Factors predicting Postnatal Depression immediately after delivery and at 6 weeks : a study from a teaching hospital in southern India
Journal Title: INDIAN JOURNAL OF MENTAL HEALTH - Year 2014, Vol 1, Issue 1
Abstract
Longitudinal research on depression in the postpartum period can help in understanding the predictors of depressive symptoms. Such information will give an opportunity to identify women at risk and treat them promptly if depression develops. The present study aimed to find persistence and predictors of depression in the postpartum period. In this longitudinal study, women who delivered at a tertiary care hospital in south India were assessed for depressive symptoms within 24-48 hours of delivery. They were reassessed at six weeks for depressive symptoms. Demographic and clinical data were recorded and depressive symptoms were measured using Edinburgh Postnatal Depression Scale (EPDS). Logistic regression analysis was carried out to find predictors of depression at baseline and six weeks. Out of the 476 women who participated, 316 (66.4%) were screened to be having significant postnatal depressive symptoms as per EPDS (scoring more than 9), at baseline. Of the 103 who followed up at six weeks, significant postnatal depressive symptoms were present in 62 (60.2%). Low birth weight of the baby, low APGAR scores at birth and unemployed status predicted depressive symptoms at baseline. Presence of significant depressive symptoms at baseline were the strongest predictor of persistence of significant depressive symptoms at six week follow-up.Significant depressive symptoms in the immediate postpartum period are present in a considerable proportion of women. These symptoms predict presence of depressive symptoms at six weeks postpartum.
Authors and Affiliations
Rajendiren Soundravally, Shivanand Kattimani, Anand Aswathi, Aishwarya Say, Durairaj Jayalakshmi, Haritha Sagili, Siddharth Sarkar
Keywords
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- EP ID EP249157
- DOI 10.30877/IJMH.1.1.2014.30-40
- Views 91
- Downloads 0
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