To Study the Risk Factors of Postpartum Depression in Women from Middle-Class Families and its Overall Impact on Family Life
Keywords:
Postpartum Depression, Childbirth, Socioeconomic Position, Predisposing Variables, Woman's Health, Risk Factors, Mental HealthAbstract
The objective of this article is to determine the risk factors associated with postpartum depression in women and its broader impacts on affected individual’s families. For the purpose of this research a total of 200 postnatal women with postpartum depression and one-year-old toddlers were included in this cross-sectional study through a multiphase selection strategy. The study was conducted in Islamabad, Pakistan. Among postnatal women, the most common risk factors of postpartum depression were due to the difficulties faced by women during delivery and pregnancy (82% extreme depression, 40% mild depression), Gender biasness (81.5% extreme depression, and 40% mild depression) and health concerns of a baby throughout gestation period (81.5%, extreme depressed and 35%, mild depressed) Social stereotype associated with delivery methods and pregnancy(81%, extreme depressed and 40, mild depressed) and lactation difficulties (63%, extreme depressed and 33, mild depressed). After childbirth, the postpartum phase is a crucial period for mothers, and it is frequently underestimated and overlooked, leading to substantial health risks. This timeframe is particularly susceptible to various complications i.e., a variety of mood disorders like PPD which is a significant depressive episode that begins within 30 days of birth, and such disorders result in adverse outcomes that affect the mental health of a mother and disturb the entire family life. It is imperative to conduct early evaluations and offer personalized guidance regarding social support and coping strategies to identify and prevent postpartum depression in this particular demographic.
References
Yin, X., Sun, N., Jiang, N., Xu, X., Gan, Y., Zhang, J., Qiu, L., Yang, C., Shi, X., Chang, J., & Gong, Y. (2021). Prevalence and associated factors of antenatal depression: Systematic reviews and meta analyses. Clinical Psychology Review, 83, 101932. https://doi.org/10.1016/j.cpr.2020.101932
Vigod, S. N., Wilson, C. A., & Howard, L. M. (2016). Depression in pregnancy. BMJ, 352. https://doi.org/10.1136/bmj.i1547
Hahn-Holbrook, J., Cornwell-Hinrichs, T., & Anaya, I. (2018). 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, 8, 248. https://doi.org/10.3389/fpsyt.2017.00248
Yadav, T., Shams, R., Khan, A. F., Azam, H., Anwar, M., Anwar, T., Siddiqui, C., Abbas, K., Sukaina II M., Ghazanfar, S., & Khan, A. (2020). Postpartum depression: Prevalence and associated risk factors among women in Sindh, Pakistan. Cureus, 12(12). https://doi.org/10.7759/cureus.12216
Gulamani, S. S., Shaikh, K., & Chagani, J. (2013). Postpartum depression in Pakistan. Nursing for Women's Health, 17(2), 147–152. https://doi.org/10.1111/1751-486X.12024
Kim, Y., Bird, A., Peterson, E., Underwood, L., Morton, S. M., & Grant, C. C. (2020). Maternal antenatal depression and early childhood sleep: Potential pathways through infant temperament. Journal of Pediatric Psychology, 45(2), 203–217. https://doi.org/10.1093/jpepsy/jsaa001
Clout, D., & Brown, R. (2016). Marital relationship and attachment predictors of postpartum stress, anxiety, and depression symptoms. Journal of Social and Clinical Psychology, 35(4), 322–341. https://doi.org/10.1521/jscp.2016.35.4.322
Upadhyay, R. P., Chowdhury, R., Salehi, A., Sarkar, K., Singh, S. K., Sinha, B., Pawar, A., Rajalakshmi, A. K., & Kumar, A. (2017). Postpartum depression in India: A systematic review and meta analysis. Bulletin of the World Health Organization, 95(10), 706. https://doi.org/10.2471/BLT.17.192237
Khan, M. M., Hanan, A., Tahir, M., Tahir, T., Raza, S. S., & Shafique, M. S. (2015). Frequency of postpartum depression in women attending Fauji Foundation Hospital Peshawar. Journal of Medical Sciences, 23(4), 190–193. DOI: Corpus ID: 196570960
Matsumura, K., Hamazaki, K., Tsuchida, A., Kasamatsu, H., & Inadera, H. (2019). Education level and risk of postpartum depression: Results from the Japan Environment and Children’s Study (JECS). BMC Psychiatry, 19. https://doi.org/10.1186/s12888-019-2401-3
Chiu, Y. H., Sheffield, P. E., Hsu, H. H., Goldstein, J., Curtin, P. C., & Wright, R. J. (2017). Subconstructs of the Edinburgh Postnatal Depression Scale in a multi-ethnic inner-city population in the US. Archives of Women's Mental Health, 20, 803–810. https://doi.org/10.1007/s00737-017 0765-2
Kozinszky, Z., Toreki, A., Hompoth, E. A., Dudas, R. B., & Nemeth, G. (2017). A more rational, theory-driven approach to analyzing the factor structure of the Edinburgh Postnatal Depression Scale. Psychiatry Research, 250, 234–243. https://doi.org/10.1016/j.psychres.2017.01.059
Kozinszky, Z., & Dudas, R. B. (2015). Validation studies of the Edinburgh Postnatal Depression Scale for the antenatal period. Journal of Affective Disorders, 176, 95–105. https://doi.org/10.1016/j.jad.2015.01.044
Yu, J., Zhang, Z., Deng, Y., Zhang, L., He, C., Wu, Y., Xu, X., & Yang, J. (2023). Risk factors for the development of postpartum depression in individuals who screened positive for antenatal depression. BMC Psychiatry, 23(1), 557. https://doi.org/10.1186/s12888-023-05030-1
Zhao, Y., Kane, I., Wang, J., Shen, B., Luo, J., & Shi, S. (2015). Combined use of the Postpartum Depression Screening Scale (PDSS) and Edinburgh Postnatal Depression Scale (EPDS) to identify antenatal depression among Chinese pregnant women with obstetric complications. Psychiatry Research, 226(1), 113–119. https://doi.org/10.1016/j.psychres.2014.12.016
Gulamani, S. S., Shaikh, K., & Chagani, J. (2013). Postpartum depression in Pakistan. Nursing for Women's Health, 17(2), 147–152. https://doi.org/10.1111/1751-486X.12024
Madeghe, B. A., Kogi-Makau, W., Ngala, S., & Kumar, M. (2021). Nutritional factors associated with maternal depression among pregnant women in Urban Low-Income Settlements in Nairobi, Kenya. Food and Nutrition Bulletin, 42(3), 334–346. https://doi.org/10.1177/03795721211025123
Underwood, L., Waldie, K., D’Souza, S., Peterson, E. R., & Morton, S. (2016). A review of longitudinal studies on antenatal and postnatal depression. Archives