Depressive symptoms in postpartum women and associated factors
Keywords:
Edinburgh Postpartum Depression Scale, Depression, Postpartum, Mental health, Obstetric nursingAbstract
Objectives: To identify the frequency of depressive symptoms in postpartum women, as well as the associated factors. Methods: Cross-sectional study conducted with 302 women living in Lavras, MG. The Edinburgh Postnatal Depression Scale was used between the 6th and 8th weeks postpartum. Chisquare and logistic regression were used to verify the association between variables. Results: 11.9% of he women presented depressive symptoms. Brown and black women were 3.86 and 6.92 more likely to present depressive symptoms, respectively. Smokers and those who suffered violence before pregnancy were 3.43 and 25.02 more likely to manifest depressive symptoms, respectively. Being in a steady relationship reduced the occurrence of depressive symptoms by 77%; having two previous births and prior history of breastfeeding, for each condition, a decrease in risk of 83%. Conclusion: The frequency of depressive symptoms observed in this study is similar to results presented in other national studies. Black/brown women, smokers and those who have suffered violence should receive special attention for depressive symptoms.
References
World Health Organization. Maternal and child mental health. Geneva: WHO; 2021. [acesso em 2021 mai 12]. Disponível em: https://www.who.int/teams/mental-health-and-substance-use/maternal-mental-health
Shorey S, Chee CYI, Ng ED, ChanYH, Tam WWS, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: a systematic review and meta-analysis. J Psychiatr Res. 2018; 104: 235-248. DOI: https://doi.org/10.1016/j.jpsychires.2018.08.001
Arrais AR, Araújo TCCF, Schiavo RA. Depressão e ansiedade gestacionais relacionadas à depressão pós-parto e o papel preventivo do pré-natal psicológico. Revista Psicologia e Saúde. 2019; 11(2): 23-34. http://dx.doi.org/10.20435/pssa.v0i0.706 DOI: https://doi.org/10.20435/pssa.v0i0.706
Lima MOP, Tsunechiro MA, Bonadio IC, Murata M. Depressive symptoms in pregnancy and associated factors: longitudinal study. Acta Paul Enferm. 2017: 30(1): 39-46. DOI: https://doi.org/10.1590/1982-0194201700007
Monteiro KA, Godoi BN, Toledo OR, David FL, Avelino MM, Moraes EV. Evidências de sintomatologia depressiva no pós-parto imediato. Rev Bras Ciências da Saúde. 2018; 22(4): 379-388. DOI: https://doi.org/10.4034/RBCS.2018.22.04.12
Silva CS, Lima MC, Sequeira-de-Andrade LA, Oliveira JS, Monteiro JS, Lima NM, et al. Association between postpartum depression and the practice of exclusive breastfeeding in the first three months of life. J Pediatr. 2017; 93: 356-64. http://dx.doi.org/10.1016/j.jped.2016.08.005 DOI: https://doi.org/10.1016/j.jped.2016.08.005
Theme Filha MM, Ayers S, Gama SGND, Leal MDC. (2016). Factors associated with postpartum depressive symptomatology in Brazil: The Birth in Brazil National Research Study, 2011/2012. Journal of Affective Disorders. 2016; 194:159-167. doi: 10.1016/j.jad.2016.01.020 DOI: https://doi.org/10.1016/j.jad.2016.01.020
Morais MLS, Fonseca LAM, David VF, Viegas LM, Otta E. Fatores psicossociais e sociodemográficos associados à depressão pós-parto: Um estudo em hospitais público e privado da cidade de São Paulo, Brasil. Estudos de Psicologia. 2015; 20(1): 40-49. DOI: https://doi.org/10.5935/1678-4669.20150006
Mughal S, Azhar Y, Siddiqui W. Postpartum depression. [Update 2020 July]. Em: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. [acesso em 2020 ago 24]. Disponível em: https://www.ncbi.nlm.nih.gov/books/NBK519070/
O’Connor E, Rossom RC, Henninger M, Groom HC, Burda BU. Primary care screening for and treatment of depression in pregnant and postpartum women Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA 2016; 315(4): 388-406. DOI: https://doi.org/10.1001/jama.2015.18948
Bina R, Glasser S, Honovich M, Levinson D, Ferber Y. Nurses perceived preparedness to screen, intervene, and refer women with suspected postpartum depression. Midwifery, 2019; 132-141. DOI: https://doi.org/10.1016/j.midw.2019.05.009
Hartmann JM, Mendonza-Sassi RA, Cesar JA. Depressão entre puérperas: prevalência e fatores associados. Cad Saúde Pública. 2017; 33(9):e00094016 DOI: https://doi.org/10.1590/0102-311x00094016
Melo SB, Jordão RR, Guimarães FJ, Perrelli JGA, Sougey ACEB. Sintomas depressivos em puérperas atendidas em Unidades de Saúde da Família. Rev. Bras. Saúde Mater. Infant. 2018; 18(1): 171-177. DOI: https://doi.org/10.1590/1806-93042018000100008
Instituto Brasileiro de Geografia e Estatística (IBGE). Censo Demográfico 2010. Minas Gerais 2010. Disponível em: <https://cidades.ibge.gov.br/brasil/mg/lavras/panorama> Acesso em: 14 mar. 2019.
Santos IS, Matijasevich A, Tavares BF, Barros AJD, Botelho IP, Lapolli C et al. Validation of the Edinburgh Postnatal Depression Scale (EPDS) in a sample of mothers from the 2004 Pelotas Birth Cohort Study. Cad. Saúde Pública. 2007; 23(11): 2577-88. DOI: https://doi.org/10.1590/S0102-311X2007001100005
Figueira P, Corrêa H, Malloy-Diniz L, Romano-Silva MA. Escala de Depressão Pós-natal de Edimburgo para triagem no sistema público de saúde. Rev Saúde Pública. 2009; 43(Supl 1): 79-84. DOI: https://doi.org/10.1590/S0034-89102009000800012
Morais AODS, Simões VMF, Rodrigues LDS, Batista RFL, Lamy ZC, Carvalho CA, Silva AAM, Ribeiro MRC. Maternal depressive symptoms and anxiety and interference in the mother/child relationship based on a prenatal cohort: an approach with structural equations modeling. Cad Saúde Pública. 2017; 33(6): e00032016. DOI: https://doi.org/10.1590/0102-311x00032016
Lydsdottir LB, Howard LM, Olafsdottir H, Thome M, Tyrfingsson P, Sigurdsson J F. The psychometric properties of the Icelandic version of the Edinburgh Postnatal Depression Scale (EPDS) when used prenatal. Midwifery 2019; 69: 45-51. DOI: https://doi.org/10.1016/j.midw.2018.10.009
Silva R, Jansen K, Souza L, Quevedo L, Barbosa L, Moraes I et al. Sociodemographic risk factors of perinatal depression: a cohort study in the public health care system. Rev Bras Psiquiatr. 2012; 34: 143-8. DOI: https://doi.org/10.1590/S1516-44462012000200005
Ferreira C, Silva V, Guerra C, Silva AI, Rosário R. (2018). Depressão pós-parto: detecção precoce e fatores associados. Acta Obstet Ginecol Port. 2018; 12(4): 262-267.
Poles MM, Carvalheira APP, Carvalhaes MABL, Parada CMGL. Sintomas depressivos maternos no puerpério imediato: fatores associados. Acta Paul Enferm. 2018; 31(4): 351-8. DOI: https://doi.org/10.1590/1982-0194201800050
Halbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord. 2006; 91: 97-111. DOI: https://doi.org/10.1016/j.jad.2005.12.051
Cannon C, Nasrallah HA. A focus on postpartum depression among African American women: A literature review. Ann Clin Psychiatry. 2019; 31(2): 138-143.
Silva EBC, Simões GL, Faisal-Cury A. Rastreamento da depressão pós-parto em mulheres atendidas pelo Programa de Saúde da Família. Rev Bras Ginecol Obstet 2005; 27(4): 181-8. DOI: https://doi.org/10.1590/S0100-72032005000400004
Singh DR, Sunuwar DR, Adhikari S, Singh S, Karki K. Determining factors for the prevalence of depressive symptoms among postpartum mothers in lowland region in southern Nepal. PLoS ONE. 2021: 16(1): e0245199. https://doi.org/ 10.1371/journal.pone.0245199 DOI: https://doi.org/10.1371/journal.pone.0245199
Surkan PJ, Strobino DM, Mehra S, Shamim AA, Rashid M, Wu LSF et al. Unintended pregnancy is a risk factor for depressive symptoms among socio- economically disadvantaged women in rural Bangladesh. BMC Pregnancy and Childbirth, 2018; 18:490. https://doi.org/10.1186/s12884-018-2097-2 DOI: https://doi.org/10.1186/s12884-018-2097-2
Fiala A, Svancara J, Klanova J, Kasparek T. Sociodemographic and delivery risk factors for developing postpartum depression in a sample of 3233 mothers from the Czech ELSPAC study. BMC Psychiatry. 2017; 17: 104 DOI 10.1186/s12888-017-1261-y DOI: https://doi.org/10.1186/s12888-017-1261-y
Porto RAF, Maranhão TLG, Félix WM. Aspectos psicossociais da depressão pós-parto: uma revisão sistemática. Id on Line Rev Psic. 2017; 11(34): 219-245. DOI: https://doi.org/10.14295/idonline.v11i34.686
Lopes NMC, Tsunechiro MA, Oliveira AAP, Chiesa AM. Tabagismo entre gestantes em maternidade filantrópica do Município de São Paulo. O Mundo da Saúde. 2015; 398(1): 102-12. DOI: https://doi.org/10.15343/0104-7809.20153901102112
Ludermir AB, Lewis G, Valongueiro, SA, Araújo TVB, Araya R. Violence against women by their intimate partner during pregnancy and postnatal depression: a prospective cohort study. The Lancet. 2010; 376(9744), 903-910. DOI: https://doi.org/10.1016/S0140-6736(10)60887-2
Figueiredo B, Dias CC, Brandão S, Canário C, Nunes-Costa R. Breastfeeding and postpartum depression: state of the art review. J Pediatr. 2013; 89: 332-8. DOI: https://doi.org/10.1016/j.jped.2012.12.002
Vieira ES, Caldeira NT, Eugênio DS, Lucca MM, Silva IA. Breastfeeding self-efficacy and postpartum depression: a cohort study. Rev. Latino-Am. Enfermagem. 2018; 26:e3035. DOI: http://dx.doi.org/10.1590/1518-8345.2110.303533. DOI: https://doi.org/10.1590/1518-8345.2110.3035
Merighi MAB, Gonçalves R, Rodrigues IG. Vivenciando o período puerperal: uma abordagem compreensiva da fenomenologia social. Rev. bras. enferm. 2006; 59(6): 775-779. DOI: https://doi.org/10.1590/S0034-71672006000600010
Carrascón A, Garcia S, Ceña B, Fornés M, Fuentelsaz. Detección precoz de la depresión durante el embarazo y el postparto. Matronas Profésion. 2006; 7(4): 5-11.
Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res. 2018; 261:298-306. doi: 10.1016/j.psychres.2017.12.085. Epub 2018 Jan 3. DOI: https://doi.org/10.1016/j.psychres.2017.12.085
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