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Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women

BACKGROUND: Few longitudinal studies have examined associations between risk factors during pregnancy and mental health outcomes during the postpartum period. We used a cohort study design to estimate the prevalence, incidence and correlates of significant postpartum depressive symptoms in Kenyan wo...

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Autores principales: Ongeri, Linnet, Wanga, Valentine, Otieno, Phelgona, Mbui, Jane, Juma, Elizabeth, Stoep, Ann Vander, Mathai, Muthoni
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167779/
https://www.ncbi.nlm.nih.gov/pubmed/30285745
http://dx.doi.org/10.1186/s12888-018-1904-7
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author Ongeri, Linnet
Wanga, Valentine
Otieno, Phelgona
Mbui, Jane
Juma, Elizabeth
Stoep, Ann Vander
Mathai, Muthoni
author_facet Ongeri, Linnet
Wanga, Valentine
Otieno, Phelgona
Mbui, Jane
Juma, Elizabeth
Stoep, Ann Vander
Mathai, Muthoni
author_sort Ongeri, Linnet
collection PubMed
description BACKGROUND: Few longitudinal studies have examined associations between risk factors during pregnancy and mental health outcomes during the postpartum period. We used a cohort study design to estimate the prevalence, incidence and correlates of significant postpartum depressive symptoms in Kenyan women. METHODS: We recruited adult women residing in an urban, resource-poor setting and attending maternal and child health clinics in two public hospitals in Nairobi, Kenya. A translated Kiswahili Edinburgh Postpartum Depression Scale was used to screen for depressive symptoms at baseline assessment in the 3rd trimester and follow up assessment at 6–10 weeks postpartum. Information was collected on potential demographic, psychosocial and clinical risk variables. Potential risk factors for postpartum depression were evaluated using multivariate logistic regression analysis. RESULTS: Out of the 171 women who were followed up at 6–10 weeks postpartum, 18.7% (95% CI: 13.3–25.5) were found to have postpartum depression using an EPDS cut off of 10. In multivariate analyses, the odds of having postpartum depression was increased more than seven-fold in the presence of conflict with partner (OR = 7.52, 95% CI: 2.65–23.13). The association between antepartum and postpartum depression was quite strong but did not reach statistical significance (OR = 3.37, 95% CI: 0.98–11.64). CONCLUSIONS: The high prevalence of significant postnatal depressive symptoms among Kenyan women underscores the need for addressing this public health burden. Depression screening and psychosocial support interventions that address partner conflict resolution should be offered as part of maternal health care.
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spelling pubmed-61677792018-10-09 Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women Ongeri, Linnet Wanga, Valentine Otieno, Phelgona Mbui, Jane Juma, Elizabeth Stoep, Ann Vander Mathai, Muthoni BMC Psychiatry Research Article BACKGROUND: Few longitudinal studies have examined associations between risk factors during pregnancy and mental health outcomes during the postpartum period. We used a cohort study design to estimate the prevalence, incidence and correlates of significant postpartum depressive symptoms in Kenyan women. METHODS: We recruited adult women residing in an urban, resource-poor setting and attending maternal and child health clinics in two public hospitals in Nairobi, Kenya. A translated Kiswahili Edinburgh Postpartum Depression Scale was used to screen for depressive symptoms at baseline assessment in the 3rd trimester and follow up assessment at 6–10 weeks postpartum. Information was collected on potential demographic, psychosocial and clinical risk variables. Potential risk factors for postpartum depression were evaluated using multivariate logistic regression analysis. RESULTS: Out of the 171 women who were followed up at 6–10 weeks postpartum, 18.7% (95% CI: 13.3–25.5) were found to have postpartum depression using an EPDS cut off of 10. In multivariate analyses, the odds of having postpartum depression was increased more than seven-fold in the presence of conflict with partner (OR = 7.52, 95% CI: 2.65–23.13). The association between antepartum and postpartum depression was quite strong but did not reach statistical significance (OR = 3.37, 95% CI: 0.98–11.64). CONCLUSIONS: The high prevalence of significant postnatal depressive symptoms among Kenyan women underscores the need for addressing this public health burden. Depression screening and psychosocial support interventions that address partner conflict resolution should be offered as part of maternal health care. BioMed Central 2018-10-01 /pmc/articles/PMC6167779/ /pubmed/30285745 http://dx.doi.org/10.1186/s12888-018-1904-7 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Ongeri, Linnet
Wanga, Valentine
Otieno, Phelgona
Mbui, Jane
Juma, Elizabeth
Stoep, Ann Vander
Mathai, Muthoni
Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title_full Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title_fullStr Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title_full_unstemmed Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title_short Demographic, psychosocial and clinical factors associated with postpartum depression in Kenyan women
title_sort demographic, psychosocial and clinical factors associated with postpartum depression in kenyan women
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6167779/
https://www.ncbi.nlm.nih.gov/pubmed/30285745
http://dx.doi.org/10.1186/s12888-018-1904-7
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