Abstract
Objective
To evaluate the association of different factors with postpartum depression.
Methods
A prospective study conducted in the Department of Obstetrics and Gynecology, Medical College, Kolkata. Six thousand patients, 4–7 days postpartum, were interrogated using Edinburgh Postnatal Depression Scale (EPDS). Sociodemographic factors (age, parity, literacy, socioeconomic status, marital status and family structure), history of psychiatric disorder and abuse, mode of delivery and obstetric outcome were recorded. The results were analyzed statistically using Chi-square test.
Results
Incidence of PPD was 25%. Significant association of PPD was seen with poor socioeconomic group (P < 0.05), literacy (P < 0.001), nuclear family structure (P < 0.05), single mother (P < 0.001), past history of psychiatric illness (P < 0.001), history of abuse (P < 0.05), and poor obstetric outcome (P < 0.001). Age, parity and method of delivery showed no association.
Conclusion
EPDS should be used routinely to screen for PPD among high risk cases.
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References
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatry. 1987;150:782–6.
Mayberry LJ, Horowitz JA, Declercq E. Depression symptom prevalence and demographic risk factors among U.S. women during the first 2 years postpartum. J Obstet Gynecol Neonatal Nurs. 2007;36:542–9.
Bjerke SE, Vangen S, Nordhagen R, et al. Postpartum depression among Pakistani women in Norway: prevalence and risk factors. J Matern Fetal Neonatal Med. 2008;7:1–6.
Ho-Yen SD, Bondevik GT, Eberhard-Gran M, et al. Factors associated with depressive symptoms among postnatal women in Nepal. Acta Obstet Gynecol Scand. 2007;86:291–7.
Nielsen Forman D, Videbech P, Hedegaard M, et al. Postpartum depression: identification of women at risk. BJOG. 2000;107:1210–7.
Blackmore ER, Jones I, Doshi M, et al. Obstetric variables associated with bipolar affective puerperal psychosis. Br J Psych. 2006;188:32–6.
Josefsson A, Angelsiöö L, Berg G, et al. Obstetric, somatic, and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99:223–8.
Kosińska-Kaczyńska K, Horosz E, Wielgoś M, et al. Affective disorders in the first week after the delivery: prevalence and risk factors. Ginekol Pol. 2008;79:182–5.
Chaudron LH, Klein MH, Remington P, et al. Predictors, prodromes and incidence of postpartum depression. J Psychosom Obstet Gynecol. 2001;22:103–12.
Bergant AM, Heim K, Ulmer H, et al. Early postnatal depressive mood: associations with obstetric and psychosocial factors. J Psychosom Res. 1999;46:391–4.
Adewuya AO, Fatoye FO, Ola BA, et al. Sociodemographic and obstetric risk factors for postpartum Depressive symptoms in Nigerian women. J Psychiatr Pract. 2005;11:353–8.
Records K, Rice MJ. A comparative study of postpartum depression in abused and non-abused women. Arch Psychiatr Nurs. 2005;19:281–90.
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Ghosh, A., Goswami, S. Evaluation of Post Partum Depression in a Tertiary Hospital. J Obstet Gynecol India 61, 528–530 (2011). https://doi.org/10.1007/s13224-011-0077-9
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DOI: https://doi.org/10.1007/s13224-011-0077-9