Evaluation of Post Partum Depression in a Tertiary Hospital

Anuradha, Ghosh; Goswami, Sudipta

doi:10.1007/s13224-011-0077-9

Cited by 33 publications

(24 citation statements)

References 12 publications

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“…The prevalence of postpartum depression at 8.8% that was observed for our sample of participants was comparable to the prevalence of 7% that was observed in a study conducted in Ghana (participants aged 18 to 51 years and above) [44]. The prevalence of postpartum depression among a sample of nine hundred and eleven postpartum adolescents in a study in Kolkata, India, was 34.1% [45]. A study in the Witzenberg subdistrict in the Western Cape in South Africa found that the prevalence of postpartum depression was 50.3% [34], while study in South-West Ethiopia reported a prevalence of 33.8% [22].…”

Section: Discussionsupporting

confidence: 83%

Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents’ in KwaZulu-Natal, South Africa

Govender

Naidoo

Taylor

2020

Depression Research and Treatment

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Background. Maternal depression is a major public health concern as it affects both mothers and their children. Antenatal depression, which is often underdiagnosed, has been associated with preterm labour, low birth weight, and intrauterine growth restriction. Research has demonstrated that postpartum depression is associated with mother-infant bonding impairment, child abuse, child neglect, maternal substance abuse, and self-harm. Globally, the prevalence of depression in pregnant and postpartum adolescents varies. This paper reports on the findings of the prevalence of depression and its associated risk factors among pregnant and postpartum adolescents in KwaZulu-Natal, South Africa. Methods. Data were generated by means of a descriptive cross-sectional study that was conducted between June and November 2017 utilizing a sample of 326 adolescent females accessing maternal health services in a medium-sized rural peripheral district hospital in Ugu, Southern KwaZulu-Natal. The Edinburgh Postnatal Depression Scale questionnaire was used to screen participating pregnant and postnatal adolescents for depression. A cut-off score of ≥13 was used to identify pregnant and postnatal adolescents with symptoms of depression. The data were analysed using R software. Results. The prevalence of depression among the pregnant participants was 15.9% (21/132), whereas it was 8.8% (17/194) among the postpartum participants. Antenatal depression was associated with physical violence (adjusted odds ratio (aOR) 6.47, 95% CI 1.36-30.53, p=0.01) and verbal abuse (adjusted odds ratio (aOR) 4.8, 95% CI 1.5-15.16, p=0.006). The pregnant participants who indicated they received a lot of support from their partners were 0.93% less likely to have depression. Postnatal depression was associated with physical violence (adjusted odds ratio (aOR) 7.32, 95% CI 1.66-29.44, p=0.005), verbal abuse (adjusted odds ratio (aOR) 4.3, 95% CI 1.03-15.79, p=0.03), and intimate partner violence (adjusted odds ratio (aOR) 9.58, 95% CI 1.58-48.82, p=0.008). Conclusion. The prevalence of antenatal depression was higher than postpartum depression in the study sample. In light of the findings, maternal healthcare professionals are cautioned to consider the mental health of pregnant and postpartum adolescents who seek their services at health facilities.

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Section: Discussionsupporting

confidence: 83%

Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents’ in KwaZulu-Natal, South Africa

Govender

Naidoo

Taylor

2020

Depression Research and Treatment

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“…One study found that this relationship was only present in the immediate postpartum period (48–72 h postnatal), and while the risk of PND was generally found to be highest in women undergoing emergency CS, one study found a higher risk in women undergoing elective CS Our study did not differentiate between elective and emergency CS, nor between a simple lift‐out vacuum and a more complex mid‐cavity forceps birth; this is both a potential limitation of the study and an area for further research. The majority of previous studies have focussed on the outcome of PND and concluded that mode of birth is not a risk factor for the development of depression in the first 12 months postpartum …”

Section: Discussionmentioning

confidence: 99%

“…The postulated mechanisms include interference with early maternal–infant bonding, maternal perception of a ‘traumatic’ birth experience and that antenatal mood disturbance may in fact predispose to CS . However, other studies have found no such relationship between an operative birth and impaired quality of life when compared with vaginal birth . Operative births comprise approximately 45% of deliveries in Australia and therefore represent a large potential at‐risk group for developing PND.…”

Section: Introductionmentioning

confidence: 99%

Mode of birth and early postnatal psychological morbidity

Hanlon

Beckmann

2015

Aust NZ J Obst Gynaeco

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Mode of birth does not appear to be associated with the reporting of symptoms of psychological morbidity in the early postnatal period. However, these symptoms may be associated with nulliparity and in the context of an unplanned pregnancy, a lack of partner support. These findings highlight the ongoing need for antenatal screening with respect to pregnancy intention and the presence of a social support system, to facilitate the implementation of interventions for women at risk of postnatal depression.

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“…Reasons for not including the other studies were: (i) outcome measures could not be extracted (n = 17); (ii) ineligible study design (n = 29); (iii) outcome lumping PPD and other diseases (n = 15); and (iv) exposed group is inconsistent with our interest (n = 12). Finally, we identified 32 eligible articles [15][16][17][22][23][24][25][26][27][28][29][30][31][32][34][35][36][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53] for this meta-analysis ( Fig. 1).…”

Section: Literature Searchmentioning

confidence: 99%

Maternal violence experiences and risk of postpartum depression: A meta-analysis of cohort studies

et al. 2019

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Background:Most of original studies indicated maternal violence experiences is associated with adverse obstetric outcomes, to date, but it is not clear that the association of maternal violence experiences and the risk of postpartum depression (PPD). We aimed to assess the association between maternal violence experiences and risk of developing PPD by performing a meta-analysis of cohort studies.Methods:PubMed, Google Scholar, Cochrane Libraries and Chinese databases were searched through December 2017 to identify studies that assessed the association between violence and PPD. Meta-analysis was conducted by the RevMan software and Stata software. Potential heterogeneity source was explored by subgroup analysis and potential publication bias was assessed by Begg's funnel plots and Egger’s linear regression test.Results:Overall, women experiencing any violence events compared with the reference group were at a higher risk of developing PPD (odds ratio [OR] = 2.04; 95% confidence interval [CI]: 1.72–2.41). Additionally, different types of violence events such as sexual (OR = 1.56; 95%CI: 1.35–1.81), emotional (OR = 1.75; 95%CI: 1.61–1.89), and physical violence (OR = 1.90; 95%CI: 1.36–2.67), as well as domestic (OR = 2.05; 95%CI: 1.50–2.80) or childhood violence (OR = 1.59; 95%CI: 1.34–1.88) also increased the risk of developing PPD. Relevant heterogeneity moderators have been identified by subgroup analysis. Sensitivity analysis yielded consistent results.Conclusions:Maternal violence experiences are significantly associated with risk of developing PPD. These finding highlight the necessary to protect women from any types of violence and formulate preventive strategies to promote the maternal mental health.

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Evaluation of Post Partum Depression in a Tertiary Hospital

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

Cited by 33 publications

References 12 publications

Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents’ in KwaZulu-Natal, South Africa

Antenatal and Postpartum Depression: Prevalence and Associated Risk Factors among Adolescents’ in KwaZulu-Natal, South Africa

Mode of birth and early postnatal psychological morbidity

Maternal violence experiences and risk of postpartum depression: A meta-analysis of cohort studies

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