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

Kornelia Zaręba, Jolanta Banasiewicz, Hanna Rozenek, Stanisław Wójtowicz and Grzegorz Jakiel
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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

IJERPH, 2020, vol. 17, issue 23, 1-12

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 Or?owski 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.

Keywords: postpartum depression; baby blues; postpartum mood disorders; predictors of postpartum depression; risk factors of postpartum depression; EPDS (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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