Tsiga-Ahmed Fatimah Isma'il, Umar Musa Usman, Adamu Aishatu Lawal, Sulaiman Sahabi Kabir, Gboluwaga Amole Taiwo, Jalo Rabiu Ibrahim, Ibrahim Usman Muhammad, Ayaba Aminatu Kwaku, Ahmed Zainab Datti, Sunusi Surayya Murtala, Abdullahi Nafisat Tijjjani, Kabir Hajara Shehu, Abu Stephen Mohammed, Galadanci Hadiza Shehu
Department of Community Medicine, Bayero University, Kano, Nigeria.
Department of Community Medicine, Aminu Kano Teaching Hospital, Kano, Nigeria.
NPJ Womens Health. 2024;2(1):32. doi: 10.1038/s44294-024-00031-1. Epub 2024 Sep 10.
The burden of postpartum depression (PPD), an important but largely neglected cause of maternal morbidity, is often increased by the presence of common co-morbidities, such as postpartum haemorrhage (PPH). Additionally, stress and the absence of social support can amplify PPD risk. Understanding the relationship between these conditions will help identify at-risk women and allow prompt intervention. Using a prospective cohort design, we recruited 72 women who had experienced PPH and another 72 women who had not within 24 h of delivery to assess the risk of PPD among them. The cumulative incidence of PPD among all participants was 15.3% (19/124). There was insufficient evidence to suggest that women with PPH have a higher risk of PPH than women without PPH (OR: 1.32; 95% CI: 0.55-3.13). Poor social support and high perceived stress increased the risk of PPD. We recommend screening for PPD among women with high perceived stress and low social support.
产后抑郁症（PPD）是孕产妇发病的一个重要但在很大程度上被忽视的原因，常见的合并症（如产后出血（PPH））往往会加重其负担。此外，压力和缺乏社会支持会增加产后抑郁症的风险。了解这些情况之间的关系将有助于识别高危女性并及时进行干预。我们采用前瞻性队列设计，招募了72名产后24小时内经历过产后出血的女性和另外72名未经历过产后出血的女性，以评估她们患产后抑郁症的风险。所有参与者中产后抑郁症的累积发病率为15.3%（19/124）。没有足够的证据表明产后出血的女性比未经历产后出血的女性患产后抑郁症的风险更高（比值比：1.32；95%置信区间：0.55 - 3.13）。社会支持差和感知压力大会增加产后抑郁症的风险。我们建议对感知压力大且社会支持低的女性进行产后抑郁症筛查。
