RESEARCH PAPER
Assessment of the incidence of postpartum depression in the first week of confinement
1
Zakład Rozwoju Pielęgniarstwa, Nauk Społecznych i Medycznych
Warszawski Uniwersytet Medyczny, Polska
Corresponding author
Klaudia Weronika Niegowska
Zakład Rozwoju Pielęgniarstwa, Nauk Społecznych i Medycznych Warszawski Uniwersytet Medyczny, Żwirki i Wigury 61, 02-091, Warszawa, Polska
Zakład Rozwoju Pielęgniarstwa, Nauk Społecznych i Medycznych Warszawski Uniwersytet Medyczny, Żwirki i Wigury 61, 02-091, Warszawa, Polska
Med Og Nauk Zdr. 2019;25(4):251-257
KEYWORDS
TOPICS
Zdrowie publiczneProfilaktyka chorób i promocja zdrowiaZdrowie środowiskowePsychologia i socjologia zdrowia
ABSTRACT
Introduction:
The incidence of postpartum depression varies from 0.5% – 60.8% worldwide. In Poland, new standards of care have been introduced, according to which the mental state of the women in confinement should be assessed three times.
Objectives:
The aim of the study was to assess the frequency of postpartum depression in the first week of puerperium and to identify the factors that may predispose to it.
Material and methods:
The study included 300 women staying at the maternity ward between days 1–7 after delivery. The Edinburgh Postnatal Depression Scale (EPDS) was used to collect the research material. Statistical hypotheses were verified using the Mann-Whitney U test, Kruskal-Wallis test and chi-square test.
Results:
The research showed that 35% of women scored 12 points or more on the postnatal depression scale. Sociodemographic factors, such as age, marital status, education, professional status, place of residence and material situations, did not differentiate the risk of postpartum depression in the research group. The women in confinement with pregnancy complications (M=10.91) and prior mental health disorders (M=12.51) showed significantly higher values on the postpartum depression scale. Moreover, the risk of postpartum depression was not differentiated by the number of deliveries, the course of delivery, the day after delivery or the presence of diabetes during pregnancy.
Conclusions:
1. Every third women in the first week of puerperium had a high rate of postpartum depression. 2. Women with prior mental disorder required more attention in the subsequent part of the puerperium. 3. Women who encounter pregnancy complications should be assessed for depression during pregnancy and after delivery.
The incidence of postpartum depression varies from 0.5% – 60.8% worldwide. In Poland, new standards of care have been introduced, according to which the mental state of the women in confinement should be assessed three times.
Objectives:
The aim of the study was to assess the frequency of postpartum depression in the first week of puerperium and to identify the factors that may predispose to it.
Material and methods:
The study included 300 women staying at the maternity ward between days 1–7 after delivery. The Edinburgh Postnatal Depression Scale (EPDS) was used to collect the research material. Statistical hypotheses were verified using the Mann-Whitney U test, Kruskal-Wallis test and chi-square test.
Results:
The research showed that 35% of women scored 12 points or more on the postnatal depression scale. Sociodemographic factors, such as age, marital status, education, professional status, place of residence and material situations, did not differentiate the risk of postpartum depression in the research group. The women in confinement with pregnancy complications (M=10.91) and prior mental health disorders (M=12.51) showed significantly higher values on the postpartum depression scale. Moreover, the risk of postpartum depression was not differentiated by the number of deliveries, the course of delivery, the day after delivery or the presence of diabetes during pregnancy.
Conclusions:
1. Every third women in the first week of puerperium had a high rate of postpartum depression. 2. Women with prior mental disorder required more attention in the subsequent part of the puerperium. 3. Women who encounter pregnancy complications should be assessed for depression during pregnancy and after delivery.
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