Magnitude and risk factors for postpartum symptoms: A literature review

Journal of Affective Disorders, Journal Year: 2014, Volume and Issue: 175, P. 34 - 52

Published: Dec. 31, 2014

The prevalence of postpartum depression worldwide varies from 0.5% to 60.8% in the first 12 months using self-reported questionnaire. This review aims update current magnitude based on questionnaire and clinical interview explore its associated factors developed developing countries. A literature search conducted between 2005 2014 identified 203 studies, which 191 used 42 countries 21 structured 15 Nine studies a combination interview. 1.9% 82.1% 5.2% 74.0% Structured shows much lower range 0.1% Finland 26.3% India. Antenatal anxiety, previous psychiatric illness, poor marital relationship, stressful life events, negative attitude towards pregnancy, lack social support are significant contributors depression. All included irrespective methodological quality, such as small sample size their inclusion could affect generalizability results. is higher than that previously reported, similar risk documented. culturally sensitive cut-off score with adequate psychometric properties screening instruments should be available. In future examining physical, biological, cultural qualitative those qualities recommended.

Language: Английский

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Economic and Health Predictors of National Postpartum Depression Prevalence: A Systematic Review, Meta-analysis, and Meta-Regression of 291 Studies from 56 Countries

Frontiers in Psychiatry, Journal Year: 2018, Volume and Issue: 8

Published: Jan. 31, 2018

Postpartum depression (PPD) poses a major global public health challenge. PPD is the most common complication associated with childbirth and exerts harmful effects on children. Although hundreds of studies have been published, we lack accurate or national prevalence estimates no clear account why appears to vary so dramatically between nations. Accordingly, conducted meta-analysis estimate meta-regression identify economic, health, social, policy factors prevalence.We systematic review all papers reporting using Edinburgh Postnatal Depression Scale. methods were extracted from each study. Random was used prevalence. To test for country level predictors, drew data UNICEF, WHO, World Bank. predictors prevalence.291 296284 women 56 countries identified. The pooled 17.7% (95% confidence interval: 16.6-18.8%), significant heterogeneity across nations (Q = 16,823, p 0.000, I2 98%), ranging 3% (2-5%) in Singapore 38% (35-41%) Chile. Nations significantly higher rates income inequality (R2 41%), maternal mortality 19%), infant 16%), childbearing age working ≥40 h week 31%) PPD. Together, these explain 73% variation prevalence.The greater than previously thought varies by nation. Disparities wealth maternal-child-health much

Language: Английский

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Metabolic, Endocrine, and Immune Consequences of Sleep Deprivation

The Open Respiratory Medicine Journal, Journal Year: 2011, Volume and Issue: 5(1), P. 31 - 43

Published: June 23, 2011

Over the last three to four decades, it has been observed that average total hours of sleep have decreased less than seven per person night. Concomitantly, global figures relating obesity and diabetes mellitus increased in an alarming fashion adults children, hypothesized neuro-hormonal changes accompanying this behavioral deprivation may lead insulin resistance and, subsequently, mellitus. Sleep associated with multiple physiological changes, including cortisol ghrelin levels, leptin levels impaired glucose metabolism. Experimental studies also shown increase inflammatory pro-inflammatory markers, which are indicators body stress, under deprivation. This review elaborates further on hypothesis, exploring molecular basis for link between both entities underlying pathophysiology results We experimental epidemiological studies, specifically examining relationship duration immune endocrine systems.

Language: Английский

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Breastfeeding is negatively affected by prenatal depression and reduces postpartum depression

Psychological Medicine, Journal Year: 2013, Volume and Issue: 44(5), P. 927 - 936

Published: July 3, 2013

This prospective cohort study explored the effects of prenatal and postpartum depression on breastfeeding effect depression.The Edinburgh Postpartum Depression Scale (EPDS) was administered to 145 women at first, second third trimester, neonatal period 3 months postpartum. Self-report exclusive since birth collected 3, 6 12 Data analyses were performed using repeated-measures ANOVAs logistic multiple linear regressions.Depression scores but not postpartum, best predictors duration (β = -0.30, t -2.08, p < 0.05). A significant decrease in seen from childbirth who maintained for ⩾3 (F 1,65 3.73, 0.10, η 2 0.05).These findings suggest that screening symptoms during pregnancy can help identify risk early cessation breastfeeding, may reduce

Language: Английский

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Parents’ Responses to Stress in the Neonatal Intensive Care Unit

Critical Care Nurse, Journal Year: 2013, Volume and Issue: 33(4), P. 52 - 59

Published: Aug. 1, 2013

Background Parents' stress resulting from hospitalization of their infant in the neonatal intensive care unit (NICU) produces emotional and behavioral responses. The National Institutes Health-sponsored Patient Reported Outcomes Measurement Information System (PROMIS) offers a valid efficient means assessing parents' Objective To examine relationship to anxiety, depression, fatigue, sleep disruption among parents infants hospitalized NICU. Methods Thirty completed Parental Stressor Scale (PSS:NICU) containing subscales for NICU Sights Sounds, Infant Behavior Appearance, Role Alteration, PROMIS disturbance short-form instruments. Results PSS total score was significantly correlated with anxiety (r = 0.61), depression 0.36), 0.60). Scores Sounds were not outcomes; however, scores Alteration Parenting all 4 outcomes, Appearance except fatigue. Conclusion Stress experienced by is associated concerning constellation physical outcomes comprising disruption.

Language: Английский

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Understanding the relationship between breastfeeding and postnatal depression: the role of pain and physical difficulties

Journal of Advanced Nursing, Journal Year: 2015, Volume and Issue: 72(2), P. 273 - 282

Published: Oct. 23, 2015

Abstract Aims To examine the relationship between specific reasons for stopping breastfeeding and depressive symptoms in postnatal period. Background Difficulty has been connected to depression although it is unclear whether difficulty precedes or succeeds a diagnosis. However, concept of ‘breastfeeding difficulty’ wide includes biological, psychological social factors. Design A cross‐sectional self‐report survey. Methods Data were collected December 2012 February 2013. 217 women with an infant aged 0‐6 months who had started at birth but stopped before 6 old completed questionnaire examining duration breastfeeding. They further copy Edinburgh Postnatal Depression Scale. Results short multiple associated higher score. regression analysis only physical pain remained predictive Conclusions Understanding women's rather than critical understanding experience providing emotional support. Issues most indicative comparison psychosocial highlighting importance spending time new mothers help them issues such as latch.

Language: Английский

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Systematic Review of Prevalence of Antepartum Depression during the Trimesters of Pregnancy

Open Access Macedonian Journal of Medical Sciences, Journal Year: 2019, Volume and Issue: 7(9), P. 1555 - 1560

Published: May 15, 2019

BACKGROUND: Depression is prevalent during antenatal and postnatal stages of pregnancy. The effect depression can be seen in complications after pregnancy, fetal growth retardation, abortions preterm births. literature abounds on postpartum (PD) while few studies are antepartum (AD). AIM: systematic review aims to compute the prevalence AD from published articles. MATERIAL AND METHODS: articles (26) used this were obtained search keywords “Depressive conditions pregnancy trimesters”. All considered irrespective language their citation status as time query. Only that presented mean sample size included. Articles questionnaires filled by nonpregnant women men excluded. for period only excluded but included if they addressed at both trimester(s) P-value less than or equal 0.05 was significant. RESULTS: Analysis 26 showed 4,303 subjects tested positive a 28,248 pregnant mothers, giving rate 15%. Confounding removed, adjusted 25,771 4,223 screened have depressive symptoms, thereby new 16.4%. It also revealed most last trimester least second trimester. Pregnancy duration PD not correlated with AD. This implies observed any cannot predict incidence PD. CONCLUSION: Efforts must intensified monitor third reduce maternal reducing prevalence.

Language: Английский

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The relationship between fatigue, sleep quality, resilience, and the risk of postpartum depression: an emphasis on maternal mental health

BMC Psychology, Journal Year: 2023, Volume and Issue: 11(1)

Published: Jan. 13, 2023

Abstract Background Several factors can contribute to the development of postpartum depression (PPD) and negatively affect mothers’ mental physical well-being. The objective this study was determine relationship between fatigue, sleep quality, resilience, risk PPD development. Methods A cross-sectional conducted using an online questionnaire distributed mothers during their period. assessed Edinburgh Postnatal Depression Scale (EPDS), fatigue (PPF) Fatigue Severity (FSS), quality Pittsburgh Sleep Quality Index (PSQI), resilience Brief Resilience (BRS). Pearson correlation coefficient calculated variables. Simple multiple linear regression analyses were performed explain contributions PPF, as independent predictors Results total 1409 women included in analysis, with 75% participants reporting a PPD, 61% 97% having problems, 36% being “low level” category. In terms correlations, scores FSS PSQI showed moderate positive relationships EPDS (r = 0.344 r 0.447, respectively, p .000). BRS associated −0.530, 0.000). Fatigue, depressive symptoms (β 0.127, β 0.262, −0.393, R 2 0.37, association remained significant model after adjusting for mother’s age, BMI, child’s smoking status, full-term pregnancy, chronic disease, taking anti-depressant. Conclusions Mothers higher levels poor low at high developing PPD. Healthcare providers should identify these thus set better rehabilitation goals improve overall maternal health.

Language: Английский

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Sleep Patterns Before, During, and After Deployment to Iraq and Afghanistan

SLEEP, Journal Year: 2010, Volume and Issue: 33(12), P. 1615 - 1622

Published: Dec. 1, 2010

To determine the associations between deployment in support of wars Iraq and Afghanistan sleep quantity quality.Longitudinal cohort studyThe Millennium Cohort Study survey is administered via a secure website or US mail.Data were from 41,225 members who completed baseline (2001-2003) follow-up (2004-2006) surveys. Participants placed into 1 3 exposure groups based on their status at follow-up: nondeployed, during deployment, postdeployment.N/A.Study outcomes self-reported duration trouble sleeping, defined as having falling asleep staying asleep. Adjusted mean was significantly shorter among those deployed postdeployment compared with did not deploy. Additionally, male gender greater stress associated duration. Personnel more likely to have sleeping than had deployed. Lower general health, female gender, reporting mental health symptoms also increased odds sleeping.Deployment influenced quality this population though effect size mediated statistical modeling that included symptoms. combat exposures sleeping. These findings merit further research increase understanding temporal relationships occurring after deployment.

Language: Английский

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Incidence of Maternal and Paternal Depression in Primary Care

Archives of Pediatrics and Adolescent Medicine, Journal Year: 2010, Volume and Issue: 164(11)

Published: Sept. 7, 2010

To examine incidence, trends, and correlates of parental depression in primary care from 0 to 12 years child age.Prospective cohort study.Primary records more than 350 general practices The Health Improvement Network database 1993 2007.A total 86 957 mother, father, triads identified by linking mothers babies then identifying an adult household man. Depressed parents were using Read code entries for antidepressant prescriptions.Child age, age at the birth, area deprivation quintile.Incidence rates maternal paternal episodes depression.Overall incidences birth up 7.53 per 100 person-years 2.69 fathers. Depression was highest first year post partum (13.93 3.56 among fathers, respectively). By 39% 21% fathers had experienced episode depression. A history depression, lower child, higher social associated with a incidence depression.Parents are risk after their child. Parents younger parents, those deprived areas particularly vulnerable There is need appropriate recognition management care.

Language: Английский

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