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Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study

Author

Listed:
  • Kornelia Zaręba

    (First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-813 Warsaw, Poland)

  • Jolanta Banasiewicz

    (Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Hanna Rozenek

    (Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Stanisław Wójtowicz

    (Department of Medical Psychology and Medical Communication, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Grzegorz Jakiel

    (First Department of Obstetrics and Gynecology, Center of Postgraduate Medical Education, 01-813 Warsaw, Poland)

Abstract

Background: The study aimed at the identification of the risk factors present during delivery, which might be present in prophylactic programs concerning postpartum mood disorders. Material and Method: This was a retrospective comparative study. The study material included data retrieved from the medical records of patients hospitalized in the Teaching Department of Gynecology and Obstetrics of Professor Orłowski Hospital in Warsaw, in the years 2010–2017. The EPDS data of 604 patients were analyzed. The study group included 75 women who obtained at least 12 points in the EPDS and the control group was made up of 75 women who obtained no more than 5 points in the EPDS. Results: The women in whom we noted an increased risk of developing mood disorders had blood loss >1000 mL and had a significantly longer stage II and III of labor than the control group. Other risk factors were cesarean section, vaginal delivery with the curettage of the uterine cavity, slightly lower APGAR scores (0.4 pts), and lower birth weight (approximately 350 g) of the child. Women at a low risk of postpartum mood disorders more commonly underwent episiotomy during delivery (76%). Conclusions: Increased supervision and support should be offered to women who experienced the above-mentioned risk factors.

Suggested Citation

  • Kornelia Zaręba & Jolanta Banasiewicz & Hanna Rozenek & Stanisław Wójtowicz & Grzegorz Jakiel, 2020. "Peripartum Predictors of the Risk of Postpartum Depressive Disorder: Results of a Case-Control Study," IJERPH, MDPI, vol. 17(23), pages 1-12, November.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8726-:d:450327
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    References listed on IDEAS

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    1. Hung-Hui Chen & Li-Yin Chien, 2020. "A comparative study of domestic decision-making power and social support as predictors of postpartum depressive and physical symptoms between immigrant and native-born women," PLOS ONE, Public Library of Science, vol. 15(4), pages 1-13, April.
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    Cited by:

    1. Reem Falah Alshammari & Farida Habib Khan & Hend Mohammed Alkwai & Fahaad Alenazi & Khalid Farhan Alshammari & Ehab Kamal Ahmed Sogeir & Asma Batool & Ayesha Akbar Khalid, 2023. "Role of Parity and Age in Cesarean Section Rate among Women: A Retrospective Cohort Study in Hail, Saudi Arabia," IJERPH, MDPI, vol. 20(2), pages 1-9, January.
    2. Zuzana Škodová & Ľubica Bánovčinová & Eva Urbanová & Marián Grendár & Martina Bašková, 2021. "Factor Structure of the Edinburgh Postnatal Depression Scale in a Sample of Postpartum Slovak Women," IJERPH, MDPI, vol. 18(12), pages 1-13, June.
    3. Rami H. Al-Rifai & Iffat Elbarazi & Nasloon Ali & Tom Loney & Abderrahim Oulhaj & Luai A. Ahmed, 2020. "Knowledge and Preference Towards Mode of Delivery among Pregnant Women in the United Arab Emirates: The Mutaba’ah Study," IJERPH, MDPI, vol. 18(1), pages 1-11, December.

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