Scholarly record
THE RELATIONSHIP BETWEEN SELECTED OBSTETRIC AND PSYCHOSOCIAL FACTORS AND POSTNATAL DEPRESSION
Abstract
Introduction: Postpartum period is a period of risk for the development of mood disorders, including postpartum depression. The onset and persistence of postpartum distress and depressive symptoms may be influenced by several obstetric and psychosocial factors. A body of research studies has shown an association between quality and satisfaction with the partner support and postpartum depression. Aim of this study was to examine relationship between selected obstetric (e.g. type of labour, complications during labour) and psychosocial factors (e.g. level of perceived partner support; satisfaction with health care) and symptoms of postnatal depression in postpartum period. Methods: 204 mothers 6-8-weeks postpartum were included in the study; mean age 30.92В±4.75. Data were collected by using self-administered measures of the Edinburgh postnatal depression scale (cut off score 10) and the Postpartum Partner Support Scale. Frequency distribution, Pearson correlation, StudentВ’s t-test and one-way analysis of variance were employed to analyse the data. Results: In the Edinburgh postnatal depression scale, the respondents achieved an average score of 6.21 В± 4.9; and the prevalence of symptoms of psychological distress was 18.7% (N=37). Women who were more likely to suffer from higher depressive symptoms more often reported complications during pregnancy (p=0.046); were less satisfied with health care during postpartum period (p=0.000) and their financial situation (p=0.020). Significant negative correlation was found between perceived partner support and psychosocial distress (p=0.000). Conclusion: The study findings suggest that there is an association between various factors and symptoms of depression following childbirth. Although some risk factors are difficult to control (eg complicated pregnancies) and may have a negative impact on maternal mental health, enhancing social support among new mothers may have the potential protective role in reducing psychological distress.
Publication Impact Profile
Publication details
References16
Sylvén S.M., Thomopoulos T.P., Kollia N., Jonsson M., Skalkidou A. Correlates of postpartum depression in first time mothers without previous psychiatric contact. European Psychiatry, vol. 40, pp 4–12, 2017.
Hanlon A.J.M., Beckmann M.M. Mode of birth and early postnatal psychological morbidity. Australian and New Zealand Journal of Obstetrics and Gynaecology, vol. 55, pp 578–583, 2015.
Parfitt Y., Ayers S. Transition to parenthood and mental health in first-time parents. Infant mental health journal, vol. 35/ issue 3, pp 263–273, 2014. 346 Section Psychology and Psychiatry DOI: 10.5593/sws.iscss.2020.7.1/s06.41
Sarah Khanlari, John Eastwood1,3,4,5,6, Bryanne Barnett3,7, Sabrina Naz8 and Felix Akpojene Ogbo. Psychosocial and obstetric determinants of women signalling distress during Edinburgh Postnatal Depression Scale (EPDS) screening in Sydney, Australia. BMC Pregnancy and Childbirth (2019) 19:407
Milgrom J., Gemmill A.W., Bilszta J.L., Hayes B., Barnett B., Brooks J. Antenatal risk factors for postnatal depression: a large prospective study. Journal of Affective Disorders, vol. 108/issue 1–2, pp 147–57, 2008.
Blom E.A., Jansen P.W., Verhulst F.C., Hofman A., Raat H., Jaddoe V.W. Perinatal complications increase the risk of postpartum depression. The Generation R Study. BJOG vol. 117/issue 11, pp 1390–8, 2010.
Faleschini S., Millar L., Rifas-Shiman S.L., Skouteris H., Hivert M.-F., Oken E. Women’s perceived social support: associations with postpartum weight retention, health behaviors and depressive symptoms. BMC Women's Health, vol. 19/issue 143, 2019.
Cox J.L., Holden J.M., Henshaw C.: Perinatal Mental Health. The Edinburgh Postanatal Depression Scale (EPDS) Manual. 2nd edition. The Royal College of Psychiatrists, London, 2014.
Dennis, C.-L., Brown H.K., Brennenstuhl S. The Postpartum Partner Support Scale: Development, psychometric assessment, and predictive validity in a Canadian prospective cohort. Midwifery, vol. 54, pp 18–24, 2017.
Van Vo T., Hoa T.K.D., Hoang T.D. Postpartum Depressive Symptoms and Associated Factors in Married Women: A Cross-sectional Study in Danang City, Vietnam. Frontiers in Public Health vol.5/issue 93, 2017.
Chi X., Zhang P., Wu H. and Wang J. Screening for Postpartum Depression and Associated Factors Among Women in China: A Cross-Sectional Study. Front. Psychol. Vol. 7, pp 1668, 2016.
Bennett A.E., Kearney J.M. Factors Associated with Maternal Wellbeing at Four Months Post-Partum in Ireland. Nutrients, vol.10, pp 609, 2018.
Palumbo G., Mirabella F., Gigantesco A. Positive screening and risk factors for postpartum depression. European Psychiatry, vol.42, pp 77–85, 2017.
Almutairi A.F., Salam M., Alanazi S., Alweldawi M., Alsomali N., Alotaibi N. Impact of help-seeking behavior and partner support on postpartum depression among Saudi women. Neuropsychiatric Disease and Treatment, vol.13, pp 1929–1936, 2017.
Clout D., Brown R. Sociodemographic, pregnancy, obstetric, and postnatal predictors of postpartum stress, anxiety and depression in new mothers. Journal of Affective Disorders, vol. 188, pp 60–67, 2015.
Youna H.C., Leeb S., Hanc S.W., Kimd L.Y., Leed T-S, Ohe M-J, Jeonga H-G, Cho G.J. Obstetric risk factors for depression during the postpartum period in South Korea: a nationwide study. Journal of Psychosomatic Research, vol. 102, pp 15–20, 2017.
View or Download full articleAccess options
SWS access login
Login as SWS Scientific CommitteeLogin as SWS Scientific PartnerLogin as SWS AuthorAuthors and approved SWS contributors will read and export their own linked papers after identity matching by SWS profile, email and SGEM GlobalID.
For librarian assistance: [email protected]
Purchase Instant Access
- Article can be downloaded after successful payment.
- Article may be used according to SWS library access terms.
- Article cannot be redistributed.