Prevalence of Postnatal Depression and Its Risk Factors among Postnatal Women in Rural Area of Srikakulam District
DOI:
https://doi.org/10.5455/njcm.20200525111512Keywords:
Postnatal, Postnatal depression, Rural, risk factor, preganancy, postpartamAbstract
Introduction: During postpartum period women are at high risk for developing episodes of depression. Postnatal depression (PND) is a major public health issue because of its adverse effects on the infant and entire family.
Objective: To find the prevalence of PND among postnatal(PN) women in Singupuram rural health training centre(RHTC) area, Srikakulam district, Andhra Pradesh and to find association between socio-demographic, obstetric and pregnancy outcomes and PND.
Method: Sampling Method- Non-probability convenient sampling. This cross-sectional study was carried out among PN women (4th-10th week) in Singupuram RHTC area, Srikakulam district during May to August 2019. Details were collected using a pre-tested semi-structured questionnaire pertaining to socio-demographic profile, obstetric and pregnancy outcomes along with an Edinburg Postnatal Depression Scale (EPDS) translated into local language (telugu) cut-off score of ≥13 was used as high risk of PND.
Result: The study included 229 PN women. Prevalence of PND was 28.3%. PND showed significant association (p<0.05) with type of family, working status of PN women, husbands occupation, socio-economic status, mode of delivery, gender of the newborn, and complications in pregnancy.
Conclusion: PND among rural PN women is 28.3%. Early stage of PND screening and diagnosis should be included as integral part of PN care.
References
World Health Organization. International Statistical Classi-fication of Diseases and Related Health Problems 10th Revi-sion (ICD-10). Available: http://apps.who.int/classifica-tions/apps/icd /icd10online/Published2007. [Cross Ref]
Goodman SH, Brand SR. Parental psychopathology and its relation to child psychopathology. In: Hersen M, Gross AM, editors. Handbook of clinical psychology vol 2: Children and adolescents. Hoboken, NJ: John Wiley & Sons; 2008.pp. 937-65.
Righetti- Veltema M, Conne-Perreard E, Bousquet A, Man-zano J. Risk factors and predictive signs of postpartum de-pression. J Affect Disord. 1998;49:167-80.doi:10.1016/S0165-0327 (97)00110-9.(Pub Med) [Cross Ref]
Savarimuthu R, Ezhilarasu P, Charles H, Antonisamy B, Kurian S, Jacob K. Post-partum depression in the communi-ty: a qualitative study from rural South India. Int J Soc Psy-chiatry 2010;56: 94-102. doi: 10.1177/0020764008097756 [Pub Med]
Anoop S, Saravanan B, Joseph A, Cherian A, Jacob KS. Ma-ternal depression and low maternal intelligence as risk fac-tors for malnutrition in children: a community based case-control study from South India. Arch Dis Child 2004; 89:325-329.[PMC free article] [Pub Med]
Patel V, Rodrigues M, Desouza N. Gender, poverty, and postnatal depression: a study of mothers in Goa, India. Am J Psychiatry 2002; 159:43-47.[Pub Med]
Chandran M, Tharyan P, Muliyil J, Abraham. Post-partum depression in a cohort of women from a rural area of Tamil Nadu. Incidence and risk factors. Br J Psychiatry 2002; 181:499-504.
Siddharudha Shivalli and Nandihal Gururaj. Postnatal De-pression among Rural Women in South India: Do Socio-Demographic, Obstetric and Pregnancy Outcome Have a Role to Play? PLOS One.2015;10(4):e0122079. Published online 2015 Apr7.doi:10.1371/journal.pone.PMCID:PMC4 388688 PMID: 25848761.
Office of the Registrar General and Census Commissioner. Census India 2011. Ministry of Home affairs. Government of India; New Delhi; 2012.
Park K. Medicine and Social Sciences. Park’s Textbook of Preventive and Medicine. 25th ed. Jabalpur: M/s Banarsidas Bhanot Publishers, 2019:738-40.
Cox JL, Holden JM, and Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh postna-tal depression scale. Br J Psychiatry 1987; 150: 782-86. [Pub Med]
Fernandes MC, Srinivasan K, Stein AL, Menezes G, Su-mithra RS, Ramchandani PG. Assessing prenatal depression in the rural developing world. a comparsion of two screen-ing measures. Arch Womens Ment Health 2011; 209-10. doi: 10.1007/s00737-010-0190-2.[Pub Med]
Sookhoo D, Race ethnicity, culture and childbirth In: Squire C editor. The Social Context of Birth. Oxon, England: Red-cliffe publishing Ltd; 2009.p.85
Hegde S, Latha K, Bhat S, Sharma P, Kamath A, Shetty A. Postpartum Depression: Prevalence and Associated Factors among Women in India. Journal of Women's Health, Issues and Care. 2012;1(1):1–7
Ghubash R, Abou-Saleh MT. Postpartum psychiatric illness in Arab culture: prevalence and psychosocial correlates. Br J Psychiatry 1997;171: 65–68. [PubMed]
Nhiwatiwa S, Patel V, Acuda W. Predicting postnatal men-tal disorder with a screening questionnaire: a prospective cohort study from Zimbabwe. J Epidemiol Community Health 1998;52:262–266.[PMC free article] [PubMed]
Tannous L, Gigante LP, Fuchs SC, Busnello ED. Postnatal depression in Southern Brazil: prevalence and its demo-graphic and socioeconomic determinants. BMC Psychiatry 2008;8:1 doi: 10.1186/1471-244X-8-1 [PMC free article] [PubMed]
Cooper PJ, Tomlinson M, Swartz L, Woolgar M, Murray L, Molteno C. Post-partum depression and the mother-infant relationship in a South African peri-urban settlement. Br J Psychiatry 1999;175:554–558. [PubMed]
Ghubash R, Abou-Saleh MT. Postpartum psychiatric illness in Arab culture: prevalence and psychosocial correlates. Br J Psychiatry 1997;171:65–68. [PubMed]
O’Hara MW, Swain AM. Rates and risk of postpartum de-pression-a meta-analysis. Int Rev Psychiatry1996;8:37–54.
Patel V, DeSouza N, Rodrigues M. Postnatal depression and infant growth and development in low income coun-tries: a cohort study from Goa, India. Arch Dis Child 2003;88:34-37.[PMC free article ] [PubMed]
Stewart RC, Bunn J, Vokhiwa M, Umar E, Kauye F, Fitzger-ald M et al. Common mental disorder and associated factors amongst women with young infants in rural Malawi. Soc Psychiatry Psychiatr Epidemiol2010;45:551–59 doi: 10.1007/s00127-009-0094-5 [PubMed]
Husain N, Bevc I, Husain M, Chaudhry I, Atif N, Rahman A. Prevalence and social correlates of postnatal depression in a low income country. Arch Womens Ment Health 2006;9:197–202. [PubMed]
Milgrom J, Gemmill AW, Bilszta JL, Hayes B, Barnett B, Brooks J et al. Antenatal risk factors for postnatal depres-sion: a large prospective study. J Affect Disord 2008;108: 147–157. [PubMed]
Rahman A, Iqbal Z, Harrington R. Life events, social sup-port and depression in childbirth: perspectives from a rural community in the developing world. Psychol Med 2003;33:1161–1167.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.