Evaluation of Post Partum Depression in a Tertiary Hospital

Original Article



To evaluate the association of different factors with postpartum depression.


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.


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.


EPDS should be used routinely to screen for PPD among high risk cases.


Postnatal depression Edinburgh postnatal depression scale 


  1. 1.
    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.PubMedCrossRefGoogle Scholar
  2. 2.
    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.PubMedCrossRefGoogle Scholar
  3. 3.
    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.Google Scholar
  4. 4.
    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.PubMedCrossRefGoogle Scholar
  5. 5.
    Nielsen Forman D, Videbech P, Hedegaard M, et al. Postpartum depression: identification of women at risk. BJOG. 2000;107:1210–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Blackmore ER, Jones I, Doshi M, et al. Obstetric variables associated with bipolar affective puerperal psychosis. Br J Psych. 2006;188:32–6.CrossRefGoogle Scholar
  7. 7.
    Josefsson A, Angelsiöö L, Berg G, et al. Obstetric, somatic, and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99:223–8.PubMedCrossRefGoogle Scholar
  8. 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.PubMedGoogle Scholar
  9. 9.
    Chaudron LH, Klein MH, Remington P, et al. Predictors, prodromes and incidence of postpartum depression. J Psychosom Obstet Gynecol. 2001;22:103–12.CrossRefGoogle Scholar
  10. 10.
    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.PubMedCrossRefGoogle Scholar
  11. 11.
    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.PubMedCrossRefGoogle Scholar
  12. 12.
    Records K, Rice MJ. A comparative study of postpartum depression in abused and non-abused women. Arch Psychiatr Nurs. 2005;19:281–90.PubMedCrossRefGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2011

Authors and Affiliations

  1. 1.Department of Obstetrics and GynecologyMedical College and HospitalsKolkataIndia
  2. 2.KolkataIndia

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