POSTPARTUM DEPRESSION AND ANXIETY: A COMMUNITY-BASED STUDY ON RISK FACTORS BEFORE, DURING AND AFTER PREGNANCY

Authors

  • I ULLAH Shaheed Benazir Bhutto University Sheringal, Pakistan
  • A JAVED Liaquat National Medical College, Karachi, Pakistan
  • M ARIF Department of Physiology Sahara Medical College, Narowal, Pakistan
  • . MARYAM Department of Obstetrics and Gynaecology Khyber Teaching Hospital. Peshawar, Pakistan
  • M HASEEB Department of Obstetrics and Gynaecology Khyber Teaching Hospital. Peshawar, Pakistan
  • B AQIL Sindh Institute of Urology and Transplantation (SIUT), Pakistan
  • M AFRASIYAB Shaheed Benazir Bhutto University Sheringal, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2023i1.526

Keywords:

Depression, Anxiety, Patients, Pregnancy, Female

Abstract

Postpartum anxiety and depression are a significant public health concern as it is the leading cause of maternal morbidity. It is associated with adverse effects on the cognitive and social development of the infant. The primary aim of the study is to find postpartum depression and anxiety as a community-based study on risk factors before, during, and after pregnancy. The prospective cohort study was conducted in Khyber Teaching Hospital Peshawar from April 2023 to July 2023. A total of 320 pregnant women were recruited for this study. Participants were enrolled during their antenatal visits to healthcare facilities within the community, ensuring representation across diverse demographic and socio-economic backgrounds. Data collection for this community-based study on postpartum depression and anxiety was executed meticulously across three distinct phases: before, during, and after pregnancy. Data was collected from 320 pregnant females. The mean age of participants was 28.5±4.2 years. Most participants had at least a high school education (65%) and reported a moderate household income (55%). 18% of participants had a history of previous episodes of depression or anxiety. 35% reported experiencing significant life stressors before pregnancy, with financial concerns being the most common (62%). 24% had a family history of mental health disorders. It is concluded that this study has revealed a significant prevalence of postpartum depression (22%) and anxiety (18%) among participants. The identified risk factors, including prior mental health history and high prenatal stress, emphasize the need for early intervention and targeted support systems during the perinatal period.

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References

Abdollahpour, S., Heydari, A., Ebrahimipour, H., Faridhoseini, F., Heidarian Miri, H., and Khadivzadeh, T. (2022). Postpartum depression in women with maternal near miss: a systematic review and meta-analysis. The Journal of Maternal-Fetal & Neonatal Medicine 35, 5489-5495.

Alshikh Ahmad, H., Alkhatib, A., and Luo, J. (2021). Prevalence and risk factors of postpartum depression in the Middle East: a systematic review and meta–analysis. BMC pregnancy and childbirth 21, 1-12.

Azami, M., Badfar, G., Soleymani, A., and Rahmati, S. (2019). The association between gestational diabetes and postpartum depression: A systematic review and meta-analysis. Diabetes research and clinical practice 149, 147-155.

de Paula Eduardo, J. A. F., de Rezende, M. G., Menezes, P. R., and Del-Ben, C. M. (2019). Preterm birth as a risk factor for postpartum depression: A systematic review and meta-analysis. Journal of affective disorders 259, 392-403.

Edwards, L. M., Le, H.-N., and Garnier-Villarreal, M. (2021). A systematic review and meta-analysis of risk factors for postpartum depression among Latinas. Maternal and child health journal 25, 554-564.

Falah-Hassani, K., Shiri, R., and Dennis, C.-L. (2017). The prevalence of antenatal and postnatal co-morbid anxiety and depression: a meta-analysis. Psychological medicine 47, 2041-2053.

Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., and Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of education and health promotion 6.

Karaçam, Z., Çoban, A., Akbaş, B., and Karabulut, E. (2018). Status of postpartum depression in Turkey: A meta-analysis. Health care for women international 39, 821-841.

Lee, D., Yip, A., Leung, T., and Chung, T. (2000). Identifying women at risk of postnatal depression: prospective longitudinal study. Hong Kong Med J 6, 349-54.

Lubotzky-Gete, S., Ornoy, A., Grotto, I., and Calderon-Margalit, R. (2021). Postpartum depression and infant development up to 24 months: A nationwide population-based study. Journal of affective disorders 285, 136-143.

Meltzer-Brody, S., Maegbaek, M., Medland, S., Miller, W., Sullivan, P., and Munk-Olsen, T. (2017). Obstetrical, pregnancy and socio-economic predictors for new-onset severe postpartum psychiatric disorders in primiparous women. Psychological medicine 47, 1427-1441.

Minaldi, E., D’Andrea, S., Castellini, C., Martorella, A., Francavilla, F., Francavilla, S., and Barbonetti, A. (2020). Thyroid autoimmunity and risk of post-partum depression: a systematic review and meta-analysis of longitudinal studies. Journal of endocrinological investigation 43, 271-277.

Molgora, S., Saita, E., Barbieri Carones, M., Ferrazzi, E., and Facchin, F. (2022). Predictors of postpartum depression among Italian women: a longitudinal study. International Journal of Environmental Research and Public Health 19, 1553.

Pellowski, J. A., Bengtson, A. M., Barnett, W., DiClemente, K., Koen, N., Zar, H. J., and Stein, D. J. (2019). Perinatal depression among mothers in a South African birth cohort study: Trajectories from pregnancy to 18 months postpartum. Journal of affective disorders 259, 279-287.

Qi, W., Zhao, F., Liu, Y., Li, Q., and Hu, J. (2021). Psychosocial risk factors for postpartum depression in Chinese women: a meta-analysis. BMC Pregnancy and Childbirth 21, 1-15.

Rezaie-Keikhaie, K., Arbabshastan, M. E., Rafiemanesh, H., Amirshahi, M., Ostadkelayeh, S. M., and Arbabisarjou, A. (2020). Systematic review and meta-analysis of the prevalence of the maternity blues in the postpartum period. Journal of Obstetric, Gynecologic & Neonatal Nursing 49, 127-136.

Rollè, L., Prino, L. E., Sechi, C., Vismara, L., Neri, E., Polizzi, C., Trovato, A., Volpi, B., Molgora, S., and Fenaroli, V. (2017). Parenting stress, mental health, dyadic adjustment: A structural equation model. Frontiers in psychology 8, 839.

Shorey, S., Chee, C. Y. I., Ng, E. D., Chan, Y. H., San Tam, W. W., and Chong, Y. S. (2018). Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. Journal of psychiatric research 104, 235-248.

van der Zee-van, A. I., Boere-Boonekamp, M. M., Groothuis-Oudshoorn, C. G., and Reijneveld, S. A. (2021). Postpartum depression and anxiety: a community-based study on risk factors before, during and after pregnancy. Journal of affective disorders 286, 158-165.

Vismara, L., Rollè, L., Agostini, F., Sechi, C., Fenaroli, V., Molgora, S., Neri, E., Prino, L. E., Odorisio, F., and Trovato, A. (2016). Perinatal parenting stress, anxiety, and depression outcomes in first-time mothers and fathers: a 3-to 6-months postpartum follow-up study. Frontiers in psychology 7, 938.

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Published

2023-11-10

How to Cite

ULLAH, I., JAVED, A., ARIF, M., MARYAM, ., HASEEB, M., AQIL, B., & AFRASIYAB, M. (2023). POSTPARTUM DEPRESSION AND ANXIETY: A COMMUNITY-BASED STUDY ON RISK FACTORS BEFORE, DURING AND AFTER PREGNANCY. Biological and Clinical Sciences Research Journal, 2023(1), 526. https://doi.org/10.54112/bcsrj.v2023i1.526

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