Abstract

FERREIRA, Cátia et al. Postpartum depression: early detection and associated factors. Acta Obstet Ginecol Port [online]. 2018, vol.12, n.4, pp.262-267. ISSN 1646-5830.

Overview: Introduction: Postpartum depression is a common, often neglected problem and it has implications in the mother’s quality of life, her relationship with the newborn and child's development. The study of sociodemographic and obstetric risk factors for the development of puerperal depressive symptomatology assumes a crucial importance in the developing of diagnosis and treatment strategies for postpartum depression. Methods: A questionnaire consisting of the Edinburgh postpartum depression scale and six additional items was applied to the postpartum women in the Obstetrics Service of the Hospital Senhora Oliveira, between February 1, 2016 and January 31, 2017. The cut-off used for the presence of depressive symptomatology was a score =10. The electronic processes were subsequently consulted through the Obscare® program of the puerperal women who completed the questionnaire. Results: 857 women completed the questionnaire between the 2nd and 3rd day postpartum. The prevalence of depressive symptomatology was 10.6%. The factors associated with depressive symptomatology were: history of previous depressive disorder (17.2 vs 7.7%, p = 0.03), Diabetes Mellitus (2.2 vs. 0.1%, p = 0.018, OR 18, 5), fetal growth restriction (8.6 vs. 2.4%, p = 0.003, OR 3.8) and low birth weight (10.8% vs. 5.2%, p = 0.037, OR 2.41). The variables were adjusted to the potential confounding variable - history of previous depression. Conclusions: The history of prior depression, fetal growth restriction, Diabetes Mellitus and low birth weight are associated with higher scores on the Edinburgh postpartum depression scale.

Keywords : Postpartum depression; Obstetric complications; Risk factors.

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