Ante partum depression and husband’s mental problem increased risk maternity blues.

Maternity blues disorder (MB) is common, and it is usually undiagnosed. This study to identify several risk factors related to MB. Subjects were pregnant women who had antenatal and delivery at the Persahabatan Hospital (RSP) Jakarta from 1 November 1999 to 15 August 2001. Consecutive sampling and was followed-up until two-week postpartum. Those who ever had psychiatric disorders (schizophrenia or other psychotic disorders) were excluded. MB and ante partum depression (APD) detected by using Edinburgh Postnatal Depression Scale (EPDS). Husband’s mental status based on Symptom Check List-90 (SCL-90) respectively. Among 580 subjects, 25% suffering from MB. Compared with those who did not have APD, those who experienced it had more than three-fold increased risk to be MB [adjusted hazard ratio (aHR) = 3.57; 95% confidence interval (CI) = 2.54;5.03]. Those who had not healthy baby on the first 5 days afterbirth than who had healthy baby had twice increased risk to be MB (aHR = 2.21; 95% CI = 1.34 ; 3.66). Who had husband with problem in mental health had 1.9 increased risk to be MB (aHR = 1.91; 95% CI = 1.36 ; 2.68). Stress during pregnancy had 1.6 increased risk to be MB (aHR = 1.59; 95% CI = 1.14 ; 2.25). To control MB, special attention should be paid to women who had APD history, who had unhealthy baby on 5 first days afterbirth, who had husbands’ mental health problems, and who had stress during pregnancy.

Stress before and during pregnancy increased risk antepartum depression.

This paper presents the risk of antepartum depression (APD) among pregnant women. In particular stress before pregnancy, stress during pregnancy, marital relationship, social support, husband’s mental status and monthly expenditure. The subjects consisted of 580 pregnant women in the third trimester, who attended antenatal care at the Department of Obstetrics of the Persahabatan Hospital Jakarta from November 1, 1999 to August 15, 2001. Antepartum depression was screened by a psychiatrist using the Edinburgh Postnatal Depression Scale (EPDS). Information on demographic and personal characteristics were collected from fill-in form. Through this form, the respondent gave information on stress before and during pregnancy, and from questionnaires Kuestioner Dukungan Sosial (KDS), Kesesuaian Hubungan Suami Istri (KHSI) and the Symptom Check List-90 (SCL-90) information about social support, marital relationship, and husband’s mental status were collected respectively. The prevalence of APD was 18%. Antepartum depression and non-antepartum depression were similar in terms of age groups, level of education, occupations, monthly expenditures, number of pregnancies, number of children, number of deliveries, physical health condition, and history of premenstrual syndromes. Pregnant women with stress before pregnancy had a two-fold risk of APD [adjusted odds ratio (OR) = 2.04; 95% confidence intervals (CI): 1.12 – 3.74] compared to pregnant women without stress before pregnancy. In addition, when compared to pregnant women without stress during pregnancy, those with stress during pregnancy had 2.2-fold risk of developing APD (adjusted OR=2.13, 95% CI: 1,27-3,74). In conclusion, stress before and during pregnancy increased the risk antepartum depression. Therefore, attention should be paid to pregnant women with these risk factors.