Owoeye A O, Aina O F, Morakinyo O
Psychiatric Hospital, Yaba, Lagos, Nigeria.
Trop Doct. 2006 Apr;36(2):100-3. doi: 10.1258/004947506776593341.
A sample of 252 women was studied for postpartum depression (PPD) in a 68-bed maternity hospital in Lagos, Nigeria. After obtaining consent, they were assessed using: (1) a questionnaire on socio-demographic profile and risk factors of PPD; (2) the Edinburgh Postnatal Depression Scale (EPDS), and when necessary with (3) the depressive module of International Classification of Diseases, 10th edition (ICD-10). The cohort was predominantly young (mean age 28.5 +/- 5.26 years). About one-quarter (23%) scored > or =12, (the cut-off score) on EPDS assessment; with majority of these depressed on further evaluation with ICD-10. The risk factors for PPD were found to be mainly psychosocial, including unwanted pregnancy, unemployment and marital conflict. It is concluded that PPD is a major complication of childbirth in Nigeria, which can be minimized by improving both the citizens' socioeconomic condition and providing cheaper and more efficient health-care services.
在尼日利亚拉各斯一家拥有68张床位的妇产医院，对252名女性进行了产后抑郁症（PPD）研究。获得同意后，她们接受了以下评估：（1）一份关于社会人口统计学特征和PPD风险因素的问卷；（2）爱丁堡产后抑郁量表（EPDS），必要时还使用了（3）《国际疾病分类》第10版（ICD - 10）的抑郁模块。该队列主要为年轻女性（平均年龄28.5 +/- 5.26岁）。约四分之一（23%）的女性在EPDS评估中得分大于或等于12分（临界分数）；其中大多数在进一步接受ICD - 10评估时被判定为抑郁。发现PPD的风险因素主要是心理社会因素，包括意外怀孕、失业和婚姻冲突。研究得出结论，在尼日利亚，PPD是分娩的主要并发症，通过改善公民的社会经济状况以及提供更廉价、高效的医疗服务，可以将其影响降至最低。
