Prevalence of Postpartum Depression and Related Factors among Mothers of Low Birth Weight Infants

2021 ◽  
Vol 104 (10) ◽  
pp. 1578-1583

Background: Postpartum depression (PPD) is a common psychological disorder associated with childbirth. Over time, it can cause stress and mental problems, leading to a low quality of life and risk of malnutrition in their babies. Nonetheless, limited data are available on the prevalence and related factors of PPD among mothers of low birth weight (LBW) infants. Objective: To study the prevalence of PPD and related factors in mothers of infants with LBW. Materials and Methods: The present study was a descriptive cross-sectional design. It was conducted at Bhumibol Adulyadej Hospital (BAH) between June 2019 and September 2020. Participants were the immediate parturients admitted and delivering LBW babies. Demographic data were collected before the participants were discharged from the hospital. At four to eight weeks after delivery, participants were interviewed to complete three self-reported questionnaires, including the parenting data, the Thai version of Edinburgh Postprtum Depression Scale (Thai-EPDS), and the Revised-Thai version of the Multi-dimensional Scale of Perceived Social Support (r-T-MSPSS). The infants’ data were collected from the medical records by the researcher. Results: Two hundred sixty-seven from 398 participants were enrolled into the present study. The average age of participants, infants’ gestational age, and birth weight in the present study were 27.8 years, 36⁺⁵ weeks, and 2,281 grams, respectively. The prevalence of PPD among mothers of LBW infants in the present study was 22.5%. The factors significantly associated with PPD included both maternal factors such as educational level less than bachelor’s degree, marital conflict, history of depression, unplanned pregnancy, non-breastfeeding, and low social support, and infant factors such as hospital stay more than three days, admission to the neonatal intensive care unit (NICU), and neonatal health problems. Conclusion: The prevalence of PPD among mothers of LBW infants was 22.5%. Educational level less than bachelor’s degree, marital conflict, history of depression, unplanned pregnancy, non-breastfeeding, low social support, hospital stay of infant more than three days, NICU admission, and neonatal health problems were associated factors of PPD. Keywords: Thai version of Edinburgh Postnatal Depression Scale; Low birth weight infants; Postpartum depression

2014 ◽  
pp. 140-152
Author(s):  
Manh Hoan Nguyen ◽  
Ngoc Thanh Cao

Background and Objective: HIV infection is also a cause of postpartum depression, however, in Vietnam, there has not yet the prevalence of postpartum depression in HIV infected women. The objective is to determine prevalence and related factors of postpartum depression in HIV infected women. Materials and Methods: From November 30th, 2012 to March 30th, 2014, a prospective cohort study is done at Dong Nai and Binh Duong province. The sample includes135 HIV infected women and 405 non infected women (ratio 1/3) who accepted to participate to the research. We used “Edinburgh Postnatal Depression Scale (EPDS) as a screening test when women hospitalized for delivery and 1 week, 6weeks postpartum. Mother who score EPDS ≥ 13 are likely to be suffering from depression. We exclude women who have EPDS ≥ 13 since just hospitalize. Data are collected by a structural questionaire. Results: At 6 weeks postpartum, prevalence of depression in HIV infected women is 61%, in the HIV non infected women is 8.7% (p < 0.001). There are statistical significant differences (p<0.05) between two groups for some factors: education, profession, income, past history of depression, child’s health, breast feeding. Logistical regression analysis determine these factors are related with depression: late diagnosis of HIV infection, child infected of HIV, feeling guilty of HIV infected and feeling guilty with their family. Multivariate regression analysis showed 4 factors are related with depression: HIV infection, living in the province, child’s health, past history of depression. Conclusion: Prevalence of postpartum depression in HIV infected women is 61.2%; risk of depression of postnatal HIV infected women is 6.4 times the risk of postnatal HIV non infected women, RR=6.4 (95% CI:4.3 – 9.4). Domestic women have lower risk than immigrant women from other province, RR=0.72 (95% CI:0.5 – 0.9). Past history of depression is a risk factor with RR=1.7 (95% CI:1.02 – 0.9. Women whose child is weak or die, RR=1.7(95% CI:0.9 – 3.1). Keywords: Postpartum depression, HIV-positive postpartum women


2021 ◽  
pp. 002076402110001
Author(s):  
Esra’ O Taybeh

Background: The magnitude of postpartum depression in Jordan is under documented, and little is known about its potential sociodemographic and clinical correlates. Purpose: The aim of this study was to explore the prevalence and risk factors associated with postpartum depression among Jordanian mothers in the first 18 months after delivery. Method: This descriptive cross-sectional study was carried out from April to June 2020 in Jordan. A web-based survey was used for recruiting eligible participants. An Arabic version of the validated self-administered Edinburgh Postnatal Depression Scale questionnaire was used to measure postpartum depression with a cut-off score of ⩾12 which indicates probable depression. Results: A total of 1,071 Jordanian women participated in the study. Of those, 567 women had postpartum depression (52.9%). Multivariate logistic regression analysis revealed that postpartum depression was significantly associated with marital conflict (OR: 4.91; 95% CI: 2.36–10.20), negative attitude from the pregnancy (OR: 0.67; 95% CI: 0.45–0.99), unplanned pregnancies (OR: 1.73; 95% CI: 1.16–2.60), lack of social support (OR: 1.93; 95% CI: 1.12–3.32), time from last delivery (OR: 0.99; 95% CI: 0.98–1.00), insomnia (OR: 0.53; 95% CI: 0.35–0.82), and depression during the pregnancy (OR: 0.51; 95% CI: 0.33–0.78). Most of the participants (65.7%) sought social support to avoid, reduce, or treat postpartum depression. Conclusions: Postpartum depression among Jordanian women was the highest in comparison to that of women in other countries in the region. Therefore, screening for the presence of depressive symptoms should be implemented during regular pregnancy care visits. Social support should be encouraged in order to avoid, reduce, or treat postpartum depression.


2010 ◽  
Vol 50 (2) ◽  
pp. 86 ◽  
Author(s):  
Ekawaty L Haksari ◽  
Setya Wandita ◽  
Yustivani Yustivani

Background Low birth weight infants are ongoing problems sincethey are likely to have high risks of morbidity, mortality andfeeding problems. American Academy of Pediatrics recommendsbreastfeeding practice for infants with low birth weight, yet someproblems have occured.Objective To determine risk factors for non-optimal breastfeedingpractices in low birth weight infants.Methods In this historical cohort study we included mothers with6-month-old infants, single birth with weight of2000-2499 gramsand the pregnancy period of 2:: 34 weeks, and excluded motherswith infants who had a major congenital disorder, labioschizis,labiognatopalatoschizis, or history of admission in NICU. Datawere collected using standard longitudinal surveillance form forbreastfeeding mothers. Analyses were performed using chi-squaretest and logistic regression.Results The percentage of low birth weight infants breastfedoptimally were 42.7%. Working mothers presented the highestrisk for non-optimal breastfeeding. The onset of lactation formore than 6 hours was the second factor (81.8%). The resultsof multivariate logistic regression analysis showed that motherswho worked (RR 2.79; 95% CI 1.84 to 4.23) and onset lactationof more than 6 hours (RR 2.34; 95% CI 1.57 to 3.50) were therisk factors for non-optimal breastfeeding practices in low birthweight infants.Conclusion Mother's working status and onset of lactationfor more than 6 hours were the risk factors for non-optimalbreastfeeding in low birth weight infants.


Author(s):  
Vanithamani Sivapragasam ◽  
Anitha A. Manjappa ◽  
Aruna B. Patil ◽  
Monicka Kalaimani

Background: Up to 85% of the women experience some type of mood disturbance in the postnatal period. Postpartum depression affects bonding with infant which may lead to malnutrition and other complications in the infant. This article focuses on the prevalence of depression among postnatal women attending a tertiary care institute in Chennai and to identify the risk factors that affect postpartum depression.Methods: This study was a cross sectional study, performed over a period of three months from January 2019 to March 2019. 200 postnatal mothers were recruited for the study, who were in postpartum period from 1 to 6 weeks after delivery. Specially designed proforma was used to record various determinants to assess the risk factors which could contribute to postpartum depression. The Edinburgh Postnatal Depression Scale was used to detect the depressive symptoms in postnatal mother.Results: A total of 200 cases were studied. Prevalence of postpartum depression was found to be 25%. Primi gravida, history of miscarriage and unplanned pregnancy were associated with increased risk of developing depression in the postnatal period. Fear regarding gender of the child and failure of lactation were not contributing risk factors to postpartum depression. Spacious house and partner support were found to be protective factors to combat depression in postnatal women.Conclusions: Prevalence of postpartum depression was 25%. Significant association was found between primi gravida, history of miscarriage, unplanned pregnancy and postpartum depression. Early screening of the women will reduce the adverse outcomes among both mother and the child.


2018 ◽  
Vol 1 (1) ◽  
pp. 27
Author(s):  
Linda Linda

Pneumonia is the premiere killer of toddlers in the world and in Indonesia. In Indonesia pneumonia is the cause of 15% of infant mortality is estimated as many as 922,000 under-fives in 2015. Puskesmas Kamonji is a health center that has the highest number of pneumonia cases in the city of Palu is 422 cases in 2015. Based on evidence that the risk factor of pneumonia is the lack of breastfeeding exclusive, malnutrition, indoor air pollution, low birth weight (LBW), population density, and lack of measles immunization. The purpose of this study is known factors associated with the incidence of pneumonia, namely Exclusive breastfeeding and history of low birth weight (LBW). The type of research used is analytical survey with case control approach. The samples in this study were all mothers who had children under 12-59 months in the Kamonji Puskemas Working Area consisted of 70 samples consisting of 35 case samples and 35 control samples. This research uses Chi-square statistical analysis with 5% error rate (α = 0,05) and trust level 95%. The results showed that exclusive breastfeeding (P value = 0.147) and low birth weight (P Value = 1,000) did not correlate with pneumonia occurrence in children aged 12-59 months. The conclusion in this study was no association between exclusive breastfeeding and the incidence of pneumonia and no association between low birth weight infants and the incidence of pneumonia. Suggestions for Health Officers to continue to give counseling about the importance of healthy living behavior teaches the community how important to wash hands with soap and keep the nutritional status of toddlers is always good.  Keywords: Exclusive Breast Milk, Low birth weight, Pneumonia


2012 ◽  
Vol 52 (4) ◽  
pp. 229 ◽  
Author(s):  
Karolina Trigemayanti Tallo ◽  
I Kompyang Gede Suandi ◽  
Setya Wandita

Background Infants who are breastfed receive natural protectionagainst certain infections. Despite the known benefits of exclusivebreastfeeding, many Indonesian mothers choose to supplementwith formula. There have been few Indonesian studies on theeffect of exclusive breastfeeding in reducing acute respiratoryinfections in low birth weight infants in their first four monthsof life.Objective To investigate the effect of exclusive breastfeeding inreducing the incidence of acute respiratory infections in low birthweight infants during their first four months of life.Methods We conducted a prospective cohort study on low birthweight babies in Sanglah Hospital, Denpasar. The total numberof subjects was 181. The incidence of acute respiratory infectionsduring the first 4 months of life and the duration of breast feedingwere assessed by questionnaires. Data was analyzed Mth Chisquare and logistic regression tests.Results Infants who were exclusively breastfed for 4 months hada lower risk of acute respiratory infection than those who were notexclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; P􀁄O.OOI).After adjustment for gestational age, parity, maternal nutritionalstatus, family size, smoke exposure, and history of atopy, infantswho were exclusively breastfed still had a lower risk for acuterespiratory infection than those who were not exclusively breastfed(RR 0.06; 95% CI 0.03 to 0.13; P 􀁄 0.001)Conclusion Exclusive breastfeeding reduced the risk of acuterespiratory infection in low birth weight infants in the first fourmonths after birth. [Paediatr Indones. 2012;52:229,32].


1998 ◽  
Vol 8 (2) ◽  
pp. 195-198 ◽  
Author(s):  
Hideshi Tomita ◽  
Shigeto Fuse ◽  
Shunzo Chiba

SummaryWe studied factors that predict in children catecholamine induced vasoconstriction of the persistent arterial duct. Epinephrine at 2.0–10.0 (4.9 ± 1.3, mean ± standard deviation) μg/kg was injected intravenously into 30 patients with persistent arterial duct whose age ranged from 1 to 91 (27 ± 26) months. In 11 patients aged 10–66 (34 ± 23) months (responders), a continuous murmur had almost completely disappeared on auscultation, and both the diameter and the shunt flow area of the arterial duct had become smaller as shown by Doppler echocardiography. On the other hand, there was no such change in 19 patients aged 1–91 (23 ± 27) months (non-responders). Although there was no significant difference in the age, the body weight, the minimal diameter of the arterial duct, or the doses of epinephrine between responders and non-responders, the gestational age at birth was slightly less (p=0.09) and the birth weight was significantly smaller in responders than in non-responders (p<0.05). The persistent arterial duct of those who had a history of low birth weight always responded to epinephrine. In infants younger than 6 months, the persistent arterial duct was never constricted by epinephrine regardless of the birth weight and gestational age. In low birth weight infants, the vascular smooth muscle of the persistent arterial duct can usually constrict beyond infancy. There may be some age dependent difference in responsiveness to epinephrine until 6 months of age.


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