Abstract

Background: Postpartum depression(PPD)can be defined as non-psychotic depression occurring within a year after childbirth, characterized by low mood, unusual thoughts, feeling of guilt, unexplained anxiety, worthlessness, and other depressive symptoms. Objective: This study aims to assess the prevalence, knowledge and risk factors of postpartum disorder. Methods: A cross-sectional descriptive study was conducted among 217 postpartum mothers in the outpatient department of psychiatry of a tertiary care hospital using the Edinburgh postnatal depression scale(EPDS). All the patients enrolled were directly interviewed using a structured questionnaire to identify the associated risk factors of postpartum depression. The data collected were checked for validity and analyzed using S.P.S. version 16.0. Results: Out of 217 patients, five women were found to have an EPDS(Edinburgh postnatal depression scale) score greater than 10. The prevalence of postpartum depression was found to be 2.3%.Upon evaluation of knowledge about postpartum depression, 90.3% of women were found to have a poor level of knowledge and 8.8% had a good knowledge level. The statistically significant factors associated with postpartum depression were the lack of support from family and partners (p<0.005). Conclusion: There was a comparatively low prevalence of P.P.D. in Western Nepal. Majority of the mothers (90.3%) were found not aware of P.P.D. The present study concluded on the need for educational intervention among the mothers regarding P.P.D. in Western Nepal.

Highlights

  • Depression occurring within a year of childbirth characterized by low mood, a feeling of guilt and anxiety is known as postpartum depression (P.P.D.)

  • Preliminary research conducted across the globe suggests early identification of post-partum depression and its possible prevention.7,8PPD is neglected with respect to its early detection and prevention and in the areas of research.[9,10]

  • We found a statistically significant association between family and partner’s support and development of postpartum depression

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Summary

Introduction

Depression occurring within a year of childbirth characterized by low mood, a feeling of guilt and anxiety is known as postpartum depression (P.P.D.). Are found prevalent.[4] Various classes of drugs are used in the treatment of postpartum depression, including antidepressants and antipsychotics, in severe cases.[6] Preliminary research conducted across the globe suggests early identification of post-partum depression and its possible prevention.7,8PPD is neglected with respect to its early detection and prevention and in the areas of research.[9,10] There is a need of effective research to gain more knowledge on its prevalence and diagnosis. This study aims to find the prevalence, knowledge, and contributing factors of the PPD among the postpartum mothers of western Nepal. Postpartum depression(PPD)can be defined as nonpsychotic depression occurring within a year after childbirth, characterized by low mood, unusual thoughts, feeling of guilt, unexplained anxiety, worthlessness, and other depressive symptoms. Objective: This study aims to assess the prevalence, knowledge and risk factors of postpartum disorder

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