Background: Postpartum depression is the most prevalent postpartum mental health problem. Risk factors for postpartum depression include psychosocial stressors. One of these psychosocial stressors could be intimate partner violence. Co-occurrence of intimate partner violence and postpartum depression is considered deadly co morbidity because it can increase the risk of homicide and suicide. The aim of this study was to determine the relationship between intimate partner violence and depression among postnatal women attending postnatal and infant welfare clinics of LAUTECH Teaching Hospital, Osogbo.Methods: A descriptive cross-sectional study was conducted among 220 postpartum women who attended postnatal and infant welfare clinics of LAUTECH Teaching Hospital in Osogbo using Composite Abuse Scale (CAS), Edinburgh Postnatal Depression Scale (EPDS) and Socio-demographic questionnaire. Respondents that were found to be EPDS positive as well as 10% of EPDS negative respondents were further assessed with Mini International Neuropsychiatric Interview (MINI) (depression subscale) to diagnose depression.Results: Respondents that experienced intimate partner violence were five times as likely to have postpartum depression compared to those that did not experience IPV. Logistic regression showed that intimate partner violence independently predicted postpartum depression in respondents (OR 4.799, CI 1.844-12.493).Conclusions: Postpartum depression was significantly higher among women that experienced intimate partner violence. This observation has implications for mental health of women, therefore, any woman with suspected postpartum depression should be asked about IPV as this could be a pointer to IPV.
Background: Adolescence constitutes a risk factor for mental health problems, and this may be further complicated by pregnancy . The rate of adolescent pregnancy is still extremely high in the sub-Saharan Africa including Nigeria . Pregnancy and mental health problems during adolescence constitute double vulnerability for negative outcomes for the adolescents and their offspring . Methodology: The study design was cross-sectional, and it was conducted in Osogbo metropolis, Osun State, Southwest, Nigeria. The study population comprised pregnant adolescents (aged 15-19 years) attending antenatal care (ANC) in selected formal and informal health facilities. Non-pregnant adolescents who were equally attending services at the facilities were recruited as the control. Information was obtained from the adolescents with the use of a structured questionnaire and data was analysed with IBM-SPSS version 21 software. Results: Three hundred and thirty-four respondents (167 per group) were involved in the study; the pregnant adolescents had a mean age (±SD) of 17.92 (±1.13) years while the non-pregnant adolescents had a mean age of 17.70 (±1.23) years. The prevalence of depression among the pregnant adolescents was 8.4% while that of the non-pregnant adolescents was 3.0%. This difference was statistically significant (? 2 =4.520 , p= 0.033). Living arrangement was the only socio-demographic variable that had significant relationship with depression among the pregnant adolescents while living arrangement and employment status had significant relationships with depression among the non-pregnant adolescents. History of mental illness, childhood sexual abuse and anxiety symptoms showed significant relationship with depression among pregnant adolescents, however, only anxiety symptoms showed significant relationship with depression among non-pregnant adolescents. Conclusion: The study concluded that the prevalence of depression is significantly higher among pregnant adolescents with similarities and differences in the factors associated with depression in the two groups.
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