Psychosocial Problems among Urban Women in Postpar-tum Period- A Qualitative Study in Kanchipuram District, Tamil Nadu

Authors

  • Santhya G Saveetha Medical College and Hospital, Chennai
  • Ananthaeashwar VM Sree Balaji Medical College and Hospital, Chennai
  • Dutta Ruma Saveetha Medical College and Hospital, Chennai
  • Timsi Jain Saveetha Medical College and Hospital, Chennai
  • Parasuraman Gomathy Saveetha Medical College and Hospital, Chennai

DOI:

https://doi.org/10.5455/njcm.20210801054858

Keywords:

Anxiety, Mental health, Breastfeeding, depression, stress

Abstract

Background: Post-Partum Depression (PPD) is one of the overlooked psychosocial problem among postnatal mothers which is rooted on various personal and social experiences faced The study was carried out with the aim to understand the experiences of postnatal mothers suffering from PPD using qualitative methods.

Methods: A qualitative study was done among 20 postnatal mothers in urban area of Kancheepuram district, suffering from PPD according to Edinburgh Postnatal Depression scale. Semi-structured interviews were used to guide the data collection process which was carried out either in their homes or via telephonic calls using in-depth interviews which were recorded and analysed by using thematic analysis.

Results: The major themes that were identified were related to Mental Health, Breast feeding, bonding with their child, relationship with partner, family and friends. The major subthemes in mental health were related to body image issues after delivery of the child, paranoia, feeling anxious, exhausted, feeling bad about not being happy about motherhood. Breastfeeding problems experienced were anxiety related to breastfeeding and cluster feeding.

Conclusion: Awareness about PPD must be created in the community among every household so that people will become sensitised that a term like that is real and will report the same if noticed among their family members.

References

Anokye R, Acheampong E, Budu-Ainooson A, Obeng EI, Akwasi AG. Prevalence of postpartum depression and interventions utilized for its management. Annals of general psychiatry. 2018;17(1):18.

Habel C, Feeley N, Hayton B, Bell L, Zelkowitz P. Causes of women׳ s postpartum depression symptoms: Men׳ s and women׳ s perceptions. Midwifery. 2015;31(7):728-34.

Degner D. Differentiating between “baby blues,” severe depression, and psychosis. Bmj. 2017;359:j4692.

Righetti-Veltema M, Conne-Perréard E, Bousquet A, Manzano J. Risk factors and predictive signs of postpartum depression. Journal of affective disorders. 1998 Jun 1;49(3):167-80.

Haga SM, Ulleberg P, Slinning K, Kraft P, Steen TB, Staff A. A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support. Archives of women's mental health. 2012;15(3):175-84.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. The British journal of psychiatry. 1987;150(6):782-6.

Benjamin D, Chandramohan A, Annie IK, Prasad J, Jacob KS. Validation of the Tamil version of Edinburgh post-partum depression scale. J Obstet Gynecol India. 2005;55(3):241-43.

Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qualitative health research. 2005;15(9):1277-88.

Chiareli IA. Body Stories of Postpartum Women: Examining Social Influences on First-Time Mothers' Body Image. Available from https://shareok.org/handle/11244/325344. Accessed on 24 June 2020.

Mauthner NS. " Feeling low and feeling really bad about feeling low": Women's experiences of motherhood and postpartum depression. Canadian Psychology/Psychologie Canadienne. 1999;40(2):143.

Corwin EJ, Brownstead J, Barton N, Heckard S, Morin K. The impact of fatigue on the development of postpartum depression. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2005;34(5):577-86.

Watkins S, Meltzer-Brody S, Zolnoun D, Stuebe A. Early breastfeeding experiences and postpartum depression. Obstetrics & Gynecology. 2011;118(2):214-21.

Skrundz M, Bolten M, Nast I, Hellhammer DH, Meinlschmidt G. Plasma oxytocin concentration during pregnancy is associated with development of postpartum depression. Neuropsychopharmacology. 2011;36(9):1886-93.

Kimmel M, Clive M, Gispen F, Guintivano J, Brown T, Cox O, Beckmann MW, Kornhuber J, Fasching PA, Osborne LM, Binder E. Oxytocin receptor DNA methylation in postpartum depression. Psychoneuroendocrinology. 2016;69:150-60.

Kerstis B, Aarts C, Tillman C, Persson H, Engström G, Edlund B, Öhrvik J, Sylvén S, Skalkidou A. Association between parental depressive symptoms and impaired bonding with the infant. Archives of women's mental health. 2016;19(1):87-94.

Murray L, Cooper PJ. Postpartum depression and child development. Psychological medicine. 1997;27(2):253-60.

Badr LK, Ayvazian N, Lameh S, Charafeddine L. Is the effect of postpartum depression on mother-infant bonding universal?. Infant Behavior and Development. 2018; 51:15-23.

Choi H, Yamashita T, Wada Y, Narumoto J, Nanri H, Fujimori A, Yamamoto H, Nishizawa S, Masaki D, Fukui K. Factors associated with postpartum depression and abusive behavior in mothers with infants. Psychiatry and clinical neurosciences. 2010;64(2):120-7.

Lee C. Social context, depression and the transition to motherhood. British Journal of Health Psychology. 1997;2(2):93-108.

Desai N, Mehta RY, Ganjiwale J. Study of prevalence and risk factors of postpartum depression. Natl J Med Res. 2012;2(2):194-8.

Faisal-Cury A, Tabb K, Matijasevich A. Partner relationship quality predicts later postpartum depression independently of the chronicity of depressive symptoms. Brazilian Journal of Psychiatry. 2020(AHEAD).

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Published

2021-09-30

How to Cite

1.
Santhya G, VM A, Ruma D, Jain T, Gomathy P. Psychosocial Problems among Urban Women in Postpar-tum Period- A Qualitative Study in Kanchipuram District, Tamil Nadu. Natl J Community Med [Internet]. 2021 Sep. 30 [cited 2024 Apr. 24];12(09):290-5. Available from: https://njcmindia.com/index.php/file/article/view/274

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Original Research Articles