DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20213927

A cross sectional study to assess the prevalence and risk factors of post-partum depression in urban area of Indore district

Priyanka Bhaskar, Veena Yesikar, S. B. Bansal, Bhagwan Waskel

Abstract


Background: Pregnancy and childbirth are important events in the life of a woman. Life with the new born can be very rewarding but it can be very tough for some women. This phase of life brings about many hormonals, physical and emotional changes in the women during childbirth. Aims and objectives were to find out the prevalence and risk factors of post-partum depression (PPD) in urban area of Indore district and to assess the socio demographic profile of study population

Methods: The study was a cross sectional community-based study, conducted on women who had delivered within a period of 6 weeks to 3 months. 100 women from urban area were selected from Indore district through simple random sampling. Informed consent in written was taken from the mothers. The study tool was pre designed semi structured questionnaire and Edinburgh post-natal depression scale (EPDS) scale, data were entered in excel sheet and analyzed using SPSS software, appropriate statistical test were applied wherever necessary.

Results: In our study it was found that prevalence of PPD in urban Indore was 23%. We found that age at the time of marriage below 18 years, mode of delivery (LSCS), initiation of breast feeding (after 1 hour) and birth weight of baby less than 2.5 kg had a strong association with PPD. In our study 58% had normal vaginal delivery and 42% had LSCS in urban area. In urban areas 36% gave a history of birth weight of babies <2.5 kg.

Conclusions: Symptoms of PPD were significantly high in urban Indore mothers and they were strongly associated with risk factors.


Keywords


PPD, Mothers, EPDS

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References


Shrestha N, Hazrah P, Sagar R. Incidence and prevalence of Post-Partum Depression in a rural community of India J Chitwan Med College. 2015;5(12):11-9.

Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017;6,60;9-16.

Rai S, Pathak A, Sharma I. Postpartum psychiatric disorders: Early diagnosis and management. Indian J Psychiatry. 2015;57(S2):216-21.

Prakash RU, Ranadip C, Aslyeh S, Kaushik S. Postpartum depression in India: a systematic review and meta-analysis. Bull WHO. 2017;95:706-17.

Ashley CO, Schaefer CA, Alexander JL. Detection of postpartum depression and anxiety in a large health plan. J behavioral health services res. 2004;31(2):117-33.

Bobo WV. Concise Review for Physicians and Other Clinicians: Postpartum Depression, Mayo Clin Proc. 2014;89(6):835-44.

Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Washington, DC: American Psychiatric Publishing. 2013;186-7.

Vahia VN. Diagnostic and statistical manual of mental disorders 5: A quick glance. Indian j psychiatry. 2013;55(3):220-23.

Guin G, Rawat S. Prevalence of postpartum depression and association with risk factors in a tertiary care hospital. Int J Reprod Contrac Obstetr Gynecol. 2018;7(3):1094-100.

Rathod SD, Honikman S, Hanlon C, Shidhaye R. Characteristics of perinatal depression in rural central, India: a cross-sectional study. Int J mental health systems. 2018;12:68.

Chandran M, Tharyan P. Post-partum depression in a cohort of women post-partum depression in a cohort of women from a rural area of Tamil Nadu, India from a rural area of Tamil Nadu, India Incidence and risk factors. Bri J Psychiatry. 2002;181:499-504.

Dubey C, Gupta N, Bhasin S. Prevalence and associated risk factors for postpartum depression in women attending a tertiary hospital, Delhi, India. Int J social psychiatry. 2012;58(6):577-80.

Nimisha DD, Ritambhara MY. Study of prevalence and risk factors of post-partum depression. National J Med Res. 2012;2(2):2012.

International Institute for Population Sciences. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai, India: International Institute for Population Sciences. State Fact Sheet Madhya Pradesh p02. Available at: http://rchiips.org/nfhs/pdf/NFHS4/MP_FactSheet.pdf. Accessed on 10 April 2020.

Prost A, Lakshminarayana R. Predictors of maternal psychological distress in rural India: A cross-sectional community-based study. J Affective Disord. 2012;138(3):277-86.

Patel HL, Ganjiwale JD, Nimbalkar AS, Vani SN, Vasa R, Nimbalkar SM. Characteristics of Postpartum Depression in Anand District, Gujarat, India. J Trop Pediatr. 2015;61(5):364-9.

Daniel S, Neelam R, Himadri B, Bhushan C. Incidence and evaluation of factors contributing towards postpartum depression. Med J Dr. D. Y. Patil University. 2014;7(3):309-16.

Mehta S, Mehta N. An Overview of Risk Factors Associated to Post-partum Depression in Asia. Mental illness. 2014;6(1):5370.

Kheirabadi GR, Maracy MR, Barekatain M. Risk Factors of Postpartum Depression in Rural Areas of Isfahan Province, Iran. Arch Iranian Med. 2009;12(5):461-7.

Bhuvana LG, Sripada R, Priya DS. Prevalence of Postpartum Depression at an Indian Tertiary Care Teaching Hospital. Int J Pharmaceut Clin Res. 2016;8(6):616-8.

Kruthika K. An epidemiological study of postnatal depression among women availing maternal health services in rural areas of Belagavi, Karnataka, India. Int J Community Med Public Health. 2017;4(3):759-63.