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[Puerperal depression. Related factors]

F Machado Ramírez1, T García Serrano, N Moya Rüegg

  • 1Unidad Docente de Matronas, Hospital General y Unidad Docente de Medicina Familiar y Comunitaria de Albacete.

Atencion Primaria
|December 31, 1997
PubMed
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Postnatal depression affects nearly 16% of women, linked to prior depression and lack of support. Early detection during postpartum visits is crucial for maternal mental health.

Area of Science:

  • Obstetrics and Gynecology
  • Psychiatry
  • Public Health

Background:

  • Postnatal depression is a significant concern affecting maternal well-being.
  • Understanding its prevalence and associated factors is vital for targeted interventions.

Purpose of the Study:

  • To determine the prevalence of postnatal depression in puerperal women in Albacete.
  • To analyze associations between postnatal depression and socio-demographic factors, morbidity, and social support.

Main Methods:

  • An observational crossover study involving home interviews.
  • A sample of 304 women who gave birth at Albacete General Hospital between May and November 1995.
  • The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depression.

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Main Results:

  • Approximately 15.8% of women screened positive for probable depressive disorder (EPDS score ≥ 13).
  • Significant associations were found with a history of depression (pre-pregnancy, during pregnancy, and immediate postpartum).
  • Chronic illness, inadequate domestic help, and low family support were also significantly associated with postnatal depression.

Conclusions:

  • A substantial proportion of women (11.8%-19.8%) experience probable depression in the 6-8 week postpartum period.
  • Postnatal depression is strongly linked to depression experienced immediately after delivery.
  • Routine screening during postpartum visits is recommended for early identification and management.