Postpartum Depression: Prevalence and Associated Factors among Women in India

Hegde, Supriya and Latha, KS and Bhat, Sripathy M and Sharma, PSVN and Kamath, Asha (2012) Postpartum Depression: Prevalence and Associated Factors among Women in India. Journal of Women 's Health, Issues and Care, 1 (1). pp. 1-7.

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Objective: The objective of this study was to estimate the prevalence and risk factors for postpartum depression, among women attending public health clinics in India. Methods: In this prospective cross-sectional study conducted at a district hospital and maternity and child health center in South India, 150 postpartum women were interviewed on days 2-3 after delivery and at 6 and 14-weeks after delivery. The women were screened for depression using the Edinburgh Postnatal Depression Scale (EPDS). DSM-IV diagnoses of major and minor depressive disorder were made, using the Mini International Neuropsychiatric Interview (MINIPlus). Results: The prevalence of depression was 11.3% in the immediate postpartum week, 15.8% at six weeks and 15.5% at fourteen weeks after delivery. On univariate analysis, postpartum depression was significantly associated with lower socioeconomic status, multiparity, delivering a female infant, disappointment with the sex of the baby and infants born with congenital malformation. Depressed women had higher mean blues scores, lower selfesteem, poor social support and marital quality, along with more life-events, as compared to non-depressed women. On multivariate analysis, postpartum depression was significantly associated with multiparity (OR = 0.16, 95% CI: 0.03 – 0.75, p=0.021), poor social support (OR= 10.18, 95% CI: 1.68 – 61.66, p=0.012), and stressful life events in the preceding one year (OR= 1.05, 95% CI: 1.03 – 1.68, p=0.005). Conclusion: Postpartum depression is common among Indian women and can be detected early in the postpartum period, using simple screening methods. Health care workers at primary care clinics should be educated about postpartum depression, and mental health interventions must be integrated into routine postpartum care to prevent adverse maternal and infant outcomes.

Item Type: Article
Uncontrolled Keywords: Postpartum depression; Prevalence; Risk factors; India
Subjects: Medicine > KMC Manipal > Community Medicine
Medicine > KMC Manipal > Psychiatry
Depositing User: KMC Manipal
Date Deposited: 05 Mar 2013 09:59
Last Modified: 05 Mar 2013 09:59

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