[Risk of postpartum depression in primary care].

Brenda Fabiola Barrera-Mondragón, Víctor Manuel Camarillo-Nava, Blanca Berenice García-Rivera
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Abstract

Background: Postpartum depression (PPD) is a severe mental disorder that can affect up to 56% of Latina women. PPD has multiple origins and affects maternal well-being, health and behavior, as well as child development.

Objective: to analyze the risk of postpartum depression in a primary care center.

Material and methods: observational, cross-sectional, retrospective study in patients entitled to primary care, who were in the postpartum period. Likert-type surveys were carried out, based on the Edinburgh Scale, collecting sociodemographic factors, in order to establish the associated risk factors. The association between the study outcome (risk of postpartum depression) with each independent variable was determined using Odds ratio and multivariate models.

Results: 79 postpartum patients were included, the average age was 29 years (± 5), 46.8% with a high risk of depression, and 53.2% without risk of postpartum depression. The main factor associated with being able to present a high risk of postpartum depression was low socioeconomic level in 94.6%, other variables did not have statistical significance.

Conclusions: the frequency of being at high risk for postpartum depression in our study was similar to that reported by the Pan American Health Organization 2018, with a frequency of 56% in Mexican and Latin American women. The main risk factor was economic aspects rather than social aspects.

[初级保健中的产后抑郁风险]。
背景介绍产后抑郁症(PPD)是一种严重的精神障碍,可影响多达 56% 的拉丁裔妇女。产后抑郁症有多种起源,会影响产妇的福祉、健康和行为,以及儿童的发育。目的:分析初级保健中心的产后抑郁症风险。材料和方法:对有权享受初级保健的产后患者进行观察性、横断面、回顾性研究。根据爱丁堡量表进行李克特式调查,收集社会人口学因素,以确定相关风险因素。研究结果(产后抑郁风险)与各自变量之间的相关性是通过奥德比和多变量模型确定的:共纳入 79 名产后患者,平均年龄为 29 岁(± 5)岁,46.8% 的患者有抑郁症高风险,53.2% 的患者无产后抑郁症风险。与产后抑郁症高风险相关的主要因素是社会经济水平低,占 94.6%,其他变量没有统计学意义。结论:我们的研究中,产后抑郁症高风险的频率与泛美卫生组织 2018 年报告的频率相似,墨西哥和拉丁美洲妇女的频率为 56%。主要风险因素是经济方面而非社会方面。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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