Prevalence of post-partum depression at Hospital San Juan de Dios in Cali, Colombia. September-December, 2011

Authors

  • Olga Lucía Cuero-Vidal
  • Angélica María Díaz-Marín

DOI:

https://doi.org/10.18597/rcog.89

Keywords:

Depression, post-partum, prevalence, risk factors

Abstract

Objectives: To determine the prevalence of postpartum depression in women seen at Hospital San Juan de Dios (HSJD) in Cali between September and December 2011, and identify disease-related factors.

Materials and methods: Cross-sectional descriptive study conducted in 149 consecutive patients delivered with no complications between September and December 2011 at Hospital San Juan de Dios, a general, intermediate complexity private hospital located in Southwestern Colombia. The diagnosis of depression was made using the Edinburgh post-partum depression scale, including factors like age, gestational age, marital status, relationship with the father, income level, socioeconomic bracket, prior depression, depression in the family, alcohol intake. Descriptive statistics were used together with univariate and multivariate analysis in order to determine diseaserelated factors.

Results: A prevalence of 46.3% of post-partum depression was found among the 149 women studied, with a confidence interval (CI 95%) of 38.1-54.7% according to the Edinburgh scale. Among women with a positive score, 21%, CI 95% (9.3-52.4%) had had suicidal ideation in the previous week. A relationship between prior depression and post-partum depression was found, OR 2.43, CI 95% (1.14-5.18%).

Conclusion: The prevalence of post-partum depression was high in the study population; pregnant women with a history of depression have a high risk of developing the disease and require additional assessment and, eventually, preventive treatment.

Author Biographies

Olga Lucía Cuero-Vidal

Médica de la Universidad del Valle. Especialista en Ginecología y Obstetricia, Universidad de Antioquia. Magíster en Epidemiología, Universidad del Valle. Ginecóloga obstetra, Hospital San Juan de Dios. Docente de la Facultad de Medicina, Universidad Santiago de Cali. Cali, Colombia

Angélica María Díaz-Marín

Médica, Universidad Santiago de Cali. Médica asistencial del servicio de Pediatría, Hospital de San Juan de Dios. Cali, Colombia

References

The diagnostic and statistical manual of mental disorders. 4th ed. DSM-IV. Washington, D.C.: American Psychiatric Association; 1994.

Morris-Rush J, Comerford M, Bernstein PS, Screening for postpartum depressin in an inner-city population. Am J Obstet Gynecol. 2003;188:1217-9.

Georgiopoulos AM, Bryan TL, Yawn BP, Houston MS, Rummans TA, Therneau TM. Population basedscreening for pospartum depression. Obstet Gynecol. 2000;93:653-7.

Wisner LK, Parry BL, Piontek CL. Pospartum depression. N Engl J Med. 2002;347:194-9.

Stewart B. Depression during pregnancy. N Engl J Med. 2011;365:1605-11.

Acaso T, García L, Navarro P, Aguado J, Ojuel J, Tarragona MJ. Prevalencia de la depresión posparto en las madres españolas: comparación de la estimación mediante la entrevista estructurada y la escala de depresión posparto de Edimburgo. Med Clin (Barc). 2003;120:326-9.

Jadresic EM. Depresión en el embarazo y puerperio. Rev Chil neuro-psiquiat. 2010;48:269-78.

Urdaneta J, Rivera A, García J, Guerra M, Baabel N, Contreras A. Factores de riesgo de depresión posparto en puérperas venezolanas valoradas por medio de la escala de Edimburgo. Rev chil obstet ginecol. 2011;76:102-12.

Latorre-Latorre JF, Contreras-Pezzotti LM, Garcia-Rueda S, Arteaga-Medina J. Depresión posparto en madre adolescente en Bucaramanga. Rev Colomb Obstet Ginecol. 2006;57;156-62.

Canaval G, Gonzales M, Martínez L, Tovar C, Valencia C. Depresión posparto apoyo social y calidad de vida en mujeres de Cali, Colombia. Colomb Méd. 2000;31:4-10.

Póof N, Espejo C, Godoy C, Gualda M, Hernández T, Pérez C. Prevalencia y factores de riesgo asociados a la depresión posparto en puérperas de un Centro de Atención Primaria en el Sur de Chile. Rev Méd Chile. 2008;136:44-52.

Escriba-Arguiir V, Artazcoz L. Gender differences in post partum depression: a longitudinal cohort Study. Epidemiol Community Health. 2011;65:320-6.

Edmondson OJ, Psychogiou L, Vlachos H, Netsi E, Ramchandani PG. Depression in fathers in the postnatal period: Assessment of the Edinburgh Postnatal Depression Scale as a screening measure. J Affect Disord. 2010;125:365-8.

Goodman JH. Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health. J Adv Nurs. 2004;45:26-35.

Gayle B, Anderson C, Roan C. Postpartum depression, marital dysfunction and infant outcome: a longitudinal study. J Perinat Educ. 2002;11:25-36.

Deave T, Heron J, Evans J, Emons A. The impact of maternal depression in pregnancy on early child development. BJOG. 2008;115:1043-51.

Ryan D, Kostaras X. Psychiatry disorder in the postpartum period. BCMJ. 2005;47:100-3.

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6.

Machado J, Heldt E. Escalas de rastreamento para depressão pós-parto: uma revisão sistemática. Rev Gaúcha Enferm. 2011;32:159-66.

Castañón C, Pinto J. Mejorando la pesquisa de depresión posparto a través de un instrumento de tamizaje, la escala de depresión posparto de Edimburgo. Rev Méd. Chile. 2008;136:851-8.

Jadresic E, Araya R, Jara C. Validation of the Edinburgh postnatal depression scale (EPDS) in Chilean postpartum women. J Psychosom Obstet Gynecol. 1995;16:187-91.

Navarro G, García M, Fernández A. Evaluación del estado de ánimo en el puerperio con la escala de depresión postnatal de Edimburgo. International Journal of Clinical and Health Psychology. 2005;5:305-18.

Beck CL. Predictor of pospartum depression: an update. Nurs Res. 2001;50: 275-85.

O’Hara MW, Swain AM. Rates and risk of postpartum depression-a meta-analysis. International Review of Psychiatry.1996;8:37-54.

Pérez R, Sáez K, Alarcón L, Avilés V, Braganza I, Coleman J. Variables posiblemente asociadas a depresión posparto, según escala Edimburgo. Rev Obstet Ginecol Venez. 2007;7:187-9.

Latorre J, Contreras P, Herrán O. Depresión posparto en una ciudad Colombiana. Factores de riesgo. Atención Primaria. 2006;37:332-8.

Bonnie M, Leung S, Ip P, Fung-Hug S, O´hara M. Antenatal risk factor for postnatal depression: Prospecty study of Chinese women at maternal and child health centers. BMC Psiquiatry. 2012;12:1-9.

Machado F, García T, Moya B, Bernabeu N, Cerda R. Depresión puerperal. Factores relacionados. Atención Primaria. 1997;20:161-6.

Urdaneta MJ, Rivera SA, García J, Guerra M, Baabel N, Contreras A. Prevalencia de depresión posparto en primigestas y multíparas valoradas por la escala de Edimburgo. Rev Chil Obstet Ginecol. 2010;75:312-20.

Paolini C, Diberma A, Balzao S. Factores psicosociales asociados a alto, medio y bajo riesgo de síntomas de depresión en el posparto inmediato. Rev Bras Saude Matern Infant. 2012;12:65-73.

Watts S, Sward W, Krueger P, Sheeba D. A cross-sectional study of early identification of postpartum depression: implications for primary care provider from the Ontario Mother Infant survey. BMC Fam Pract. 2002;3-5.

Stewart B. Depression during pregnancy. Canadian Family Physician. 2005;51:1061-3.

Ryan D, Millis L, Misri N. Depression during pregnancy. Canadian Family Physician. 2005;51:1087-93.

Patel RR, Murphy DJ, Peters TJ. Operative delivery and post natal depression: a cohort study. BMJ. 2005;330:879.

Lara M, Navarro C, Navarrete L, Le HN. Tasas de retención y variables que la predicen en un estudio aleatorio controlado longitudinal para prevenir la depresión posparto. Salud Ment. 2010;10:429-36.

Lee DT, Yip AS, Leung TY, Chung TK. Identifying women at risk of postpartum depression: Prospective longitudinal study. Hong Kong Med J. 2000;6:349-54.

Verker GJ, Pop VJ, van Son MJ, van Heck GL. Prediction of depression in the postpartum period: a longitudinal follow-up study in high-risk and low-risk women. J Affect Disord. 2003;77:159-66.

Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: a synthesis of recent literature. Gen Hosp Psychiatry 2004;26:289-95.

Swendsen JD, Mazure CM. Life stress as a risk factor for postpartum depression: current research and methodological issues. Clin Psychol Sci Pract. 2000;7:17-31.

Zlotnick C, Miller IW, Pearlstein T, Howard M, Sweeney P. A preventive intervention for pregnant women in public assistance at risk postpartum depression. Am J Psychiatry. 2006;63:1443-5.

Arbat A, Danés I. Depresión post parto. Med Clin (Barc). 2003;121:673-5.

How to Cite

1.
Cuero-Vidal OL, Díaz-Marín AM. Prevalence of post-partum depression at Hospital San Juan de Dios in Cali, Colombia. September-December, 2011. Rev. colomb. obstet. ginecol. [Internet]. 2013 Dec. 20 [cited 2024 Jul. 2];64(4):371-8. Available from: https://revista.fecolsog.org/index.php/rcog/article/view/89

Downloads

Download data is not yet available.

Published

2013-12-20

Issue

Section

Original Research
QR Code

Altmetric

Article metrics
Abstract views
Galley vies
PDF Views
HTML views
Other views

Some similar items: