RISK FACTORS FOR POSTPARTUM DEPRESSION IN THE EARLY POSTPARTUM PERIOD

Jelena Stojanov ,
Jelena Stojanov

Special hospital for psychiatric illness "Gornja Toponica", Serbia

Aleksandar Stojanov ,
Aleksandar Stojanov

Clinic of Neurology, Clinical Center of Niš, Niš, Serbia

Miodrag Stanković
Miodrag Stanković

Center for Mental Health Protection, Clinical Center , Niš, Serbia

Faculty of medicine Niš, University of Niš, Niš, Serbia

Published: 01.12.2019.

Volume 47, Issue 2 (2019)

pp. 33-37;

https://doi.org/10.70949/pramed201902429S

Abstract

Introduction: Some psychosociodemographic and characteristics of pregnancy and childbirth have been associated with
the onset of postpartum depression in the literature.


Aim: To examine certain psychosociodemographic and characteristics of pregnancy and childbirth as potential risk factors
for the onset of postpartum depression in the early postpartum period. Material and Methods: The study involved 120 subjects, which included the use of the Edinburgh Postpartum Depression Scale and a sociodemographic questionnaire constructed for the purposes of this study, in the early postpartum period.


Results: Of the total 92 (76.7%) subjects were not depressed, while 28 (23.3%) had depression. The high risk of postpartum depression correlates with: postpartum weight gain, subjective experience of lack of freedom, fear that she would be abandoned (p <0.05), as well as having frequent quarrels, mentioning a divorce or divorce, and a temporary separation, poor relationship with the parents on both sides and poor general family atmosphere (p <0.001). A statistically significant risk of depression was also found in the group with complications during childbirth, unplanned pregnancy (p <0.001), as well as alcohol and cigarette consumption during pregnancy (p <0.05).

Conclusion: The risk of postpartum depression can be detected by applying the EPDS scale in the early postpartum period. Early detection of potential risk factors can significantly prevent the onset of postpartum depression and significantly affect the central psychological process in the postpartum period, which is related to the development of an emotional relationship between mother and child.

Keywords

References

1.
O’Hara MW, McCabe JE. Postpartum depression: current status and future directions. Vol. 9, Annu Rev Clin Psychol. p. 379–407.
2.
Henshaw C. Mood disturbance in the early puerperium: a review. Vols. 33–42, Arch Womens Ment Health.
3.
Noble RE. Depression in women. Vol. 54, Metab Clin Exp. p. 49–52.
4.
Gibson J, McKenzie-McHarg K, Shakespeare J. Systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Vol. 119, Acta Psychiatr Scand. p. 350–64.
5.
Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Vol. 91, J Affect Disord. p. 97–111.
6.
Dmitrovic BK, Dugalić MG, Balkoski GN. Frequency of perinatal depression in Serbia and associated risk factors. Vol. 60, Int J Soc Psychiatry. p. 528–32.
7.
Association AP. Diagnostic and Statistical Manual of Mental Disorders.
8.
Wisner KL, Moses-Kolko EL, Sit DKY. Postpartum depression: a disorder in search of a definition. Vol. 13, Arch Womens Ment Health. p. 37–40.
9.
Brown S, Small R, Argus B. Early postnatal discharge from hospital for healthy mothers and term infants. Vol. 3, Cochrane Database Syst Rev.
10.
11.
Beck CT. A meta-analysis of predictors of postpartum depression. Vol. 45, Nurs Res. p. 297–303.
12.
Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Vol. 150, Br J Psychiatry. p. 782–6.
13.
Odalovic M, Tadic I, Lakic D. Translation and factor analysis of structural models of Edinburgh Postnatal Depression Scale in Serbian pregnant and postpartum women - Web-based study. Vol. 28, Women Birth. p. 31–5.
14.
Pallant JF, Miller RL, Tennant A. Evaluation of the Edinburgh Postnatal Depression Scale using Rasch analysis. Vol. 12, BMC Psychol. p. 6–28.
15.
O’Hara MW, Swain AM. Rates and risk of postpartum depression—a meta-analysis. Vol. 8, Int Rev Psychiatry. p. 37–54.
16.
Brugha TS, Sharp HM, Cooper SA. The Leicester 500 Project. Social support and the development of postnatal depressive symptoms, a prospective cohort survey. Vol. 28, Psychol Med. p. 63–79.
17.
Seguin L, Potvin L, Denis M, Loiselle J. Depressive symptoms in the late postpartum among low socioeconomic status women. Vol. 26, Birth. p. 157–63.
18.
Forman DN, Videbech P, Hedegaard M. Postpartum depression: identification of women at risk. Vol. 107, Br J Obstet Gynaecol. p. 1210–7.
19.
Beck CT. Predictors of postpartum depression: an update. Vol. 50, Nurs Res. p. 275–85.
20.
Warner R, Appleby L, Whitton A, Faragher B. Demographic and obstetric risk factors for postnatal psychiatric morbidity. Vol. 168, Br J Psychiatry. p. 607–11.
21.
Lee DT, Yip AS, Leung TY, Chung TK. Identifying women at risk of postnatal depression: prospective longitudinal study. Vol. 6, Hong Kong Med J. p. 349–54.
22.
Patel V, Rodrigues M, DeSouza N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Vol. 159, Am J Psychiatry. p. 43–7.
23.
Pocan AG, Aki ÖE, Parlakgumus AH. The incidence of and risk factors for postpartum depression at an urban maternity clinic in Turkey. Vol. 46, Int J Psychiatry Med. p. 179–94.
24.
Mohammad KI, Gamble J, Creedy DK. Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women. Vol. 27, Midwifery. p. 238–45.
25.
Ludermir AB, Araya R, Araújo TV. Postnatal depression in women after unsuccessful attempted abortion. Vol. 198, Br J Psychiatry. p. 237–8.
26.
Johnstone SJ, Boyce PM, Hickey AR. Obstetric risk factors for postnatal depression in urban and rural community samples. Vol. 35, Aust N Z J Psychiatry. p. 69–74.
27.
Blom EA, Jansen PW, Verhulst FC. Perinatal complications increase the risk of postpartum depression: The Generation R Study. Vol. 117, BJOG: An Int J Obstet Gynaecol. p. 1390–8.
28.
Flink IK, Mroczek MZ, Sullivan MJL, Linton SJ. Pain in childbirth and postpartum recovery: the role of catastrophizing. Vol. 13, Eur J Pain. p. 312–6.
29.
Hiltunen P, Raudaskoski T, Ebeling H, Moilanen I. Does pain relief during delivery decrease the risk of postnatal depression? Vol. 83, Acta Obstet Gynecol Scand. p. 257–61.
30.
Saisto T, Salmela-Aro K, Nurmi JE, Halmesmäki E. Psychosocial predictors of disappointment with delivery and puerperal depression: A longitudinal study. Vol. 80, Acta Obstet Gynecol Scand. p. 39–45.
31.
Boudou M, Teissèdre F, Walburg V, Chabrol H. Association between the intensity of childbirth pain and the intensity of postpartum blues. Vol. 33, L’Encéphale. p. 805–10.

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