Prevalence of postpartum depression at the clinic for obstetrics and gynecology in Kosovo teaching hospital: Demographic, obstetric and psychosocial risk factors

Zejnullahu, Vjosa A.; Ukella-Lleshi, Dardane; Miftari, Ermira; Govori, Valbona

doi:10.1016/j.ejogrb.2020.11.025

Cited by 24 publications

(23 citation statements)

References 39 publications

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“…Our study did not further classify the low birthweight which might obscure the possible association. However, it is important to note that previous studies have also reported no association between newborn sex [44], birth weight [33] and PPD, which is consistent with our ndings.…”

Section: Factors Early Ppdsupporting

confidence: 93%

“…Our study nding is consistent with those studies that reported primigravid as a non-signi cant risk factor for PPD. Although authors who found a signi cant association between the two argued that rst time mothers have increased fear during pregnancy and at childbirth predisposing them to the development of depressive symptoms [40], we believe that with adequate support from family members or others [33], these fears might be relieved. This study did not nd history of miscarriage, mode of birth, childbirth complication, and PPH as signi cant risk factors for early PPD as reported in previous studies.…”

Section: Factors Early Ppdmentioning

confidence: 62%

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Prevalence of early postpartum depression and associated risk factors among selected women in southern Malawi: a nested observational study

Moya

Mzembe

Mwambinga

et al. 2022

Preprint

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Background The birth of a child should be a time of celebration. However, for many women, childbirth represents a time of great vulnerability to becoming mentally unwell, a neglected maternal morbidity. This study aimed to determine the prevalence of early postpartum depression (PPD) and its associated risk factors among women giving birth at health facilities in southern Malawi. Identifying women vulnerable to PPD will help clinicians provide appropriately targeted interventions before discharge from the maternity ward. Method We conducted a nested cross-sectional study. Women were screened for early PPD using a locally validated Edinburgh Postpartum Depression Scale (EPDS) as they were discharged from the maternity ward. The prevalence of moderate or severe (EPDS ≥ 6) and severe (EPDS ≥ 9) PPD was determined, including 95% confidence intervals (CI). Data on maternal age, education and marital status, income source, religion, gravidity, and HIV status, among others, were collected during the second trimester of pregnancy, and obstetric and infant characteristics during childbirth were examined as potential risk factors for early PPD using univariable and multivariable logistic regression analyses. Results Data contributed by 636 women were analysed. Of these women, 9.6% (95% CI; 7.4–12.1%) had moderate to severe early PPD using an EPDS cut-off of ≥ 6, and 3.3% (95% CI; 2.1–5.0%) had severe early PPD using an EPDS cut-off of ≥ 9. Multivariable analyses indicated that maternal anaemia at birth (aOR; 2.65, CI; 1.49–4.71, p-value; 0.001) was associated with increased risk for moderate and/or severe early PPD, while live birth outcome (aOR; 0.15, 95% CI; 0.04–0.54, p-value; 0.004), being single compared to divorced/widowed (aOR; 0.09, 95% CI; 0.02–0.55, p-value; 0.009), and lower education level (aOR; 0.36, 95% CI; 0.20–0.65, p-value; 0.001) were associated with decreased risk. Being HIV positive (aOR; 2.88, 95% CI; 1.08–7.67, p-value; 0.035) was associated with severe PPD only. Conclusion The prevalence of early PPD was slightly lower in our selected sample compared to previous reports in Malawi and was associated with maternal anaemia at birth, non-live birth, being divorced/widowed and HIV-positive status. Therefore, health workers should screen for depressive symptoms in women who are at increased risk as they are discharged from the maternity ward for early identification and treatment.

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Section: Factors Early Ppdsupporting

confidence: 93%

Section: Factors Early Ppdmentioning

confidence: 62%

Prevalence of early postpartum depression and associated risk factors among selected women in southern Malawi: a nested observational study

Moya

Mzembe

Mwambinga

et al. 2022

Preprint

View full text Add to dashboard Cite

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“…Exercise can play a role in controlling neurohormonal, autonomic, and behavioral responses to physical and psychological stress (Ongeri et al, 2018). Therefore, a well-done exercise has an important role in improving health, both physical and psychological health (Mastorakos et al, 2005), physical fitness, mood, and reducing anxiety as well as preventing depression (Zejnullahu et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Analysis factors affecting postpartum depression in postpartum mothers during the COVID-19 pandemic

Kusumastuti¹,

Rahmadhani²,

Chamroen³

2022

ijhs

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This study aims to analyze the factors associated with postpartum depression during the Covid-19 pandemic. The first general reactions of parents who have children with mental retardation are shock, fear, sadness, disappointment, guilt, rejection, or anger. These conditions have the potential to cause psychological problems that can lead to depression. There are many factors affecting depression in mothers who have children with mental retardation. This study used an analytical method with a cross-sectional design. The sample involved 247 respondents determined using an accidental sampling technique. Data were analyzed using univariate analysis and bivariate analysis with a significant value of <0.05. postpartum mothers who experienced depression were 143 people (57.89). Variables showedrelationship to postpartum depression were age with a p-value of 0.000 and social support with a p-value of 0.002. Both variables were declared significant because the p-value is lower than 0.05. Social support is the most dominant risk factor contributing to incidence of postpartum depression. Important to take preventive measures by involving husbands and families in providing information about maternal child health and anticipating the early detection of postpartum blues postpartum depression with the quality of extracting patient information (anamnesis) to reduce incidence of postpartum depression.

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“…Varied research has found that the worldwide incidence of PPD ranges from 10% to greater than 25% within the first year after childbirth [ 7 , 8 , 9 ]. For instance, in high-income countries, approximately one-fifth of new mothers experience PPD symptoms.…”

Section: Introductionmentioning

confidence: 99%

Group-Based Trajectory Analysis for Postpartum Depression Symptoms among Chinese Primiparous Women

Xiong

Fang

Huang

et al. 2022

JCM

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Background: Subgroups of individuals sharing similar patterns of postpartum depression (PPD) among Chinese women are unknown thus far. Using a group-based trajectory model, this study aimed to explore the subgroups of Chinese primiparous women that share similar patterns of PPD and to explore the predictors of PPD trajectory membership over the course of the first six months postpartum. Methods: In total, 674 first-time Chinese mothers were recruited, and their depression status was assessed using the Edinburgh Postnatal Depression Scale (EPDS) at four time points. Findings: Around 18.0% of participants belonging to Group 1 labeled as “few or no symptoms” remained stable, with an EPDS score of less than 5 during a six-month postpartum period. Almost one-third of subjects fell within the second trajectory, labeled “subclinical but present symptoms”, and peaked into the range of mild PPD but mostly stayed in the minimal range and had few or no PPD symptoms. Group 3 included 31.2% of women labeled “minor PPD status”, and their mean EPDS scores increased to a peak of 14.66 at six weeks postpartum. Group 4, with “major PPD status”, comprised 19.2% of the population, and the mean EPDS scores dramatically increased, reaching a peak of 19.59 at 12 weeks postpartum. Fewer types of support and not attending parenting training were associated with membership in the minor and major PPD status trajectories. Conclusions: Almost half of the Chinese new mothers in the study were found to fall into the two groups with minor or major PPD status trajectories, who should be given more attention and awareness from health professionals and researchers. Understanding predictors of group membership could help health providers to identify folks to prioritize getting connected to care as well as forming targeted interventions. Less degree of received support and not attending parenting training were identified to predict PPD trajectory membership. The regular, routine screening of PPD should be conducted at least 12 weeks postpartum, especially for new mothers in the major PPD status trajectory.

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Prevalence of postpartum depression at the clinic for obstetrics and gynecology in Kosovo teaching hospital: Demographic, obstetric and psychosocial risk factors

Cited by 24 publications

References 39 publications

Prevalence of early postpartum depression and associated risk factors among selected women in southern Malawi: a nested observational study

Prevalence of early postpartum depression and associated risk factors among selected women in southern Malawi: a nested observational study

Analysis factors affecting postpartum depression in postpartum mothers during the COVID-19 pandemic

Group-Based Trajectory Analysis for Postpartum Depression Symptoms among Chinese Primiparous Women

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