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TITLE:

DETERMINANTS OF POST-NATAL DEPRESSION IN WOMEN AT 3 MONTHS POSTPARTUM, A CROSS SECTIONAL STUDY IN MIRPURKHAS SINDH

AUTHORS:

Danial Aziz, Dr. Nasruddin Ansari, Dr. Mahnoor Chaudhry

ABSTRACT:

Aim: The main purpose of our research was to discover aspects related through postnatal depression (PND) at 3 months postpartum in the population of Mirpurkhas in Pakistan & to determine the frequency of postnatal depression among recently delivered women. Methodology: Our current research was the cross-sectional research led in July- August 2016 at 3 month postpartum women from different hospital of Mirpurkhas. 125 women are recruited. The study includes women who have given birth to a baby within three months. Data is collected through close ended questionnaire The EPDS is the screening tool for PND. SPSS 22 was used to analyze statistical data, and p <0.05 proved to statistically significant. Result: Out of 125 women only 21 females screened positive for PND through EPDS (prevalence is 16.8%). PND is more among the age of 24-29 (47%) & Odds of PND decrease with increase in age & number of pregnancies. Family planning, husband & family support reduce the risk of PND twofold. Breast feeding and prenatal & postnatal regular intake of vitamins and nutrition reduce 70% odds of PND. History of violence and complication after delivery increase risk of PND threefold. While gender of child, place of delivery, type of delivery has no relation with PND. Conclusion: The prevalence of PND among Pakistani women is higher than many other regions in world. 1 out of 6 women report symptoms of PND. The subset of women with significant risk factor for PND should be consider for extra psychological support during postpartum period. There is need to support the women by family & early identification and treatment of women with depressive symptomatology to ensure health of neonate. Further research is needed to replicate these findings in a more diverse sample.

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