Postnatal Depression: Frequency, Demographic Characteristics and Risk Factors

Authors

  • Sher Ayub Dawar, Dr. department of psychiatry, Khyber teaching hospital, Peshawar.
  • Hina Niaz, Dr. Department of gyneacology, Khyber Teaching Hospital, Peshawar
  • Asaf Alam Khan, Dr. khyber teaching hospital, Peshawar
  • Zahida Ayub, Dr. Clinical Psychologist, pakistan institute of prosthetic and orthotic sciences (pipos), Peshawar

DOI:

https://doi.org/10.37762/jgmds.8-1.120

Keywords:

Postpartum Depression, Risk Factors, Socio-Demographic Factors, Pakistan

Abstract

OBJECTIVES:

The iobjective iof ithe istudy iwas ito iestimate ithe iprevalence iof postpartum idepression iand iits iassociated irisk ifactors iamong imothers.

 

METHODOLOGY:

This icross-sectional istudy iwas icarried iout iin ithe iDepartment of iObstetrics i& iGynecology,iand iDepartment iof iPsychiatry, iKhyber Teaching Hospital iPeshawar 1st April 2018 till 31st March 2019. iA itotal i750 ipost-natal imothers iwere iscreened irandomly ifor ipostnatal idepression ifor ifirst i1-2 weeks ifollowing idelivery iby iusing iEdinburgh iPostnatal iDepression iScale (EPDS). 680 iaccepted ito iparticipate, i70 irefused ito iparticipate iand i504 ifulfill ithe inclusion icriteria. iA iscore iof i≥13 iwas iconsidered ihaving Ipostpartum depression.

 

RESULTS:

A itotal iof i168 iwomen ihad ian iEPDS iscore i10, iyielding ia icrude prevalence irate iof i34%. iThe iprevalence iof isuicidal iideation iwas i14 iout iof 504 (3%), iamong iwhich i11 i(79%) ihad iEPDS iscore iof i10. iWe ifitted multiple ilinear iregression imodels ito ievaluate ithe ipredictors iof ivariables measured ion ithe iEPDS. iThis imodel iwas istatistically isignificant p<0.0001 iin ipredicting ithe itotal iEPDS iscore. iWomen's iemployment istatus, domestic iviolence iand imarital iconflict iwere istatistically isignificant predictors.

 

CONCLUSION:

Thisistudy ireflected ithe ifacts ithat imany iof ithe ipostnatal mothers iof iour icircumstances isuffer ifrom ipostpartum idepression iand ineeds medical iattention. iScreening iof ipostpartum idepression ishould ibe iconsidered as ia iroutine ipart iof ipostpartum icare.

KEYWORDS: IPostpartum IDepression, Risk IFactors, Socio-Demographic IFactors, Pakistan

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Author Biographies

Sher Ayub Dawar, Dr., department of psychiatry, Khyber teaching hospital, Peshawar.

 consultant psychiatrist,

Hina Niaz, Dr., Department of gyneacology, Khyber Teaching Hospital, Peshawar

Consultant gynecologist

Asaf Alam Khan, Dr., khyber teaching hospital, Peshawar

Resident Cardiologist, khyber teaching hospital, Peshawar

Zahida Ayub, Dr., Clinical Psychologist, pakistan institute of prosthetic and orthotic sciences (pipos), Peshawar

Clinical Psychologist, pakistan institute of prosthetic and orthotic sciences (pipos), Peshawar                         

References

Soe NN, Wen DJ, Poh JS, Li Y, Broekman BFP, Chen H, et al. Pre and post-natal maternal depressive symptoms in relation with infant frontal function, connectivity, and behaviors. PLoS One. 2016;11(4):e0152991 DOI: https://doi.org/10.1371/journal.pone.0152991

Crawford-FaucheriA. Psychosocialiandipsychologicaliinterventionsiforipreventing postpartumidepression.iAm Fam Physician. 2014;89(11):871

Abdollahi F,iZarghamiiM,iSazlinaiS,iZainiAM,iMohammadiAJ,iLyeiM. Predictioniofiincidenceiandibio-psycho-socio-culturaliriskifactorsiofipost-partumidepressioniimmediatelyiafteribirthiinianiIranianipopulation.iArchiMed Sci.i2016;12(5):1043-51 DOI: https://doi.org/10.5114/aoms.2016.58642

Zauderer iC. Postpartum idepression: how ichildbirth ieducators ican ihelp ibreak ithe isilence. iJiPerinat iEduc. 2009;18(2):23-31 DOI: https://doi.org/10.1624/105812409X426305

Fisher JR, de Mello MC, Izutsu T, Tran T. The Ha Noi Expert Statement: recognition of maternal mental health in resource-constrained settings is essential for achieving the Millennium Development Goals. Int J Ment Health Syst. 2011;5(1):2 DOI: https://doi.org/10.1186/1752-4458-5-2

SicheliDA,iWatsoniDriscolliJ.iThe integratedicareiofihospitalizediwomeniwith postpartumipsychiatriciillness. 720.71st ed. Philadelphia: University iof iPennsylvania iPress; i2016. 115-125 p

Brummelte S, Galea LA. Postpartum depression: etiology, treatment and consequences for maternal care. Horm Behav. 2016;77:153-66 DOI: https://doi.org/10.1016/j.yhbeh.2015.08.008

Matijasevich A, Munhoz TN, Tavares BF, Barbosa AP, da Silva DM, Abitante MS, et al. Validation of the Edinburgh Postnatal Depression Scale (EPDS) for screening of major depressive episode among adults from the general population. BMC Psychiatry. 2014;14(1):1-9 DOI: https://doi.org/10.1186/s12888-014-0284-x

Wisner iKL, iSit iDK, iMcShea iMC, iRizzo iDM, iZoretich iRA, iHughes iCL, iet ial. iOnset itiming, ithoughts iof iself-harm, iand idiagnoses iin ipostpartum iwomen iwith screen-positive idepression ifindings. iJAMA iPsychiatry. i2013;70(5):490-8

Chaudron iLH, iSzilagyi iPG, iTang iW, iAnson iE, iTalbot iNL, iWadkins iHI, iet ial. Accuracy iof idepression iscreening itools ifor iidentifying ipostpartum idepression iamong iurban imothers.iPediatrics. i2010;125:e617.

Flynn iHA, iSexton iM, iRatliff iS, iPorter iK, iZivin iK. iComparative iperformance iof ithe iEdinburgh iPostnatal iDepression iScale iand ithe iPatient iHealth iQuestionnaire-9 iin ipregnant iand ipostpartum iwomen iseeking ipsychiatric iservices. iPsychiatry iRes. i2011;187:130-4

Park J, Karmaus W, Zhang H. Prevalence of and risk factors for depressive symptoms in Korean women throughout pregnancy and in postpartum period. Asian Nurs Res. 2015;9(3):219-25 DOI: https://doi.org/10.1016/j.anr.2015.03.004

Celik SB, Bucaktepe GE, Uludag A, Bulut IU, Erdem O, Altınbas K. Screening mixed depression and bipolarity in the postpartum period at a primary health care center. Compr Psychiatry. 2016;71:57-62 DOI: https://doi.org/10.1016/j.comppsych.2016.07.013

Shivalli S, Gururaj N. Postnatal depression among rural women in South India: do socio-demographic, obstetric and pregnancy outcome have a role to play?. PLoS One. 2015;10(4):e0122079 DOI: https://doi.org/10.1371/journal.pone.0122079

Tikmani SS, Soomro T, Tikmani P. Prevalence and determinants of postpartum depression in a tertiary care hospital. Austin J Obstetrics Gynecol. 2016;3(2):1-5 DOI: https://doi.org/10.4172/2376-127X.1000285

Silva iR, iJansen iK, iSouza iL, iQuevedo iL, iBarbosa iL, iMoraes iI, iet ial. iSociodemographic irisk ifactors iof iperinatal idepression: ia icohort istudy iin ithe ipublic ihealth icare isystem. Braz J Psychiatry. i2012;34(2):143-8

Tannous iL, iGigante iLP, iFuchs iSC, iBusnello iEDA. iPostnatal idepression iin iSouthern iBrazil: iprevalence iand iits idemographic iand isocioeconomic ideterminants. BMC iPsychiatry. 2008;8:1 DOI: https://doi.org/10.1186/1471-244X-8-1

Negron iR, iMartin iA, iAlmog iM, iBalbierz iA, iHowell iE. iSocial isupport iduring ithe ipostpartum iperiod: mothers’ iviews ion ineeds, iexpectations, and imobilization iof isupport. iMatern iChild iHealth iJ.i2013;17:616-23

Al iHinai iFI, iAl iHinai iSS. iProspective istudy ion iprevalence iand irisk ifactors iof ipostpartum idepression iin iAl-dakhliya igovernorate iin iOman. iOman MediJ. i2014;29:198-202

Ambarwati iER, iListiyani iR. iParity iearly istage iof imarriage iwith iincidence iof ipostpartum idepression. IntiJ PubliciHealthiScience.i2014;1:3

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Published

2021-01-01

How to Cite

Dawar, S. A., Niaz, H., Khan, A. A., & Ayub, Z. (2021). Postnatal Depression: Frequency, Demographic Characteristics and Risk Factors. Journal of Gandhara Medical and Dental Science, 8(1), 7–13. https://doi.org/10.37762/jgmds.8-1.120