Prevalence and risk factors of postpartum depression within one year after birth in urban slums of Dhaka, Bangladesh.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
31
08
2018
accepted:
08
04
2019
entrez:
4
5
2019
pubmed:
3
5
2019
medline:
11
1
2020
Statut:
epublish
Résumé
Postpartum depression (PPD) is a serious pubic health concern and known to have the adverse effects on mother's perinatal wellbeing; and child's physical and cognitive development. There were limited literatures on PPD in Bangladesh, especially in urban slum context. The aim of this study was to assess the burden and risk factors of PPD among the urban slum women. A cross-sectional study was conducted between November-December 2017 in three urban slums on 376 women within first 12 months of postpartum. A validated Bangla version of Edinburgh Postnatal Depression Scale was used to measure the depression status. Respondent's socio-economic characteristics and other risk factors were collected with structured validated questionaire by trained interviewers. Unadjusted Prevalence Ratio (PR) and Adjusted Prevalence Ratio (APR) were estimated with Generalized Linear Model (GLM) and Generalized Estimating Equation (GEE) respectively to identify the risk factors of PPD. The prevalence of PPD was 39.4% within first 12 months following the child birth. Job involvement after child delivery (APR = 1.9, 95% CI = 1.1, 3.3), job loss due to pregnancy (APR = 1.5, 95% CI = 1.0, 2.1), history of miscarriage or still birth or child death (APR = 1.4, 95% CI = 1.0, 2.0), unintended pregnancy (APR = 1.8, 95% CI = 1.3, 2.5), management of delivery cost by borrowing, selling or mortgaging assets (APR = 1.3, 95% CI = 0.9, 1.9), depressive symptom during pregnancy (APR = 2.5, 95% CI = 1.7, 3.8) and intimate partner violence (APR = 2.0, 95% CI = 1.2, 3.3), were identified as risk factors. PPD was not associated with poverty, mother in law and any child related factors. The burden of postpartum depression was high in the urban slum of Bangladesh. Maternal mental health services should be integrated with existing maternal health services. Research is required for the innovation of effective, low cost and culturally appropriate PPD case management and preventive intervention in urban slum of Bangladesh.
Identifiants
pubmed: 31048832
doi: 10.1371/journal.pone.0215735
pii: PONE-D-18-25641
pmc: PMC6497249
doi:
Banques de données
figshare
['10.6084/m9.figshare.7035476']
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0215735Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Environ Health Prev Med. 2017 Mar 14;22(1):1
pubmed: 29165111
Lancet. 2010 Sep 11;376(9744):903-10
pubmed: 20822809
Int J Epidemiol. 1998 Feb;27(1):91-5
pubmed: 9563700
Women Health. 2017 Jul;57(6):723-740
pubmed: 27104912
BMC Pregnancy Childbirth. 2016 Jul 21;16(1):180
pubmed: 27439302
J Affect Disord. 2008 May;108(1-2):147-57
pubmed: 18067974
Occup Environ Med. 2008 Jul;65(7):481, 501-6
pubmed: 18562687
Matern Child Health J. 2010 Jan;14(1):20-35
pubmed: 19037715
Int J Health Geogr. 2009 Jun 08;8:32
pubmed: 19505333
J Womens Health (Larchmt). 2013 Sep;22(9):760-8
pubmed: 24007380
Br J Psychiatry. 1987 Jun;150:782-6
pubmed: 3651732
Arch Womens Ment Health. 2017 Feb;20(1):173-188
pubmed: 27838781
Matern Child Health J. 2017 Oct;21(10):1890-1900
pubmed: 28766094
Aust Fam Physician. 2006 Sep;35(9):670-3
pubmed: 16969433
Obstet Gynecol. 2005 Nov;106(5 Pt 1):1071-83
pubmed: 16260528
Nurs Res. 2001 Sep-Oct;50(5):275-85
pubmed: 11570712
Eur J Obstet Gynecol Reprod Biol. 2004 Mar 15;113(1):6-11
pubmed: 15036702
Psychol Med. 2009 Jun;39(6):999-1007
pubmed: 18812008
Arch Dis Child. 2004 Apr;89(4):325-9
pubmed: 15033840
Depress Anxiety. 2007;24(1):15-21
pubmed: 16845663
Partner Abuse. 2012 Apr;3(2):231-280
pubmed: 22754606
J Psychiatr Pract. 2005 Sep;11(5):353-8
pubmed: 16184076
BJOG. 2000 Oct;107(10):1210-7
pubmed: 11028570
J Affect Disord. 2015 Apr 1;175:34-52
pubmed: 25590764
Depress Anxiety. 2008;25(9):793-800
pubmed: 17397041
Soc Sci Med. 2001 Aug;53(4):441-53
pubmed: 11459395
Med Anthropol. 2018 Apr;37(3):194-205
pubmed: 28409647
Bull World Health Organ. 2012 Feb 1;90(2):139G-149G
pubmed: 22423165
J Affect Disord. 2006 Apr;91(2-3):97-111
pubmed: 16466664
Soc Sci Med. 1999 Feb;48(3):313-20
pubmed: 10077279
Arch Womens Ment Health. 2012 Apr;15(2):107-14
pubmed: 22382278
Psychol Med. 1997 Mar;27(2):253-60
pubmed: 9089818
PLoS One. 2017 May 4;12(5):e0176211
pubmed: 28472056
Birth. 2006 Dec;33(4):323-31
pubmed: 17150072
Glob Health Action. 2014 Sep 12;7:24725
pubmed: 25226416
Harv Rev Psychiatry. 2009;17(2):147-56
pubmed: 19373622
Int J Epidemiol. 1994 Feb;23(1):201-3
pubmed: 8194918
PLoS Med. 2013;10(5):e1001452
pubmed: 23723741
BJOG. 2010 Apr;117(5):540-50
pubmed: 20121831
Child Care Health Dev. 2002 Jan;28(1):51-6
pubmed: 11856187
Soc Sci Med. 2017 Jun;182:97-105
pubmed: 28437694
Soc Sci Med. 2012 Sep;75(6):959-75
pubmed: 22694991
Arch Womens Ment Health. 2003 Feb;6(1):9-13
pubmed: 12715260
Int J Ment Health Syst. 2017 Mar 14;11:23
pubmed: 28293284
Occup Environ Med. 1994 Aug;51(8):574
pubmed: 7951785
Gen Hosp Psychiatry. 2004 Jul-Aug;26(4):289-95
pubmed: 15234824
Am Fam Physician. 2004 Jun 15;69(12):2779-80, 2782
pubmed: 15222644
Gen Hosp Psychiatry. 2003 Sep-Oct;25(5):353-7
pubmed: 12972227
Int J Nurs Stud. 2009 Oct;46(10):1355-73
pubmed: 19327773
PLoS One. 2016 Dec 19;11(12):e0168103
pubmed: 27992478
BMC Med Res Methodol. 2003 Oct 20;3:21
pubmed: 14567763