Frequency and Determinants of Postpartum Depression among Mothers Living in Karachi
DOI:
https://doi.org/10.51985/JBUMDC202158Keywords:
Postpartum, depression, determinants, mothersAbstract
Objective: To determine the frequency of Postpartum Depression (PPD) among mothers living in Karachi and to find out
the determinants of predispose mothers to Postpartum Depression.
Study Design and Setting: The study was cross sectional analytical and was carried by online survey of mothers living
in Karachi
Methodology: Total duration was six months from 1st January, 2020 to 31st July, 2020. The calculated sample size of
study was 369. The study was approved by the Ethical Review Committee of Bahria University Health Sciences Campus,
Karachi. Random sampling technique was used to recruit subjects. 294 participants were part of the research. Mothers with
previous history of depression and those who had given birth to healthy babies were included in the study. Mothers who
have had miscarriage or pre-mature babies were excluded. Questionnaires in both English and Urdu languages were used
for the research. PPD was assessed by the help of Edinburgh Post Natal Depression Scale (EPDS). The score of greater
than 12 was considered to be indicative of PPD.
Results: A total of 294 mothers were enrolled in the study, 187 mothers had an EPDS score >12 giving prevalence of PPD
as 63.6%. This study showed that mothers with PPD were more likely not to breastfeed their child (p=0.01), had lack of
family support (p=0.00) and had previous history of depression as well (p=0.00).
References
Siedlecka D, Wróbel-Knybel P, Krzewicka-Romaniuk E,
Mica³ W, Skoczyñski M. Postpartum depression–a mood
disorder after delivery. J Educ Health Sport. 2019;9(9):1124-
DOI http://dx.doi.org/10.5281/zenodo.3464246
Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A,
Bahrami M. Postpartum depression risk factors: A narrative
review. J Educ Health Promot. 2017;6:1-24. DOI: 10.4103/
jehp.jehp_9_16
Ozcan NK, Boyacýoglu NE, Dinç H. Postpartum depression
prevalence and risk factors in Turkey: a systematic review
and meta-analysis. Arch Psychiatr Nurs.2017;31(4):420-428.
https://doi.org/10.1186/s12884-021-04016-9
Azad R, Fahmi R, Shrestha S, Joshi H, Hasan M, Khan AN,
Chowdhury MA, Arifeen SE, Billah SM. Prevalence and risk
factors of postpartum depression within one year after birth
in urban slums of Dhaka, Bangladesh. PloS one. 2019;14(5):
e0215735. https://doi.org/10.3390/ijerph17134727
Anokye R, Acheampong E, Budu-Ainooson A, Obeng EI,
Akwasi AG. Prevalence of postpartum depression and
interventions utilized for its management. Ann Gen
Psychiatry.2018;17(1):1-8. doi: 10.1186/s12991-019-0244-
Gulamani SS, Shaikh K, Chagani J. Postpartum depression
in Pakistan: a neglected issue. Nurs Womens Health. 2013;
: 147-152. DOI: 10.1111/1751-486X.12024
Shah S, Lonergan B. Frequency of postpartum depression
and its association with breastfeeding: A cross-sectional survey
at immunization clinics in Islamabad, Pakistan. Pakistan. J
Pak Med Assoc. 2017;67(8):1151-1156.
Aliani R, Khuwaja B. Epidemiology of postpartum depression
in Pakistan: A review of literature. National Journal of Health
Sciences. 2017;2(1):24-30.DO1: 10.21089/njhs.21.0024
Bakhtiar H, Khaliq MM, Nawaz A, Asif M, Jamil S, Jamal
S, et al. Risk factors associated with postpartum depression
in two tertiary care hospitals of Peshawar: a comparative
cross-sectional study. J Rehman Med Inst. 2020;6(3):16-9.
Layton H, Bendo D, Amani B, Bieling PJ, Van Lieshout RJ.
Public health nurses’ experiences learning and delivering a
group cognitive behavioral therapy intervention for postpartum
depression. Public Health Nurs. 2020;37(6):863-70. DOI:
1111/phn.12807
Tariq N, Naeem H, Tariq A, Naseem S. Maternal depression
and its correlates: A longitudinal study. J Pak Med Assoc.
;71(6):1618-1622. doi: 10.47391/JPMA.352.
Guintivano J, Sullivan PF, Stuebe AM, Penders T, Thorp J,
Rubinow DR, Meltzer-Brody S. Adverse life events, psychiatric
history, and biological predictors of postpartum depression
in an ethnically diverse sample of postpartum women. Psychol
Med. 2018;48(7):1190-200. doi: 10.1017/S0033291717002641
Kapoor DA. A Critical Analysis of the Biopsychosocial Risks
Associated with Postpartum Depression in Indian Mothers.
Inquiry. 2021;13(02):1-10.
Silverman ME, Reichenberg A, Savitz DA, Cnattingius S,
Lichtenstein P, Hultman CM, Larsson H, Sandin S. The risk
factors for postpartum depression: A population-based study.
Depress Anxiety 2017;34(2):178-187. doi: 10.1002/da.22597
Ahmed GK, Elbeh K, Shams RM, Malek MA, Ibrahim AK.
Prevalence and predictors of postpartum depression in Upper
Egypt: A multicenter primary health care study. J Affect
Disord. 2021;290:211-218. doi: 10.1016/j.jad.2021.04.046.
Lara-Cinisomo S, McKenney K, Di Florio A, Meltzer-Brody
S. Associations between postpartum depression, breastfeeding,
and oxytocin levels in Latina mothers. Breastfeed Med.
;12(7):436-442. doi: 10.1089/bfm.2016.0213.
Webber E, Benedict J. Postpartum depression: a multidisciplinary approach to screening, management and
breastfeeding support. Arch Psychiatr Nurs. 2019;33(3):284-
doi: 10.1016/j.apnu.2019.01.008.
Nam JY, Choi Y, Kim J, Cho KH, Park EC. The synergistic
effect of breastfeeding discontinuation and cesarean section
delivery on postpartum depression: A nationwide populationbased cohort study in Korea. J Affect Disord. 2017;218:53-
doi: 10.1016/j.jad.2017.04.048.
Kazmi SF, Khan M, Tahir R, Dil S, Khan AM. Relationship
between social support and postpartum depression. Ann Pak
Inst Med Sci. 2013;9(4):191-194.
Sadiq G, Shahzad Z, Sadiq S. Prospective study on prevalence
and risk factors of post natal depression in Rawalpindi/
Islamabad, Pakistan. Rawal Med J. 2016;41(1):64-7.
Honjo K, Kimura T, Baba S, Ikehara S, Kitano N, Sato T, et
al. Association between family members and risk of postpartum
depression in Japan: Does “who they live with” matter?-The
Japan environment and Children's study. Soc Sci Med.
;217:65-72. doi: 10.3389/fpsyt.2021.736306
Pao C, Guintivano J, Santos H, Meltzer-Brody S. Postpartum
depression and social support in a racially and ethnically
diverse population of women. Arch Womens Ment Health.
;22(1):105-114. doi: 10.1007/s00737-018-0882-6.
Sangsawang B, Deoisres W, Hengudomsub P, Sangsawang
N. Effectiveness of psychosocial support provided by midwives
and family on preventing postpartum depression among firsttime adolescent mothers at 3-month follow-up: A randomised
controlled trial. J Clin Nurs. 2021;30(11-12):1-14. Doi:
1111/jocn.15928.
Nakamura A, Lesueur FE, Sutter-Dallay AL, Franck JÈ,
Thierry X, Melchior M, van der Waerden J. The role of
prenatal social support in social inequalities with regard to
maternal postpartum depression according to migrant status.
J Affect Disord. 2020;272:465-73.
Ambrosini A, Stanghellini G. Myths of motherhood. The role
of culture in the development of postpartum depression. Ann
Ist Super Sanita. 2012;48:277-86. doi: 10.4415/ ANN_12_03_
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