Postnatal depression and elation among mothers and their partners: Prevalence and predictors

1997 ◽  
Vol 171 (6) ◽  
pp. 550-555 ◽  
Author(s):  
Abbie Lane ◽  
Rita Keville ◽  
Mary Morris ◽  
Anthony Kinsella ◽  
Michael Turner ◽  
...  
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Unplanned Pregnancy ◽  
Depression Scale ◽  
Bottle Feeding ◽  
Mood Disturbance ◽  
Antenatal Visit ◽  
Factors Associated ◽  
Public Status ◽  
Increased Risk

BackgroundCorrelates and predictors of mood disturbance at 3 days and 6 weeks postpartum were assessed in Irish mothers and their partners.MethodThe Edinburgh Postnatal Depression Scale (EPDS) and the Highs Scale were used to assess 370 mothers and their partners. Socio-demographic, clinical and obstetric data were collected at patients' first antenatal visit. Factors associated with EPDS scores of ≥ 13 and Highs scores of ≥ 8 were examined.ResultsOn the EPDS 11.4% of mothers scored ≥ 13 at 3 days postpartum and 11% at 6 weeks, while 18.3% of mothers scored ≥ 8 on the Highs Scale at 3 days and 9% at 6 weeks. Scores on the EPDS and Highs Scale were interrelated. Factors associated with EPDS scores of ≥ 13 at 6 weeks were single status, unemployment, unplanned pregnancy, public status and bottle-feeding. The best predictors of EPDS ≥ 13 at 6 weeks were mothers' scores on the EPDS and the Highs Scale at 3 days. Three per cent of partners scored ≥ 13 on the EPDS at 3 days postpartum and 1.2% at 6 weeks.ConclusionsFactors associated with mothers' mood disturbance were readily identifiable and collected routinely at antenatal intake. Mothers' mood within 3 days of delivery was the best predictor of later postnatal depression. Paternal mood disturbance was rare. Certain women may be at increased risk for postnatal mood disturbance and may be amenable to early identification and intervention.

Risk Factors for Delayed Onset of Lactogenesis II Among Primiparous Mothers from a Brazilian Baby-Friendly Hospital

2019 ◽  
Vol 36 (1) ◽  
pp. 146-156 ◽  
Author(s):  
Beatriz de Oliveira Rocha ◽  
Marcia Penido Machado ◽  
Livia Lima Bastos ◽  
Livia Barbosa Silva ◽  
Ana Paula Santos ◽  
...  
Keyword(s):  
Risk Factors ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Factors Associated ◽  
Delayed Onset ◽  
Scale Scores ◽  
Observational Cohort ◽  
Breastfeeding Cessation ◽  
Prospective Longitudinal

Background: Low milk supply is frequently reported as a reason for exclusive breastfeeding cessation. Research aims: To determine the occurrence of, and the risk factors associated with, delayed onset of lactogenesis II among primiparas seen at a Baby-Friendly Hospital in Brazil. Method: We conducted a prospective longitudinal observational cohort study of 224 primiparas who had a singleton delivery. Data were first collected at the hospital. We assessed the onset of lactogenesis on day four postpartum, based on maternal reports of changes in breast fullness. Breastfeeding practices and Edinburgh Postnatal Depression Scale were evaluated on day seven postpartum. Using Poisson regression, we assessed significant factors associated with delayed onset of lactogenesis II. Results: Delayed lactogenesis II occurred in 18.8% ( n = 42) of participants and was significantly associated with alcohol drinking during pregnancy (IRR = 2.710, 95% CI [1.469, 4.996]); Edinburgh Postnatal Depression Scale scores ≥ 10 (IRR = 2.092, 95% CI [1.118, 3.916]), and the age of the mother (IRR: 1.081, 95% CI [1.039, 1.125]). Conclusion: Postpartum depression and alcohol ingestion during pregnancy may be associated with lactogenesis II delay, but more research is needed to elucidate the directionality of these relationships. Older mothers are at risk of delayed lactogenesis II onset. The frequency of delayed lactogenesis in this population is similar to the rates seen in previous Latin America studies and much lower than the ranges seen in North America, possibly because of the low proportion of obesity and severe gestational diabetes in this sample.

Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score

2020 ◽  
Vol 48 (5) ◽  
pp. 483-487
Author(s):  
Mikela M. Padilla ◽  
Dikea Roussos-Ross ◽  
Amie J. Goodin
Keyword(s):  
Pregnant Women ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
The State ◽  
Healthy Start ◽  
Behavioral Risk ◽  
Postpartum Visit ◽  
Prenatal Visit ◽  
Increased Risk

AbstractObjectiveTo examine the utility of the Healthy Start Screen (HSS), which is an assessment of health, environment, and behavioral risk factors offered to all pregnant women in the state of Florida, in identifying women at risk for developing postpartum depression (PPD).MethodsThe sample for this Institutional Review Board (IRB)-approved, retrospective study consisted of patients who presented to a women’s clinic for a new prenatal visit. Those patients who completed both the HSS at their prenatal visit and the Edinburgh Postnatal Depression Scale (EPDS) at their postpartum visit were included. We focused on items 1–10 of the HSS, where patients could respond with either “yes” or “no”, and identified a positive EPDS as any score greater than or equal to 12.ResultsWomen who identified as feeling down, depressed or hopeless, feeling alone when facing problems, to having ever received mental health services, or to having any trouble paying bills were more likely to have an EPDS score greater than or equal to 12.ConclusionThe HSS, currently mandated by the state of Florida to be offered to all pregnant women, is a useful tool for identifying women at increased risk of developing PPD.

Links Between Early Post-partum Mood and Post-natal Depression

1992 ◽  
Vol 160 (6) ◽  
pp. 777-780 ◽  
Author(s):  
Patricia Hannah ◽  
Diana Adams ◽  
Angela Lee ◽  
Vivette Glover ◽  
M. Sandler
Keyword(s):  
Caesarean Section ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Bottle Feeding ◽  
Low Mood ◽  
Symptom Profiles ◽  
Post Natal Depression ◽  
Previous Birth

The Edinburgh Postnatal Depression Scale (EPDS) was used to rate 217 patients at five days and six weeks post-partum. There was a highly significant positive correlation between the two scores, together with similar symptom profiles. Of the 25 women who suffered postnatal depression (6–week EPDS score ≥13), 17 had similar symptoms in the first week postpartum (5–day EPDS score ≥10). Low birth weight of the baby, delivery by Caesarean section, a delivery much more difficult than expected, and bottle feeding were all significantly associated with a high EPDS score in the first week post-partum. Bottle feeding and delivery by Caesarean section were the only factors associated with depression at the sixth week. A recollection of low mood after a previous birth was also associated with post-natal depression after the current birth. This, together with an EPDS score of 13 or more at five days post-partum, increased the risk of post-natal depression at six weeks 85–fold.

Prevalence and factors associated with male postnatal depression in China

2020 ◽  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Depression Symptoms ◽  
Spousal Relationship ◽  
Factors Associated ◽  
Postnatal Depressive Symptoms

Background and Objective: Male postnatal depression has recently begun to attract more research attention. However, it often remains unrecognized despite affecting not only the health of the child but also the spousal relationship and family welfare. This study aimed to estimate the prevalence of male postnatal depressive symptoms in Guangzhou, South China. It also explored sociodemographic factors and psychological variables as predictors of postnatal depression symptoms. Materials and methods: Chinese men whose children had been born within the last six months were screened using the Edinburgh Postnatal Depression Scale for depressive symptoms, the Vulnerable Personality Style Questionnaire for personality, and the Social Support Rating Scale for social support. Sociodemographic and psychosocial variables were descriptively analyzed and logistic regression was also employed to analyze the predictive impact of factors associated with depression. Results: A total of 212 new Chinese fathers participated in the study. The prevalence of postnatal depression was 24.1% assessed by the Edinburgh Postnatal Depression Scale cutoff score of 10. Depressive symptoms were found to be significantly associated with employment status and vulnerable personality traits. Higher family income, wanted pregnancy, having a child of the desired gender, more family support and objective support (OR = 0.598, 95% CI = 0.312-0.896) were all protective factors for depressive symptoms among new Chinese fathers. Conclusion: This study indicated that there is a need to routinely screen for postnatal depressive symptoms in men. Early identification and timely referral to healthcare professionals may prevent postnatal depression and improve the mental health of new fathers. It is important for healthcare providers to develop and evaluate information resources in print and online so as to establish how best to identify and manage paternal postnatal mental health needs. This study also suggests that new fathers need to be provided with targeted resources concerning postnatal mental health and informed as to how to access them and who can be approached for professional support.

Demographic and Obstetric Risk Factors for Postnatal Psychiatric Morbidity

1996 ◽  
Vol 168 (5) ◽  
pp. 607-611 ◽  
Author(s):  
Rachel Warner ◽  
Louis Appleby ◽  
Anna Whitton ◽  
Brian Faragher
Keyword(s):  
Risk Factors ◽  
Postnatal Depression ◽  
Maternity Leave ◽  
Unplanned Pregnancy ◽  
Psychiatric Morbidity ◽  
Unwanted Pregnancy ◽  
Depression Scale ◽  
Factors Associated ◽  
Head Of Household ◽  
The Impact

BackgroundPostnatal depression follows 10% of live births but there is little consensus on the risk factors associated with its development. Previous smaller studies have been unable to quantify the impact of independent risk factors as relative and attributable risks.MethodThe Edinburgh Postnatal Depression Scale (EPDS) was used to screen a systematic sample of 2375 women, six to eight weeks after delivery. Information on socio-demographic and obstetric variables was collected at the screening interview. The risk factors associated with high EPDS scores (>12) were determined and entered stepwise into a regression model.ResultsFour independent variables were found to be associated with an EPDS score above this threshold. These were an unplanned pregnancy (OR 1.44); not breast-feeding (OR 1.52), and unemployment in either the mother, i.e. no job to return to following maternity leave (OR 1.56), or the head of household (OR 1.50). These four variables appeared to explain the risk associated with other risk factors.ConclusionsAlthough a direct aetiological role for these risk factors is not certain, they may indicate strategies for the prevention of affective morbidity in postnatal women. These may include reducing unwanted pregnancy and employment for women after childbirth.

1035325 Analisis Faktor Penyebab Terjadinya Post Partum Blues dengan Skrining Edinburgh Postnatal Depression Scale (EPDS)

2019 ◽  
Vol 9 (2) ◽  
pp. 126-136
Author(s):  
Adriani
Keyword(s):  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Post Partum ◽  
Depression Scale ◽  
Cross Sectional ◽  
Postpartum Blues

Abstrak Perubahan peran seorang wanita menjadi seorang ibu tidaklah selalu berupa hal yang menyenangkan saja bagi pasangan suami istri, kadang kala terjadi terjadi konflik baik didalam diri wanita tersebut maupun konflik dengan suami. Jika perhatian terhadap keadaan psikologis ibu post partum kurang maka dapat menyebabkan ibu akan cenderung untuk mencoba mengatasi permasalahannya atau ketidaknyamanannya tersebut sendiri, keadaan ini jika dibiarkan saja dapat menyebabkan ibu post partum mengalami postpartum blues. Di Indonesia, diperkirakan terdapat 50-70% ibu pasca melahirkan mengalami postpartum blues pada hari 4-10. Penelitian ini menggunakan survey analitik dengan desain penelitian cross sectional, dengan jumlah sampel sebanyak 160 orang. Data diambil menggunakan kuesioner yang ditampilkan dalam analisa univariat dan bivariat menggunakan sistem komputerisasi SPSS. Hasil penelitian yaitu ada hubungan antara pendidikan ibu (p 0,013), pekerjaan ibu (p 0,013), dukungan suami (p 0,021), pendapatan keluarga dengan kejadian post partum blues (p 0,000) dan tidak ada hubungan antara paritas ibu (p 0,199), umur ibu (p 0,391), dan riwayat PMS (p 0,087) dengan kejadian post partum blues. Diharapkan bagi peneliti untuk dapat melanjutkan penelitian dengan variabel yang lebih bergam dan diharapkan bagi para tenaga kesehatan agar dapat meningkatkan pelayanan terutama dalam pemberian dukungan pada ibu masa post partum, sehingga mengurangi resiko ibu mengalami postpartum blues. Kata kunci : Postpartum blues, pendidikan, pekerjaan, dukungan suami, riwayat PMS

scholarly journals A clinical study of postpartum depression and its association with postnatal factors

2018 ◽  
Vol 7 (6) ◽  
pp. 2120
Author(s):  
Poonam Mathur ◽  
Rahul Mathur ◽  
Archana Singh
Keyword(s):  
Postpartum Depression ◽  
Postnatal Depression ◽  
Edinburgh Postnatal Depression Scale ◽  
Depression Scale ◽  
Physical Change ◽  
Perinatal Factors ◽  
Adverse Perinatal Outcome ◽  
Multiple Factors ◽  
Poor Concentration ◽  
Postnatal Factors

Background: The postpartum period is a time of tremendous emotional and physical change for most women as they adapt to new roles and alteration in their physiology. Postpartum depression has seen its rise lately. Multiple factors might be responsible for causation. Symptoms include depression, tearfulness, emotional liability, guilt, anorexia, sleep disorders, feeling inadequate, detachment from the baby, poor concentration, forgetfulness, fatigue, and irritability.Methods: We have conducted a study in 225 postpartum females and assessed them for depression and associated postnatal depression. The 10-question Edinburgh Postnatal Depression Scale (EPDS) was used for assessing depression.Results: Depression was evaluated as 6%. It was also found that 2% mothers with IUD babies developed postnatal depression. 1.33% cases with babies having congenital anomaly developed postnatal depression. 1.33% cases with babies having nursery admission developed postnatal depression.  This has been correlated with many other studies.Conclusions: It is found that perinatal factors do affect postnatal depression as it is found in mothers who have an adverse perinatal outcome. Further research is implicated in this field.

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