Prevalence of postnatal depression and associated risk factors among South Asian mothers living in a newly developing country
DOI:
https://doi.org/10.22159/ajpcr.2016.v9i6.12900Abstract
Abstract
Introduction
Postnatal Depression (PND) is a major health problem affecting mother, her child and family. Its prevalence and associated risk factors among South Asian mothers (SAM) living  in Qatar remain unknown. The objectives of this study were to estimate the prevalence of PND among (SEAM) in Qatar and to correlate risk factors contributing to the development of PND.
Materials and methods
A total of (285 ) (SAM)females who were six months  postpartum were interviewed as part of a prospective study conducted in primary health care centers in Qatar. PND symptoms were defined as present when subjects had an Edinburgh Postnatal Depression Scale score of 10 or higher. Descriptive statistics were used for summarizing the study and outcome variables. The χ2 test and ORs with 95% confidence intervals (CIs) were used for observation and quantifying the association between different variables. Multivariate binary logistic regression was used to identify the independent associated factors of PPD. P≤0.05 was considered significant. Variables included were age , occupation, education level ,previous psychiatric history ,comorbidities , ,history of depression during current pregnancy, history of anxiety during current pregnancy, number of previous pregnancies, strong social support, husband support, marital problem before pregnancy and ongoing marital problems during current pregnancy.
Results
 The prevalence of postnatal depression among 285 respondents was 33.2% .
several psychosocial risk factors were significantly associated with postnatal depression and, after multiple regression analysis, a history of depressive illness ,anxiety ,marital problems before delivery ,a history of diabetes and asthma ,history of congenital malformations ,and lack of mother support.Other variables, including age, parity, education, occupation, and delivery type, were not significantly correlated (P=0.15–0.95), but marginally indicative of the risk of depressive symptoms.
Conclusion
This study showed a high rate of depressive symptoms among(SAM) six months Postpartum . Future screening protocols must be employed at primary care level and hospital based clinics in Qatar to detect and treat post natal depression.
Keywords: postnatal  depression,  South Asians, primary health care ,Doha, EPDS
Â
Â
Downloads
References
Goodman A. The development of the Qatar healthcare system: A review of the literature. Int J Clin Med 2015;6:177-85. Available from: http://www.dx.doi.org/10.4236/ijcm.2015.63023.
Kaplan H, Sadock V, James B. The Summary of Psychiatry. Translated by Rezaie, F. 3rd ed. Tehran: Arjmand Publication; 2009.
Almond P. Postnatal depression: A global public health perspective. Perspect Public Health 2009;129(5):221-7.
Gibson J, McKenzie-McHarg K, Shakespeare J, Price J, Gray R. A systematic review of studies validating the Edinburgh Postnatal Depression Scale in antepartum and postpartum women. Acta Psychiatr Scand 2009;119(5):350-64.
Agoub M, Moussaoui D, Battas O. Prevalence of postpartum depression in a Moroccan sample. Arch Womens Ment Health 2005;8(1):37-43.
Ghubash R, Abou-Saleh MT. Postpartum psychiatric illness in Arab culture: Prevalence and psychosocial correlates. Br J Psychiatry 1997;171(1):65-8.
Chaaya M, Campbell OM, El Kak F, Shaar D, Harb H, Kaddour A. Postpartum depression: Prevalence and determinants in Lebanon. Arch Womens Ment Health 2002;5(2):65-72.
Green K, Broome H, Mirabella J. Postnatal depression among mothers in the United Arab Emirates: Socio-cultural and physical factors. Psychol Health Med 2006;11(4):425-31.
Afifi M. Gender differences in mental health. Singapore Med J 2007;48(5):385-91.
World Health Organization. The World Health Report 2001. Mental Health: New Understanding, New Hope. Geneva: World Health Organization; 2001.
Al Hinai FI, Al Hinai SS. Prospective study on prevalence and risk factors of postpartum depression in Al-Dakhliya Governorate in Oman. Oman Med J 2014;29(3):198-202.
Alasoom LI, Koura MR. Predictors of postpartum depression in the Eastern Province Capital of Saudi Arabia. J Fam Med Primary Care 2014;3(2):146-50.
Masmoudi J, Tabelsi S, Charfeddine F, Ben Ayed B, Guermazzi M, Jaoua A. Study of the prevalence of postpartum depression among 213 Tunisian parturients. Gynecol Obstet Fertil 2008;36(7-8):782-7.
Mohammad KI, Gamble J, Creedy DK. Prevalence and factors associated with the development of antenatal and postnatal depression among Jordanian women. Midwifery 2011;27(6):e238-45.
Al Dallal FH, Grant IN. Postnatal depression among Bahraini women: Prevalence of symptoms and psychosocial risk factors. Eastern Med Health J 2012;18(5):439-45. Available from: http://www.emro.who.int/emhj-volume-18-2012/issue-5/article4.html. [Last accessed on 2013 Nov 30].
Burgut FT, Bener A, Ghuloum S, Sheikh J. A study of postpartum depression and maternal risk factors in Qatar. J Psychosom Obstet Gynecol 2013;34(2):90-7.
Rahman A, Iqbal Z, Bunn J, Lovel H, Harrington R. Impact of maternal depression on infant nutritional status and illness: A cohort study. Arch Gen Psychiatry 2004;61(9):946-52.
O’Hara MW, Swain AM. Rates and risk of postpartum depression: A meta-analysis. Int Rev Psychiatry 1996;8:37-54.
Beck C. Meta-analysis of predictors of postpartum depression. Nurs Res 1996;45(5):297-303.
Kung WW. The intertwined relationship between depression and marital distress: Elements of marital therapy conductive to effective treatment outcome. J Marital Fam Ther 2000;26:51-63.
Stern G, Kruckman L. Multi-disciplinary perspectives on post-partum depression: An anthropological critique. Soc Sci Med 1983;17(15):1027-41.
Al Hinai FI, Al Hinai SS. Prospective study on prevalence and risk factors of postpartum depression in Al-Dakhliya governorate in Oman. Oman Med J 2014;29(3):198-202.
UNDP, United Nations Global Development Network. Human Development Index and Its Components. 2014. Available from: http://www.hdr.undp.org/sites/default/files/hdr14-report-en-1.pdf.
Andersson L, Sundström-Poromaa I, Wulff M, Aström M, Bixo M. Depression and anxiety during pregnancy and six months postpartum: A follow-up study. Acta Obstet Gynecol Scand 2006;85(8):937-44.
Dørheim SK, Bondevik GT, Eberhard-Gran M, Bjorvatn B. Sleep and depression in postpartum women: A population-based study. Sleep 2009;32(7):847-55.
Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: A systematic review of prevalence and incidence. Obstet Gynecol 2005;106:1071-83.
Kelly RH, Russo J, Katon W. Somatic complaints among pregnant women cared for in obstetrics: Normal pregnancy or depressive and anxiety symptom amplification revisited? Gen Hosp Psychiatry 2001;23(3):107-13.
Langer N, Langer O. Comparison of pregnancy mood profiles in gestational diabetes and preexisting diabetes. Diabetes Educ 2000;26(4):667-72.
Golden SH, Lazo M, Carnethon M, Bertoni AG, Schreiner PJ, Diez Roux AV, et al. Examining a bidirectional association between depressive symptoms and diabetes. JAMA 2008;299(23):2751-9.
Hirsch IB. Diabetes management. Medical clinics of North America. Clinics Review Articles. 2015.
Published
How to Cite
Issue
Section
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.