Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
Limited evidence exists on the incidence of postpartum depressive symptoms (PDS) in low-income countries. This study aims to determine the incidence of and risk factors for developing PDS in a cohort of women in rural Bangladesh. A total of 588 consecutive women were assessed during the last trim...
| Main Authors: | , , , , |
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| Format: | Conference or Workshop Item |
| Language: | English |
| Published: |
2016
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/52517/ http://irep.iium.edu.my/52517/ http://irep.iium.edu.my/52517/1/Dr%20Hashima-2nd%20WCii%2024oct2016.pdf |
| Summary: | Limited evidence exists on the incidence of postpartum depressive symptoms
(PDS) in low-income countries. This study aims to determine the incidence of and
risk factors for developing PDS in a cohort of women in rural Bangladesh. A total
of 588 consecutive women were assessed during the last trimester of pregnancy,
2–3 and 6–8 months postpartum for depressive symptoms and for putative risk
factors. The validated Bangla version of Edinburgh Postnatal Depression Scale
was used to measure PDS. Background information was collected using a
structured questionnaire at the respondents’ homes. Multiple Cox’s regression
analyses identified risk factors of PDS. The incidence proportion of PDS from
third trimester of pregnancy to 2–3 months postpartum was 8.0%, and from 2–3 to
6–8 months postpartum 18.4%. Poor socioeconomic status (HR 2.62, 95% CI 1.83–
3.73), physical partner violence during pregnancy (HR 1.65, 95% CI 1.08–2.50),
anxiety symptoms during pregnancy (HR 1.69, 95% CI 1.16–2.46), and previous
depressive symptoms (HR 2.95, 95% CI 1.80–4.84) were identified as risk factors.
PDS are common, heterogeneous and largely undetected public health problem in
Bangladesh. Screening for depressive symptoms in the last trimester of
pregnancy or in the 6–8 months postpartum ought to be integrated into maternal
and child health programmes. Intervention to reduce depressive symptoms during
postpartum needs to target those women who are poor, experienced violence
during pregnancy, had anxiety symptoms during pregnancy, and had a previous
history of depressive symptoms. |
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