Acta Scientific Women's Health (ISSN: 2582-3205)

Editorial Volume 2 Issue 1

Prevalence and Associated Factors in Postpartum Depression at Tertiary Hospital in Nepal

Arju Chand Singh*, Ratna A Khatri, Sumana Thapa, Yubraj Budda

Department of Obstetrics and Gynecology, Shree Birendra Hospital, Nepal

*Corresponding Author: Arju Chand Singh, Department of Obstetrics and Gynecology, Shree Birendra Hospital (NAIHS), Nepal.

Received: November 15, 2019; Published: December 26, 2019

×

Abstract

Introduction: Postpartum depression is a serious but treatable medical disease and is a neglected area of maternal healthcare in developing countries. It is essential to identify and treat PPD because it has a negative affect on both maternal parenting ability and infant cognition. It affects 15% of women around childbirth [1]. Associated factors need to be identified if it has to be prevented on time. The onset of depression during postpartum period is very important and considered as a major public health problem affecting mothers, fathers, childrens and the whole family.This study aims to identify associated factors of PPD and its prevalence.

Objectives: To study the prevalence of women at risk for PPD using EPDS score in the tertiary teaching hospital in Nepal, Kathmandu and to study the associated risk factors.

Methodology: This study was conducted from 23 Jan 2019 to 22 April 2019 after obtaining ethical clearence from the Institutional Review Committee of the Nepalese Army Institute of Health sciences(Dec2018).Total of 100 women were interviewed using a structural questionnaire. EPDS scoring was done using a Nepali translated version. Data analysed using SPSS 21 version.

Results: Overall prevelance of depressive symptoms in postnatal women (Defined as EPDS≥13) was 17%. In this study socio-demographic variable are not statistically significant in relation to postnatal depression. As per univariate analysis (Chi- square test) postpartum depression is significantly associated with number of miscarriages(p- value 0.035).

Conclusion: Postpartum depression is highly prevalent among Nepalese women.It is recommended to screen women at high risk to ensure appropriate clinical outcomes and for proper intervention. Early detection of symptoms can facilitate timely treatment, referral to appropriate mental health providers, and prevention of major depression.

Keywords: Associated Factors; Edinburg Postnatal Depression Scale; Postpartum Depression; Prevalence, Tertiary Hospital

×

References

  1. Paulson James F. “Focusing on depression in expectant and new fathers Prenatal and PPD not limited to mothers”. Psychiatry Times 27.2 (2010).
  2. “Perinatal depression: prevalence, screening, accuracy and screening outcomes”. Agency of Health Care Research and Quality (2013): 11-11. 
  3. Ali NS., et al. “Postpartum anxiety and depression in periurban communities of Karachi, Pakistan: a Quasi experimental study”. BMC Public Health 9 (2009): 384.
  4. American psychiatric association, Diagnostic and statistical manual of mental disorders 5th edition (2013).
  5. Ludermin AB., et al. “Violence against women by their intimate partner during pregnancy and postnatal depression: A prospective cohort study”. Lancet 376 (2010): 903-910.
  6. Hibbiln JR. “Seafood consumption, the DHA content of mothers milk and prevalence rates of PPD: A cross national, ecological analysis”. Journal of Affective Disorders 69 (2002): 15-29.
  7. Gur EB., et al. “Mid pregnancy vit D levels and PPD”. European Journal of Obstetrics and Gynecology and Reproductive Biology 179 (2014): 110-116.
  8. J Fisher., et al. “Prevalence and determinants of common perinatal mental disorders in women in low and lower middle income countries: a systematic review”. Bulletin of the WHO 90.2 (2012): 139-149.
  9. NI Gavin., et al. “Perinatal depression: a systematic review of the epidemiological literature”. Psychological Medicine 43.3 (2013): 471-481.
  10. Letoumean N., et al. “PPD is a family affair : addressing the impact on mothers, fathers and children”. Issues Mental Health Nursing 33 (2012): 445-457.
  11. Bhusal B. “Validating the EPDS as a screening tool for postpartum depression in Kathmandu, Nepal”. International Journal of Mental Health System 10 (2016): 71.
  12. K Regmi Shishir and K Abdul. “Postnatal depression: A study of prevalence and associated sociodemographic factors”. Journal of IOM 21 (1999): 1-96.
  13. Budhathoki N., et al. “Violence against women by their husband and PPD”. Journal of Nepal Health Research Council 10.22 (2012): 176-180.
  14. “Federal Democratic Republic of Ethiopia Ministry of Health. National Mental Health Strategy 2012/13, Psychosocial determinants of postpartum depression”. Medical and Biological Sciences 28.3 (2014): 25-33.
  15. Daud S., et al. “Prevalence, predictors and determinants of depression in women of the reproductive age group”. E Biomedica 24 (2008): 18-22. 
  16. Bicking K., et al. “Effect of previous miscarriage on depressive symptoms during subsequent pregnancy and postpartum in the 1st bab study”. Maternal and Child Health Journal 19 (2015): 391-400.
  17. Desai Nimisha D., et al. “Study of prevalence and RFs of PPD”. Neonatal Journal of Medical Research 2 (2012): 194-198.
  18. Burgha., et al. “Social support and development of postnatal depressive symptoms, a prospective cohort survey”. Psychological Medicine 28 (1998): 63-79.
×

Citation

Citation: Arju Chand Singh., et al. “Prevalence and Associated Factors in Postpartum Depression at Tertiary Hospital in Nepal”.Acta Scientific Women's Health 2.1 (2020): 23-28.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days

Indexed In





News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US