RESEARCH PAPER
Analysis of selected variables determining the occurrence of postpartum depression
1
Pracownia Podstaw Opieki Położniczej, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
2
Zakład Kształcenia Podyplomowego Pielęgniarek, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu
Corresponding author
Marzena Kaźmierczak
Pracownia Podstaw Opieki Położniczej, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, ul. Łukasiewicza
Pracownia Podstaw Opieki Położniczej, Collegium Medicum w Bydgoszczy, Uniwersytet Mikołaja Kopernika w Toruniu, ul. Łukasiewicza
Med Og Nauk Zdr. 2014;20(4):390-395
KEYWORDS
ABSTRACT
Objective:
Evaluation of the intensity of mood disorders a week after childbirth, and determination of the effect of obstetricgynaecological factors determining the occurrence of postpartum depression.
Material and Methods:
The study involved 285 women who gave birth in University Hospital No. 2 in Bydgoszcz and was conducted on the third postpartum day. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the risk of the occurrence of postpartum mood disorders. The value ≥ 12 points on a 30-point scale was assumed to be an indicator of depressive disorders.
Results:
During the first week after childbirth, 23.2% of the lying-in mothers obtained the value of ≥12 points according to the EPDS scale. No significant difference in the occurrence of mood disorders was found with respect to the following: premenstrual syndrome, parity, course of pregnancy, type of pregnancy termination, and types of indications to Caesarean section. Differences were observed between preterm labour and the risk of occurrence of baby blues (p<0.05).
Conclusions:
1. In the first week after childbirth, every fourth woman is exposed to the risk of occurrence of mood disorders. 2. Gynaecological-obstetric variables, such as: premenstrual syndrome, parity, course of pregnancy, termination of pregnancy, pregnancy type, way the pregnancy terminated, and types of indications to Caesarean section, had an insignificant effect on the risk of the occurrence of postpartum depression. 3. Preterm labour increases the risk of occurrence of ‘baby blues’.
Evaluation of the intensity of mood disorders a week after childbirth, and determination of the effect of obstetricgynaecological factors determining the occurrence of postpartum depression.
Material and Methods:
The study involved 285 women who gave birth in University Hospital No. 2 in Bydgoszcz and was conducted on the third postpartum day. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the risk of the occurrence of postpartum mood disorders. The value ≥ 12 points on a 30-point scale was assumed to be an indicator of depressive disorders.
Results:
During the first week after childbirth, 23.2% of the lying-in mothers obtained the value of ≥12 points according to the EPDS scale. No significant difference in the occurrence of mood disorders was found with respect to the following: premenstrual syndrome, parity, course of pregnancy, type of pregnancy termination, and types of indications to Caesarean section. Differences were observed between preterm labour and the risk of occurrence of baby blues (p<0.05).
Conclusions:
1. In the first week after childbirth, every fourth woman is exposed to the risk of occurrence of mood disorders. 2. Gynaecological-obstetric variables, such as: premenstrual syndrome, parity, course of pregnancy, termination of pregnancy, pregnancy type, way the pregnancy terminated, and types of indications to Caesarean section, had an insignificant effect on the risk of the occurrence of postpartum depression. 3. Preterm labour increases the risk of occurrence of ‘baby blues’.
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| ISSN: | 2083-4543 |
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