DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20162648

Postpartum depression in an Indian community: more prevalent less addressed issue

Aruna Nigam, Anupam Prakash, Neha Maheshwari

Abstract


Background: Postpartum depression is major health concern which not only has effect on maternal mortality and morbidity but also have effect on the cognitive and behavioral development of the child. Aims of the study was to study the prevalence of postpartum depression and its correlates.

Methods: 100 women between 2 to 6 weeks of postpartum period were subjected to a pre-tested pre-structured standard questionnaire. Diagnosis of depression was made using the Edinburgh Postnatal Depression Scale. Possible depression is suggested by a score of 10 or greater; while values equal to 13 or more are invariably associated with depression.

Results: The average age of the study group was 28.67±5.22 years and average duration of the post-partum period was 28.12±10.94 days. There was only one single parent in the study group; 77% were Hindus, 23% Muslims; 72% were housewives, while 22% were laborers. All subjects belonged to the low or middle socioeconomic groups. One-third of the subjects were illiterate. 93% had scores > 13 by use of the Edinburgh Postnatal Depression Scale. 89% of the subjects had five or more contributory factors out of 21 contributory factors studied. The most common contributory factors were- child care stress, life stress, low self-esteem, low social support, infant temperament problems, low socioeconomic status, prenatal depression and prenatal anxiety.

Conclusions: There is high prevalence of postpartum depression outskirts of Lucknow. Thus it appears pertinent to screen all women for postpartum depression after child-birth in this area so as to improve maternal and child health.


Keywords


Anxiety, Depression, Prevalence, Postpartum period

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References


Kemp B, Bongartz K, Rath W. Psychic disturbances in the postpartum period: an increasing problem? Z Geburtshilfe Neonatol. 2003;207:159-65.

Nonacs R, Cohen LS. Postpartum mood disorders: diagnosis and treatment guidelines. J Clin Psychiatry. 1998;59(suppl 2):34-40.

Garvey MJ, Tuason VB, Lumry AE, Hoffmann NG. Occurrence of depression in the postpartum state. J Affecti Disord. 1983;5:97-101.

Beck CT. The effects of postpartum depression on maternal-infant interaction: a meta-analysis. Nursing Research. 1995;44:298-304.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry. 1987;150:782-6.

Pedersen CA. Postpartum mood and anxiety disorders: a guide for the nonpsychiatric clinician with an aside on thyroid associations with postpartum mood. Thyroid. 1999;9:691-7.

Villegas L, McKay K, Dennis CL, Ross LE. Postpartum depression among rural women from developed and developing countries: a systematic review. J Rural Health. 2011;27:278-88.

Klainin P, Arthur DG. Postaprtum depression in Asian cultures: a literature review. Int J Nrs Stud. 2009;46:1355-73.

Beck CT. A meta-analysis of the relationship between postpartum depression and infant temperament. Nursing Research. 1996;45:225-30a.

Beck CT. A meta-analysis of predictions of postpartum depression. Nursing Research. 1996;45:297-303b.

Ghosh A, Goswami S. Evaluation of postpartum depression in a tertiary hospital. J Obstet Gynaecol India. 2011;61:528-30.

Navarrete LE, Lara-Cantu MA, Navarro C, Gomez ME, Morales F. Psychosocial factors predicting postnatal anxiety symptoms and their relation to symptoms of postpartum depression. Rev Invest Clin. 2012;64:625-33.

Razuel C, Kaiser B, sellenet C, Epiney M. Relation between perceived stress, social support, and coping strategies and maternal well-being: a review of the literature. Women health. 2013;53(1):74-99.

Gotlib IH, Whiffen VE, Wallace PM, Mount JH. Prospective investigation of postpartum depression: factors involved in onset and recovery. Journal of Abnormal Psychology. 1991;100:122-32.

Beck CT. Predictors of Postpartum Depression: An Update. Nursing Research. 2001;50:275-85.