Psychosocial factors in post-partum parents in India


  • Shivani Chowdhury Salian Department of Electrotherapy and Electrodiagnosis, School of Physiotherapy, D. Y. Patil University, Navi Mumbai, India
  • Krisha P. Shah Intern, D. Y. Patil University, Navi Mumbai, India



Psychosocial factors, Post-partum parents, Fatigue, Stress, Depression, Bonding


Background: Post-partum period brings along with it a lot of changes and responsibilities. Fatigue, Stress, Depression and Bonding are some of the factors which have shown to affect the parents during this period. Present study assesses the psychosocial factors in post-partum parents and differences observed amongst them. The effect of other factors like the type of delivery of the youngest child, the working status of the mother and the type of family they reside in were also assessed.

Methods: 128 pair of parents (64 mothers & 64 fathers) were interviewed using a Case Report Form after procuring their informed consent. The various psychosocial domains were evaluated using Multidimensional Assessment of Fatigue (MAF) Scale, Perceived Stress Scale (PSS), Edinburgh Postnatal Depression Scale (EDPS) and the Post-Partum Bonding Questionnaire (PBQ). For each participant, the total score (factorial total score in case of PBQ) in each scale was calculated and analysed.

Results: On comparing the various psychosocial factors, fatigue (p-value 0.020), stress (p-value 0.034) and depression (p-value 0.005) levels were found to be significantly higher in mother as compared to fathers. Primiparous mothers had significantly high levels of stress (p-value 0.021) and depression (p-value 0.015) in comparison to primiparous fathers. Also, mothers who underwent C-section showed a significant difference (p-value 0.023) towards their tendency of incipient abuse towards the child as compared to the other groups.

Conclusions: The present study reveals that the bonding of mothers and fathers with their children is equal. However, the mothers are observed to be more fatigued, stressed and depressed as compared to fathers. 

Author Biographies

Shivani Chowdhury Salian, Department of Electrotherapy and Electrodiagnosis, School of Physiotherapy, D. Y. Patil University, Navi Mumbai, India

Prof and HOD, Department of Electerotherapy and Electrodiagnosis.

Krisha P. Shah, Intern, D. Y. Patil University, Navi Mumbai, India

Intern, School of Physiotherapy, D,Y,Patil University.


Pollock M, Amankwaa L, Amankwaa A. First-Time Fathers and Stressors in the Postpartum Period. J Perinatal Edu. 2005;14(2):19-25.

Romano M, Cacciatore A, Giordano R, La Rosa B. Postpartum period: three distinct but continuous phases. J Prenatal Med. 2010;4(2):22-5.

University of Salford, Manchester. Women need longer than six weeks to recover from childbirth, says Salford expert, 2012. Available at,-says-salford-expert. Accessed on 13 February 2017.

Fairbrother N, Hutton E, Stoll K, Hall W, Kluka S. Psychometric evaluation of the Multidimensional Assessment of Fatigue Scale for use with pregnant and postpartum women. Psychological Assessment. 2008;20(2):150-8.

Gay C, Lee K, Lee S. Sleep Patterns and Fatigue in New Mothers and Fathers. Biol Res For Nursing. 2004;5(4):311-8.

Osman H, Saliba M, Chaaya M, Naasan G. Interventions to reduce postpartum stress in first-time mothers: a randomized-controlled trial. BMC Women's Health. 2014;14(1):125.

Giallo R, Gartland D, Woolhouse H, Brown S. I didn’t know it was possible to feel that tired: exploring the complex bidirectional associations between maternal depressive symptoms and fatigue in a prospective pregnancy cohort study. Arch Women's Mental Health. 2015;19(1):25-34.

Goodman J. Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J Adv Nursing. 2004;45(1):26-35.

Goldberg S. Parent-Infant Bonding: Another Look. Child Development. 1983;54(6):1355-82.

Klier C. Mother–infant bonding disorders in patients with postnatal depression: The Postpartum Bonding Questionnaire in clinical practice. Arch Women's Mental Health. 2006;9(5):289-91.

Munk-Olsen T, Laursen T, Pedersen C, Mors O, Mortensen P. New Parents and Mental Disorders. JAMA. 2006;296(21):2582-9.

Waters MLee K. Differences between primigravidae and multigravidae mothers in sleep disturbances, fatigue, and functional status. J Nurse-Midwifery. 1996;41(5):364-7.

Ferketich SL, Mercer RT. Predictors of Role Competence For Experienced and Inexperienced Fathers. Nursing Res. 1995;44(2):89-95.

Ryding E, Wijma K, Wijma B. Psychological impact of emergency Cesarean section in comparison with elective Cesarean section, instrumental and normal vaginal delivery. J Psych Obstetrics & Gynecol. 1998;19(3):135-44.

Rout U, Cooper C, Kerslake H. Working and non‐working mothers: a comparative study. Women in Management Rev. 1997;12(7):264-75.

Bahadur A, Dhawan N. Social Value of Parents and Children in Joint and Nuclear Families. J Indian Acad Appl Psychol. 2008;34:74-80.

The Times of India. 56% more joint families in city than 10 years ago, 2012. Available at Accessed 15 February 2017.

Tack B.B. Dimensions and correlates of fatigue in older adults with rheumatoid arthritis. Doctoral dissertation, University of California, San Francisco. 1991.

Cohen S, Kamarck T, Mermelstein R. A Global Measure of Perceived Stress. J Health Social Behav. 1983;24(4):385-96.

Cox J, Holden J, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. British J Psych. 1987;150(6):782-786.

Brockington I, Oates J, George S, Turner D, Vostanis P, Sullivan M et al. A Screening Questionnaire for mother-infant bonding disorders. Arch Women's Mental Health. 2001;3(4):133-40.

Cohen S. Perceived Stress Scale, 1994. Available at Accessed on 15 February 2017.

Edinburgh Postnatal Depression Scale (EPDS). Available at

downloads/edinburghscale.pdf. Accessed on 15 February 2017.

The Edinburgh Postnatal Depression Scale (EPDS) - Black Dog. Available at

en/document/view/45525533/the-edinburgh-postnatal-depression-scale-epds-black-dog-. Accessed on 15 February 2017.

Brockington I, Fraser C, Wilson D. The Postpartum Bonding Questionnaire: a validation. Arch Women's Mental Health. 2006;9(5):233-42.

Lee E. Review of the Psychometric Evidence of the Perceived Stress Scale. Asian Nursing Res. 2012;6(4):121-7.

Cohen S, Kamarck T, Mermelstein R.Perceived Stress Scale,1983. Available at http://christianfamily Accessed on 5 February 2017.

Musick K, Meier A, Flood S. How Parents Fare. Am Sociological Rev. 2016;81(5):1069-95.

Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatrica Scandinavica. 2009;119(5):350-64.

Hanington L, Ramchandani P, Stein A. Parental depression and child temperament: Assessing child to parent effects in a longitudinal population study. Infant Behav Develop. 2010;33(1):88-95.

Rukh R, Kafeel H, Naveed S, Sarwar G. Prevalence Of Postpartum Depression In Primigravida And Multigravidawith Normal Physiological Status. J Pharma Pharmaceut Sci. 2013;1(1):16-20.

Brockington I. Diagnosis and management of post-partum disorders: a review. World Psychiatry. 2004;3(2):89.

Vismara L, Rollè L, Agostini F, Sechi C, Fenaroli V, Molgora S, et al. Perinatal Parenting Stress, Anxiety, and Depression Outcomes in First-Time Mothers and Fathers: A 3- to 6-Months Postpartum Follow-Up Study. Frontiers Psychol. 2016;7.

Hock E. Working and nonworking mothers with infants: Perceptions of their careers, their infants' needs, and satisfaction with mothering. Developmental Psychol. 1978;14(1):37-43.




How to Cite

Salian, S. C., & Shah, K. P. (2017). Psychosocial factors in post-partum parents in India. International Journal Of Community Medicine And Public Health, 4(4), 1324–1331.



Original Research Articles