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1.
Esc. Anna Nery Rev. Enferm ; 26: e20210265, 2022. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1356211

ABSTRACT

Resumo Objetivo verificar a prevalência de sintomas de depressão pós-parto em puérperas atendidas em uma maternidade pública e sua associação com características socioeconômicas e de apoio social. Método estudo epidemiológico, analítico, do tipo transversal, em uma maternidade pública conduzido de agosto a outubro de 2017. A amostra de 330 puérperas foi entrevistada por meio da aplicação de um formulário, para mensuração da presença de sintomas de depressão pós-parto. Foi utilizada a escala de depressão pós-natal de Edimburgo. Já para mensuração do apoio social, foi utilizado o instrumento Medical Outcomes Study. A medida de associação adotada foi a razão de prevalência (RP) com intervalos de confiança de 95% (IC95%), e aplicada a regressão de Poisson ajustada. Resultados a prevalência de sintomas de DPP foi de 29,7%. A idade entre 14 e 24 anos (PR:1,60; 95%CI: 1,10-2,34), ter até 8 anos de escolaridade (RP:1,39; IC95%:1,01-2,14) e o baixo nível de suporte social afetivo (RP:1,52; IC95%:1,07-2,14) e emocional (RP:2,12; IC95%:1,41-3,19) estiveram associados à maior prevalência de sintomas de DPP. Conclusão e implicações para a prática nesse contexto, os profissionais de saúde podem possuir um papel essencial no qual podem desenvolver, em conjunto, um plano de cuidados de acordo com as necessidades da mulher em período gravídico-puerperal.


Resumen Objetivo verificar la prevalencia de síntomas de depresión posparto en mujeres posparto atendidas en una maternidad pública y su asociación con características socioeconómicas y de apoyo social. Método estudio analítico transversal en una maternidad pública realizada entre agosto y octubre de 2017. La muestra de 330 puérperas fue entrevistada mediante la aplicación de un formulario, para medir la presencia de síntomas de depresión postparto. Se utilizó la Escala de Depresión Postnatal de Edimburgo. Para medir el apoyo social se utilizó el instrumento Medical Outcomes Study. La medida de asociación adoptada fue la razón de prevalencia (RP) con intervalos de confianza del 95% (IC del 95%) y se aplicó la regresión de Poisson ajustada. Resultados la prevalencia de síntomas de DPP fue de 29,7%. Edad entre 14 y 24 años (PR:1,60; 95%CI: 1,10-2,34), tener hasta 8 años de escolaridad (RP: 1,39; IC 95%: 1,01 - 2,14) y el bajo nivel de apoyo social afectivo (RP: 1,52; IC del 95%: 1,07 - 2,14) y emocional (RP: 2,12; IC del 95%: 1,41-3,19) se asociaron con una mayor prevalencia de síntomas de PPD. Conclusión e implicaciones para la práctica en este contexto, los profesionales de la salud pueden jugar un papel fundamental en el que puedan desarrollar conjuntamente un plan de cuidados acorde a las necesidades de la mujer en el período gestacional-puerperal.


Abstract Objective to verify the prevalence of postpartum depression symptoms in postpartum women assisted at a public maternity hospital and its association with socioeconomic and social support characteristics. Method this is an epidemiological, analytical, cross-sectional study in a public maternity hospital conducted from August to October 2017. A sample of 330 postpartum women was interviewed using a form to measure the presence postpartum depression symptoms. The Edinburgh Postnatal Depression Scale was used. To measure social support, the Medical Outcomes Study instrument was used. The measure of association adopted was the prevalence ratio (PR) with 95% confidence intervals (95%CI), and adjusted Poisson regression was applied. Results the prevalence of PPD symptoms was 29.7%. Age between 14 and 24 years (PR:1.60; 95%CI: 1.10-2.34), have up to 8 years of education (PR:1.39; 95%CI: 1.01-2.14) and the low level of affective (PR:1.52; 95%CI: 1.07-2.14) and emotional (PR:2.12; 95%CI: 1.41-3.19) social support were associated with higher prevalence of PPD symptoms. Conclusion and implications for practice in this context, health professionals can play an essential role in which they can jointly develop a care plan according to the needs of women in the pregnancy-puerperal period.


Subject(s)
Humans , Female , Adult , Young Adult , Social Support , Women's Health/statistics & numerical data , Depression, Postpartum/epidemiology , Postpartum Period/psychology , Socioeconomic Factors , Brazil/epidemiology , Prevalence , Cross-Sectional Studies , Risk Factors
2.
Rev. Bras. Saúde Mater. Infant. (Online) ; 21(4): 995-1004, Oct.-Dec. 2021. tab, graf
Article in English | LILACS | ID: biblio-1360726

ABSTRACT

Abstract Objectives: to check the prevalence of anxiety and depression disorder and associated factors during the postpartum period in puerperal women in the city of Ponta Grossa, Paraná. Methods: cross-sectional study conducted in an outpatient clinic for newborn care in the city of Ponta Grossa, Paraná, Brazil, in 2016 and 2017. 250 puerperal women were evaluated with the application of a form to collect anxiety/depression, socioeconomic and gestational data. Descriptive and multiple correspondence analyses were performed. Results: most puerperal women (81.2%) had no depression or a mild depression, 14.4% with mild to moderate depression and 4.4% with moderate to severe depression. In relation to anxiety, 68.4% presented a minimum degree, 21.6% mild anxiety, 7.6% moderate anxiety and 2.4% severe anxiety. Concerning the associated factors with postpartum depression, no sociodemographic variables or those related to childbirth were associated. As for anxiety, yellow/indigenous skin color, lack of paternal support and having interrupted pregnancy were associated with more advanced anxiety conditions. Conclusion: there was no association between demographic and health conditions with postpartum depression; however, regarding anxiety, the yellow/indigenous skin color, the lack of paternal support and the interruption of previous pregnancies were associated with more advanced anxiety conditions.


Resumo Objetivos: verificar a prevalência do transtorno de ansiedade e de depressão e fatores associados no pós-parto de puérperas no município de Ponta Grossa, Paraná. Métodos: estudo transversal, realizado no ambulatório de atendimento de recémnascidos do município de Ponta Grossa, Paraná, nos anos de 2016 e 2017. Foram avaliadas 250 puérperas com aplicação de formulário para levantamento de ansiedade e depressão, dados socioeconômicos, gestacionais. Realizou-se análise descritiva e de correspondência múltipla. Resultados: a maioria das puérperas (81,2%) foi considerada sem depressão ou depressão leve, 14,4% com depressão leve a moderada e 4,4% com depressão moderada a grave. Em relação a ansiedade 68,4% apresentaram grau mínimo, 21,6% ansiedade leve, 7,6% ansiedade moderada e 2,4% ansiedade severa. No que tange aos fatores associados a depressão pós parto, nenhuma variável sociodemográfica e relacionada ao parto apresentouse associada. Já no que se refere à ansiedade, a cor amarela/indígena, a falta de suporte paterna e ter interrompido a gestação apresentaram associação às condições mais avançadas de ansiedade. Conclusão: não houve associação entre condições demográficas e de saúde com a depressão pós-parto, mas, em relação à ansiedade, a cor amarela/indígena, a falta de suporte paterna e a interrupção de gestações anteriores apresentaram associação as condições mais avançadas de ansiedade.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Anxiety/epidemiology , Socioeconomic Factors , Demography , Depression, Postpartum/epidemiology , Postpartum Period/psychology , Brazil/epidemiology , Cross-Sectional Studies , Surveys and Questionnaires
3.
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; 43(1): 12-21, Jan.-Feb. 2021. tab, graf
Article in English | LILACS | ID: biblio-1153284

ABSTRACT

Objective: Given the lifelong implications of extended postpartum depression (PPD), research is needed to examine the social factors implicated in its development (such as relationship quality) and associated predictors. This study sought to examine the association of partner relationship quality (PRQ) and decline of sexual life (DSL) with maternal PPD at 12-15 months after childbirth. Methods: Prospective study of 294 low-income postpartum women. A structured questionnaire and the Patient Health Questionnaire-9 (PHQ-9) captured responses for the main outcome variable and covariates. Results: The prevalence of the main outcome (PPD at 12-15 months) was 19.1%. Using logistic regression models, low PRQ (risk ratio [RR] = 1.58, 95%CI 1.01-2.49) and DSL (RR = 1.97, 95%CI 1.23-3.15) were associated with PPD at 12-15 months even after controlling for perinatal depression. Conclusions: Late PPD (12 to 15 months after giving birth) is very common among low-income women, and is independently associated with different aspects of the couple's relationship. Improving PRQ may prevent late PPD. Future investigations are warranted.


Subject(s)
Humans , Female , Pregnancy , Depression, Postpartum/diagnosis , Depression, Postpartum/epidemiology , Prevalence , Prospective Studies , Risk Factors , Depression , Postpartum Period
4.
Femina ; 49(2): 121-128, 20210228. graf, tab
Article in Portuguese | LILACS | ID: biblio-1224070

ABSTRACT

Objetivo: Traçar um perfil epidemiológico do medo do parto em gestantes em Santos, correlacionando as variáveis idade, escolaridade, estado civil, paridade, perdas gestacionais prévias e intercorrências gestacionais. Métodos: Estudo transversal, realizado em programa pré-natal de risco habitual em cinco Unidades Básicas de Saúde de Santos, com coleta de dados entre novembro de 2019 e fevereiro de 2020. Critérios de inclusão: idade gestacional maior ou igual a 28 semanas, maiores de 18 anos, preferência por parto vaginal, alfabetizadas em português. A amostra foi de 67 participantes, que responderam ao Questionário sobre o Medo Percebido do Parto (QMPP), versão portuguesa do Wijma Delivery Expectancy/Experience Questionnaire versão A, e a uma ficha com dados sociodemográficos. Resultados: A pontuação média no QMPP foi 79,3. Observou-se uma prevalência de 31,4% de gestantes com escore maior ou igual a 85, que compreende medo do parto intenso e tocofobia. A pontuação no QMPP apresentou correlação fraca positiva com idade. Conclusão: A prevalência de medo do parto no presente estudo se assemelhou àquela observada em metanálises internacionais. Este estudo pode embasar tanto futuras pesquisas sobre medo do parto no Brasil como projetos públicos para diagnóstico e tratamento dessa condição nas gestantes brasileiras.(AU)


Objective: To obtain an epidemiologic profile of the pregnancies affected by fear of childbirth in Santos, correlating variables such as: age, schooling, marriage status, parity, previous gestational losses, and pregnancy complications. Methods: Transversal study located in five polyclinics in Santos, in habitual risk prenatal program. The data was collected between November 2019 and February 2020. Inclusion criteria: gestational age equal or greater than 28 weeks, women older than 18 years, wish for vaginal birth, alphabetized in Portuguese. The final sample was 67 participants, which completed the Questionário sobre o Medo Percebido do Parto, Portuguese version of Wijma Delivery Expectancy/Experience Questionnaire version A, and a sheet with sociodemographic data. Results: The average score on QMPP was 79,3. It was found a prevalence of 31,4% of pregnant women with scores equal or greater than 85, which comprehends intense fear of childbirth and tocophobia. The QMPP score presented a weak positive correlation with age. Conclusion: The prevalence of fear of childbirth obtained in this study resembles the results of international metanalysis. This study can base future research about fear of childbirth in Brazil, as well as public projects to diagnose and treat this condition in Brazilian women.(AU)


Subject(s)
Humans , Female , Pregnancy , Anxiety/epidemiology , Phobic Disorders/epidemiology , Parturition/psychology , Brazil/epidemiology , Cross-Sectional Studies , Depression, Postpartum/epidemiology , Humanizing Delivery , Patient Health Questionnaire
5.
Article in English | WPRIM | ID: wpr-880588

ABSTRACT

OBJECTIVES@#To explore the application of random forest algorithm in screening the risk factors and predictive values for postpartum depression.@*METHODS@#We recruited the participants from a tertiary hospital between June 2017 and June 2018 in Changsha City, and followed up from pregnancy up to 4-6 weeks postpartum.Demographic economics, psychosocial, biological, obstetric, and other factors were assessed at first trimesters with self-designed obstetric information questionnaire and the Chinese version of Edinburgh Postnatal Depression Scale (EPDS). During 4-6 weeks after delivery, the Chinese version of EPDS was used to score depression and self-designed questionnaire to collect data of delivery and postpartum. The data of subjects were randomly divided into the training data set and the verification data set according to the ratio of 3꞉1. The training data set was used to establish the random forest model of postpartum depression, and the verification data set was used to verify the predictive effects via the accuracy, sensitivity, specificity, positive predictive value, negative predictive value, and AUC index.@*RESULTS@#A total of 406 participants were in final analysis. Among them, 150 of whom had EPDS score ≥9, and the incidence of postpartum depression was 36.9%. The predictive effects of random forest model in the verification data set were at accuracy of 80.10%, sensitivity of 61.40%, specificity of 89.10%, positive predictive value of 73.00%, negative predictive value of 82.80%, and AUC index of 0.833. The top 10 predictive influential factors that screening by the variable importance measure in random forest model was antenatal depression, economic worries after delivery, work worries after delivery, free triiodothyronine in first trimesters, high-density lipoprotein in third trimester, venting temper to infants, total serum cholesterol and serum triglyceride in first trimester, hematocrit and serum triglyceride in third trimester.@*CONCLUSIONS@#Random forest has a great advantage in risk prediction for postpartum depression. Through comprehensive evaluation mechanism, it can identify the important influential factors for postpartum depression from complex multi-factors and conduct quantitative analysis, which is of great significance to identify the key factors for postpartum depression and carry out timely and effective intervention.


Subject(s)
Depression, Postpartum/epidemiology , Female , Humans , Postpartum Period , Pregnancy , Pregnancy Trimester, Third , Psychiatric Status Rating Scales , Risk Factors , Sensitivity and Specificity
6.
Rev. chil. pediatr ; 90(3): 260-266, jun. 2019. tab, graf
Article in Spanish | LILACS | ID: biblio-1013832

ABSTRACT

INTRODUCCIÓN: La infancia temprana es un período fundamental en el desarrollo de los niños y depende en gran parte de las interacciones que establecen con sus cuidadores principales. OBJETIVOS: Evaluar la asociación entre riesgo de retraso del desarrollo psicomotor (RDSM) con calidad de interacción madre-hijo/a, síntomas depresivos postparto y otros factores relacionados al cuidado y contexto, en lactantes sanos en riesgo psicosocial. PACIENTES Y MÉTODO: Estudio transversal analítico en 181 madres en riesgo psi- cosocial y sus hijo/as menores de un año, atendidas en Atención Primaria de Salud. Se determinó la presencia de riesgo de RDSM utilizando Ages & Stages Questionnaire y se estudió su asociación con calidad de interacción (CARE Index), síntomas depresivos postparto (Escala de Depresión Postparto Edimburgo) y otros factores relacionados al contexto y cuidado (cuestionario aplicado a la madre) mediante análisis bivariados y multivariados, ajustando por variables confundentes. RESULTADOS: 20% de los lactantes presentó riesgo de RDSM. Se observó un mayor riesgo de presentar riesgo de RDSM, después de ajustar por variables de control predefinidas, con: baja calidad de la interacción madre- hijo/a (OR = 2,46, p = 0,03), lactancia materna exclusiva (LME) < 6 meses (OR = 2,58, p = 0,01) y pareja no ayuda con el cuidado del niño (OR = 2,97, p = 0,03). No se observó una asociación significativa con síntomas depresivos postparto. CONCLUSIONES: En lactantes sanos en riesgo psicosocial se asocian a mayor riesgo de RDSM una baja calidad interacción madre-hijo/a, LME < 6 meses y no involucramiento del padre en el cuidado del hijo/a.


INTRODUCTION: Early childhood is a fundamental period in children's development and depends largely on their in teractions with their main caregivers. OBJECTIVES: To evaluate the association between risk of psycho motor developmental delay (PDD) with mother-child interaction quality, postpartum depressive symptoms, and other factors related to care and environment in healthy infants at psychosocial risk. PATIENS AND METHOD: Analytical cross-sectional study in 181 mothers at psychosocial risk and their children aged under one year seen in Primary Health Care. The presence of risk of PDD was deter mined using the Ages & Stages Questionnaire and its association with interaction quality (CARE In dex), postpartum depressive symptoms (Edinburgh Postpartum Depression Scale), and other factors related to environment and care (questionnaire applied to the mother) was studied through bivariate and multivariate analyses, adjusting for confusing variables. RESULTS: 20% of infants were at risk of PDD. There was an increased risk of presenting risk of PDD after adjusting for predefined control variables with: low-quality mother-child interaction (OR = 2.46, p = 0.03), exclusive breastfeeding (EBF) <6 months (OR = 2.58, p = 0.01), and partner does not help with childcare (OR = 2.97, p = 0.03). No significant association was observed with postpartum depressive symptoms. CONCLUSIONS: In healthy infants at psychosocial risk, low-quality mother-child interaction, EBF <6 months, and the non-involvement of the father in the childcare are associated with a higher risk of PDD.


Subject(s)
Humans , Male , Female , Infant , Adolescent , Adult , Middle Aged , Young Adult , Developmental Disabilities/epidemiology , Depression, Postpartum/epidemiology , Mother-Child Relations/psychology , Mothers/psychology , Psychiatric Status Rating Scales , Breast Feeding/statistics & numerical data , Child Development , Cross-Sectional Studies , Surveys and Questionnaires
7.
Rev. bras. ginecol. obstet ; 41(3): 155-163, Mar. 2019. tab, graf
Article in English | LILACS | ID: biblio-1003546

ABSTRACT

Abstract Objective To evaluate the clinical epidemiological state of women with suspected post partum depression (PPD) in a public maternity hospital in Salvador, state of Bahia, Brazil. Methods A cross-sectional research was performed with puerperal patients attended at a public maternity hospital in Salvador, Bahia. Data collection was performed from June to September 2017. The Edinburgh Postnatal Depression Scale was used as a screening instrument, and, subsequently, women with positive scores answered a questionnaire to identify their clinical and epidemiological status. Results Out of 151 postpartum women from the research, 30 (19.8%) presented suspicion of PPD. There was a prevalence of single mothers 13 (43.3%), women with complete fundamental education 15 (50.0%), women with black skin color 14 (46.7%), and those with a monthly family income of up to one minimum wage 18 (40.0%). Conclusion Although PPD is an underdiagnosed disease, a high prevalence of the condition was found in our research. It is, then, considered that these results reinforce its significance as a public health problem, requiring prevention strategies, early diagnosis and effective treatment.


Resumo Objetivo Avaliar o perfil clínico epidemiológico de mulheres com suspeita de Depressão Pós-Parto em uma maternidade pública de referência de Salvador, no estado da BA. Métodos Estudo transversal, realizado com puérperas atendidas em uma maternidade pública de referência de Salvador, BA. A coleta de dados foi realizada de junho até setembro de 2017. Utilizou-sea escala de Edimburgo como instrumento, e, posteriormente, as mulheres com escore positivo responderam a um questionário para a identificação do seu perfil clínico e epidemiológico. Resultados Das 151 puérperas pesquisadas, 30 (19,8%) apresentaram suspeita de depressão pós-parto. Predominaram as puérperas solteiras 13 (43,3%), com ensino médio completo 15 (50,0%), cor da pele preta 14 (46,7%), e aquelas com renda familiar mensal de até um salário mínimo 18 (40,0%). Conclusão Ainda que a depressão pós-parto seja uma enfermidade subdiagnosticada, neste estudo verificou-se uma elevada prevalência da condição. Considera-se, então que estes resultados reforçam o seu significado como problema de saúde pública, exigindo estratégias de prevenção, diagnóstico precoce e tratamento efetivo.


Subject(s)
Humans , Female , Adolescent , Adult , Young Adult , Depression, Postpartum/epidemiology , Psychiatric Status Rating Scales , Socioeconomic Factors , Brazil/epidemiology , Residence Characteristics/statistics & numerical data , Cross-Sectional Studies , Surveys and Questionnaires , Age Distribution , Hospitalization/statistics & numerical data , Hospitals, Maternity
8.
Salud pública Méx ; 61(1): 27-34, ene.-feb. 2019. tab
Article in English | LILACS | ID: biblio-1043355

ABSTRACT

Abstract: Objective: To evaluate the sensitivity and specificity of the Two Whooley questions and the Arroll question, using the SCID, The Structured Clinical Interview (SCID-I) as the gold standard for detecting perinatal depression. Materials and methods: We interviewed 210 women during pregnancy and 6 months postpartum. Results: The criterion with the greatest sensitivity was responding positively to either Whooley question (pregnancy= 94.7 %; postpartum=100.0%), while the most specific criterion was responding positively to the two Whooley questions plus the Arroll question (Pregnancy=90.0% Postpartum = 85.7%). Conclusion: The Whooley and Arroll questions have adequate psychometric properties to detect possible cases of depression during the perinatal period. They can be applied during prenatal check-ups and postpartum consultations. Timely detection of women at risk of perinatal depression can contribute to their treatment for reducing their adverse consequences in mothers and infants.


Resumen: Objetivo: Evaluar la sensibilidad y la especificidad de la Escala de las dos preguntas de Whooley y la pregunta de Arroll para detectar riesgo de depresión perinatal, usando la SCID como estándar de oro. Material y métodos: Se entrevistó a 210 mujeres durante el embarazo y 6 meses después del parto. Resultados: El criterio con mayor sensibilidad fue responder positivamente a cualquiera de las Preguntas de Whooley (embarazo = 94.7%; posparto = 100.0%) y, el más específico, responder positivamente a las preguntas de Whooley más la de Arroll (embarazo = 90.0% , Posparto = 85.7%). Conclusiones: Las preguntas de Whooley y Arroll tienen propiedades psicométricas adecuadas para detectar posibles casos de depresión durante el periodo perinatal. Pueden aplicarse durante las citas de control prenatal y consultas en el postparto. Detectar de manera oportuna a mujeres en riesgo de depresión perinatal puede ayudar a su atención para reducir sus consecuencias adversas en madres e infantes.


Subject(s)
Humans , Female , Pregnancy , Adult , Young Adult , Pregnancy Complications/diagnosis , Psychiatric Status Rating Scales , Depression, Postpartum/diagnosis , Depression/diagnosis , Depressive Disorder/diagnosis , Interview, Psychological , Psychometrics , Socioeconomic Factors , Follow-Up Studies , Depression, Postpartum/epidemiology , Depression/epidemiology , Mexico/epidemiology
9.
Medwave ; 19(5): e7649, 2019.
Article in English, Spanish | LILACS | ID: biblio-1005850

ABSTRACT

INTRODUCCIÓN La depresión postparto ha sufrido un crecimiento significativo, pero en la sierra central peruana no existen estudios acerca de este tema. OBJETIVOS Identificar y establecer los factores de riesgo para desarrollar depresión postparto en las madres que tienen a sus hijos hospitalizados en unidades de pediatría y neonatología en la ciudad de Huancayo. MÉTODOS Estudio de casos y controles. Se incluyeron las fichas de recolección de datos de las madres que tuvieron hospitalizados a sus hijos en unidades de pediatría y neonatología durante 2017. Los casos fueron las que tuvieron "presencia de síntomas de depresión postparto". Se cruzó esta variable con otras mediante la regresión logística. Se obtuvieron los Odds ratio, sus intervalos de confianza al 95% y los valores p. RESULTADOS Se evaluaron 61 fichas de madres que padecieron depresión postparto (casos) y 61 fichas de madres sin este tipo de patología (controles). Al realizar el análisis multivariado, se encontró que aquellas madres con una condición laboral de tipo desempleada (p < 0,001), así como aquellas que fueron solteras (valor p < 0,001) y las que tuvieron un embarazo no planificado (p = 0,003); tuvieron una mayor posibilidad de depresión postparto). Por el contrario, aquellas que manifestaron tener problemas graves con su pareja tuvieron una menor oportunidad de depresión postparto (p = 0,003); ajustado por nueve variables. CONCLUSIONES Se encontraron diversos factores relacionados con la depresión postparto: el estado civil, la relación con la pareja, la condición laboral y la no planificación del embarazo.


INTRODUCTION Postpartum depression has increased significantly worldwide, but in the central Peruvian mountain, there are no studies that address this problem. OBJECTIVES To identify and to establish risk factors for postpartum depression in mothers whose children are hospitalized in pediatrics/neonatology units in Huancayo. METHODS This is a case-control study. Medical records of mothers whose children were hospitalized in pediatrics/neonatology units during 2017 were included. The cases were defined as patients who "had symptoms of postpartum depression." This variable was crossed with other variables using logistical regression, odds ratio were obtained, their confidence intervals were set to 95%, and the p values were calculated. RESULTS Sixty-one medical records of mothers with postpartum depression (cases) and 61 medical records of mothers without postpartum depression (control) were evaluated. In the multivariate analysis, the unemployed mothers had a bigger chance of postpartum depression (p < 0.001), as well as single mothers (p < 0.001), and those with an unplanned pregnancy (p = 0.003). Conversely, mothers who reported having serious problems with their partner had a smaller chance of postpartum depression (p = 0.003). CONCLUSIONS Different factors were found to be related to postpartum depression: marital situation, relationship with their partners, work conditions, and having an unplanned pregnancy.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Adult , Young Adult , Child, Hospitalized/psychology , Depression, Postpartum/epidemiology , Mothers/psychology , Peru , Case-Control Studies , Risk Factors , Pregnancy, Unplanned/psychology , Employment/statistics & numerical data , Interpersonal Relations
10.
Rev. chil. obstet. ginecol. (En línea) ; 83(2): 161-169, abr. 2018. graf
Article in Spanish | LILACS | ID: biblio-959500

ABSTRACT

RESUMEN En el postparto surgen una serie de cambios físicos y psicosociales los que convierten esta etapa en un momento de mayor vulnerabilidad a problemas de salud para las mujeres. Uno de estos cambios es en la calidad y cantidad de sueño nocturno, el que trae consigo la fatiga postparto. En todos los estudios, las características propias de la fatiga en el postparto son asociadas a la enfermedad mental, dejando invisibilizada su relación con el bienestar de la mujer durante este periodo. El objetivo de este estudio es realizar una actualización en fatiga relacionada a la salud mental de la mujer durante el periodo postparto. Método: Se revisaron 34 estudios en inglés, publicados en los últimos cinco años, en PubMed y Web of Sciencie. Resultados: Los estudios demuestran que entre 60% a 65% de las mujeres durante el postparto tiene un sueño de corta duración, durmiendo menos de 6 horas, refiriendo la fatiga como uno de los síntomas más serios después del parto. Diversos estudios han confirmado la relación entre fatiga y depresión postparto, incluso algunos destacan la relación bidireccional entre ambas, donde la fatiga predice síntomas depresivos y viceversa. La fatiga, además, se ha relacionado a alteraciones en el funcionamiento diurno de la mujer, peso materno y construcción del vínculo madre-hijo. Conclusión: La presente revisión reafirma la necesidad de profundizar en los efectos de la fatiga postparto en el bienestar materno y de esta forma, realizar intervenciones que potencien la salud mental positiva durante el periodo postparto.


ABSTRACT A series of physical and psychosocial changes arise in the postpartum. This make a moment of great vulnerability for different problems for women. One of these changes is in the quality and quantity of nocturnal sleep, which brings a postpartum fatigue. In all studies, the characteristics of fatigue in the postpartum period are associated with mental illness, and not with women wellbeing during this period. The objective of this study is to have an update on fatigue related to the mental health of women during the postpartum period. Method: We reviewed 34 studies in English, published in the last five years, in PubMed and Web of Science. Results: Studies show that between 60% to 65% of women during postpartum have a short sleep time, they slept less than 6 hours. This show us fatigue as one of the most serious symptoms after childbirth. Several studies have confirmed the relationship between fatigue and postpartum depression, where even some highlight the bidirectional relationship between them, where fatigue predicts depressive symptoms and vice versa. Moreover, fatigue has been related to alterations in the diurnal functioning of the woman, maternal weight and construction of the mother-child bond. Conclusion: This review reaffirms the need to deepen the effects of postpartum fatigue on maternal wellbeing and, in this way, to carry out interventions that promote positive mental health during the postpartum period.


Subject(s)
Humans , Female , Pregnancy , Sleep , Postpartum Period/psychology , Fatigue/epidemiology , Parents/psychology , Mental Health , Depression, Postpartum/epidemiology , Depression/epidemiology
11.
Summa psicol. UST ; 15(1): 35-42, 2018. tab
Article in English | LILACS | ID: biblio-1094908

ABSTRACT

La resilencia ha estado relacionada a la salud mental durante el período perinatal. Sin embargo, hasta donde sabemos, no hay intrumentos para medir la resilencia que hayan sido validados en esta población. El propósito de este estudio fué examinar las propiedades psicométricas del Inventario de Resilencia en mujeres embarazadas mexicanas. Se evaluó una muestra de 280 mujeres usando el Inventario de Resilencia, el Cuestionario de Salud del Paciente y un cuestionario de situaciones de estrés. El coeficiente de confiabilidad del Inventario de Resilencia fué de 0.88 para la escala completa. El análisis factorial exploratorio resultó en una estructura de resilencia de tres factores (capacidad personal, religiosidad y actitud positiva) para mujeres embarazadas. La validez consistente fué respaldada por correlaciones negativas con síntomas prenatales depresivos y situaciones de estrés. El Inventario de Resilencia podría ser potencialmente una medida fiable válida. Es necesario continuar explorando el rol de la resilencia en el período perinatal e identificar los factores que la determinan.


Resilience has been related to mental health during the perinatal period. However, to our knowledge, there are no instruments for measuring resilience that have been validated in this population. The purpose of this study was to examine the psychometric properties of the Resilience Inventory in Mexican pregnant women. A sample of 280 women was evaluated using the Resilience Inventory, Patient Health Questionnaire and a stressful life events questionnaire. The reliability coefficient of the Resilience Inventory was 0.88 for the complete scale. Exploratory factor analysis resulted in a three-factor structure of resilience (personal competence, religiosity and positive attitude) for pregnant women. Concurrent validity was supported by negative correlations with prenatal depressive symptoms and stressful life events. The Resilience Inventory could potentially be a valid reliable measure. It is necessary to continue exploring the role of resilience in the perinatal period and identify the factors that shape it.


Subject(s)
Humans , Female , Pregnancy , Adult , Pregnancy/psychology , Depression, Postpartum , Depression, Postpartum/epidemiology , Adaptation, Psychological , Surveys and Questionnaires , Mexico
12.
Article in English | LILACS | ID: biblio-979024

ABSTRACT

ABSTRACT OBJECTIVE: To evaluate the impact of mode of delivery on breastfeeding incentive practices and on neonatal and maternal short and long-term complications. METHODS: A cohort study was conducted between June 2015 and April 2016 with 768 puerperal women from 11 maternities in Sergipe, interviewed in the first 24 hours, 45-60 days and 6-8 months after delivery. Associations between breastfeeding incentive practices, neonatal and maternal, both short-term and late complications, and the exposure variables were evaluated by the relative risk (95%CI) and the Fisher exact test. RESULTS: The C-section newborns had less skin-to-skin contact immediately after delivery (intrapartum C-section: 0.18, 95%CI 0.1-0.31 and elective C-section: 0.36, 95%CI 0.27-0.47) and less breastfeeding within one hour of birth (intrapartum C-section: 0.43, 95%CI 0.29-0.63 and elective C-section: 0.44, 95%CI 0.33-0.59). Newborns from elective C-section were less frequently breastfed in the delivery room 0.42 (95%CI 0.2-0.88) and roomed-in less 0.85 (95%CI 0.77-0.95). Women submitted to intrapartum C-section had greater risk of early complications 1.3 (95%CI 1.04-1.64, p = 0.037) and sexual dysfunction 1.68 (95%CI 1.14-2.48, p = 0.027). The frequency of neonatal complications, urinary incontinence and depression according to the mode of delivery was similar. CONCLUSIONS: The C-section was negatively associated with breastfeeding incentive practices; in addition, C-section after labor increased the risk of early maternal complications and sexual dysfunction.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Infant , Child , Adolescent , Adult , Young Adult , Pregnancy Complications/etiology , Breast Feeding/statistics & numerical data , Cesarean Section/adverse effects , Delivery, Obstetric/adverse effects , Delivery, Obstetric/methods , Pregnancy Complications/epidemiology , Sexual Dysfunction, Physiological/etiology , Sexual Dysfunction, Physiological/epidemiology , Urinary Incontinence/etiology , Urinary Incontinence/epidemiology , Brazil/epidemiology , Pregnancy Outcome/epidemiology , Cesarean Section/statistics & numerical data , Prospective Studies , Risk Factors , Risk Assessment , Depression, Postpartum/etiology , Depression, Postpartum/epidemiology , Delivery, Obstetric/statistics & numerical data , Postpartum Period , Labor Presentation
13.
Rev. AMRIGS ; 61(1): 30-34, jan.-mar. 2017. tab, graf
Article in Portuguese | LILACS | ID: biblio-849078

ABSTRACT

Introdução: Foi realizada uma pesquisa acerca do perfil epidemiológico de depressão pós-parto em um município de médio porte da Serra Catarinense, SC. Teve como principal objetivo traçar e analisar o perfil epidemiológico da população de puérperas atendidas pelas Unidades de Saúde pesquisadas. É uma patologia que pode comprometer os cuidados da mulher consigo mesma e com o recém-nascido, implicando em vários aspectos psicossociais entre mãe e bebê. A prevalência de depressão pós-parto parece variar tanto em números quanto em apresentação dos sintomas de acordo com as diferentes populações. Metodologia: A pesquisa deu-se por corte transversal dos dados obtidos através da aplicação da Escala de Depressão Pós-natal de Edimburgo, de um questionário estruturado e análise das informações encontradas nas pacientes puérperas atendidas pelas unidades pesquisadas. Foram incluídas na pesquisa pacientes que tiverem dado a luz em um período menor ou igual a 6 meses, de qualquer faixa etária e que sejam atendidas pelas Unidades de Saúde pesquisadas durante o período da coleta de dados. Resultados: Os resultados foram obtidos a partir de uma amostra de 40 entrevistas feitas em três unidades de saúde. A prevalência de possíveis diagnósticos de depressão pós-parto foi de 40%, e os principais fatores relacionados foram tabagismo, nível elevado de estresse e má relação com o pai da criança. Sugerem-se novas pesquisas com mais sujeitos e maior tempo de amostragem para que mais diferenças significativas possam ser examinadas (AU)


Introduction: A survey was carried out on the epidemiological profile of postpartum depression in a medium-sized city of the Santa Catarina mountain range. Its main aim was to find and analyze the epidemiological profile of the population of puerperal patients seen at the Health Units surveyed. Postpartum depression is a disorder that can compromise the mother's care with herself and the newborn, implying in several psychosocial aspects between mother and baby. The prevalence of postpartum depression seems to vary both in numbers and in the presentation of symptoms according to the different populations. Methods: A cross-sectional study of the obtained data was performed by administering the Edinburgh Postnatal Depression Scale and a structured questionnaire, and by analyzing the information from the puerperal patients visiting the units surveyed. Included in the study were patients who had given birth within a period of less than or equal to 6 months of any age group and who were seen at the Health Units surveyed during the data collection period. Results: The results were obtained from a sample of 40 interviews carried out in three health units. The prevalence of possible diagnoses of postpartum depression was 40% and the main related factors were smoking, high stress level, and poor relation with the child's father. Further research with more subjects and longer sampling time is suggested so that more significant differences can be examined (AU)


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Depression, Postpartum/epidemiology , Brazil/epidemiology , Cross-Sectional Studies , Depression, Postpartum/diagnosis
14.
Rev. cuba. obstet. ginecol ; 43(1): 0-0, ene.-mar. 2017. tab
Article in Spanish | LILACS, CUMED | ID: biblio-901283

ABSTRACT

Introducción: el período de posparto es una etapa de vulnerabilidad biopsicosocial en la mujer. Se reconoce una prevalencia de depresión posparto en Chile de un 27,2 por ciento a un 41,3 por ciento. Por otra parte, el apoyo social puede ser un factor protector para este periodo. Objetivo: relacionar las características del apoyo social percibido y la presencia de depresión materna en el periodo de posparto. Métodos: estudio transversal correlacional, de 76 mujeres en periodo de posparto (30 días a 1 año), sanas y sin antecedentes de depresión. Se les evaluó sintomatología depresiva, percepción del apoyo social y funcionamiento familiar. Se agregó un cuestionario de variables biosociales, obstétricas y relacionales, previo consentimiento informado y autorización del comité de ética del centro de salud. El análisis se realizó con el programa estadístico SPSS versión 19.0. Se aplicó un análisis descriptivo univariado, bivariado y multivariado con un nivel de significación estadística menor de 0,05. Resultados: la depresión fue detectada en 27,6 por ciento de las puérperas. La asociación entre la presencia de depresión posparto con la percepción del apoyo social, resultaron estadísticamente significativas al igual que la funcionalidad familiar y la percepción de la relación con la pareja y la madre. Las variables biosociales y obstétricas no resultaron significativas para la presencia de depresión. Conclusiones: los factores protectores de la depresión materna identificados fueron: el apoyo social percibido, el funcionamiento familiar y aspectos relacionales con la pareja y la madre(AU)


Introduction: The postpartum period is a time of bio-psychosocial vulnerability in women, recognizing the prevalence of postpartum depression in Chile from 27.2 percent to 41.3 percent. Moreover, social support may be a protective factor for this period. Objective: to relate the characteristics of perceived social support and the presence of maternal depression in the postpartum period. Methods: A correlational cross-sectional study was led on 76 healthy women in postpartum period (30 days to 1 year), and without a history of depression. Depressive symptomatology, social support perception, and family functioning were evaluated. A questionnaire of biosocial, obstetrical and relational variables was added, with prior informed consent and authorization from the ethics committee of the health center. The statistical analysis was performed with SPSS version 19.0, using descriptive univariate, bivariate and multivariate a statistical significance level less than 0.05. Results: Postpartum depression was detected in a 27, 6 percent. The association between depressions with social support perception was statistically significant, as family functioning and the relationship with their partners and mothers. Biosocial and obstetric variables were not significant for the presence of depression. Conclusions: Perceived social support, family functioning and relational aspects with their partners and mothers are protective factors for maternal depression, compared with other variables(AU)


Subject(s)
Humans , Female , Pregnancy , Social Support , Depression, Postpartum/prevention & control , Depression, Postpartum/epidemiology , Family Health , Cross-Sectional Studies
15.
Med. Afr. noire (En ligne) ; 64(05): 275-280, 2017.
Article in French | AIM | ID: biblio-1266251

ABSTRACT

Objectif : Etudier les aspects épidémiologiques, cliniques et thérapeutiques des psychoses puerpérales dans le service de psychiatrie du CHU-Yalgado Ouédraogo. Patientes et méthodes : Nous avons mené une étude rétrospective à visée descriptive qui a porté sur 10 ans d'activité hospitalière (de janvier 2005 à décembre 2014). Notre étude a concerné toutes les patientes admises et hospitalisées pour psychoses puerpérales durant la période d'étude. Résultats : La fréquence hospitalière de la psychose puerpérale est de 2,2%. L'âge moyen des patientes était de 26,5 ± 5,3 ans avec des extrêmes de 17 et 37 ans. La tranche d'âge de 25 à 34 ans a représenté 56,8%. Les patientes vivant maritalement ont représenté 70,3% des cas. Les ménagères ont constitué 67,6% des cas. Dans notre série, les patientes primipares ont constitué 56,8% des cas. Nous avons noté chez 23 patientes soit 62,2%, une situation conflictuelle dans la famille. L'agitation et/ou l'agressivité a été constamment évoquée comme motif de consultation suivie de la logorrhée. Le refus d'allaiter a motivé la consultation dans 45,9% des cas. Le délire et les hallucinations ont été retrouvés respectivement chez 54,1% et 37,8% des patientes. Les troubles psychotiques ont représenté 56,8% des cas. La prise en charge thérapeutique des patientes était basée sur le volet psychothérapeutique et le volet chimio-thérapeutique. Conclusion : Un diagnostic précoce des psychoses puerpérales dans les services de maternité améliorerait le pronostic de cette affection


Subject(s)
Affective Disorders, Psychotic , Burkina Faso , Depression, Postpartum/diagnosis , Depression, Postpartum/epidemiology , Depression, Postpartum/therapy , Pregnancy
16.
Article in English | LILACS | ID: biblio-903260

ABSTRACT

ABSTRACT OBJECTIVE To investigate the association between institutional violence in obstetrics and postpartum depression (PP depression) and the potential effect of race, age, and educational level in this outcome. METHODS This is a cross-sectional study about the health care conditions for the maternal and child population of the Federal District, Brazil, carried out in 2011. The study has used a probabilistic sample of 432 women, whose children were aged up to three months, stratified by clusters. Indicators of institutional violence and demographic characteristics have been used in a logistic regression model to estimate the probability of occurrence of postpartum depression. RESULTS The model has identified a high prevalence of postpartum depression, being it higher among non-white women and adolescent females, besides having a strong positive association between the several indicators of obstetric violence and postpartum depression. Positive interactions on a multiplicative scale have also been observed between: violence by negligence by health care professionals and race and age; physical violence from health care professionals and age; and, verbal violence from health care professionals and race. CONCLUSIONS The indicators adopted to reflect institutional violence in obstetric care are positively associated with postpartum depression, which calls for a reflection on the need to make the health care protocols adequate to the precepts of the Brazilian humanization of childbirth care policies and changes in the obstetric care model.


Subject(s)
Humans , Female , Infant, Newborn , Infant , Adolescent , Adult , Young Adult , Quality of Health Care/standards , Obstetrics and Gynecology Department, Hospital/standards , Depression, Postpartum/etiology , Depression, Postpartum/epidemiology , Maternal-Child Health Services/standards , Exposure to Violence/statistics & numerical data , Quality of Health Care/statistics & numerical data , Socioeconomic Factors , Brazil/epidemiology , Logistic Models , Prevalence , Cross-Sectional Studies , Surveys and Questionnaires , Risk Factors , Delivery, Obstetric/standards , Delivery, Obstetric/statistics & numerical data , Malpractice/statistics & numerical data , Middle Aged , National Health Programs
17.
Cad. Saúde Pública (Online) ; 33(9): e00094016, 2017. tab
Article in Portuguese | LILACS | ID: biblio-889762

ABSTRACT

Resumo: Buscou-se identificar a prevalência e os fatores associados à ocorrência de depressão entre puérperas residentes em um município de médio porte no extremo Sul do Brasil, durante todo o ano de 2013. Entrevistadoras treinadas aplicaram questionário padronizado em todas as participantes nas duas únicas maternidades do município. Investigaram-se características demográficas, socioeconômicas, comportamentais, de suporte social e morbidades. O rastreamento da depressão foi realizado em até 48 horas do puerpério imediato, mediante a utilização da Escala de Edimburgo, sendo o ponto de corte ≥ 10. Na análise multivariada, utilizou-se a regressão de Poisson com variância robusta. Das 2.687 mulheres entrevistadas, 14% (IC95%: 12,9-15,6) foram identificadas com depressão. Fatores como depressão anterior, tristeza no último trimestre da gravidez e historia de depressão na família estiveram associados à maior risco para depressão, assim como ter menor idade e ser multípara. O suporte social fornecido à gestante pela equipe de saúde foi um importante fator de proteção, reduzindo em até 23% a razão de prevalência de a puérpera desenvolver depressão. Esses resultados indicam a necessidade de incrementar ações por parte dos serviços de saúde em atenção à gestante, a fim de prover-lhe maior cuidado nesse momento tão delicado.


Abstract: The aim was to identify the prevalence of postpartum depression and associated factors in women in a medium-sized city in Southern Brazil during 2013. Trained female interviewers applied a standardized questionnaire to all participants in the city's two maternity hospitals. The study analyzed demographic, socioeconomic, behavioral, social support, and disease characteristics. Screening for depression was done within the first 48 hours postpartum, using the Edinburgh Scale with a cutoff of ≥ 10. Multivariate analysis used Poisson regression with robust variance. Of the 2,687 women interviewed, 14% (95%CI: 12.9-15.6) were identified with depression. Factors such as previous depression, third-trimester sadness, and family history of depression were associated with increased risk of postpartum depression, as were younger maternal age and multiparity. Social support from the health team for the pregnant woman was an important protective factor, reducing the prevalence of postpartum depression by 23%. The results suggest the need for actions by health services for pregnant women in order to provide enhanced care during this delicate phase.


Resumen: Se buscó identificar la prevalencia, y factores asociados a la ocurrencia de depresión entre puérperas, residentes en un municipio de medio porte en el extremo Sur de Brasil, durante todo el año de 2013. Entrevistadoras entrenadas aplicaron un cuestionario estandarizado a todas las participantes en las dos únicas maternidades del municipio. Se investigaron las características demográficas, socioeconómicas, comportamentales, de apoyo social y morbilidades. El rastreo de la depresión se realizó hasta 48 horas del puerperio inmediato, mediante la utilización de la Escala de Edimburgo, siendo el punto de corte ≥ 10. En el análisis multivariado, se utilizó la regresión de Poisson con variancia robusta. Da las 2.687 mujeres entrevistadas, un 14% (IC95%: 12,9-15,6) se identificaron con depresión. Factores como depresión anterior, tristeza en el último trimestre del embarazo e historia de depresión en la familia estuvieron asociados a un mayor riesgo para la depresión, así como ser menor edad y ser multípara. El apoyo social proporcionado a la gestante por el equipo de salud fue un importante factor de protección, reduciendo en hasta un 23% la razón de prevalencia de que la puérpera desarrolle depresión. Esos resultados indican la necesidad de incrementar acciones por parte de los servicios de salud en atención a la gestante, con el fin de proveerle un mayor cuidado en ese momento tan delicado.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Adult , Young Adult , Depression, Postpartum/epidemiology , Social Support , Socioeconomic Factors , Brazil/epidemiology , Prevalence , Surveys and Questionnaires , Risk Factors
18.
Salud pública Méx ; 58(4): 468-471, jul.-ago. 2016. tab
Article in English | LILACS | ID: lil-795417

ABSTRACT

Abstract: Objective: To provide evidence on perinatal mental healthcare in Mexico. Materials and methods: Descriptive and bivariate analyses of data from a cross-sectional probabilistic survey of 211 public obstetric units. Results: Over half (64.0%) of units offer mental healthcare; fewer offer perinatal depression (PND) detection (37.1%) and care (40.3%). More units had protocols/guidelines for PND detection and for care, respectively, in Mexico City-Mexico state (76.7%; 78.1%) than in Southern (26.5%; 36.4%), Northern (27.3%; 28.1%) and Central Mexico (50.0%; 52.7%). Conclusion: Protocols and provider training in PND, implementation of brief screening tools and psychosocial interventions delivered by non-clinical personnel are needed.


Resumen: Objetivo: Producir evidencia sobre atención para salud mental perinatal en México. Materials y métodos: Encuesta transversal probabilística de 211 unidades obstétricas públicas con análisis descriptivo y bivariado. Resultados: Más de la mitad (64.0%) de las unidades ofrece atención de salud mental; menos de la mitad ofrece detección (37.1%) o atención (40.3%) para depresión perinatal (DPN). En el DF/ Estado de México más unidades tienen protocolos/lineamientos para detección y atención para DPN (76.7%;78.1%) que en el sur (26.5%;36.4%), norte (27.3%; 28.1%) o centro (50.0%;52.7%) del país. Conclusión: Se requieren protocolos y capacitación en PND, implementación de herramientas breves de tamizaje e intervenciones psicosociales impartidas por personal no-clínico.


Subject(s)
Humans , Female , Pregnancy , Pregnancy Complications/epidemiology , Depression, Postpartum/epidemiology , Depression/epidemiology , Hospitals, Maternity/organization & administration , Hospitals, Public/organization & administration , Mental Health Services/organization & administration , Pregnancy Complications/therapy , Mass Screening , Organizational Policy , Depression/diagnosis , Depressive Disorder/diagnosis , Medical Staff, Hospital , Mexico/epidemiology , Obstetrics
19.
Rev. eletrônica enferm ; 18: 1-10, 20160331. tab
Article in English, Portuguese | LILACS, BDENF | ID: biblio-832780

ABSTRACT

Os objetivos do estudo foram determinar a prevalência de sintomas depressivos em mães adolescentes e caracterizá-las quanto aos aspectos sociodemográficos, comportamentais e de saúde mental. Estudo observacional, descritivo e transversal, desenvolvido em unidades de saúde, com 72 mães adolescentes por meio da Escala de Depressão Pós-parto de Edimburgo (EPDS) e da Escala de Avaliação para Depressão de Hamilton (HAM-D). Dentre as participantes, 20,8% apresentaram sintomas depressivos pela EPDS. As questões mais frequentes foram referentes aos sentimentos de culpa, ansiedade e ideias de fazer mal a si. Destacamos sentimentos de culpa (60%) e sentimentos de que não valia a pena viver (40%). A maioria das participantes (73,3%) não reconheceu que estava deprimida. Os resultados atentam para a importância do acompanhamento pré-natal individualizado, onde seja possível conhecer as vulnerabilidades, aspectos psicossociais pessoais e familiares, incluir o rastreamento de sintomas depressivos na anamnese e utilizar na rede de atenção, a referência e contra-referência.


The study objectives were to determine the prevalence of depressive symptoms in adolescent mothers and to characterize them regarding sociodemographic, behavioral and mental health aspects. An observational study, descriptive and cross-sectional, developed in health units with 72 adolescent mothers through the Edinburgh Postnatal Depression Scale (EPDS) and the Hamilton Rating Scale for Depression (HAM-D). Within the participants, 20.8% presented depressive symptoms by the EPDS. The most frequent questions referred to the feelings of guilt, anxiety, and ideas to self-harm. We highlighted the feelings of guilt (60%) and feelings of not being worth living (40%). Most participants (73.3%) did not recognize to be depressed. The results show the importance to have an individualized prenatal, when is possible to know vulnerabilities, psychosocial and family aspects, to include tracking of depressive symptoms in the anamnesis and, to use it the attention network, the reference and the counter-reference.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Depression, Postpartum/epidemiology , Maternal Health , Obstetric Nursing , Postpartum Period/psychology
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