Postpartum depression among women with unintended pregnancy

Brito, Cynthia Nunes de Oliveira; Alves, Sandra; Ludermir, Teresa B.; Araújo, Thália Velho Barreto de

doi:10.1590/s0034-8910.2015049005257

Cited by 37 publications

(30 citation statements)

References 28 publications

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“…This study identified a high prevalence of postpartum depression in non-white adolescent women, besides a strong positive association between the several indicators of violence in obstetric care and postpartum depression. Some other studies have found a higher prevalence of postpartum depression, such as the prospective cohort study by Brito et al 6 and Ludermir et al 14 The differences observed might be due to study design. Moreover, selecting women who bring their children to vaccination will, probably, underestimate the prevalence of postpartum depression, as women with postpartum depression are more unlikely to bring their children to vaccination.…”

Section: Discussionmentioning

confidence: 79%

Institutional violence and quality of service in obstetrics are associated with postpartum depression

2017

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OBJECTIVE To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome.METHODS This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters. Indicators of institutional violence and demographic characteristics have been used in a logistic regression model to estimate the probability of occurrence of postpartum depression.RESULTS The model has identified a high prevalence of postpartum depression, being it higher among non-white women and adolescent females, besides having a strong positive association between the several indicators of obstetric violence and postpartum depression. Positive interactions on a multiplicative scale have also been observed between: violence by negligence by health care professionals and race and age; physical violence from health care professionals and age; and, verbal violence from health care professionals and race.CONCLUSIONS The indicators adopted to reflect institutional violence in obstetric care are positively associated with postpartum depression, which calls for a reflection on the need to make the health care protocols adequate to the precepts of the Brazilian humanization of childbirth care policies and changes in the obstetric care model.

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Section: Discussionmentioning

confidence: 79%

Institutional violence and quality of service in obstetrics are associated with postpartum depression

2017

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“…In the present study, 80% of the deliveries were not planned, which shows the statistical relevance of this factor. 17,23,[26][27][28][29] It was also verified that the majority of the postpartum women that had a precarious socioeconomic status were more susceptible to the development of PPD, since other researches affirm that PPD is influenced by poverty-related difficulties. 17,[30][31][32] In the present study, 60% of the patients had less than 1 minimum wage as family income, and 36.7% had 2 to 3 minimum wages.…”

Section: Discussionmentioning

confidence: 85%

Postpartum Depression: Epidemiological Clinical Profile of Patients Attended In a Reference Public Maternity in Salvador-BA

Araújo

Aquino

Fagundes

et al. 2019

Rev Bras Ginecol Obstet

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Objective To evaluate the clinical epidemiological state of women with suspected postpartum depression (PPD) in a public maternity hospital in Salvador, state of Bahia, Brazil. Methods A cross-sectional research was performed with puerperal patients attended at a public maternity hospital in Salvador, Bahia. Data collection was performed from June to September 2017. The Edinburgh Postnatal Depression Scale was used as a screening instrument, and, subsequently, women with positive scores answered a questionnaire to identify their clinical and epidemiological status. Results Out of 151 postpartum women from the research, 30 (19.8%) presented suspicion of PPD. There was a prevalence of single mothers 13 (43.3%), women with complete fundamental education 15 (50.0%), women with black skin color 14 (46.7%), and those with a monthly family income of up to one minimum wage 18 (40.0%). Conclusion Although PPD is an underdiagnosed disease, a high prevalence of the condition was found in our research. It is, then, considered that these results reinforce its significance as a public health problem, requiring prevention strategies, early diagnosis and effective treatment.

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“…A study in Brazil found 25.9% unplanned pregnant women were positive for the Edinburgh postpartum depression scale (EPDS) and this association was significant (61). In Pennsylvania, the prevalence of postpartum depression was higher among unplanned pregnancies compared to planned pregnancies (62).…”

Section: Discussionmentioning

confidence: 99%

Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

Ranatunga¹,

Jayaratne²

2019

Preprint

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Unplanned pregnancy is a significant public health issue in both low- and high-income countries. The burden of unplanned pregnancy is reflected in women opting for pregnancy terminations in spite of the presence of well-established family planning services. Solid data on the proportion of unplanned pregnancies are using more specific tools such as the London Measure of Unplanned Pregnancy (LMUP) needed to address the issue in Sri Lankan contexts. The objective was to describe the proportion of unplanned pregnancies, their determinants and the health outcomes of women delivering at Colombo North Teaching Hospital-Ragama (CNTH). Methods A cross-sectional study was carried out among 494 consecutive pregnant women selected by non-probability consecutive sampling who were admitted for the confinement at CNTH. A pre-tested structured interviewer-administered questionnaire was used to collect data on antenatal women and intentionality measured by self-administered six-item LMUP. Maternal and newborn health outcomes were ascertained in each post-partum women before discharge. Data were analyzed with the Mann-Whitney U tests, Kruskal-Wallis tests and spearman rank correlation. We also evaluated the psychometric properties of the Sinhalese version of LMUP. Results The response rate was 97.8% and 17.2% of pregnancies ending at birth were unplanned, 12.7% were ambivalent and 70.1% were planned. Associated factor profile of women with unplanned pregnancies includes; not married women (p=0.001) educated up to the passing of GCE ordinary level by women (p<0.001) and spouse (p<0.001), primiparity (p=0.002) and inadequate knowledge on emergency contraceptives (p=0.037). Less planned pregnancies were also significantly associated with anemia (p=0.004), low mood for last two weeks (p<0.001), having a partner with problematic alcohol consumption (p<0.001), presence of Gender-Based Violence (GBV) (p<0.001), poor relationship satisfaction with partner (p<0.001). Inadequate pre-pregnancy preparation and antenatal care were associated with an unplanned pregnancy. No differences were found in neonatal outcomes. Sinhalese version of the LMUP scale was found to be accepted, valid and reliable with the Cronbach's alpha of 0.936. Conclusions A sizeable proportion of pregnancies were unplanned. Teenage pregnancies, non-marital relationships and inadequate knowledge on emergency contraceptives, maternal anemia, low mood, and GBV were modifiable associated factors which could be prevented by evidence-based locally applicable approaches.

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Postpartum depression among women with unintended pregnancy

Cited by 37 publications

References 28 publications

Institutional violence and quality of service in obstetrics are associated with postpartum depression

Institutional violence and quality of service in obstetrics are associated with postpartum depression

Postpartum Depression: Epidemiological Clinical Profile of Patients Attended In a Reference Public Maternity in Salvador-BA

Proportion of unplanned pregnancies, their determinants and health outcomes of women delivering at a teaching hospital in Sri Lanka

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