Post-partum depression: a cross-sectional study of women enrolled in a conditional cash transfer program in 30 Brazilian cities

Santos, Iná S.; Munhoz, Tiago N.; Blumenberg, Cauane; Barcelos, Raquel Siqueira; Bortolotto, Caroline Cardozo; Matijasevich, Alícia; Júnior, Hernane Guimarães dos Santos; Santos, Lígia Amparo da Silva; Correia, Luciano Lima; Souza, Marta Rovery de; Lira, Pedro I. C.; Altafim, Elisa Rachel Pisani; Marino, Eduardo; Macana, Esmeralda Correa; Silva, Ronaldo Souza da; Ohana, Eduardo Felipe; Fontes, Maria Teresa Amaral; Victora, César G.

doi:10.1016/j.jad.2020.12.042

Cited by 17 publications

(27 citation statements)

References 30 publications

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“…Similarly, in an older study conducted in Costa Rica with 2 small samples of postpartum women drawn from periurban communities of lower-middle income status, 34% to 48% of the mothers had experienced at least 1 depressive episode postnatally 14. In a Brazilian study of 3174 socially vulnerable women residing in 30 municipalities in 6 states, 26.5% reported depressive symptoms at approximately 8 months postpartum 15. Despite these higher prevalence rates, many Latin American countries have yet to recognize the importance of providing specific perinatal mental health services.…”

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confidence: 93%

Prevalence, Incidence, and Persistence of Postpartum Anxiety, Depression, and Comorbidity

Lauzurique

Fernández

Dennis

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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Objective: To estimate the prevalence, incidence, and persistence of postpartum anxiety, depression, and comorbid symptoms over the first 6 months postpartum in a cohort of Havana women and to evaluate the sensitivity, specificity, and predictive power of the Edinburgh Postnatal Depression Scale (EPDS) and the State-Trait Anxiety Inventory (STAI) at 4 weeks postpartum on depressive and anxiety symptoms at 12 and 24 weeks. Method: A cohort study with 273 women in Havana, Cuba. Participants were assessed at 4, 12, and 24 weeks postpartum for anxiety, depression, and comorbid symptoms. Results: Prevalence rates were highest at 4 weeks postpartum: 20.0% women reported elevated levels of anxiety and 16.4% reported depressive symptoms. The prevalence of comorbid anxiety and depression was 5.8%. While rates of anxiety steadily decreased to 13.8% at 24 weeks, rates of depression persisted to 24 weeks postpartum with 14.5% still experiencing elevated symptoms. Comorbid anxiety and depression decreased across time. There were limited sensitivity and poor predictive values for both the STAI and the EPDS. Conclusion: This study is the first to examine perinatal mental illness in Cuba. While anxiety and depression rates found among Cuban women are lower than those reported in other low-income countries, the rates paralleled high-income countries.

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confidence: 93%

Prevalence, Incidence, and Persistence of Postpartum Anxiety, Depression, and Comorbidity

Lauzurique

Fernández

Dennis

et al. 2022

Journal of Perinatal &Amp; Neonatal Nursing

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“…The incidence of depression in the third trimester of pregnancy in Shanghai was found to be 4.3% in this study. In previous studies, parity was found to be correlated with perinatal depression and nutrition ( 17 , 18 ). Young and primipara are considered risk factors for depression during pregnancy ( 19 ).…”

Section: Discussionmentioning

confidence: 86%

The synergistic effects of short inter-pregnancy interval and micronutrients deficiency on third-trimester depression

Lin

Zhou

2022

Front. Nutr.

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ObjectiveTo explore the effect of inter-pregnancy interval (IPI) and micronutrients on depression in the third trimester of pregnancy.Materials and methodsA total of 5,951 eligible pregnant women were included in this single-center retrospective cohort study. Variables with potential effects on third-trimester depression were collected. These variables included: maternal factors [age, pregnancy interval, body mass index (BMI), BMI change, gravidity, native place, education, smoking, and alcohol consumption], previous delivery outcomes [preterm birth, preeclampsia, intrahepatic cholestasis of pregnancy (ICP), gestational diabetes mellitus (GDM), fetal growth restriction (FGR), and delivery mode], and micronutrients in early pregnancy (folic acid, 25-hydroxy vitamin D, vitamin B12, calcium, and ferritin). Univariate and multivariate analyses were used to screen the factors affecting the occurrence of depression. Based on these factors, the nomogram model was established. At the same time, the interaction between IPI and micronutrients was verified.ResultsThe incidence of depression in the third trimester of pregnancy was 4.3%. Univariate and multivariate analysis showed that there were five independent risk factors for third-trimester depression: gravidity, previous cesarean section delivery, folic acid, and vitamin D levels in early pregnancy and IPI. According to the multivariate logistic regression analysis, the prediction model and nomogram were established. The prediction cut-offs of the corresponding factors were calculated according to the Youden index. Finally, the synergistic effect of short IPI and micronutrient deficiency was verified.ConclusionThere is a synergistic effect between short IPI and micronutrient deficiency in early pregnancy, which can aggravate the occurrence of depression in late pregnancy.

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“…Um estudo realizado com 86 participantes dentro de 6 semanas após o parto descobriu que ter dois ou mais filhos devido à maior carga psicológica é mais provável de estar associado à ocorrência de depressão (Mathisen et al, 2013). As discrepâncias entre os resultados desses estudos sugerem que o número de partos por si só não é um fator independente para desenvolver a DPP e o desenvolvimento de condições patológicas para a ocorrência do adoecimento é causado por condições psicossociais que a multiplicidade de partos cria para a mulheres (Santos et al, 2021).…”

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Fatores associados a ocorrência de depressão pós-parto: uma revisão sistemática

Nascimento

Conceição²,

Filho³

et al. 2022

RSD

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Objetivo: Analisar os principais fatores associados a ocorrência de depressão pós-parto. Metodologia: Revisão sistemática da literatura baseada no método Preferred Reporting Items for Systematic Reviews e Meta-Analysis (PRISMA), realizada nas bases de dados eletrônicas Pubmed, Scielo, Scopus e Web of Science, por meio dos seguintes descritores: “postpartum depression”, “postnatal depression”, “maternity blues”, “puerperal depressive symptom”, “after birth depression”, “risk factors” e “dangerous factors”. Foram incluídos artigos completos, disponíveis em português, inglês ou espanhol, publicados entre 2016 a 2021. Resultados: 12 artigos compuseram a amostra final deste estudo. Verificou-se que cinco eixos de fatores associados a depressão pós-parto foram identificados: sociodemográficos, psicológicos, sociais, hormonais e obstétricos. Grande parte destes fatores são interrelacionados e associados ao estilo de vida da mulher, especialmente os fatores sociais como baixo apoio social e familiar, conflito e insatisfação conjugal e exposição à violência por parceiro íntimo na gestação. Os fatores de risco mais frequentemente listados foram os físicos, incluindo desde a história de síndrome pré-menstrual a questões obstétricas como multiparidade, morbidade durante a gestação, gravidez não planejada, história de aborto espontâneo, parto cesáreo, pré-eclâmpsia, placenta prévia, descolamento prematuro de placenta, parto prematuro, hiperêmese gravídica, hipertensão gestacional e diabetes gestacional. Conclusão: Verificou-se que os fatores associados a depressão pós-parto podem ser sociodemográficos, psicológicos, sociais, hormonais e obstétricos. Portanto, os programas de prevenção desta condição clínica, como o pré-natal psicológico, precisam focar nas relações interpessoais dos indivíduos envolvidos, além dos fatores sociais e estilo de vida e das condições de saúde física destas mulheres.

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Post-partum depression: a cross-sectional study of women enrolled in a conditional cash transfer program in 30 Brazilian cities

Cited by 17 publications

References 30 publications

Prevalence, Incidence, and Persistence of Postpartum Anxiety, Depression, and Comorbidity

Prevalence, Incidence, and Persistence of Postpartum Anxiety, Depression, and Comorbidity

The synergistic effects of short inter-pregnancy interval and micronutrients deficiency on third-trimester depression

Fatores associados a ocorrência de depressão pós-parto: uma revisão sistemática

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