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...

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Main Authors:	Nasreen, Hashima E, Edhborg, Maigun, Petzold, Max, Forsell, Yvonne, Kabir, Zarina Nahar
Format:	Conference or Workshop Item
Language:	English
Published:	2016
Subjects:	RA0421 Public health. Hygiene. Preventive Medicine
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

id	iium-52517
recordtype	eprints
spelling	iium-525172018-05-24T07:00:17Z http://irep.iium.edu.my/52517/ Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh Nasreen, Hashima E Edhborg, Maigun Petzold, Max Forsell, Yvonne Kabir, Zarina Nahar RA0421 Public health. Hygiene. Preventive Medicine 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. 2016 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/52517/1/Dr%20Hashima-2nd%20WCii%2024oct2016.pdf Nasreen, Hashima E and Edhborg, Maigun and Petzold, Max and Forsell, Yvonne and Kabir, Zarina Nahar (2016) Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh. In: 2nd World Congress on Integration Islamicisation: Focus On Medical & Health Care Sciences 2016 (2WCII-2016), Grand Hall, OCD, IIUM Kuantan Campus. (Unpublished) http://www.iium.edu.my/wcii/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RA0421 Public health. Hygiene. Preventive Medicine
spellingShingle	RA0421 Public health. Hygiene. Preventive Medicine Nasreen, Hashima E Edhborg, Maigun Petzold, Max Forsell, Yvonne Kabir, Zarina Nahar Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
description	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.
format	Conference or Workshop Item
author	Nasreen, Hashima E Edhborg, Maigun Petzold, Max Forsell, Yvonne Kabir, Zarina Nahar
author_facet	Nasreen, Hashima E Edhborg, Maigun Petzold, Max Forsell, Yvonne Kabir, Zarina Nahar
author_sort	Nasreen, Hashima E
title	Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
title_short	Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
title_full	Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
title_fullStr	Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
title_full_unstemmed	Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh
title_sort	incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in bangladesh
publishDate	2016
url	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
first_indexed	2023-09-18T21:14:24Z
last_indexed	2023-09-18T21:14:24Z
_version_	1777411465393733632

Incidence and risk factor of postpartum depressive symptoms in women: a population based prospective cohort study in a rural district in Bangladesh

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