Assessment of postnatal depression and some associated risk factors among mothers attending the immunisation outpatient department in a tertiary health care centre: a cross sectional study

Authors

  • Shruti Gaikwad Department of Community Medicine, GMC Aurangabad, Maharashtra, India
  • Vinod Mundada Department of Community Medicine, GMC Aurangabad, Maharashtra, India
  • Vishal Dhande Department of Community Medicine, GMC Aurangabad, Maharashtra, India
  • Mohan Doibale Department of Community Medicine, GMC Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20194503

Keywords:

Postnatal depression, EPDS, Tertiary health care centre

Abstract

Background: Postpartum depression is a significant and common health problem that causes a considerable amount of impact to both the mother and baby and distress on the family and society. The objective of this study is to find out prevalence of postnatal depression among mothers attending immunization outpatient department (OPD) for immunization of their baby in a tertiary health care center and to study some risk factors responsible for it.

Methods: This cross sectional study was conducted in a tertiary care teaching hospital of Maharashtra state during period September to February 2019. Total 188 mothers were screened for postpartum depression using local version of EPDS (Edinburgh Postnatal Depression Scale).

Results: 24 (12.76%) mothers were found to have a score of 10–12 indicating moderate depressive symptoms, and 18 mothers had a score of 13 and above. (9.57%). Risk factors found to be significantly associated with postnatal depression rural residence of mother, lack of support during and after pregnancy, history of domestic abuse, and stressful life events in the past year.

Conclusions: Since the prevalence of EPDS score >13 was found to be high in the current study, we recommend routine screening for PPD in our population. 

References

Dhande N, Khapre M, Nayak S, Mudey A. Assessment of Postnatal Depression among mothers following delivery in rural area of Wardha District: A cross sectional study. Innovative Journal of Medical and Health Science. 2014;4(2):53-5.

Khara S, Kose V. Assessment of postpartum depression among mother s following delivery in a rural based tertiary care centre, Nagpur, Maharashtra: A cross-sectional study. Panacea Journal of Medical Sciences. 2018;8(1):40–2.

Chasse JD. Washington Baby: A Collection of Studies and Research in Maternal/Perinatal Psychology, Health and Public Policy Issues. Beltsville, Maryland: Jill Chasse; 2006.

Alasoom LI, Koura MR. Predictors of postpartum depression in the eastern province capital of Saudi Arabia. J Fam Med Primary Care. 2014;3:146-50.

Barnes DL. Postpartum Depression: Its Impact on Couples and Marital Satisfaction. Journal of Systemic Therapies. 2006;25:25-42.

Dennis C, McQueen K. The relationship between infant-feeding outcomes and postpartum depression: a qualitative systematic review. Pediatrics. 2009;123:e736-e751.

Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disorder. 2006;91:97-111.

Mancini F, Carlson C, Albers L. Use of the Postpartum Depression Screening Scale in a collaborative obstetric practice. J Midwifery Women’s Health. 2007;52:429-34.

Kavanaugh M, Halterman J, Montes G, Epstein M, Hightower AD, Weitzman M. Maternal depressive symptoms are adversely associated with prevention practices and parenting behaviors for preschool children. Ambulatory Pediatric. 2006;6:32-7.

Sheela et al. Screening for Postnatal Depression in a Tertiary Care Hospital. J Obstet Gynecol India. 2016;66(S1):S72–6.

Khapre M, Dhande N, Mudey A. Validity and Reliability of Marathi Version of Edinburgh Postnatal Depression Scale as a Screening Tool for Post Natal Depression. Ntl J Community Med. 2017;8(3):116-21.

Wisner KL, Parry BL, Piontek CM. Clinical practice. Postpartum depression. N Engl J Med. 2002;347:194-9.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh postnatal depression scale. Br J Psychiatr. 1987;150:782-6.

Sidor A, Kunz E, Schweyer D, Eickhorst A, Cierpka M. Links between maternal postpartum depressive symptoms, maternal distress, infant gender and sensitivity in a high-risk population. Child Adolesc Psychiatr Ment Health. 2011;5:7.

Lanes A, Kuk JL, Tamim H. Prevalence and characteristics of Postpartum Depression symptomatology among Canadian women: a cross-sectional study. BMC Public Health. 2011;11:302.

Suguna A, Naveen R, Surekha A. Postnatal Depression among Women Attending A Rural Maternity Hospital in South India. Ntl J of Community Med. 2015;6(3):297-301.

Shriraam V, Shah PB, Rani MA, Sathiyasekaran B. A community-based study of postpartum depression in rural Southern India. Indian J Soc Psychiatry. 2019;35:64-8.

Saldanha D, Rathi N, Bal H, Chaudhari B. Incidence and evaluation of factors contributing towards postpartum depression. Med J D Y Patil Univ. 2014;7:309-16.

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(3):278-88.

Qobadi M, Collier C, Zhang L. The effect of stressful life events on postpartum depression: findings from the 2009-2011 Mississippi pregnancy risk assessment monitoring system. Matern Child Health J. 2016;20(S1);164–72.

Hegde SS, Latha KVK, Bhat SM, Sharma PS, Kamath A, Shetty AK. Postpartum Depression: Prevalence and Associated Factors among Women in India. J Womens Health, Issues Care. 2016;1:1.

Bacchus L, Mezey G, Bewley S. Domestic violence: prevalence in pregnant women and associations with physical and psychological health. Eur J Obstet Gynecol Reprod Biol. 2004;113(1):6-11.

Nongrum R, Thomas E, Lionel J, Jacob KS. Domestic violence as a risk factor for maternal depression and neonatal outcomes: A hospital-based cohort study. Indian J Psychol Med. 2014;36:179-81.

Alasoom LI, Koura MR. Predictors of postpartum depression in the eastern province capital of Saudi Arabia. J Fam Med Primary Care. 2014;3:146-50.

Downloads

Published

2019-09-26

How to Cite

Gaikwad, S., Mundada, V., Dhande, V., & Doibale, M. (2019). Assessment of postnatal depression and some associated risk factors among mothers attending the immunisation outpatient department in a tertiary health care centre: a cross sectional study. International Journal Of Community Medicine And Public Health, 6(10), 4412–4416. https://doi.org/10.18203/2394-6040.ijcmph20194503

Issue

Section

Original Research Articles