The need for regular screening of postpartum depression

Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2013;34(1):121-9.

Abstract

Aim: The aim of this study was to examine the level of depression during the first week of the postpartum period in a sample of women hospitalized for childbirth at the University Obstetric Clinic in Skopje and correlate it with some demographic characteristics.

Method and sample: The sample comprised 150 randomly selected women with a mean age of 29.23 years (SD±5.11). As a psychometric test the Beck Depression Inventory was used. It is a multiple choice, self-report inventory for measuring the severity of depression. For statistic evaluation (descriptive analysis and correlations) software Statistica 7 was used.

Results: The random study showed that 68% of postpartum women have minimal, 25% mild and 5% moderate depression. Fortunately only 2% manifested severe depression. Our findings showed that depression is negatively correlated with the level of education (r=-0.17), as well as with age (r=-0.15). The comparison of the level of depression with a group of chronic dialyzed patients showed that PPD is not so serious a problem. However, this study shows that PPD is under diagnosed.

Conclusion: As a common mental health problem PPD is not systematically screened in our country. The study showed the presence of minimal (68%) and mild (25%) depression in the examined women. The age of the woman is important for PPD; younger women are more susceptible to depressive reactions. The level of education is negatively correlated with depression. It was pointed out that PPD must be recognized, treated and followed for a long period because it is a risk not only to the mental health of the mother but also for the development of child.

MeSH terms

  • Adult
  • Age Factors
  • Depression, Postpartum / diagnosis*
  • Depression, Postpartum / epidemiology
  • Depression, Postpartum / psychology
  • Educational Status
  • Female
  • Hospitals, University
  • Humans
  • Maternal Health
  • Mental Health Services*
  • Postnatal Care*
  • Predictive Value of Tests
  • Pregnancy
  • Psychiatric Status Rating Scales
  • Psychometrics
  • Republic of North Macedonia / epidemiology
  • Risk Factors
  • Severity of Illness Index
  • Young Adult