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Minerva Obstetrics and Gynecology 2021 Jun 28

DOI: 10.23736/S2724-606X.21.04867-3

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Risk factors associated with postpartum depression in a high-risk maternity clinic: a cross-sectional study

Kelly C. RAMOS 1, 2, Cristine K. KONOPKA 2, 3, Arthur G. COSTA 4, Guilherme Z. SCHUNEMANN 4, Lúcia K. RIOS 5, Ângela B. SODER 6, Tiango A. RIBEIRO 2, 7

1 Medical Residence in Gynecology and Obstetrics, Health Sciences Center (CCS), University Hospital of Santa Maria (HUSM), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil; 2 Postgraduate Program in Health Sciences, Health Sciences Center (CCS), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil; 3 Department of Gynecology and Obstetrics, Health Sciences Center (CCS), Faculty of Medicine, University Hospital of Santa Maria (HUSM), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil; 4 Faculty of Medicine, Health Sciences Center (CCS), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil; 5 Faculty of Psychology, Health Sciences Center (CCS), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil; 6 Psychologist at the Women's Health Care Unit, Santa Maria University Hospital (HUSM), Santa Maria, RS, Brazil; 7 Department of surgery, Health Sciences Center (CCS), Faculty of Medicine, University Hospital of Santa Maria (HUSM), Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil


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BACKGROUND: Evaluate obstetric, epidemiological and social factors related to Postpartum Depression (PPD) and investigate possible risk factors related to this disorder, in puerperal women who had their childbirth and were referred to the hospital's High-Risk Outpatient Clinic.
METHODS: A cross-sectional study from August-December/2019 was carried out. 171 puerperal women were analysed by filling out an epidemiological questionnaire and Edinburgh Postpartum Depression Scale (EPDS) form. Scores ≥10 were considered positive. Research on risk factors for postpartum depression was carried out.
RESULTS: 29.8% of mothers had a score related with PPD. Breastfeeding without complication is protective against PPD ((p=0.002 and χ2=12.533). In contrast, not having a planned pregnancy (p=0.0175, χ2=5.717), having depression at any stage of life (p=0.013, χ2=6.237), depression during pregnancy (p≤0,0001, χ2=46,201) or having a family history of depression (p=0.001, χ2=10.527), are factors associated with the development of PPD. Moreover, just having depression during pregnancy was found to be a significant risk factor for the occurrence of PPD, increasing the risk of developing this pathology by 12 times (OR:12.891).
CONCLUSIONS: Depression during pregnancy is an important risk factor for the development of PPD. This can easily be detected using the Edinburgh Postpartum Depression Scale and treated in a timely manner.


KEY WORDS: Postpartum depression; Maternal depression; Pregnancy, Puerperium; Risk factors

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