Kavitha, V (2022) Assessment of Postpartum Depression and Anxiety among Mothers Delivering at Tertiary Care Hospital in Chengalpattu Medical College and Hospital. Masters thesis, Chengalpattu Medical College, Chengalpattu.
|
Text
220600622kavitha.pdf Download (2MB) | Preview |
Abstract
This study has been conducted among postpartum female aged 18 to 35 years, with the benefits of investigating this age group using a standardized questionnaire. • The mean age of women included in this study 25. 5 with a range of 18 to 35 years. In this study age variance did not significantly affect the development of postpartum depression and anxiety. Chengalpattu medical college is a referral hospital which receives patients from the surrounding rural areas. There is no significant difference in number of cases from rural, semi-urban and urban areas. • BMI, literacy level, and occupation does not significantly influence the disorder. • Lower income & lower socio economical people are more prone for post partum disorder. They couldn’t fulfil all their needs in their low income. • Unmarried, divorced and widow women are more often the victims of postpartum depression and anxiety compared to married women. Degree of consanguinity and type of the marriage do not significantly affect this disorder. • In our study 49 % women were primigravida . Those who had many abortions and multigravida with no previous live children had a very strong predisposition to the development of postpartum depression and anxiety. • More spacing between pregnancy increased incidence of this disorder. • Pregnancy as a result of contraceptive failure were associated with higher rate of postpartum depression and anxiety. It reflect that our health care system should monitor those women using contraception whether they are regularly and properly using or not. • Nature of the conception and booking also did not significantly affect this disorder. • The number of health care visit during pregnancy and utilising iron and folic acid also decreased the incidence. • The pregnancy associated antenatal complication like anemia, heart disease, hypertensive disorder, other infection, sexually transmitted disease etc increased the occurrence of this disorder. This indicate that we need to provide a prophylactic measure to prevent postpartum depression and anxiety in women with significant ante natal problems. • Mode of deliveries whether normal vaginal, assisted vaginal, elective lscs, and emergency lscs did not significantly affect the incidence of this disorder if their baby was alive healthy. • But other pregnancy complications like stillborn ,intrauterine death were more significantly causes of these postpartum depression and anxiety. • In our health system 85% of women did not develop any intra partum complication. It reflect our tamilnadu health care system effectively give better health care service. • The development of postpartum complications like postpartum haemorrhage, wound infection , and mother admitted in ICU were more significantly affected by this disorder. • So we have to advise the mother to consume nutritionly rich diet and proper cleanliness and avoid unnecessary visitors during in the period of the hospital admission time These measures will decrease the postpartum complications, • Hospital stay for more than 7 days has significantly caused higher incidence of postpartum depression and anxiety. • Depressive symptoms and suicidal thoughts during pregnancy were associated with significantly increased psychiatric morbidity. • Mother those who are breast feeding were protective to the development of postpartum depression and anxiety. • The reason could be the bonding of the mother and child during feeding and the feeling of satisfaction upon breast feeding the child. • In our study the women who lacked family support structure were at a higher risk of developing postpartum depression and anxiety. • The outcome of current children like Birth asphyxia ,congenital disease and dead born significantly increased postpartum depression and anxiety. • Higher rate of development of postpartum depression and anxiety in women who gave birth to female baby. There is a prevalent opinion in the society that male children are better than female children because of decreased expenditure and more income and the notion that male children take care of the parents during old age .this has also reflected in the higher rates of development of postpartum disorder in women who gave birth to female baby. • If the baby admitted in NICU due to birth asphyxia, hypoxic ischemic encephalopathy, Respiratory distress syndrome those mother are naturally prone for psychiatric disorder. • Women who were associated with psychiatric illness had increased rate of postpartum depression and anxiety. • Since HDRS, HARS scale were screening tools we have used in this study to analyse the postpartum depression and anxiety. women who scored more value were diagnosed to have postpartum depression and anxiety. They were referred to the department of psychiatrics or call over given to psychiatric department for more tests and better and proper mode of treatment. CONCLUSION: ❖ People in our country are still considering that visiting a Psychiatrist and having a Psychiatric illness as a taboo. This also relates with the very little content about Post partum Depression and Anxiety in the Indian Books. In Postpartum Disorder, the Baby is affected more as the mother suffers from depression and Anxiety This indicates the significance to take the necessary action as a Healthcare provider towards Post Partum Disorder. ❖ The initial steps which needs to be done is to identify the mothers who are at risk of developing depression and Anxiety to provide appropriate treatment. This is achieved only by a team of specialists which include an Obstetrician, Clinical Psychologists, Pediatric Psychiatrist and the paramedical workers. ❖ This can be done if the Health care providers first increase their knowledge about the disease and the various problems which the mother, the baby and the family members had to face. ❖ The society should be educated about the manifestations of Postpartum blues, Postpartum Depression and Anxiety, Post Partum psychosis and the need to contact a health care provider when the symptoms occur. ❖ The pharmacokinetics and dynamics of the Antidepressants and Antianxiety and their interaction in breastfeeding the baby are to be considered as the Breast milk is important in the Growth and development of the Baby.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 220620103006 |
| Uncontrolled Keywords: | Assessment, Postpartum Depression, Anxiety, Mothers Delivering, Tertiary Care Hospital, Chengalpattu Medical College and Hospital. |
| Subjects: | MEDICAL > Obstetrics and Gynaecology > MEDICAL > Obstetrics and Gynaecology |
| Depositing User: | Subramani R |
| Date Deposited: | 16 Apr 2022 04:46 |
| Last Modified: | 03 Dec 2023 15:51 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/19290 |
Actions (login required)
 |
View Item |
