scholarly journals the differences of intrapartum types to the risk of postpartum depression on primiparous mother in public hospital of yogyakarta municipality

2019 ◽  
Vol 4 (2) ◽  
pp. 107
Author(s):  
Chici Riansih ◽  
Sri Nabawiyati nurul Makiyah ◽  
Farida Kartini

Postpartum depression is one of serious problems that women experience after giving birth. Depression symptoms found in postpartum mothers include sadness, anxiety, crying, temperament, lack of appetite, insomnia, and inattentive to the baby. It is a part of the symptoms of maternal psychological disorders that lead to the postpartum depression. This study used quantitative research with analytic observational research design. The population of primiparous postpartum mothers is 60 people consisting of 20 postpartum mothers of Sectio Caesarea, 20 spontaneous postpartum mothers, and 20 vacuum extraction postpartum mothers in the Public Hospital of Yogyakarta Municipality. The sampling teachnique used consecutive sampling. The study utilized Edinburgh Postnatal Depression Scale (EPDS) questionnaire. Bivariate analysis used ANOVA statistical test followed by post hoc test and Chi-Square test with 95% of confidence level. The results of the analysis show Respondents data who were at risk of postpartum depression in Sectio Caesarea intrapartum (16 or 80%) compared to vacuum extraction intrapartum (5 or 13%) and spontaneous intrapartum (7 or 35%). There was a difference on the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction with the risk of postpartum depression of p-value = 0.001 (p <0.05). The difference of the risk was significant on the type of Sectio Caesarea intrapartum when compared with vacuum extraction and spontaneous intrapartum, while between vacuum extraction and spontaneous intrapartum was not significantly different. The conclusion of this study is that there are differences in the type of Sectio Caesarea intrapartum with spontaneous intrapartum and vacuum extraction on the risk of postpartum depression among primiparous mothers in Public Hospital of Yogyakarta Municipality.

2020 ◽  
Author(s):  
abate Dargie wubetu ◽  
Nigus Alemnew Engidaw ◽  
Kefyalew Dagne Gizachew

Abstract Background: Postpartum depression explains various groups of depressive symptoms and syndromes that can take place during the first 6 weeks following birth. The postpartum period is a critical time where both mild and severe mood disorders can occur. The familiar forms are baby blues and postpartum depression. Understanding the prevalence and associated factors of postpartum depression is mandatory for early detection and treatment. Methods: Institution based cross-sectional study was conducted from 1st May to June 30, 2018. The study participants were eligible women who came to Debre Berhan referral hospital and health centers for postnatal care and vaccination service. The Edinburgh postnatal depression scale was used to assess postpartum depression. A systematic random sampling technique was used to collect the data after determining the skip fraction (k=2). The collected data were coded and entered into Epi-info version 7 and transported to SPSS version 20 for analysis. Both bivariate and multivariate binary logistic regression were done to identify associated factors. During bivariate analysis, variables with p-value < 0.05 were included in multivariate analysis. Odds ratios and their 95% confidence intervals were computed and variables with p-value less than 0.05 were considered to declare significantly associated factors (multivariate analysis).


2014 ◽  
Vol 3 (3) ◽  
pp. 158
Author(s):  
Eny Retna Ambarwati ◽  
Ria Listiyani

Postpartum depression is a condition that may be experienced by women. If it is not addressed properly, it will have a negative impact. Determine the correlation between parity and the early stage of the marriage with the incidence of postpartum depression. This research used analytic observational method with cross sectional approach. The population in this research was postpartum mothers in Maternal Hospital Leonisa. The sampling was done using purposive sampling technique. The data analysis was done with univariate and bivariate analysis using Chi-square.The correlation between parity and the incidence of postpartum depression obtains the result of x<sup>2</sup> count of 22.864 and p value of 0.000 with df2 and the significance level of (α) at 5% (0.05) x table at 5.591. Therefore, Ho is rejected and Ha is accepted. The correlation between the early stage of the marriage variable with the incidence of postpartum depression obtains a result of x<sup>2</sup> count of 12.965 and p value of 0.000 with df 1, the significance level at 5% (0.05), x table at 3.481, therefore, Ho is rejected and Ha is accepted. There is a correlation between parity and the early stage of the marriage with the incidence of postpartum depression.


2014 ◽  
Vol 3 (3) ◽  
pp. 158
Author(s):  
Eny Retna Ambarwati ◽  
Ria Listiyani

Postpartum depression is a condition that may be experienced by women. If it is not addressed properly, it will have a negative impact. Determine the correlation between parity and the early stage of the marriage with the incidence of postpartum depression. This research used analytic observational method with cross sectional approach. The population in this research was postpartum mothers in Maternal Hospital Leonisa. The sampling was done using purposive sampling technique. The data analysis was done with univariate and bivariate analysis using Chi-square.The correlation between parity and the incidence of postpartum depression obtains the result of x<sup>2</sup> count of 22.864 and p value of 0.000 with df2 and the significance level of (α) at 5% (0.05) x table at 5.591. Therefore, Ho is rejected and Ha is accepted. The correlation between the early stage of the marriage variable with the incidence of postpartum depression obtains a result of x<sup>2</sup> count of 12.965 and p value of 0.000 with df 1, the significance level at 5% (0.05), x table at 3.481, therefore, Ho is rejected and Ha is accepted. There is a correlation between parity and the early stage of the marriage with the incidence of postpartum depression.


2021 ◽  
Vol 28 (08) ◽  
pp. 1147-1155
Author(s):  
Afeera Afsheen ◽  
◽  
Khaula Atif Khan ◽  
Javaria Nosheen ◽  
Sobia Mehreen ◽  
...  

Objective: To analyze prevalence and severity of postnatal depression among females of a major but socio-culturally traditional city of Pakistan, with an aim to pinpoint eminent demographic and medical accomplices. Study Design: Cross Sectional Study. Setting: Combined Military Hospital Peshawar. Period: Feb 2016 to Feb 2017. Material & Methods: Sample was collected via random probability technique. A self-designed questionnaire was used; encompassing demographic details and information regarding obstetric and family history. Screening tool was Standardized “Edinburgh Postpartum Depression Scale (EPDS)”. Descriptive analysis done via SPSS-21. Outcome variable (EPDS) was cross-tabulated with independent variables, correlations were generated by Pearson 2-tailed bivariate analysis; p-value<0.05 was considered as significant. Results: Response rate was 52.2% (n-402). Low, moderate and high risk patients for developing depression were 27.1% (n-109), 15.4% (n-62) & 12.9% (n-52) respectively. There was a strong relation between outcome and age(p<0.001), education(p-0.001), socio-economic class(p-0.013), bad obstetric history(BOH)( p-0.009), age of Last Child Born(LCB)( p-0.010), mode of delivery(p-0.011), postpartum phase(p<0.001) and postpartum complications(p-0.003). Number of sons was negatively correlated with EPDS-scores (Pearson correlation co-efficient -0.128 and p-0.01). There was no significant impact of years since married (p-0.349; husband’s education (p-0.397), number of children (p-0.966) or daughters (p-0.063) and previous offspring’s death (p-0.076). Conclusion: Considerable risk of developing postpartum depression was detected among the respondents. Sociodemograhic aggravators were identified to be maternal age, less interpregnancy interval, delivery by SVD, gender of children and postpartum complications. Postpartum depression can be detected by screening/diagnosing every postnatal woman and then promptly treating the sufferers. Imperative measures are opined to identify and vigorously address the sociodemographic and medical aggravating factors. Collaboration of psychiatrists/psychologists is highly recommended in obstetric set-ups.


2020 ◽  
Vol 48 (2) ◽  
pp. 131-138
Author(s):  
Yustisia Imaninditya Puteri Widarini ◽  
Izzatul Arifah ◽  
Kusuma Estu Werdani

Abstract Women are prone to experiencing postpartum depression. The purpose of this study was to analyze the association of risk factors and depression symptoms in postpartum mothers in Banjarsari District, Surakarta in 2019. The design of the research is cross-sectional with the total sample was.160 postpartum mothers (0-6 weeks) from the total population of 268 mothers The independent variables included the mother’s age, education, occupation, type of delivery exclusive breastfeeding practice, and the first time breastfeeding. Whereas, the dependent variables were the symptoms of postpartum depression. Data collection using the exclusive breastfeeding practice questionnaire and the Edinburgh Postnatal Depression Scale (EPDS). Data analysis was performed using Chi-square and multivariate logistic regression. The results showed that 25.6% of mothers in Banjarsari experienced symptoms of postpartum depression. Type of labor (p=0,049, OR 2,333, 95% CI 1,002-5,428) and exclusive breastfeeding practice (p=0,018, OR 2,460 95% CI 1,1665,187) were significantly associated with symptoms of postpartum depression. The study concluded that the group of mothers who did exclusive breastfeed and who had delivery complications tended to experience symptoms of postpartum depression higher than that of mothers who did not experience the same conditions. Keywords : postpartum, depression, EPDS Abstrak Perempuan rentan mengalami depresi masa nifas. Tujuan penelitian untuk menganalisis hubungan faktor risiko dengan gejala depresi pada ibu di masa nifas di Kecamatan Banjarsari, Surakarta. Desain penelitian adalah crossectional dengan sampel 160 ibu nifas (0-6 minggu) dari total populasi 268 orang, Penelitian mengukur variabel independen yaitu usia ibu, pendidikan, pekerjaan, jenis persalinan, praktik menyusui eksklusif dan waktu pertama kali menyusui dengan variabel dependen yaitu gejala depresi pada ibu di masa nifas. Pengumpulan data menggunakan kuesioner praktik menyusui eksklusif dan Edinburgh Postnatal Depression Scale (EPDS). Analisis data menggunakan Chi-square dan multivariat menggunakan regresi logistik. Hasil penelitian menunjukkan 25,6% ibu di Kecamatan Banjarsari, Surakarta mengalami gejala depresi di masa nifas. Jenis persalinan (p=0,049, OR 2,333, 95% CI 1,002-5,428) dan praktik menyusui eksklusif (p=0,018, OR 2,460, 95% CI 1,166-5,187) berhubungan signifikan dengan gejala depresi masa nifas. Kesimpulan penelitian ini adalah kelompok ibu yang tidak menyusui eksklusif dan kelompok ibu yang jenis persalinan disertai penyulit cenderung mengalami gejala depresi lebih tinggi dibandingkan kelompok ibu yang tidak mengalami kondisi yang sama. Kata kunci: postpartum, depresi, EPDS


2020 ◽  
Vol 15 (1) ◽  
pp. 41
Author(s):  
J Nugrahaningtyas W Utami ◽  
Chici Riansih ◽  
Muhammad Untung ◽  
Herta Meisatama ◽  
Khairul Imam

Background: Depression is very common in women, especially  on reproductive age. It is estimated that 14% -23% of pregnant women experience depression during pregnancy, and 5% -25% experience postpartum depression. Mothers with caesarean sectio labor experience high scale pain during the first 24 hours. Objective : this study aims to analyze the relationship between caesarean section labor and postpartum depression in primiparous mothers. Methods: The research method used is descriptive analytic with cross-sectional approach. The sample in this study were 20 postpartum caesarean mothers in Yogyakarta City Hospital taken by purposive sampling. Data collection tools in this study are using the Numeric Category Scale (NCS) questionnaire to measure the level of neyri and the Edinburgh Postnatal Depression Scale (EPDS) to measure the level of depression of respondents. Analysis using the Chi-Square correlation test.  Results: Most of the level of pain in postpartum SC mothers is in the moderate category that is there are 9 people or (45.0%). Most postpartum mothers in the moderate depression category were 9 people or (45.0%). Statistical results with the Chi Square test showed that there was a significant relationship between labor pain in caesarean section and postpartum depression in primiparous mothers with (p-value = 0.002) (p <0.05). Conclusion: There is a relationship between labor pain in caesarean section and postpartum depression in primiparous mother.


2020 ◽  
Author(s):  
abate Dargie wubetu ◽  
Nigus Alemnew Engidaw ◽  
Kefyalew Dagne Gizachew

Abstract Background: Postpartum depression explains various groups of depressive symptoms and syndromes that can take place during the first 6 weeks following birth. The postpartum period is a critical time where both mild and severe mood disorders can occur. The familiar forms are baby blues and postpartum depression. Understanding the prevalence and associated factors of postpartum depression is mandatory for early detection and treatment. Methods: Institution based cross-sectional study was conducted from 1st May to June 30, 2018. The study participants were eligible women who came to Debre Berhan referral hospital and health centers for postnatal care and vaccination service. The Edinburgh postnatal depression scale was used to assess postpartum depression. A systematic random sampling technique was used to collect the data after determining the skip fraction (k=2). The collected data were coded and entered into Epi-info version 7 and transported to SPSS version 20 for analysis. Both bivariate and multivariate binary logistic regression were done to identify associated factors. During bivariate analysis, variables with p-value < 0.05 were included in multivariate analysis. Odds ratios and their 95% confidence intervals were computed and variables with p-value less than 0.05 were considered to declare significantly associated factors (multivariate analysis).


2020 ◽  
Vol 16 ◽  
Author(s):  
Salman Khazaei ◽  
Erfan Ayubi ◽  
Saeid Bashirian ◽  
Ronak Hamzehei ◽  
Ensiyeh Jenabi

Background: The relationship between gestational diabetes and postpartum depression (PPD) is poorly understood and seldom studied. Objective: In an effort to explore this issue, the present study investigated the relationship between gestational diabetes and PPD. Methods: The present cross-sectional study was performed with 342 women who were referred to four urban health centers of Hamadan city, west of Iran. We used convenience sampling as a method to recruit women in each health center. We used a researcher-made checklist for gathering data on socio-demographic characteristics and potential risk factors of PPD. The Persian validated version of the Edinburgh Postnatal Depression Scale (EPDS) was used to assess PPD. Univariate and multivariable binary logistic regression was applied to estimate the odds ratio (OR) (95% confidence interval [CI]). Results: Gestational diabetes was identified as the most important risk factor for PPD with OR (95% CI) of 2.19 (1.11, 4.31); P-value=0.02 after adjusting for other variables. Moreover, the adjusted odds ratio showed that PPD among lesseducated women (primary school) was 3.5 times higher compared to women with a university education (OR=3.54, 95% CI: 1.27, 9.84; P-value=0.01). Conclusion: Our findings suggested that PPD is more likely among women with gestational diabetes and those who were less educated. Interventional and educational activities for reducing the risk of PPD can be targeted for use with this population.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Che Wan Jasimah Bt Wan Mohamed Radzi ◽  
Hashem Salarzadeh Jenatabadi ◽  
Nadia Samsudin

Abstract Background Since the last decade, postpartum depression (PPD) has been recognized as a significant public health problem, and several factors have been linked to PPD. Mothers at risk are rarely undetected and underdiagnosed. Our study aims to determine the factors leading to symptoms of depression using Structural Equation Modeling (SEM) analysis. In this research, we introduced a new framework for postpartum depression modeling for women. Methods We structured the model of this research to take into consideration the Malaysian culture in particular. A total of 387 postpartum women have completed the questionnaire. The symptoms of postpartum depression were examined using the Edinburgh Postnatal Depression Scale (EPDS), and they act as a dependent variable in this research model. Results Four hundred fifty mothers were invited to participate in this research. 86% of the total distributed questionnaire received feedback. The majority of 79.6% of respondents were having depression symptoms. The highest coefficients of factor loading analysis obtained in every latent variable indicator were income (β = 0.77), screen time (β = 0.83), chips (β = 0.85), and anxiety (β = 0.88). Lifestyle, unhealthy food, and BMI variables were directly affected by the dependent variable. Based on the output, respondents with a high level of depression symptoms tended to consume more unhealthy food and had a high level of body mass indexes (BMI). The highest significant impact on depression level among postpartum women was unhealthy food consumption. Based on our model, the findings indicated that 76% of the variances stemmed from a variety of factors: socio-demographics, lifestyle, healthy food, unhealthy food, and BMI. The strength of the exogenous and endogenous variables in this research framework is strong. Conclusion The prevalence of postpartum women with depression symptoms in this study is considerably high. It is, therefore, imperative that postpartum women seek medical help to prevent postpartum depressive symptoms from worsening.


2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Li Chen ◽  
Xiaodan Wang ◽  
Qian Ding ◽  
Nan Shan ◽  
Hongbo Qi

Background. Postpartum depression (PPD) and preeclampsia (PE) are both common diseases in obstetrics that affect maternal health and infant development. However, the relationship between the two diseases still requires clarification. Objective. The purpose of this study was to (1) determine the incidence rate of PPD in patients with PE and (2) identify the association between the prevalence of PPD and the severity of PE. Methods. We conducted a retrospective analysis of women with and without PE who delivered between January 1, 2017, and August 30, 2018, in the First Affiliated Hospital of Chongqing Medical University. We used a questionnaire survey methodology that included the Edinburgh Postnatal Depression Scale (EPDS) to test the influence of PE on the development of new-onset PPD in the 6 weeks after delivery. We determined PPD based on a score ≥10 on the EPDS. Bivariate analysis was used to compare data between the two groups. Results. A total of 180 women participated in this study. Thirty-five people screened positive for PPD, while the remaining 145 screened negative. The prevalence of PPD was 26.67% (24/90) in patients with PE, which was two times the prevalence in normal women (12.22%). Multiple logistic regression showed that women who had PE had nearly 3-fold increased odds of PPD compared to normal women and the risk of PPD increased with the aggravation of PE. Patients with severe PE had a more than 4-fold increased risk of screening positive for PPD. Conclusion. PE was independently associated with PPD. Furthermore, the risk of PPD seemed to increase with the aggravation of PE. Thus, additional prevention efforts and support methods should be provided for women with PE to reduce the incidence of PPD.


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