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 An Analysis of Psycho-cognitive Factors in Relation to Postpartum Depression and Anxiety in Women with and without Changes in Body Weight

2021 ◽  
Vol 5 (3) ◽  
pp. p17
Author(s):  
Gabriel C. Pircalabu ◽  
Alina Chiracu ◽  
Florinda Golu
Keyword(s):  
Body Weight ◽  
Postpartum Depression ◽  
Depression Scale ◽  
Well Being ◽  
Hamilton Depression Scale ◽  
Depression And Anxiety ◽  
Negatively Associated ◽  
Self Acceptance ◽  
The One ◽  
The Relationship

The aim of this study is firstly to analyze the differences in postpartum self-acceptance, patterns of beliefs (rationality) and perfectionism in women with and without changes in body weight and secondly to identify the relationships among self-acceptance, rationality, and perfectionism on the one hand and postpartum depression and anxiety on the other hand. The study involved 123 women, newly mothers, aged between 20 and 46 years, M = 32.29, SD = 6.56. The instruments used were Unconditional Self-Acceptance Questionnaire, Inventory of Ideas II, Frost Multidimensional Perfectionism Scale, Hamilton Depression Scale, and Inventory of State-Trait Anxiety. The results showed that the level of rationality and self-acceptance was lower in women with higher body weight, while the level of perfectionism was higher in same tier. At the same time, the results obtained by regression and mediation analyzes showed that self-acceptance is negatively associated with both depression and anxiety, rationality is also negatively associated with both depression and anxiety, and perfectionism mediates the relationship between rationality and depression, but not the relationship between rationality and anxiety. The conclusions of the study highlighted the women’s need for support to regain their pre-pregnancy emotional balance and well-being.

Is there a relationship between gestational diabetes and postpartum depression?

2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi
Keyword(s):  
Gestational Diabetes ◽  
Postpartum Depression ◽  
Odds Ratio ◽  
Depression Scale ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
University Education ◽  
P Value ◽  
Cross Sectional ◽  
The Relationship

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.

scholarly journals Genome-wide gene expression changes in postpartum depression point towards an altered immune landscape

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Divya Mehta ◽  
Karen Grewen ◽  
Brenda Pearson ◽  
Shivangi Wani ◽  
Leanne Wallace ◽  
...  
Keyword(s):  
Gene Expression ◽  
Depressive Symptoms ◽  
Postpartum Depression ◽  
Expression Profiles ◽  
Depression Scale ◽  
Well Being ◽  
Health Concern ◽  
Genome Wide ◽  
A Genome ◽  
Genome Wide Gene Expression

AbstractMaternal postpartum depression (PPD) is a significant public health concern due to the severe negative impact on maternal and child health and well-being. In this study, we aimed to identify genes associated with PPD. To do this, we investigated genome-wide gene expression profiles of pregnant women during their third trimester of pregnancy and tested the association of gene expression with perinatal depressive symptoms. A total of 137 women from a cohort from the University of North Carolina, USA were assessed. The main phenotypes analysed were Edinburgh Postnatal Depression Scale (EPDS) scores at 2 months postpartum and PPD (binary yes/no) based on an EPDS cutoff of 10. Illumina NextSeq500/550 transcriptomic sequencing from whole blood was analysed using the edgeR package. We identified 71 genes significantly associated with postpartum depression scores at 2 months, after correction for multiple testing at 5% FDR. These included several interesting candidates including TNFRSF17, previously reported to be significantly upregulated in women with PPD and MMP8, a matrix metalloproteinase gene, associated with depression in a genome-wide association study. Functional annotation of differentially expressed genes revealed an enrichment of immune response-related biological processes. Additional analysis of genes associated with changes in depressive symptoms from recruitment to 2 months postpartum identified 66 genes significant at an FDR of 5%. Of these genes, 33 genes were also associated with depressive symptoms at 2 months postpartum. Comparing the results with previous studies, we observed that 15.4% of genes associated with PPD in this study overlapped with 700 core maternal genes that showed significant gene expression changes across multiple brain regions (P = 7.9e-05) and 29–53% of the genes were also associated with estradiol changes in a pharmacological model of depression (P values range = 1.2e-4–2.1e-14). In conclusion, we identified novel genes and validated genes previously associated with oestrogen sensitivity in PPD. These results point towards the role of an altered immune transcriptomic landscape as a vulnerability factor for PPD.

scholarly journals Development of Postpartum Depression in Pregnant Women with Preeclampsia: A Retrospective Study

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Li Chen ◽  
Xiaodan Wang ◽  
Qian Ding ◽  
Nan Shan ◽  
Hongbo Qi
Keyword(s):  
Postpartum Depression ◽  
Infant Development ◽  
Survey Methodology ◽  
Depression Scale ◽  
Bivariate Analysis ◽  
Increased Risk ◽  
Normal Women ◽  
Medical University ◽  
Support Methods ◽  
The Relationship

Background. Postpartum depression (PPD) and preeclampsia (PE) are both common diseases in obstetrics that affect maternal health and infant development. However, the relationship between the two diseases still requires clarification. Objective. The purpose of this study was to (1) determine the incidence rate of PPD in patients with PE and (2) identify the association between the prevalence of PPD and the severity of PE. Methods. We conducted a retrospective analysis of women with and without PE who delivered between January 1, 2017, and August 30, 2018, in the First Affiliated Hospital of Chongqing Medical University. We used a questionnaire survey methodology that included the Edinburgh Postnatal Depression Scale (EPDS) to test the influence of PE on the development of new-onset PPD in the 6 weeks after delivery. We determined PPD based on a score ≥10 on the EPDS. Bivariate analysis was used to compare data between the two groups. Results. A total of 180 women participated in this study. Thirty-five people screened positive for PPD, while the remaining 145 screened negative. The prevalence of PPD was 26.67% (24/90) in patients with PE, which was two times the prevalence in normal women (12.22%). Multiple logistic regression showed that women who had PE had nearly 3-fold increased odds of PPD compared to normal women and the risk of PPD increased with the aggravation of PE. Patients with severe PE had a more than 4-fold increased risk of screening positive for PPD. Conclusion. PE was independently associated with PPD. Furthermore, the risk of PPD seemed to increase with the aggravation of PE. Thus, additional prevention efforts and support methods should be provided for women with PE to reduce the incidence of PPD.

scholarly journals COUNTRY MATTERS: WELL-BEING AND EMIGRATION PLANS AMONG UNIVERSITY STUDENTS IN SLOVAKIA AND BULGARIA: THE MEDIATION EFFECT OF ROOTEDNESS

2020 ◽  
pp. 107-119
Author(s):  
Frederika Lučanská ◽  
◽  
Oľga Orosová ◽  
Vihra Naydenova ◽  
Jozef Benka ◽  
...  
Keyword(s):  
University Students ◽  
Exploratory Study ◽  
Online Survey ◽  
Well Being ◽  
Two Dimensions ◽  
Mediation Effect ◽  
One Dimension ◽  
Psychological Mechanisms ◽  
The Relationship

The objective of this exploratory study was to examine the relationship between well-being, rootedness and emigration plans (EP) among university students in Slovakia and Bulgaria. It also explored the mediation effect of rootedness in the relationship between well-being and EP. The data were collected throughan online survey (SLiCE 2016). The research sample consisted of 361 university students (M=22.4 years, SD=3.8) from Slovakia (141, 86.5% female) and Bulgaria (220, 69.1% female). Based on their emigration plans, the respondentswere dividedinto two groups;those who do not plan to leave (n=218, 60.4%) and those who plan to leave in the long term (n=143, 39.6%) after they finish university. ForSlovakia, all factors were significantly related toEP. Furthermore, the association between well-being and EP was fully mediated by two dimensions of rootedness with different psychological mechanisms. For Bulgaria, only well-being and onedimension of rootedness,desire for change,were significantly related to EP. It was also found that the association between well-being and EP was partially mediated by only one dimension of rootedness –desire for change. This study highlightsthat rootedness hasa different relationship with other examined factorsin different countries and also that it is necessary to respect the cultural and socio-economic featuresof acountry.

scholarly journals Understanding the relationship between postpartum depression one month and six months after delivery and mother-infant bonding failure one-year after birth: results from the Japan Environment and Children's study (JECS)

2019 ◽  
Vol 50 (1) ◽  
pp. 161-169 ◽  
Author(s):  
Haruka Kasamatsu ◽  
Akiko Tsuchida ◽  
Kenta Matsumura ◽  
Moeko Shimao ◽  
Kei Hamazaki ◽  
...  
Keyword(s):  
Postpartum Depression ◽  
Large Scale ◽  
Depression Scale ◽  
Japanese Version ◽  
Mental Health Issue ◽  
Bonding Failure ◽  
One Year ◽  
Adjusted Model ◽  
The Relationship

AbstractBackgroundPostpartum depression is a major mental health issue. It not only adversely affects the mother's quality of life, but also mother-infant bonding. However, the relationship between postpartum depression (at multiple points after childbirth) and mother-infant bonding failure one year after birth is not well understood. This study investigates the relationship between postpartum depression at 1-month and 6-month after birth and mother-infant bonding failure at 1 year after birth with a large cohort.MethodsData from 83 109 mothers from the Japan Environment and Children's Study were analyzed. Mother-infant bonding 1-year after delivery was assessed using the Mother-to-Infant Bonding Scale Japanese version (MIBS-J). Postpartum depression was measured using the Edinburgh Postnatal Depression Scale (EPDS) at 1-month and 6-month after delivery. Twenty covariates during pregnancy and one month after delivery were controlled for deriving the odds ratios (ORs) describing postpartum depression to mother-infant bonding.ResultsEPDS Total Score crude ORs and adjusted ORs against the MIBS-J Total Score at 1-month and 6-month after delivery were calculated. Crude ORs were 1.111 (95% CI 1.110–1.112) and 1.122 (95% CI 1.121–1.124) respectively. In the fully adjusted model, ORs were 1.088 (95% CI 1.086–1.089) and 1.085 (95% CI 1.083–1.087), respectively.ConclusionsThis study demonstrated prospectively, in a large-scale cohort, that depression at multiple postpartum points, including associations with each EPDS and MIBS-J factors, may be a robust predictor of mother-infant bonding failure 1-year after birth.

scholarly journals The Relationship of Nutritional Energy and Macronutrient Intake with Pregnancy Outcomes in Czech Pregnant Women

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1152
Author(s):  
Simona Najpaverova ◽  
Miroslav Kovarik ◽  
Marian Kacerovsky ◽  
Zdenek Zadak ◽  
Miloslav Hronek
Keyword(s):  
Longitudinal Study ◽  
Pregnant Women ◽  
Pregnancy Outcomes ◽  
Maternal Nutrition ◽  
Well Being ◽  
Macronutrient Intake ◽  
Dietary Records ◽  
Positive Correlations ◽  
Relationship Of ◽  
The Relationship

Maternal nutrition and metabolism play important roles for the well-being of both mother and fetus during pregnancy. This longitudinal study brings an original evaluation of the relationship between the nutritional energy and macronutrients intake (NEMI) and pregnancy outcomes and an assessment of the changes in such intake over the previous ten years. Sixty-five healthy Czech pregnant women were examined in three pregnancy periods (1st: 17th–27th; 2nd: 28th–35th; 3rd: 36th–38th gestational weeks). Results of 7-day dietary records were analyzed using NutriDan software. Energy intake decreased from 30.0 kcal/kg to 25.0 kcal/kg during pregnancy. The data also showed a decrease in macronutrients intake (p < 0.0001) with the advancing stage of pregnancy. Positive correlations were demonstrated between NEMI and birth weight (r = 0.410, p < 0.001). In the second pregnancy period, NEMI (excluding carbohydrates) positively associated with neonatal birth length (p < 0.01) and negatively with duration of birth (p < 0.05). An increased NEMI in the last period of pregnancy shortened the length of pregnancy.

scholarly journals 1089 Water Intake Moderates the Relationship Between Sleep Quality and Depressive Symptoms: The Latino Health and Well-Being Study

SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A414-A415
Author(s):  
J Blanc ◽  
N Williams ◽  
G Jean-Louis ◽  
S Lemon ◽  
M Rosal
Keyword(s):  
Depressive Symptoms ◽  
Sleep Quality ◽  
Water Intake ◽  
Depression Scale ◽  
Well Being ◽  
Epidemiologic Studies ◽  
Community Based ◽  
Latino Adults ◽  
The Relationship ◽  
Health And Well Being

Abstract Introduction This study examined the relationships between sleep quality and depressive symptoms, and whether this relationship is moderated by frequency of water intake in a sample of Latino adults. Methods Participants in this community-based study were 574 Latino adults from Lawrence, Massachusetts. Assessments included surveys and anthropological measures. Variables in this study included sleep quality (Pittsburgh Sleep Quality Index- PSQI), depressive symptoms (Center for Epidemiologic Studies Depression Scale -CES-D) and frequency of water intake in the previous three months (investigator-developed question). Covariates included demographics, stress (Perceived Stress Scale-PSS), and body mass index (BMI). Multiple linear regression analyses were conducted to explore associations between sleep and depressive symptoms. Potential moderating effect of frequency of water intake was assessed using hierarchical, moderated, multiple regression analysis. Results The sample was 51.2% female, with a mean age of 46.6 years (SD=15.4) and mean BMI of 29.6 (SD=5.9); 31% of the sample had CES-D scores &gt; 22 (cut off for elevated depressive symptoms), the mean PSQI score was 13.11(SD=3.4) and 92% reported water intake two or more times daily. Sleep quality correlated positively with depression (r=.558; p=.000). After adjusting for covariates, sleep quality was strongly associated with depression (B = .417; SE=13; p =.000). The relationship between sleep quality and depressive symptoms was moderated by frequency of water intake (B= -.186, SE =1.107; p= 0.11). Conclusion This study is among the first to examine the association between sleep quality and depressive symptoms among Latino adults, and to show that frequency of water intake may moderate this association in this population. Support This study was supported by funding from the NIH: R01 MH085653; 1U48DP006381; and T32HL129953.

scholarly journals The COVID-19 Pandemic and Mental Well-Being of Pregnant Women in Japan: Need for Economic and Social Policy Interventions

2020 ◽  
pp. 1-6 ◽  
Author(s):  
Midori Matsushima ◽  
Hanna Horiguchi
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Pregnant Women ◽  
Perceived Risk ◽  
Depression Scale ◽  
Well Being ◽  
Anxiety And Depression ◽  
Cutoff Score ◽  
Economic Wealth ◽  
Mental Well Being

ABSTRACT Objective: This study explores the mental well-being of pregnant women in Japan during the coronavirus disease (COVID-19) pandemic. Methods: We collected 1777 responses from pregnant women through an online survey. Using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS), we calculated the percentage of pregnant women above the cutoff (≥ 13), and the factor scores of anhedonia, anxiety, and depression. Regression analyses were performed to identify factors and socioeconomic characteristics correlated with depressive symptoms. Results: The point prevalence of pregnant women with an EPDS score of ≥ 13 was 17%. The mean scores were 0.73, 3.68, and 1.82 for anhedonia, anxiety, and depression, respectively. The probability of becoming above the cutoff score positively correlated with the cancellation of planned informal support, higher perceived risk for infection of COVID-19, difficulties in household finances, and lack of social support. Moreover, being younger, less wealthy, unemployed, and without a partner showed a significantly higher possibility of having a score above the cutoff. Conclusions: The present study found a high percentage of pregnant women with depressive symptoms. Notably, COVID-19-related variables, including perceived risk for the infection, fear of decreasing economic wealth, and social support, were significantly associated with depressive symptoms.

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