Browsing by Subject "postpartum depression"

Now showing 1 - 5 of 5
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    Are there specific antepartum factors and labor complications that predict elevated immediate postpartum Edinburgh Postpartum Depression Scale scores?
    (2019-10-09) Ayo, Katherine V; Teal, Evgenia; Haas, David M
    Background: Postpartum depression is a common medical condition diagnosed in the weeks after delivery. There are several modifiable risk factors during the antepartum, labor and delivery, and immediate postpartum periods that may influence the likelihood that an individual will develop this condition. Objective: The purpose of this study was to identify risk factors that may predict an individual’s risk of developing postpartum depression. Methods: We conducted a retrospective cohort study of all deliveries over a 14 month period. Demographic characteristics and complications during pregnancy and delivery were obtained from the electronic medical record. The Edinburg Perinatal Depression Scale (EPDS) was administered to all postpartum women before discharge. Antenatal and delivery characteristic associations with EPDS cutoffs of ≥10 and ≥13 were determined and significant variables were included in a logistic regression to determine predictive factors for elevated immediate postpartum EPDS scores. Results: A total of 1,913 women had valid immediate postpartum EPDS results. Women with a history of depression, those with a positive drug screen on admission to labor and delivery, those with babies admitted to the neonatal intensive care unit (NICU), and those with alcohol or opioid abuse were found to have increased risk of development of PPD. Logistic regression analysis found that having a positive drug screen (OR 2.54, 95% CI 1.43-4.52) history of depression (OR 3.97, 95% CI 2.44-6.30), alcohol use (OR 5.30, 95% CI 1.39-20.16), and opioid use disorder (OR 8.64, 95% CI 1.06-70.49) predicted EPDS scores ≥10, while having a baby admitted to the NICU (OR 1.70, 95% CI 1.20-2.57), history of depression (OR 4.46, 95% CI 2.81-7.07), opioid use disorder (OR 9.32, 95% CI 1.14-76.39) predicted EPDS scores ≥13. Conclusion: Several modifiable risk factors were found that could lead to an increased risk of PPD. Early screening and intervention based on risk factors may decrease the likelihood of developing early postpartum depression.
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    Follow-up of Mothers with Suspected Postpartum Depression from Pediatrics Clinics
    (Frontiers, 2017-10-03) Bauer, Nerissa S.; Ofner, Susan; Pottenger, Amy; Carroll, Aaron E.; Downs, Stephen M.; Pediatrics, School of Medicine
    Purpose Pediatric providers are increasingly screening for postpartum depression (PD), yet, it is unknown how often mothers comply with recommendations to seek treatment. The objectives were to describe the rate at which mothers with suspected PD seek treatment and explore factors that predict help-seeking behavior. Design and methods Mothers were recruited from four pediatric clinics after identification using the Child Health Improvement through Computer Automation (CHICA) system. Mothers with a positive screen were invited to participate in a telephone interview between January 2012 and December 2014. Mothers reported if they sought treatment or called a community resource. Results 73 of 133 eligible mothers participated (55% response rate). Fifty women recalled a recommendation to seek help. Only 43.8% (32/73) made a follow-up appointment with an adult provider and even fewer kept the appointment. Conclusion A majority of mothers suspected of having PD recalled a referral for further intervention; yet, less than half took action. Further investigation of barriers of help-seeking behavior is warranted.
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    Impact of Social Networking Sites on Post-Partum Depression in Women: An Analysis in the Context of Bangladesh
    (IEEE, 2017-12) Saha, Abir; Das, Maitraye; Electrical and Computer Engineering, School of Engineering and Technology
    Postpartum Depression (PPD) refers to moderate or severe depression in a woman after childbirth. It is strikingly common in new mothers from all regions of the world with a prevalence of around 10-15%. PPD can have severe adverse effects on maternal and child health, such as suicidal tendency of the mother, infanticide as well as poor cognitive and developmental growth of the child. Despite this, few women seek medical attention due to ignorance, negligence and financial limitations; the latter is especially true for those who live in developing countries. Nowadays, social networking sites (SNS) e.g., Facebook can act as accessible and effective tools for the prevention and treatment of PPD. In this paper, we analyze the opinions and awareness level of Bangladeshi people about PPD and impact of using SNS during postpartum period on reducing PPD based on our survey (N = 93). We also discuss possible SNS-based interventions and design implications that can effectively and feasibly reduce PPD in women in developing countries.
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    Positive postpartum depression screening practices and subsequent mental health treatment for low-income women in Western countries: a systematic literature review
    (2017) Hansotte, Elinor; Payne, Shirley I.; Babich, Suzanne M.; Department of Health Policy and Management, School of Public Health
    Problem statement and significance Left undiagnosed and/or untreated, the short-and long-term sequelae of postpartum depression may negatively impact both mother and child. In Western countries, access to mental health care is influenced by socioeconomic factors. The objective of this systematic literature review is to compile factors that hinder and improve access to postpartum depression treatment in low-income women after a positive screen for postpartum depression. The key question of focus is: what are the characteristics associated with access to mental health treatment for low-income women with a positive postpartum depression screen in Western countries? Methods A PRISMA-based systematic literature review was conducted of studies published in English before February 2016 that looked at treatment for postpartum depression in low-income women who had been identified with the condition. PubMed and EBSCO databases were searched using MESH and key terms and found 100 articles that met the selection criteria. After review by two independent researchers, 18 studies with 17 unique populations were included in the literature review. Results Two independent abstractors searched the included articles for themes surrounding impediments and advantages for low-income women identified with postpartum depression in obtaining mental health treatment. Characteristics of successful mental health treatment included studies that employed the use of a home visitor and those that separated outcomes for women with previous mental health treatment. Themes that emerged as treatment obstacles included cultural barriers, physical barriers, systemic health care barriers, and social barriers. Implications for practice This review will help to better inform screening and treatment priorities for those in the medical field who may encounter women experiencing postpartum depression and are not aware of the various barriers to care specific to low-income women. This review will also help policymakers identify specific obstacles that are not addressed in postpartum screening mandate policies which can affect the implementation of these policies.
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    Screening for postpartum depression: obligation and opportunity for pediatricians to improve the lives of children
    (Nature, 2019) Chambers, Joanna E.; Denne, Scott C.; Psychiatry, School of Medicine