Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India (original) (raw)
Related papers
PloS one, 2015
Postnatal depression (PND) is one of the most common psychopathology and is considered as a serious public health issue because of its devastating effects on mother, family, and infant or the child. To elicit socio-demographic, obstetric and pregnancy outcome predictors of Postnatal Depression (PND) among rural postnatal women in Karnataka state, India. Hospital based analytical cross sectional study. A rural tertiary care hospital of Mandya District, Karnataka state, India. PND prevalence based estimated sample of 102 women who came for postnatal follow up from 4th to 10th week of lactation. Study participants were interviewed using validated kannada version of Edinburgh Postnatal Depression Scale (EPDS). Cut-off score of ≥13 was used as high risk of PND. The percentage of women at risk of PND was estimated, and differences according to socio-demographic, obstetric and pregnancy outcome were described. Logistic regression was applied to identify the independent predictors of PND ri...
Pakistan Journal of Medical Sciences, 2015
Background and Objective: Postnatal depression, with an estimated prevalence of 13-19%, causes significant impairment of mental health among women worldwide and has long term consequences. However, more than half of all cases are not detected by healthcare providers. Screening for postnatal depression has not been given importance in maternal health programs in India. Our objective was to screen for postnatal depression among women attending a rural hospital in India, immediately postpartum and at 6-8 weeks post-delivery, and to study associated factors. Methods: A cross sectional study was done on 123 postnatal women attending a rural maternity hospital in Karnataka, South India, of whom 74 women were interviewed within one week of childbirth, and 49 women at 6-8 weeks post-delivery. The Edinburgh Postnatal Depression Scale was used to screen for postnatal depression. Results: About 45.5% of the women screened positive for postnatal depression (44.6% of all subjects within one week of delivery and 46.9% at 6-8 weeks after delivery). Postnatal depression was significantly associated with mood swings during antenatal period, staying with the family of birth during pregnancy and away from their husbands, and was significantly higher among women who perceived their life as stressful and having a low self-esteem (P<0.05) Conclusions: This study found a high prevalence of postnatal depression in women in rural Karnataka. This underlines the need for incorporating screening for postnatal depression in the routine care of women during pregnancy and delivery.
POSTNATAL DEPRESSION AMONG WOMEN ATTENDING A RURAL MATERNITY HOSPITAL IN SOUTH INDIA
National Journal of Community Medicine, 2015
Introduction: The Diagnostic and Statistical Manual of Mental Dis- orders (DSM) V defines Postpartum Depression (PND) as depres- sion with onset within 4 weeks of delivery, symptoms lasting for a minimum of two weeks, causing clinically significant impairment of functioning. PND has important implications for the welfare of the family and the development of the child. Objectives were to de- termine the prevalence of postnatal depression among women at- tending a rural maternity hospital in South India and to identify the risk factors determining postnatal depression. Methodology: This was a cross sectional study, at a rural maternity hospital near Bangalore. One hundred and eighty women were se- lected through consecutive sampling. The Edinburg Postnatal De- pression Scale (EPDS) was used administered to assess postnatal depression. Results: Prevalence of probable depression was found to be 18%. Risk factors found to be significantly associated with postnatal de- pression were high risk pregnancy, being unhappy with in-laws, low income of the family, mood swings and low mood during pregnancy. Conclusion: This study identified certain socio-demographic and obstetric risk factors for postnatal depressive symptoms in a rural community which helps to design intervention and preventive strategies for postpartum depression.
Postpartum Depression and its Risk Factors among Indian Women
Nursing Journal of India
Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill effects of PPD include maladaptive mother-infant interactions, negative effect on cognitive and behavioural development of infants. There are wide variations in reported prevalence of PPD ranging from 0.5 percent to 60 percent among various countries as estimated by the Edinburgh Postnatal Depression Scale (EPDS). PPD screening is not a routine part of postpartum care in India and postpartum women suffering from PPD may remain largely unrecognized and untreated. The study aimed to assess the prevalence of depression and its risk factors in postpartum women attending well-baby clinic at 6 weeks postpartum at a tertiary hospital in India. A total of 284 women who came for immunisation of their babies in well baby clinic at 6 to 8 weeks postpartum were assessed for PPD using the EPDS, after taking consent. Ethical approval was taken from the ethics committee of the organisation. Demographic p...
Characteristics of Postpartum Depression in Anand District, Gujarat, India
Journal of Tropical Pediatrics, 2015
Characteristics of postpartum depression (PPD) in Anand District, Gujarat, India. PPD affects 1 in 10 women in the developed world. It has been implicated as an independent factor with adverse effect on child health, and health care-seeking behavior of mothers. We sought to find the prevalence of PPD in our hospital by including mothers who registered and delivered live babies at our hospital. Basic demographic information related to pregnancy was acquired from mothers and Edinburgh Postnatal Depression Scale (EPDS), pre-translated and validated in Gujarati language, was administered. Current study observed prevalence of PPD as 48.5% using cutoff score of 10.5 for classifying depression in Gujarati women. Factors associated with depression after multivariable logistic regression were: age of mother, modified Kuppuswami category (MKC) score, family type, violence from husband, gravida, para and sex of infant. PPD has higher prevalence in our study visa -vis Western countries. This may be because of early administration of EPDS.
Innovative Journal of Medical and Health Science, 2014
Background: Postnatal depression represents a considerable health problem affecting women and their families. Recent studies, shows postnatal depression have a substantial impact on mother-baby interactions, longer-term emotional and cognitive development of the baby, especially when depression occurs in the first postnatal year of life. It is now considered a major health concern for women from diverse cultures. Objectives: To find out prevalence of postnatal depression among mothers following delivery and to study factors responsible among participants. Methods: Community based cross-sectional study conducted in Seloo village, which is field practice area of Jawaharlal Nehru medical college, Wardha. Mothers were interviewed using EPDS (Edinburgh Postnatal Depression Scale) and Multidimensional scale questionnaire with cut of score of 12 for EPDS. Results: 24% of mothers were found to be chronically depressed at 6 months after childbirth with mean age 24.34 years and 53% have monthly income less than 5000 rupees. Economic deprivation and poor marital relationships were important risk factors for the occurrence and chronicity of depression. Conclusion: Analyses show that there is a strong interaction among many risk factors, such as economic deprivation, and the infant's gender.
A Study on Postnatal Depression of Women in Rural Bangalore
International Journal of Health Sciences and Research, 2013
Introduction: Postnatal depression generally occurs within 6-8 weeks after childbirth but it may appear up to the end of the first year after birth. Risk factors for postnatal depression are past history of psychological disorder, psychological disorder during pregnancy, low socioeconomic status, complicated delivery, and poor marital relationship. Objectives: To find the proportion of postnatal depression among postnatal mothers and to determine risk factors for postnatal depression. Methodology: Postnatal mothers between 6- 8 weeks after delivery attending immunization clinic of rural health training centre were interviewed. Results: It was estimated that 28(11.47%) of them had postnatal depression. Mean age of study subjects was 22.6 ± 2.48, majority of them were Hindus 208 (85.2%), 112(45.9%) were educated up to grade 7 and below, 100 (40.9%) had education up to grade 10 and below, 32(13.1%) had not attended school. Mean per capita income was found to be 1800 ± 1146. Partner non...
Postpartum depression in an Indian community: more prevalent less addressed issue
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2016
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. Onethird 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 childbirth in this area so as to improve maternal and child health.
Panacea Journal of Medical Sciences, 2020
Postpartum depression represents a considerable problem affecting women and their families. It may range from mild self limiting depression named postpartum blues to postnatal major depression and psychosis. By doing this study, many of the risk factors can be screened and we can provide intervention in proper time so as to reduce the morbidity. A cross sectional study was conducted in 100 postnatal women. Mothers were interviewed using Edinburgh Postnatal Depression Scale (EPDS) with cut off score of 12. The result was analyzed by using the Chi-Square test. Out of 100 postnatal women included in the study, 13% women were found have EPDS score more than 12. Most of the patients were found to be in the age group of 20-30 years. It was also seen that most women who were educated up to high-school and belonged to joint families, were among the 13%. The most commonly associated factors were low and average family income (p=0.013) and caesarean mode of delivery (p=0.003). The study implies that postpartum depression is highly prevalent and is mostly influenced by the family income and mode of delivery.
National Journal of Community Medicine
Introduction: During postpartum period women are at high risk for developing episodes of depression. Postnatal depression (PND) is a major public health issue because of its adverse effects on the infant and entire family. Objective: To find the prevalence of PND among postnatal(PN) women in Singupuram rural health training centre(RHTC) area, Srikakulam district, Andhra Pradesh and to find association between socio-demographic, obstetric and pregnancy outcomes and PND. Method: Sampling Method-Non-probability convenient sampling. This cross-sectional study was carried out among PN women (4 th-10 th week) in Singupuram RHTC area, Srikakulam district during May to August 2019. Details were collected using a pre-tested semi-structured questionnaire pertaining to socio-demographic profile, obstetric and pregnancy outcomes along with an Edinburg Postnatal Depression Scale (EPDS) translated into local language (telugu) cutoff score of ≥13 was used as high risk of PND. Result: The study included 229 PN women. Prevalence of PND was 28.3%. PND showed significant association (p<0.05) with type of family, working status of PN women, husbands occupation, socioeconomic status, mode of delivery, gender of the newborn, and complications in pregnancy. Conclusion: PND among rural PN women is 28.3%. Early stage of PND screening and diagnosis should be included as integral part of PN care.