Mishra Krishna, Mohapatra Ipsa, Rout R N
Department of Community Medicine, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, Odisha, India.
J Family Med Prim Care. 2020 Sep 30;9(9):4736-4740. doi: 10.4103/jfmpc.jfmpc_793_20. eCollection 2020 Sep.
Depression accounts for the greatest burden of all mental health problems, and is expected to become the second-highest among all health problems by 2020. Postpartum depression (PPD) is a major public health problem with a peak incidence at 4-6 weeks postpartum, affecting 22% of women within a year of childbirth in India. It has an impact on the mother, her partner, the family, mother-baby bonding and the long-term emotional and cognitive development of the baby. The aim of the study was to: 1.To find out the prevalence of depression among women during the postpartum period 2.To identify the factors associated with depressive symptoms among them.
A cross-sectional study was conducted in an urban slum of Bhubaneswar from July 2017 to January 2018, among a sample of 60 postnatal mothers who had delivered in the last six months; selected by simple random sampling technique. Edinburgh Postnatal depression scale (EPDS) was used to identify mothers at risk of postnatal depression. A score of ≥13 was considered as positive for depressive symptoms.
The prevalence of PPD was found to be 8.57%. Religion was found to be a statistically significant factor associated with PPD. Other factors like literacy status, socio-economic status, high parity, sex of the newborn, mode of delivery were also found to have an association with PPD.
This study identified certain socio-demographic and obstetric risk factors for postnatal depressive symptoms in a community setting of an urban slum; screening of risk factors will help in designing preventive strategies for identifying PPD.
抑郁症是所有心理健康问题中负担最重的，预计到2020年将成为所有健康问题中第二大负担。产后抑郁症（PPD）是一个主要的公共卫生问题，产后4 - 6周发病率达到峰值，在印度，分娩后一年内有22%的女性受其影响。它会对母亲、其伴侣、家庭、母婴关系以及婴儿的长期情感和认知发展产生影响。本研究的目的是：1. 了解产后女性抑郁症的患病率；2. 确定其中与抑郁症状相关的因素。
2017年7月至2018年1月在布巴内斯瓦尔的一个城市贫民窟进行了一项横断面研究，样本为60名在过去六个月内分娩的产后母亲；采用简单随机抽样技术选取。使用爱丁堡产后抑郁量表（EPDS）来识别有产后抑郁症风险的母亲。得分≥13被认为抑郁症状呈阳性。
发现PPD的患病率为8.57%。宗教被发现是与PPD相关的一个具有统计学意义的因素。还发现其他因素如识字状况、社会经济地位、高胎次、新生儿性别、分娩方式也与PPD有关。
本研究在城市贫民窟的社区环境中确定了产后抑郁症状的某些社会人口学和产科风险因素；对风险因素进行筛查将有助于设计识别PPD的预防策略。
