The relationships between prenatal attachment, maternal anxiety, and postpartum depression: A longitudinal study

Author(s):  
Meltem Kaydırak ◽  
Büşra Yılmaz ◽  
Aleynanur Demir ◽  
Ümran Oskay
2021 ◽  
pp. 025371762199106
Author(s):  
Meera George ◽  
Avita Rose Johnson ◽  
Sulekha T.

Background: Postpartum depression (PPD) is the commonest mental health disorder post-childbirth, yet there is a paucity of data in rural areas regarding the actual incidence of PPD, which excludes pre-existing or antenatal depression. To estimate the incidence of PPD among rural women of south Karnataka and identify predictors of PPD, including antenatal psychiatric disorders. Methods: A longitudinal study in 25 villages in south Karnataka among 150 pregnant women in the third trimester of pregnancy using simple random sampling. Baseline data collected and revised Clinical Interview Schedule used to screen antenatal psychiatric disorders. Participants followed-up 6–8 weeks postpartum, end-line data collected, and Edinburg Postnatal Depression Scale administered. Chi-square and Fischer’s exact tests for association between PPD and covariates. Logistic regression to calculate adjusted odds ratios. Results: Prevalence of antenatal psychiatric disorders was 15.3%. The incidence of PPD was 11%. A significantly higher proportion of PPD was found among women with adverse events in the last year, low socioeconomic status, and perceived lack of care/support at home. Predictors of PPD were antenatal psychiatric disorders (AOR = 4.3, 95% CI = 1.22–5.11; P = 0.028), mothers reporting worry about their infant’s health (AOR = 7.7, 95% CI = 1.22–48.32; P = 0.012) and mothers receiving postpartum care by caregivers other than their own mother (AOR = 4.0, 95% CI = 1.13–8.09; P = 0.030). Conclusions: Our study found that one in ten rural women is developing PPD and there is a strong link between PPD and antenatal psychiatric disorders and family factors. This calls for capacity building of general physicians and village-level workers and strengthening of the Home-Based Newborn Care Program, where weekly postpartum home visits by ASHA are an opportunity for screening and counselling mothers.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alexandra Johann ◽  
Ulrike Ehlert

Abstract Background Postpartum depression is considered to be one of the most common health threats during pregnancy and postpartum, affecting not only the woman herself but also the offspring and the whole family system. Evidence for a conclusive etiopathological model with distinct risk and resilience factors is still broadly lacking. Therefore, the aim of the present study is to investigate numerous health-related markers to obtain greater insight into which biopsychosocial profiles render women more vulnerable to PPD or facilitate a healthy transition from pregnancy to postpartum. Methods The observational, longitudinal study aims to include a total of 288 physically healthy women, aged 20–45 years. A multitude of relevant parameters, of an (epi-) genetic, endocrinological, physiological and psychological nature, will be assessed over a period of 5 months, following the participants from the 3rd trimester until three months postpartum. Discussion The ultimate goal of the present study is to ameliorate mental health care during pregnancy and postpartum, by gaining a better understanding of the underlying biopsychosocial mechanisms that women undergo during the transition from pregnancy to postpartum.


2018 ◽  
Vol 54 (8) ◽  
pp. 1284-1294 ◽  
Author(s):  
Hanieh Salehi-pourmehr ◽  
Soudabeh Niroomand ◽  
Seyed Kazem Shakouri ◽  
Zoleikha Asgarlou ◽  
Azizeh Farshbaf-Khalili

2014 ◽  
Vol 16 (4) ◽  
pp. 287-298 ◽  
Author(s):  
Roswith Roth ◽  
Kristian Lynch ◽  
Barbro Lernmark ◽  
Judy Baxter ◽  
Tuula Simell ◽  
...  

2018 ◽  
Vol 32 (2) ◽  
pp. 263-267 ◽  
Author(s):  
Mina Delavari ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Mojgan Mirghafourvand

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