Moneekha Priyadharshini, K (2022) A Study of Prevalence and Risk Factors Associated with Postpartum Depression. Masters thesis, Stanley Medical College, Chennai.
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Abstract
BACKGROUND: Postnatal depression also known as postpartum depression (PPD) is defined as depression with onset usually within 6 weeks of delivery. Symptoms appear at any time from immediately after delivery or up to a year post-delivery. 10% - 15% of women are affected by the most common complication of childbearing caused by non-psychotic postpartum depression. The relationship of the mother with her family and her children could be very much affected because of the effects of postnatal depression. This makes it a highly important to diagnose, treat and prevent it. Postpartum depression is a mild form of mental and behavioral disorder according to the ICD-10. It usually commences within 6 weeks of delivery according to the ICD-10. Clinically presents as depressed mood, excessive sleepiness or insomnia, markedly diminished pleasure, significant change in weight, loss of energy, psychomotor agitation or retardation, feelings of worthlessness, excessive guilt, reduced confidence and self-esteem, impaired concentration and suicidal thoughts. For the postpartum depression to be prevented in childbearing mothers clinically or through public health intervention, it’s quite important to identify the risk factors of post-partum depression. The EPDS (Edinburgh Postnatal Depression Scale) is self-reporting questionnaire intended to measure depressive symptoms intensity experienced by participant within seven days, which is screening tool for postpartum depression. AIM OF THE STUDY: To determine the prevalence of postpartum depression among women delivering at our hospital and the risk factors associated with postpartum depression. MATERIALS AND METHODS: Present study was a cross-sectional study carried out over a period of one year & eight months from February 2020-October 2021 in a tertiary hospital. The patients were selected based on inclusion and exclusion criteria. The relevant data were collected and analyzed. RESULTS: Out of 332 participants 36 women tested positive for postnatal depression in the immediate postnatal period. The prevalence of postnatal depression in the immediate postnatal period was thus 10.8%. For the given sample size, there was no statistical significant association between postpartum depression and age group, socioeconomic status, gender of the baby, previous history of abortions, type of family and admission to delivery interval and there was statistical significant association between postpartum depression and factors such as parity, mode of delivery, gestational age, NICU admission, family relationship, previous history of depression, preference towards male child, occupation, birth weight, delivery to discharge interval, nutritional status of the mother. CONCLUSION: Early identification and intervention of PPD improve long term prognosis for most mothers. Some success with presumptive treatments has been identified as well. A major part of prevention is being knowledgeable about the risk factors, and the medical community can play an important role in identifying and treating PPD. Women should be screened to identify the risk for acquiring PPD by their physician. From the results of the study, we can suggest the physicians to consider the statistically significant risk factors as a criterion in the course of pregnancy. During the antenatal period, the significant risk factors like parity, family relationship, previous history of depression, preferences towards male child, occupation, nutritional status of the mother.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221916059 |
| Uncontrolled Keywords: | Postpartum depression, Edinburgh postpartum depression scale, mother-infant relationship, counseling. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 03 May 2021 09:44 |
| Last Modified: | 03 Dec 2023 05:12 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/15708 |
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