Risk Factors for Postnatal Depression among Primipara Mothers

Alzahrani, Abdul D.

doi:10.1017/sjp.2019.33

Cited by 13 publications

(13 citation statements)

References 47 publications

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“…Although previous personal and family resources have been related to emotional health in other areas of family care [ 38 , 39 ], their study in puerperium has been scarce and inconclusive with only a few studies that analyse issues related to personal and family resources [ 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ]. Therefore, further research is needed on this issue.…”

Section: Introductionmentioning

confidence: 99%

Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium

Feligreras-Alcalá

Frías-Osuna

Casado

2020

IJERPH

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Introduction: This study investigated the relationship between personal and family resources (i.e., social support, family functioning, self-efficacy in care, sense of coherence and perceived burden of care) and depressive and anxiety symptoms in women during the puerperium, adjusting for stressors. Methods: This is a quantitative research design, carried out through a descriptive, cross-sectional correlation study. This study includes 212 women over the age of 19 who gave birth from March to September 2019 in Maternal and Child Hospital of Jaén (Spain). Women were selected during the immediate postpartum period. The variables analysed were postpartum depressive symptoms (Edinburgh scale), anxiety symptoms (STAI state anxiety questionnaire), perceived social support (Duke-UNC-11), family functioning (family APGAR), self-efficacy in care (Lawton), sense of coherence (SOC-13), perceived burden (Caregiver Strain Index) and stressful life events (Holmes and Rahe). The main analysis consisted of a multiple linear regression. Results: The regression model of depressive symptoms found a positive association with perceived burden (β = 0.230, p = 0.015) and negative associations with self-efficacy in care (β = −0.348, p < 0.001), social support (β = −0.161, p < 0.001) and sense of coherence (β = −0.081, p = 0.001). The regression model of anxiety symptoms obtained a positive association with perceived burden (β = 1.052, p < 0.001) and negative associations with self-efficacy in care (β = −0.329, p = 0.041), social support (β = −0.234, p = 0.001) and sense of coherence (β = −0.262, p < 0.001). Discussion: Firstly, depressive and anxiety symptoms in the puerperium period may be more prevalent than in other periods of a woman's life. Secondly, perceived social support, self-efficacy in caring for the newborn and sense of coherence may be protective factors for depressive and anxiety symptoms in the puerperium period. Finally, perceived burden in caring for the newborn may be a risk factor for these symptoms.

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Section: Introductionmentioning

confidence: 99%

Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium

Feligreras-Alcalá

Frías-Osuna

Casado

2020

IJERPH

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“…The findings of a similar study showed that the women who had their husband's support for the child care and women who had contented marital relationship had lower risk of having postnatal depression [16]. Another study confirmed the significant association of social support with postnatal depression and suggested that the lack of home support was a contributory factor towards having postnatal depression among puerperal women [17].Gebregziabher et al found the lack of support from husband as a significant risk factor for developing postpartum depression [18]. The logistic regression analysis done by Ozmen et al measured a significant association of perceived social support from significant other and perceived social support from family with postnatal depression, however, no association was found between perceived social support from friends with postnatal depression [19].…”

Section: Discussionmentioning

confidence: 96%

Effect of Perceived Social Support on Postnatal Depression in Females with Cesarean Section and Normal Vaginal Delivery

Rana¹,

Asif²,

Hanif³

et al. 2021

RADS J. Pharm. Pharm. Sci.

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Objectives: To assess the association of perceived social support with postnatal depression among puerperal women of Faisalabad, Pakistan. Methods: It was a case-control study carried out during a period of 18 months (1-1-2019 to 30-06-2020). By using purposive sampling technique 284 postpartum women were enrolled from Allied hospital and Children hospital Faisalabad. The postnatal depression was diagnosed with Edinburg Postnatal Depression Scale (EPDS).The Multidimensional Scale of Perceived Social Support (MSPSS) was used to measure the social support that was perceived by women. Results: According to cut-off score ≥13 on EPDS 37.3% women were found depressed while 62.7% women were found non-depressed. The mean EPDS score ± SD was 10.12 ± 6.27 (min score 0; max score 27). The perceived social support from significant other, family and friends was found as significant predictor of postnatal depression. With one-point increase in global perceived social support, the postnatal depression decreased by 0.1 points on EPDS scale (p = 0.03) among women in normal vaginal delivery group, by 0.2 points in cesarean section group (p <0.001) and the postnatal depression decreased by 0.2 points in total sample (p < 0.001). Conclusion: A poor perceived social support from significant other, family and friends is a significant risk factor for postnatal depression among puerperal women.

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“…The development of this pathology during the postpartum period seems to be related to the hormonal alterations that occur during this period 4 . Other factors that increase the probability of its development have been identified, including (i) a history of psychiatric disorders (history of depression, anxiety or depression in pregnancy or postpartum depression) 7 , 10 ; (ii) stressful life events (including stressors related to childcare), problems in the marital relationship, and lack of support 11 , 12 ; (iii) sociodemographic characteristics (low educational or socioeconomic level, absence of a partner, or unemployment) 7 , 13 ; and (iv) some clinical circumstances, such as caesarean delivery, primiparity, and complications during pregnancy 13 , 14 .…”

Section: Introductionmentioning

confidence: 99%

A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

Franco‐Antonio

Santano‐Mogena

Chimento‐Díaz

et al. 2022

Sci Rep

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Postpartum depression (PPD) is the most frequent psychiatric complication during the postnatal period. According to existing evidence, an association exists between the development of PPD and the maintenance of breastfeeding. A brief motivational intervention (bMI), based on the motivational interview, seems effective in promoting breastfeeding. The objective of this study was to analyse the impact of a bMI aiming to promote breastfeeding on the development of PPD and explore the mediating/moderating roles of breastfeeding and breastfeeding self-efficacy in the effect of the intervention on developing PPD. Eighty-eight women who gave birth by vaginal delivery and started breastfeeding during the immediate postpartum period were randomly assigned to the intervention group (bMI) or control group (breastfeeding education). Randomisation by minimisation was carried out. The breastfeeding duration was longer in the intervention group (11.06 (± 2.94) weeks vs 9.02 (± 4.44), p = 0.013). The bMI was associated with a lower score on the Edinburgh Postnatal Depression Scale, with a regression β coefficient of − 2.12 (95% CI − 3.82; − 0.41). A part of this effect was mediated by the effect of the intervention on the duration of breastfeeding (mediation/moderation index β = − 0.57 (95% CI − 1.30; − 0.04)). These findings suggest that a bMI aiming to promote breastfeeding has a positive impact preventing PPD mainly due to its effectiveness in increasing the duration of breastfeeding.

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Risk Factors for Postnatal Depression among Primipara Mothers

Cited by 13 publications

References 47 publications

Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium

Personal and Family Resources Related to Depressive and Anxiety Symptoms in Women during Puerperium

Effect of Perceived Social Support on Postnatal Depression in Females with Cesarean Section and Normal Vaginal Delivery

A randomised controlled trial evaluating the effect of a brief motivational intervention to promote breastfeeding in postpartum depression

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