Psychiatric disorders in the postpartum period

Mohamed, Nabil R; Ragab, Afaf Z; Bahy, M; Zeina, Mohammed A

doi:10.4103/1110-2098.163919

Cited by 3 publications

(1 citation statement)

References 4 publications

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“…8 This is determined by the geographic location and the socioeconomic conditions. In Egypt, studies have reported a prevalence in Gharbia Governorate of 20% 9 . In the El-Minia study, 20% had major PPD and 29.5% had minor PPD, 10 and in Mansoura it was 17.9% 11 .…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

Salem

Thabet

Fouly

et al. 2016

Proc Obstet Gynecol

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Section: Introductionmentioning

confidence: 99%

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

Salem

Thabet

Fouly

et al. 2016

Proc Obstet Gynecol

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What stakeholders think: perceptions of perinatal depression and screening in China’s primary care system

Premji

Dobson

Prashad

et al. 2021

BMC Pregnancy Childbirth

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Background Mental health in China is a significant issue, and perinatal depression has been recognized as a concern, as it may affect pregnancy outcomes. There are growing calls to address China’s mental health system capacity issues, especially among vulnerable groups such as pregnant women due to gaps in healthcare services and inadequate access to resources and support. In response to these demands, a perinatal depression screening and management (PDSM) program was proposed. This exploratory case study identified strategies for successful implementation of the proposed PDSM intervention, informed by the Consolidated Framework for Implementation Research (CFIR) framework, in Ma’anshan city, Anhui province. Methods This qualitative study included four focus group discussions and two in-depth individual interviews with participants using a semi-structured interview guide. Topics examined included acceptance, utility, and readiness for a PDSM program. Participants included perinatal women and their families, policymakers, and healthcare providers. Interviews were transcribed verbatim, coded, and analyzed for emergent themes. Results The analysis revealed several promising factors for the implementation of the PDSM program including: utilization of an internet-based platform, generation of perceived value among health leadership and decision-makers, and the simplification of the screening and intervention components. Acceptance of the pre-implementation plan was dependent on issues such as the timing and frequency of screening, ensuring high standards of quality of care, and consideration of cultural values in the intervention design. Potential challenges included perceived barriers to the implementation plan among stakeholders, a lack of trained human health resources, and poor integration between maternal and mental health services. In addition, participants expressed concern that perinatal women might not value the PDSM program due to stigma and limited understanding of maternal mental health issues. Conclusion Our analysis suggests several factors to support the successful implementation of a perinatal depression screening program, guidelines for successful uptake, and the potential use of internet-based cognitive behavioral therapy. PDSM is a complex process; however, it can be successfully navigated with evidence-informed approaches to the issues presented to ensure that the PDSM is feasible, effective, successful, and sustainable, and that it also improves maternal health and wellbeing, and that of their families.

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Peripartum depression and its predictors: A longitudinal observational hospital-based study

Hamed¹,

Elwasify²,

Abdelhafez³

et al. 2022

WJP

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BACKGROUND Depression is a common problem in women in childbearing years due to burdens of motherhood and building a family. Few studies estimate the prevalence of antepartum depression compared to those in the postpartum period. AIM To estimate the prevalence and the severities of peripartum depression and major depressive disorder and their predictors. METHODS This is a longitudinal observation study. It included 200 women scoring ≥ 13 with the Edinburgh Postpartum Depression Scale, indicating presence of symptoms of depression. They had a gestational age of ≥ 6 wk and did follow-ups until the 10 th week to 12 th weeks postpartum. Information of women's reactions to life circumstances and stressors during the current pregnancy were gathered from answers to questions of the designed unstructured clinical questionnaire. Severities of depression, anxiety, and parenting stress were determined by the Beck Depre-ssion Inventory, State-Trait Anxiety Inventory for Adults, and Parenting Stress Index-Short Form, respectively. Psychiatric interviewing was done to confirm the diagnosis of major depression. Measuring the levels of triiodothronine (T3), thyroxine (T4), and thyroid stimulating hormone (TSH) was done in both antepartum and postpartum periods. RESULTS Out of 968 (mean age = 27.35 ± 6.42 years), 20.66% ( n = 200) of the patients had clinically significant symptoms of depression and 7.44% had major depression. Previous premenstrual dysphoria, post-abortive depression, and depression unrelated to pregnancy and were reported in 43%, 8%, and 4.5% of the patients, respectively. Psychosocial stressors were reported in 15.5% of the patients. Antepartum anxiety and parenting stress were reported in 90.5% and 65% of the patients, respectively. Postpartum T3, T4, and TSH levels did not significantly differ from reference values. Regression analysis showed that anxiety trait was a predictor for antepartum (standardized regression coefficients = 0.514, t = 8.507, P = 0.001) and postpartum (standardized regression coefficients = 0.573, t = 0.040, P = 0.041) depression. Antepartum depression (standardized regression coefficients = -0.086, t = -2.750, P = 0.007), and parenting stress (standardized regression coefficients = 0.080, t = 14.34, P = 0.0001) were also predictors for postpartum depression. CONCLUSION Results showed that 20.66% of the patients had clinically significant symptoms of depression and 7.44% had major depression. Anxiety was a predictor for antepartum and postpartum depression. Antepartum depression and parenting stress were also predictors for postpartum depression.

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Psychiatric disorders in the postpartum period

Cited by 3 publications

References 4 publications

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

Factors affecting the occurrence of postpartum depression among puerperal women in Sohag city, Egypt

What stakeholders think: perceptions of perinatal depression and screening in China’s primary care system

Peripartum depression and its predictors: A longitudinal observational hospital-based study

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