Factores asociados a la depresión posparto en puérperas de un hospital peruano

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
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引用次数: 0

Abstract

Background

Postpartum depression can lead to situations in new mothers that affect baby care, impacting their feeding by reducing adherence to exclusive breastfeeding. Therefore, it is important to identify the factors associated with this condition.

Objective

To determine which sociodemographic factors are associated with postpartum depression in postpartum women at a Peruvian hospital.

Materials and methods

Observational, cross-sectional, and analytical research.

Design

Case-control research design.

Site

Regional Hospital of Ica-Peru.

Participants

A total of 173 cases (postpartum women at risk of postpartum depression) were studied and compared with 173 controls (postpartum women without risk of postpartum depression). All participants were surveyed between the months of May and October 2022, 15 to 30 days after delivery.

Interventions

Survey.

Main measures

Edinburgh Postnatal Depression Scale to obtain the metric of the dependent variable, and a general data sheet to obtain independent variables. The cutoff point for the Edinburgh Scale was ≥ 13.

Results

The prevalence of postpartum depression was 18.8% (95% CI = 16.3-21.3). The associated factors were: Age under 20 years OR: 2.2 (95% CI: 1.4-3.4) p = 0.001. Higher education level OR: 4.5 (95% CI: 2.8-7.0) p = 0.000. Single marital status OR: 4.4 (95% CI: 2.8-6.9) p = 0.000. Poor relationship with partner OR: 3.9 (95% CI: 2.4-6.1) p = 0.000. Use of Psychotropic drugs OR: 2.7 (95% CI: 1.7-4.4) p = 0.000. Complications during labor OR: 2.6 (95% CI: 1.6-4.3) p = 0.000. Cesarean delivery OR: 3.3 (95% CI: 2.1-5.1) p = 0.000. History of COVID-19 infection during pregnancy OR: 2.7 (95% CI: 1.7-4.2) p = 0.000. Employment status OR: 3.2 (95% CI: 2.1-5.0) p = 0.000.

Conclusion

Postpartum depression is associated with sociodemographic variables in the patient's environment that require timely intervention to reduce negative effects on both the mother and the child.

.

秘鲁一家医院产后妇女产后抑郁的相关因素
背景产后抑郁症会导致新妈妈出现影响婴儿护理的情况,并通过降低纯母乳喂养的坚持率来影响她们的喂养。材料与方法观察性、横断面和分析性研究设计病例对照研究设计研究地点秘鲁伊卡地区医院参与者共研究了 173 例病例(有产后抑郁风险的产后妇女),并与 173 例对照(无产后抑郁风险的产后妇女)进行了比较。干预措施调查。主要测量指标爱丁堡产后抑郁量表用于获取因变量的度量,一般数据表用于获取自变量。结果产后抑郁症的患病率为 18.8%(95% CI = 16.3-21.3)。相关因素如下年龄小于 20 岁 OR:2.2 (95% CI:1.4-3.4) p = 0.001。教育程度较高 OR:4.5 (95% CI: 2.8-7.0) p = 0.000。单身婚姻状况 OR:4.4 (95% CI: 2.8-6.9) p = 0.000。与伴侣关系不佳 OR:3.9 (95% CI: 2.4-6.1) p = 0.000。使用精神药物 OR:2.7(95% CI:1.7-4.4)p = 0.000。分娩并发症 OR:2.6(95% CI:1.6-4.3)p = 0.000。剖宫产 OR:3.3(95% CI:2.1-5.1) p = 0.000。孕期有 COVID-19 感染史 OR:2.7(95% CI:1.7-4.2)P = 0.000。就业状况 OR:产后抑郁与患者所处环境中的社会人口变量有关,需要及时干预以减少对母婴的负面影响。
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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
54
期刊介绍: Una excelente publicación para mantenerse al día en los temas de máximo interés de la ginecología de vanguardia. Resulta idónea tanto para el especialista en ginecología, como en obstetricia o en pediatría, y está presente en los más prestigiosos índices de referencia en medicina.
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