PREVALENCE AND RISK FACTORS FOR ANTENATALAND POSTPARTUM DEPRESSION AMONG WOMEN IN RURALAREA OF CHENNAI

Author:

Kannappan Jayashree1,Mannam Abhilash Kannappan2,Subathiraa V. S.Prema3,Dinakaran Shanthi4,Kalaiselvi P. S. Jikki5

Affiliation:

1. Assistant Professor, Department of OBG, ACS medical college and Hospital, Velappanchavadi, Chennai – 600077.

2. Clinical fellow in Psychiatry, Hairmyres University Hospital, Glasgow, United Kingdom.

3. Postgraduate, Department of Psychiatry, Meenakshi Medical college and Hospital, Kancheepuram.

4. Professor and HOD, Department of OBG, ACS medical college and Hospital, Velappanchavadi, Chennai – 600077.

5. Professor, Department of OBG, ACS medical college and Hospital, Velappanchavadi, Chennai – 600077.

Abstract

Background and Objective: Maternal depression is an important public health problem. Preterm labour, low birth weight, and intrauterine growth restriction have all been linked to antenatal depression, which is generally underdiagnosed. Postpartum depression has been linked to motherinfant bonding issues, child maltreatment, child neglect, maternal drug misuse, and self-harm in studies. Depression among pregnant and postpartum teenagers is prevalent in many parts of the world. The incidence of depression and its related risk factors among pregnant and postpartum adolescents in Sriperumbudhur, Chennai, is reported in this research. Methods: Descriptive cross-sectional research using a sample of 160 teenage girls using maternity health care in a medium-sized rural peripheral district hospital in Chennai was undertaken between June and November 2021. The Edinburgh Postnatal Depression Scale was used to examine pregnant and postnatal adolescents who took part in the study as the treatment of depression. Mean of parameters were assessed and correlation value were calculated by Fisher's exact test. The statistically signicant Pvalue was less than 0.05. Results: The sociodemographic factors have been demonstrated to have a major role in explaining the variation in prenatal and postpartum depression prevalence rates. According to the data, less than a third of pregnant women suffer from depression as a result of life events such as economic problems, which they must overcome in order to sustain their family. These were shown to be signicant risk factors (P>0.05). In the meanwhile, it was 9.4% (15/160) among postpartum participants. Physical violence (adjusted odds ratio (aOR) 7.32, 95% CI 1.66-29.44, p = 0:005), verbal abuse (aOR) 4.3, 95% CI 1.03-15.79, p = 0:03), and intimate partner violence (aOR) 9.58, 95% CI 1.58-48.82, p = 0:008) were all linked to postnatal depression. Conclusion: In the research sample, prenatal depression was more common than postpartum depression. As a result of the ndings, maternal healthcare providers are being advised to examine the mental health of pregnant and postpartum teenagers seeking treatment at health institutions.

Publisher

World Wide Journals

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