Maternal and Neonatal Risk Factors Associated with Perinatal Depression-A Prospective Cohort Study

被引:2
作者
Rajendran, Bharathi [1 ]
Ibrahim, Syed Ummar [2 ]
Ramasamy, Sureshkumar [2 ,3 ]
机构
[1] Govt Med Coll & Hosp, Dept Psychiat, Ramanathapuram, Tamil Nadu, India
[2] PSG Inst Med Sci & Res Hosp, Dept Psychiat, Coimbatore, Tamil Nadu, India
[3] PSG Inst Med Sci & Res, Dept Psychiat, Coimbatore 641004, Tamil Nadu, India
关键词
Depression; mood disorder; perinatal depression; perinatal psychiatry; postpartum depression; LOW-BIRTH-WEIGHT; POSTPARTUM DEPRESSION; POSTNATAL DEPRESSION; PREVALENCE; PREGNANCY; WOMEN; SYMPTOMS; PRETERM; INDIA;
D O I
10.1177/02537176231176405
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: Perinatal depression (PND) is often under-treated and under-recognized. It has a negative impact on infant development and mother-child interactions. This study aims to estimate the prevalence of PND during pregnancy and in the postpartum period and the effect of sociodemographic factors, psychosocial stressors, and obstetric and neonatal factors on PND. Methods: 166 antenatal mothers attending tertiary center, who completed the 1st-trimester, were evaluated on baseline sociodemographic, psychosocial, obstetric, neonatal, and post neonatal factors by using a semi-structured questionnaire. Periodic prospective assessments were done using Hamilton depression rating scale (HAMD) at the end of the second and third trimesters and first and sixth weeks of the postpartum period. Results: Prevalence of PND was 21.7%, 32.2%, 35%, 30.4%, and 30.6%, at the end of the first trimester, during second, and third trimesters, and first and sixth week postpartum, respectively. Factors significantly associated with depressive symptoms included history of previous children with illness (P: 0.013, OR-5.16, CI-1.3-19.5) and preterm birth (P: 0.037, OR-3.73, CI-1.1- 13.2) at the time of recruitment; history of abuse (P: 0.044, OR-3.26, CI-1.1-10.8) and marital conflicts (P: 0.003, OR-3.2, CI-1.4-6.9) by the end of second trimester; history of miscarriages (P: 0.012, OR-2.58, CI-1.2-5.4) by the end of third trimester; lower SES (P: 0.001, OR-3.48, CI-1.64-7.37), unsatisfied living conditions (P: 0.004, OR-2.9, CI-1.4-6.04), alcohol use in husband (P: 0.049, OR-2.01, CI-1.1-4.11), history of depressive episodes (P: 0.049, OR-2.09, CI-1.1-4.46), history of high-risk pregnancy (P: 0.008, OR-2.7, CI-1.29-5.64), history of miscarriages (P: 0.049, OR-2.04, CI-1.1-4.2), stressful events in the postpartum period (P: 0.043, OR-2.58, CI-1.01-6.59), IUD (P: 0.002), preterm birth (P: 0.001), congenital malformations (P: 0.001), dissatisfaction with the sex of the child (P: 0.005, OR-3.75, CI-1.42-9.91), poor family support (P: 0.001), and low birth weight (P: 0.001, OR-16.78, CI-6.32-44.53) in the postpartum period. These analyses are purely exploratory. Conclusions: PND is highly prevalent from the early antenatal period onwards; this warrants periodic assessment of depression among high-risk mothers, using a validated tool, for early diagnosis and management.
引用
收藏
页码:24 / 31
页数:8
相关论文
共 27 条
[1]  
[Anonymous], 2015, Obstet Gynecol, V125, P1268, DOI 10.1097/01.AOG.0000465192.34779.dc
[2]  
APA, 2022, Diagnostic and Statistical Manual of Mental Disorders
[3]   All mothers are not created equal: neural and psychobiological perspectives on mothering and the importance of individual differences [J].
Barrett, Jennifer ;
Fleming, Alison S. .
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY, 2011, 52 (04) :368-397
[4]   The effects of postpartum depression on child development: A meta-analysis [J].
Beck, CT .
ARCHIVES OF PSYCHIATRIC NURSING, 1998, 12 (01) :12-20
[5]   Review of screening instruments for postpartum depression [J].
Boyd, RC ;
Le, HN ;
Somberg, R .
ARCHIVES OF WOMENS MENTAL HEALTH, 2005, 8 (03) :141-153
[6]   Examination of premenstrual symptoms as a risk factor for depression in postpartum women [J].
Buttner, Melissa M. ;
Mott, Sarah L. ;
Pearlstein, Teri ;
Stuart, Scott ;
Zlotnick, Caron ;
O'Hara, Michael W. .
ARCHIVES OF WOMENS MENTAL HEALTH, 2013, 16 (03) :219-225
[7]   Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India - Incidence and risk factors [J].
Chandran, M ;
Tharyan, P ;
Muliyil, J ;
Abraham, S .
BRITISH JOURNAL OF PSYCHIATRY, 2002, 181 :499-504
[8]   A CONTROLLED-STUDY OF THE ONSET, DURATION AND PREVALENCE OF POSTNATAL DEPRESSION [J].
COX, JL ;
MURRAY, D ;
CHAPMAN, G .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 163 :27-31
[9]   Prenatal depression effects on early development: A review [J].
Field, Tiffany .
INFANT BEHAVIOR & DEVELOPMENT, 2011, 34 (01) :1-14
[10]   Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: a systematic review [J].
Fisher, Jane ;
de Mello, Meena Cabral ;
Patel, Vikram ;
Rahman, Atif ;
Thach Tran ;
Holton, Sara ;
Holmes, Wendy .
BULLETIN OF THE WORLD HEALTH ORGANIZATION, 2012, 90 (02) :139-149