Maternity Blues in Italian Primipara Women: Symptoms and Mood States in the First Fifteen Days After Childbirth

Grussu, Pietro; Quatraro, Rosa Maria

doi:10.1080/07399332.2012.708373

Cited by 10 publications

(9 citation statements)

References 46 publications

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“…Each used different tools (PHQ and SRQ) to measure postnatal depression and these have different sensitivities and specificities to the EPDS. Further, except for the two studies conducted in the Sodo district [24,25], the studies defined postnatal depression irrespective of the time since delivery, thereby potentially over-estimating the prevalence since mild depression and mood swings (baby blues) are very common in the first two weeks after delivery [59][60][61].…”

Section: Discussionmentioning

confidence: 99%

Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling

et al. 2020

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Background Postnatal depression (PND) is the second most common cause of disability and the most common complication after childbirth. Understanding the potential mechanisms by which the stress process can lead to PND is an important step for planning preventive interventions for PND. This study employed a stress process model to explore the possible pathways leading to PND in Gondar Town, Ethiopia. Methods A community-based cohort study was conducted in 916 pregnant women, who were assessed for depression in their second or third trimester of pregnancy and re-assessed two to eight weeks after birth. Women with an Edinburgh Postnatal Depression Scale (EPDS) ≥6 were considered to be depressed. Modified Poisson regression was used to identify the independent predictors of PND. A Generalized Structural Equation Modeling (GSEM) was then used to explore the direct and indirect effects of stressors and their mediators on PND. Results The prevalence and incidence proportion of PND were 9.27% (95%CI: 7.45, 11.36) and 7.77% (95%CI: 6.04, 9.79), respectively and 2.1% of the women demonstrated symptoms of depression within the study period. PND was independently predicted by having limited postnatal care services, Antenatal Depression (AND) and a Common Mental Disorders (CMD) before pregnancy, (IRR = 1.8; 95%CI: 1.0, 3.2), 1.6(95%CI: 1.4, 1.7), and 2.4 (95%CI: 1.4, 4.3) respectively). In SEM, AND (standardized total effect = 0.36) and a CMD before pregnancy (standardized total effect = 0.11) had both a direct and an indirect positive effect on PND scores. Low birth weight (standardized β = 0.32) and self-reported labor complications (standardized β = 0.09) had direct effects only on PND scores. Conclusion The observed incidence and prevalence of PND in Ethiopia were lower than in previous studies. A CMD before pregnancy and low birth weight (LBW) increased PND scores, and these effects were in part mediated via antenatal depression and labor complications. Early detection and treatment of depression before or during pregnancy could either directly or indirectly reduce the risk of labor complications and PND. Interventions that reduce LBW or improve the uptake of postnatal care might reduce PND incidence.

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Section: Discussionmentioning

confidence: 99%

Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling

et al. 2020

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“…During the postnatal period, women may develop psychological disorders that can range in severity from ‘baby blues’ (15% to 80% of women) to postpartum depression to puerperal psychosis 1–18. The prevalence of postpartum depression in the general population has been estimated to vary from 10% to 20% 9–16.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of maternal psychological disorders after immediate postpartum haemorrhage: a repeated cross-sectional study - the PSYCHE* study protoco

Pranal

Legrand

Chazeron³

et al. 2019

BMJ Open

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IntroductionThe main objective of this study is to assess the prevalence of depression at 2, 6 and 12 months postpartum in women who have had an immediate postpartum haemorrhage (PPH) (blood loss ≥500 mL within 24 hours of delivery). The secondary objectives are to assess the prevalence of anxiety and post-traumatic stress disorder among these women and to evaluate the prevalence of psychological disorders according to the severity of the PPH.Methods and analysisThis repeated, cross-sectional, single-centre study will take place at the Clermont-Ferrand University Hospital (France). The population will comprise a cohort of women giving birth at a term ≥22 weeks of gestation.For each woman with a PPH (exposed), two women without PPH (unexposed) will be included: the women who give birth immediately before and immediately after her. The PPH will be managed according to French guidelines. The principal endpoint is the prevalence of depression, measured by the Edinburgh Postnatal Depression Scale (EPDS). The intervention will consist of four surveys including various self-completed questionnaires: the first during the immediate postpartum (Post-Delivery Perceived Stress Inventory (PDPSI), Spielberger'sState-Trait Anxiety Inventory (STAI)-Y-A and Y-B and Mini-International Neuropsychiatric Interview (M.I.N.I.) 5.0.0), then at 2 months (EPDS, STAI-Y-A, Generalised Anxiety Disorder (GAD-7) and Revised Impact of Event Scale (IES-R)), and finally at 6 months and 1 year postpartum (EPDS, STAI-Y-A, GAD-7, M.I.N.I. 5.0.0 and IES-R). The study will include 1542 women — 514 with PPH.Ethics and disseminationThe institutional review board (IRB) approved the study on 14 February 2017 (IRB Sud Est VI: N°AU1243).Results will be reported in peer-reviewed journals and at scientific meetings. Findings from the study will be useful for individualising medical follow-up after childbirth, especially for woman who experienced a PPH, but also more generally in increasing birth professionals' awareness of effects of trauma. The evidence obtained might also lead to modifying practices and including this recommendation in French guidelines on PPH.Trial registration numberNCT03120208.

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“…298 The Symptom Questionnaire has been validated and found to be highly sensitive in detecting irritability in populations characterized by subclinical affective symptoms. 298,324 Internal consistency was good in previous studies 298,325 and at our baseline assessment (Cronbach's α = 0.87). To provide insight into the variability of irritability within and between women, both within-person coefficient of variation ([personal standard deviation (SD) irritability scores visit 1 to 9 / personal mean irritability scores visit 1 to 9 ]*100%) and between-person coefficient of variation 135 ([population SD irritability scores visit 1 to 9 / population mean irritability scores visit 1 to 9 ]*100%) were calculated.…”

Section: Participantssupporting

confidence: 60%

Can hormones get you down? studies on sex steroids and depression

Wit¹

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Chapter 2 Testosterone in human studies: modest associations between plasma and salivary measurements Chapter 3 Plasma androgens and the presence and course of depression in a large cohort of women Chapter 4 Plasma androgens and the presence and course of depression in a large cohort of men Chapter 5 Associations between testosterone and metabolic syndrome in depressed and non-depressed older men and women Chapter 6 Associations of plasma androgens with suicidality among men and women: a 9-year longitudinal cohort study Chapter 7 Impact of estradiol variability and progesterone on mood in perimenopausal women with depressive symptoms Chapter 8 Predictors of irritability symptoms in mildly depressed perimenopausal women Part II: Hormonal contraceptives and depression Chapter 9 Association of use of oral contraceptives with depressive symptoms among adolescents and young women Chapter 10 Association between adolescent oral contraceptive use and future major depressive disorder: a prospective cohort study Chapter 11 Hormonal contraceptive use and depressive symptoms: systematic review and network metaanalysis of randomized clinical trials Chapter 12 Efficacy of oral contraceptive pills for depressive symptoms and overall symptomatology in premenstrual syndrome: pairwise and network metaanalysis of randomized trials

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Maternity Blues in Italian Primipara Women: Symptoms and Mood States in the First Fifteen Days After Childbirth

Cited by 10 publications

References 46 publications

Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling

Causal mechanisms of postnatal depression among women in Gondar town, Ethiopia: application of a stress-process model with generalized structural equation modeling

Prevalence of maternal psychological disorders after immediate postpartum haemorrhage: a repeated cross-sectional study - the PSYCHE* study protoco

Can hormones get you down? studies on sex steroids and depression

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