P-1480 - Impact of social support and previosly undiagnosed pospartal depression on pospartum complications and postpartum psychiatric disorders development

Abstract

Introduction:History of previous psychiatric illness, hormonal actors, and psychosocial factors has been investigated as a possible etiological cause for postpartum psychiatric illness.Aim:The goal was to determine whether poor social support and undiagnosed depression in the previous pregnancy have an impact on the development of peripartal complications.Methods:We investigated 103 women 3 days after vaginal delivery. Investigated women filed a social support questionnaire with 7 questions. 1 We asumed that women with “poor social suport” would give 2 or more positive answers on these questions.Results:We found that all eight woman in childbed which had 2 or more positive answers on social support questionaiere, were at the group with examined complications (n = 61), and none was in the control group (n = 42). These eight women had by far the greatest mean score in Edinburgh Postnatal Depression Scale (EPDS) and of Impact of Events Scale revised (IES-R) of all other subgroups examined in the previously published study. 2 They also had a statistically significant difference in both scores versus the control group (n = 42).Conclusions:According to these results we concluded that poor social support and previosly undiagnosed pospartal depression may have an impact both on peripartal complications and postpartum psychiatric disorders development.