TY - JOUR
T1 - Factors associated with postpartum depression in women from low socioeconomic level in Argentina
T2 - A hierarchical model approach
AU - Pham, Diana
AU - Cormick, Gabriela
AU - Amyx, Melissa M.
AU - Gibbons, Luz
AU - Doty, Meitra
AU - Brown, Asia
AU - Norwood, Angel
AU - Daray, Federico M.
AU - Althabe, Fernando
AU - Belizán, José M.
N1 - Funding Information:
This work was supported by the National Institutes of Health Office of the Director , Fogarty International Center , Office of AIDS Research, National Cancer Institute , National Heart, Blood, and Lung Institute , and the NIH Office of Research for Women’s Health through the Fogarty Global Health Fellows Program Consortium comprised of the University of North Carolina, John Hopkins University, Morehouse School of Medicine, and Tulane University ( R25TW009340 ); also funded by the National Institutes of Health Training in Global Reproductive Epidemiology grant ( 5T32HD057780 ); Health Resources & Services Administration/Maternal & Child Health Bureau Maternal and Child Health Epidemiology Doctoral Training Program ( #T03MC07649 ); and by the National Center for Minority Health and Health Disparities ( T37MD001424 ).
Funding Information:
This work was supported by the National Institutes of Health Office of the Director, Fogarty International Center, Office of AIDS Research, National Cancer Institute, National Heart, Blood, and Lung Institute, and the NIH Office of Research for Women's Health through the Fogarty Global Health Fellows Program Consortium comprised of the University of North Carolina, John Hopkins University, Morehouse School of Medicine, and Tulane University (R25TW009340); also funded by the National Institutes of Health Training in Global Reproductive Epidemiology grant (5T32HD057780); Health Resources & Services Administration/Maternal & Child Health Bureau Maternal and Child Health Epidemiology Doctoral Training Program (#T03MC07649); and by the National Center for Minority Health and Health Disparities (T37MD001424).
Publisher Copyright:
© 2017 Elsevier B.V.
PY - 2018/2
Y1 - 2018/2
N2 - Purpose to estimate the prevalence of depression at 4-week postpartum using the Edinburgh postpartum Depression Scale (EPDS) in women who delivered in a public maternity hospital in Argentina. Methods This prospective cohort study was carried out from March to August 2016 in northwest Argentina. Eligibility included delivering a singleton live birth 28 weeks of gestational age or over, 18 years or older and resided within 1 h from the maternity hospital. Women were excluded if they or their newborn were in the intensive care unit. We defined a positive screening as an EPDS score of 10 or higher or a positive response to item 10, which indicates thoughts of self-harm. Results A total of 587 women were enrolled and 539 women completed the home visit interview and the EPDS. A total of 167 (31.0%, 95% CI 27.1–35.1) mothers screened positive in the EPDS using a score ≥ 10 and 99 (18.4%, 95% CI 15.1–21.6%) using a score ≥ 13, which indicate increased severity of depressive symptoms. In both cases, the 23 (4.3%) women that responded as having thoughts of self-harm were included. Conclusion Nearly a third of women who participated had depressive symptoms at four weeks postpartum in a public hospital in Tucumán, Argentina. Socio-demographic, particularly personal psychiatric history, factors and social and cultural influences can impact results. Our results highlight the need for improved screening and better diagnostic tool for women with postpartum depression in Argentina and to investigate the impact of postpartum depressive symptoms on women's health and their families.
AB - Purpose to estimate the prevalence of depression at 4-week postpartum using the Edinburgh postpartum Depression Scale (EPDS) in women who delivered in a public maternity hospital in Argentina. Methods This prospective cohort study was carried out from March to August 2016 in northwest Argentina. Eligibility included delivering a singleton live birth 28 weeks of gestational age or over, 18 years or older and resided within 1 h from the maternity hospital. Women were excluded if they or their newborn were in the intensive care unit. We defined a positive screening as an EPDS score of 10 or higher or a positive response to item 10, which indicates thoughts of self-harm. Results A total of 587 women were enrolled and 539 women completed the home visit interview and the EPDS. A total of 167 (31.0%, 95% CI 27.1–35.1) mothers screened positive in the EPDS using a score ≥ 10 and 99 (18.4%, 95% CI 15.1–21.6%) using a score ≥ 13, which indicate increased severity of depressive symptoms. In both cases, the 23 (4.3%) women that responded as having thoughts of self-harm were included. Conclusion Nearly a third of women who participated had depressive symptoms at four weeks postpartum in a public hospital in Tucumán, Argentina. Socio-demographic, particularly personal psychiatric history, factors and social and cultural influences can impact results. Our results highlight the need for improved screening and better diagnostic tool for women with postpartum depression in Argentina and to investigate the impact of postpartum depressive symptoms on women's health and their families.
KW - Argentina
KW - EPDS
KW - Edinburgh Postpartum Depression Scale
KW - Postpartum depression
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U2 - 10.1016/j.jad.2017.11.091
DO - 10.1016/j.jad.2017.11.091
M3 - Article
C2 - 29179143
AN - SCOPUS:85034992083
SN - 0165-0327
VL - 227
SP - 731
EP - 738
JO - Journal of affective disorders
JF - Journal of affective disorders
ER -