Postpartum depression: identification of women at risk

Nielsen, Dorte Guldbrand; Videbech, Poul; Hedegaard, Morten; Dalby, J. Thomas; Nj, Secher

doi:10.1111/j.1471-0528.2000.tb11609.x

Cited by 361 publications

(134 citation statements)

References 59 publications

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“…4,5 Berry M et al, Forman N et al have found an increased association of multipara with PPD whereas More B et al found primiparity to be associated with PPD. 4,6,7 Like in our study, Josefsson et al have concluded that no association exists between parity and PPD. 8 In present study women who had operative delivery (CS) had significant relationship with PPD.…”

Section: Discussioncontrasting

confidence: 42%

The predictors of post-partum depression in a tertiary centre

Unnisa

Lavanya

2018

Int J Reprod Contracept Obstet Gynecol

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Background: The present study was undertaken to evaluate the association of different socio-demographic, obstetric and pregnancy outcome as predictor of PPD among the postnatal women during early puerperium and thus can be provided with special care. Objective was to evaluate the different predictors of post partum depression.Methods: A prospective study was conducted in the department of obstetrics and gynaecology, Yenepoya medical college hospital Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Results: A prospective study was conducted in the Department of Obstetrics and Gynaecology, Yenepoya Medical College Hospital, Mangalore. A total of 200 postnatal mothers in their 3rd - 7th postpartum day were interrogated using Edinburgh postnatal depression scale (EPDS). Socio-demographic factors like age, parity, literary, socio economic status, family structure, obstetric outcome was recorded. Results were statistically analyzed with chi-square test.Conclusions: Risk of PPD is more with the birth of a female baby, women who had CS, low S.E status, unemployment could predict higher risk for PPD. PPD screening should be an integral part of postnatal care using E PDS routinely. A multidisciplinary approach including obstetrician and psychiatrists can be jointly care of the depressed mothers.

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Section: Discussioncontrasting

confidence: 42%

The predictors of post-partum depression in a tertiary centre

Unnisa

Lavanya

2018

Int J Reprod Contracept Obstet Gynecol

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“…Social support in particular has been shown to influence the attitudes, emotions, and behaviors of new mothers [11,29]. Neilson [18] identified social isolation and psychological stress, as significant predictors of PPD. Although some of these risk factors (e.g., socioeconomic status) are not easily inferred via social media posts, proxies for several factors could be monitored.…”

Section: Risk and Presence Of Postpartum Changesmentioning

confidence: 99%

Predicting postpartum changes in emotion and behavior via social media

Choudhury

Counts

Horvitz

2013

Proceedings of the SIGCHI Conference on Human Factors in Computing Systems

387

299

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We consider social media as a promising tool for public health, focusing on the use of Twitter posts to build predictive models about the influence of childbirth on the forthcoming behavior and mood of new mothers. Using Twitter posts, we quantify postpartum changes in 376 mothers along dimensions of social engagement, emotion, social network, and linguistic style. We then construct statistical models from a training set of observations of these measures before and after the reported childbirth, to forecast significant postpartum changes in mothers. The predictive models can classify mothers who will change significantly following childbirth with an accuracy of 71%, using observations about their prenatal behavior, and as accurately as 80-83% when additionally leveraging the initial 2-3 weeks of postnatal data. The study is motivated by the opportunity to use social media to identify mothers at risk of postpartum depression, an underreported health concern among large populations, and to inform the design of low-cost, privacy-sensitive early-warning systems and intervention programs aimed at promoting wellness postpartum.

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“…Many predictors of PND are associated with social adversity rather than with any biological traits 6 . Factors strongly associated with PND include a past history of psychiatric disorder (usually depression), poor marital relationship, lack of social support and recent stressful life events 7 . Social status, family income and occupational status of the mother are only weakly associated with PND 6 .…”

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Breast-feeding and maternal mental well-being among Bangladeshi and Pakistani women in north-east England

Noor

Rousham

2007

Public Health Nutr.

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Objectives: To explore the relationship between infant feeding and maternal mental well-being among women of Bangladeshi and Pakistani ethnicity; and to explore the sources of advice, information and support available to women before and after childbirth. Design: A cross-sectional survey of infant feeding and maternal well-being via structured interviews conducted in the home. Setting: Home visits within two inner-city wards of Newcastle upon Tyne. Subjects: Eighty-six women of South Asian ethnicity. Results: Enjoyment of everyday activities was higher among women who breastfed only (P 5 0.028); whereas feeling sad or crying during pregnancy was lower among breast-feeding women (P 5 0.005), as was not sleeping well (P 5 0.003) and feeling that everything was too much (P 5 0.039), compared with women who used formula or mixed feeding. Women who breast-fed only had better mean mood scores than those who formula-fed or those who both breast-fed and formula-fed (P , 0.001). Mean mood responses were also significantly associated with the mother's level of understanding of English and number of years in education (P 5 0.005 and P 5 0.003, respectively). The association between method of feeding and maternal mood remained strong after controlling for the effects of English language and maternal education. Conclusions: The study suggests that breast-feeding may be an important mediator of maternal mental well-being after childbirth. Community-based programmes tailored to the needs of Bangladeshi and Pakistani women which support breast-feeding and encourage exclusive breast-feeding may be of benefit. Keywords Breast-feeding Postnatal depression EthnicityAccess and provision of mental health services to black and minority ethnic groups in the UK has been the subject of extensive Government consultation in recent years 1,2 . Current policies for the general population include the blanket administration of the Edinburgh Postnatal Depression Screening Questionnaire (EPDS) by health visitors as an initial tool for identifying women at risk of postnatal depression (PND) 3 . However, the EPDS screening questionnaire has not been well validated within black and minority ethnic groups 1 . The EPDS has been found to be unsatisfactory for use among ethnic minority groups, even when applied by link workers who are matched ethnically and linguistically to the cultural group that they work with 4,5 . Health visitors have reported that the word 'depression' is non-existent in many ethnic languages, and that initiating discussions about feelings during the postnatal period can be difficult 4,5 . Recently, the Community Practitioners and Health Visitors Association (CPHVA) piloted a picture booklet to elicit feelings about mood as an alternative to the EPDS. Following the pilot scheme and evaluation, and positive feedback from mothers, this resource is now recommended by the CPHVA for use with women from ethnic minorities 4,5 . The aim of the present study was to examine the experiences of Bangladeshi and Pakistani women during ...

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Postpartum depression: identification of women at risk

Cited by 361 publications

References 59 publications

The predictors of post-partum depression in a tertiary centre

The predictors of post-partum depression in a tertiary centre

Predicting postpartum changes in emotion and behavior via social media

Breast-feeding and maternal mental well-being among Bangladeshi and Pakistani women in north-east England

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