Prevalence of Postpartum Depression and Its Association With Antenatal Depression Amongst Women

Abstract

Background: A prospective cross sectional study was designed to determine the prevalence rate of postpartum depression and its association with antenatal depression among women coming to the antenatal Clinic and birthing at HAHC Centenary Hospital, New Delhi. Material & Methods: 149 women by the assistance of EPDS (Hindi version) were screened at 6 weeks of their delivery. The participants were then divided on the basis of presence and absence of depression into two groups as depressed and non-depressed women. Results: 19 out 149 postnatal women scored ≥ 10 on EPDS which suggest the 12.75% prevalence rate of postnatal depression. Moreover 8(42.1 %) women among 19 depressed postnatal women and 25(19.3 %) women among 130 non-depressed postnatal women were found to have depression since their time of pregnancy thus a significant association (p-value= 0.025) was obtained. Conclusion: PPD is a major health problem in our community. Moreover, presence of depression during pregnancy significantly predisposes the postnatal mothers to be a victim of PPD. Therefore an early screening of the perinatal women is needed to unreveal the hidden cases as well as to prevent the mothers from the cruel penalties of PPD.

Assessment of Postpartum Depression in a Tertiary Care Institute

“…Pregnancy and puerperium are stressful enough to provoke mental illness. Postpartum depression major or minor develops in 10% to 20% of parturients, as was seen in our study (12.7% to 15.7%) and corresponding with other studies as well [2][3][4][5]8] Deepika Goyal in a study combined major and minor depressive illnesses to 50% and others too Table 10 [7,9].…”

“…Chandran et al [3] 11 Goyal et al [4] 52 Upadhyay et al [5] 22 Saldhana et al [6] 21.5 Patel et al [7] 48.5 Zaidi et al [8] 12.75 Robertson et al [9] 10-15 Agarwala et al [10] 21.5 Present study 12-15.7 57.84% delivered vaginally and 42.16% had a cesarean done (Table 2). The mode of delivery did not have a statistically significant effect on the EPDS score (Table 7e).…”

“…The happiness of having a baby, male or female, is more in the immediate period than the later period 6 months or more, when more social economic problems are encountered in day-to-day life [8]. However, Saldhana et al…”

Assessment of mental health issues in pregnant women with fetal complications: Relation to attachment and anxiety

“…34 Lack of emotional support from a partner is also closely related to anxiety during the pregnancy or postnatal period. 36 In families where responsibilities are shared, spouses and partners have a more positive view of family life, have improved partner relationships, and higher levels of marital satisfaction. 37 The situation for single mothers is quite different, and the sole responsibility of caring for a baby may cause depression and anxiety disorders which may have a negative effect on maternal attachment.…”

“…In cases of depression in single mothers, 40% were associated with stress and lack of social support 34 . Lack of emotional support from a partner is also closely related to anxiety during the pregnancy or postnatal period 36 . In families where responsibilities are shared, spouses and partners have a more positive view of family life, have improved partner relationships, and higher levels of marital satisfaction 37 .…”