Postpartum depression and its risk factors in women with a potentially life-threatening complication.
depression
obstetric near-miss
perinatal mental health problems
postpartum
potentially life-threatening complication
severe maternal morbidity
Journal
International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics
ISSN: 1879-3479
Titre abrégé: Int J Gynaecol Obstet
Pays: United States
ID NLM: 0210174
Informations de publication
Date de publication:
Sep 2021
Sep 2021
Historique:
revised:
19
10
2020
received:
12
08
2020
accepted:
15
12
2020
pubmed:
19
12
2020
medline:
20
8
2021
entrez:
18
12
2020
Statut:
ppublish
Résumé
To assess the incidence of postpartum depression (PPD) and its risk factors in women with potentially life-threatening complications. Eight hundred and ninety women admitted to a tertiary center in South India with potentially life-threatening complications were recruited for the study. Within seven days of delivery, women underwent mental health assessments using the EPDS and PHQ-9 scale. Counseling was provided and follow-up assessment carried out at 3 months postpartum. Bivariate and multivariate analysis was done to assess the association of risk factors to depression. PPD was observed in 21% of the study cohort. Women with no formal education (OR -2.66, 95% CI: 1.10- 6.40) and those who had a stillbirth (OR 2.48, 95%CI: 1.57-3.93) were found to be associated with PPD after adjusting for other factors. Occurrence of an obstetric near-miss event did not increase the risk of depression. Most women recovered with postnatal counseling, with only three requiring medication at the end of 3 months. One in five women who develop potentially life-threatening complications developed PPD. A strategy of screening focused on this high-risk group, especially in low resource settings, can lead to early recognition and treatment. This in turn can lead to a reduction in the long-term morbidity associated with PPD.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
485-491Subventions
Organisme : Indian Council of Medical Research
ID : RBMH/Adhoc/5/2017-18
Informations de copyright
© 2021 International Federation of Gynecology and Obstetrics.
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