Postpartum depression is a common mental health problem during the postnatal period. Domestic violence was positively and significantly associated with the symptom of postpartum depression. Maternity services shall consider a sector that provides health care for women who encounter violence and develop symptoms of postpartum depression.

Psychometric properties of the Postpartum Depression Predictors Inventory–Revised for pregnant women in Mexico

2016 ◽  
Vol 23 (11) ◽  
pp. 1415-1423 ◽  
Author(s):  
Beatriz Ibarra-Yruegas ◽  
Ma. Asunción Lara ◽  
Laura Navarrete ◽  
Lourdes Nieto ◽  
Omar Kawas Valle
Keyword(s):  
Prenatal Care ◽  
Postpartum Depression ◽  
Pregnant Women ◽  
Psychometric Properties ◽  
Concurrent Validity ◽  
Depression Scale ◽  
Similar Data ◽  
Spanish Speaking ◽  
Care Services ◽  
English Speaking

This study assessed the reliability and concurrent validity of the prenatal section of the Postpartum Depression Predictors Inventory–Revised for 250 pregnant women receiving prenatal care in Mexico. The Postpartum Depression Predictors Inventory–Revised has shown adequate psychometric properties for English-speaking perinatal women, but no similar data have been reported for Spanish-speaking samples. The results show that the Postpartum Depression Predictors Inventory–Revised is highly reliable and exhibits adequate concurrent validity compared to the Edinburgh Postnatal Depression Scale. These findings suggest that the Postpartum Depression Predictors Inventory–Revised can be a reliable instrument in prenatal care services for detecting risk factors for perinatal depression in Mexican women and potentially in other Spanish-speaking populations.

scholarly journals Level of awareness and treatment of anxiety and depression during pregnancy in southeast Nigeria

2018 ◽  
Vol 24 ◽  
Author(s):  
Ezeme M. Sunday ◽  
Paul C. Okoli ◽  
Vincent O. Dinwoke
Keyword(s):  
Pregnant Women ◽  
Depressive Disorders ◽  
Depression Scale ◽  
Descriptive Study ◽  
Antenatal Clinic ◽  
University Teaching ◽  
Anxiety And Depression ◽  
State University ◽  
Hospital Anxiety ◽  
Cross Sectional

Background: Anxiety and depressive disorders are somewhat masked by features of pregnancy; hence many women are ignorant of them and are untreated.Aim: To determine the level of awareness and treatment of anxiety and depression in pregnancy.Setting: The study was carried out at the antenatal clinic of Enugu State University Teaching Hospital, Enugu, Nigeria.Method: This was a cross-sectional and descriptive study of 200 pregnant women in consecutive attendance of the antenatal clinic using the Hospital Anxiety and Depression Scale (HADS) and a sociodemographic questionnaire.Results: Of the participants, 23.5% had anxiety and/or depression, 7.5% of them were aware of their condition and only 0.5% of all the participants or 6.7% of those who were aware of their problem received treatment.Conclusion: Anxiety and depression are prevalent among pregnant women. Because of overlap of symptoms of anxiety and depression with those of pregnancy, the awareness is very low; hence many of them suffer immensely without treatment.

scholarly journals 808. Perinatal Depression Among HIV- and TB-Infected and Uninfected Women in an Urban Slum in India: Prevalence and Associated Birth Outcomes

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S289-S290
Author(s):  
Tracy Grossman ◽  
Jyoti S Mathad
Keyword(s):  
Postpartum Depression ◽  
Pregnant Women ◽  
Birth Outcomes ◽  
Perinatal Depression ◽  
Depression Scale ◽  
Severe Depression ◽  
Urban Slum ◽  
Developed Countries ◽  
The United States ◽  
Antepartum Depression

Abstract Background In low- and middle-income countries, depression during pregnancy is three times more common than in the United States and is more common than postpartum depression. There have been few studies on the prevalence of antepartum and postpartum depression in India. The objective of this study was to describe the prevalence of antepartum and postpartum depression among HIV-infected and uninfected pregnant women in an urban slum in India, and to evaluate associated pregnancy and birth outcomes. Methods This study was a longitudinal cohort study of HIV-infected and HIV-uninfected pregnant women at Sassoon General Hospital in Pune, India. Enrolled women answer questions about sociodemographics and medical history, including obstetric history. The PHQ-9 depression scale is administered during pregnancy and at 6 months postpartum. Results Of the 189 pregnant women enrolled, 113 (60 %) exhibited at least one symptom of depression on the PHQ-9 scale with 23 (12%) women having moderate or severe depression. However, significantly fewer postpartum women had evidence of depression (60% antepartum vs. 26% postpartum, P < 0.001). Of the 77 women who had a postpartum visit, 20 (26%) also had symptoms of depression prior to delivery, but only 2 (10%) had more severe depression scores while 18 (90%) had improved scores. Thirty (39%) women with antepartum depression had resolution of symptoms postpartum and no women developed incident depression in the postpartum period. There was a trend toward increased rates of antenatal depression among HIV-infected vs. uninfected women (69% vs. 57%, P = 0.13). Both depressed and nondepressed pregnant women experienced low rates of intrauterine fetal demise, intrapartum hypertension, and preterm delivery. However, women with depression had 3-fold higher incidence of intrauterine growth restriction on prenatal ultrasound (4.4% vs. 1.5%). Conclusion We found that the majority of pregnant women in our population experience some form of depression during pregnancy. Most women with antepartum depression experienced improvement in their mood postpartum, which contrasts with patterns of perinatal depression in developed countries. We are planning qualitative studies to understand the social contributors for antepartum depression in India, and to identify potential solutions. Disclosures All authors: No reported disclosures.

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.

Women with anxiety disorders during pregnancy are at increased risk of intense postnatal depressive symptoms: a prospective survey of the MATQUID cohort

2004 ◽  
Vol 19 (8) ◽  
pp. 459-463 ◽  
Author(s):  
A.L. Sutter-Dallay ◽  
V. Giaconne-Marcesche ◽  
E. Glatigny-Dallay ◽  
H. Verdoux
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Postnatal Depression ◽  
Depressive Disorders ◽  
Post Partum ◽  
Depression Scale ◽  
Maternity Hospital ◽  
Pregnancy Anxiety ◽  
Postnatal Depressive Symptoms ◽  
Increased Risk

AbstractObjective– Studies have suggested that women with pregnancy anxiety may be at greater risk of postnatal depression (PND). However, due to the high comorbidity between anxiety and depressive disorders, this finding may be confounded by the association between prenatal depression and postnatal depression. The aim of the present prospective study was to assess whether anxiety disorder (AD) during pregnancy is an independent predictor of intensity of postnatal depressive symptoms.Method.– The MATQUID cohort survey was conducted on pregnant women (n = 497) attending a state maternity hospital. Psychiatric status during pregnancy was assessed during the third trimester using a structured diagnostic interview. Intense postnatal depressive symptoms at 6 weeks post-partum were defined by a score >12 on the Edinburgh Postnatal Depression Scale (EPDS).Results.– Nearly one out of four women (24.1%) presented with at least one pregnancyAD, and 29 (5.8%) presented with a score >12 on the EPDS. After adjustment for presence of major depression during pregnancy and other confounding factors, women with pregnancy AD were nearly three times more likely to present with intense postnatal depressive symptoms (OR = 2.7, 95%CI 1.1-6.3, P = 0.03).Conclusion.– Promoting the recognition and management of AD in pregnant women may be of interest for the prevention of postnatal depression.

scholarly journals Nursing and rehabilitation of very preterm infants: current state of the problem

2017 ◽  
Vol 8 (2) ◽  
pp. 81-88
Author(s):  
Svetlana A Khmilevskaya ◽  
Nikolay I Zryachkin ◽  
Ekaterina S Shcherbatyuk ◽  
Elena I Ermolaeva ◽  
Anastasiya A Rebrova
Keyword(s):  
System Analysis ◽  
Inflammatory Diseases ◽  
Disease Incidence ◽  
Intrauterine Infection ◽  
Adverse Outcomes ◽  
Extremely Low Birth Weight ◽  
Critical Conditions ◽  
Very Preterm Infants ◽  
Very Preterm ◽  
Current State

The article deals with basic ethiopathogenetic factors of birth of extremely premature infants, their malconditions, disease incidence. The authors give live birth criteria adopted in Russia in 2011 according to WHO recommendations. The article presents basic ethiologic factors of prematurely born and the role of intrauterine infection (IUI) in the pathogenesis of this condition, also survival rate, mortality and adverse outcomes. These literatures devoted to the international experience of nursing of such children and forecasting of viability of newborns in the viability limit zone (VLZ) are provided. Reflects the basic malconditions typical of children with very low (VLBW) and extremely low birth weight (ELBW) and leading to disability (damage to the nervous, respiratory system, analysis unit, etc). It is shown significance of IUI in the formation of infectious and inflammatory diseases (IID), the place and especially the innate immune system in the implementation of anti-infectious protection and ways of its correction in severe forms of EWI. Need of development of the differentiated programs of the treatment-and-prophylactic actions directed to correction of critical conditions and simplification of a course of the developed diseases is proved.

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