Factors that can influence postpartum depression: study in a reference hospital in the amazon region
DOI:
https://doi.org/10.21527/2176-7114.2025.50.16279Keywords:
Pregnant, Postpartum Depression, Normal Delivery, Cesarean Section, Maternity HospitalAbstract
Objective: Investigate from the clinical epidemiological profile, factors that may influence the possibility of Postpartum Depression (PPD) in pregnant women assisted at the Santa Casa de Misericordia do Pará Foundation. Methods: This was a prospective, descriptive, cross-sectional cohort study with a quantitative approach. Two questionnaires were applied: one for self-assessment of postpartum depression, based on the Edinburgh Postpartum Depression Scale, and another, developed by the researchers themselves, containing information on sociodemographic data and maternal obstetric history. The questionnaires were applied to postpartum women. The established cut-off point was greater than or equal to 10, with a sensitivity of 82.6% and a specificity of 65.4%. Statistical significance was analyzed by the G and Chi-Square Adherence Tests, adopting a significance level of 5%. Results: 214 questionnaires were collected. The prevalence of Ages was 20-29 years old, completed high school, unemployed, breastfeeding and nulliparous. Of the complications during pregnancy hypertensive disorders showed statistical significance. In the group studied, there was no relationship between the types of parturition with the PPD. The existence of a correlation between PPD and breastfeeding, the newborn’s weight and the mother’s mood was verified. Conclusion: No association was found between the type of parturition and the presence of postpartum depression. Of the factors that showed significance, there are breastfeeding and birth weight, which are important markers of maternal and child health care, and it is necessary to emphasize the primordiality of stimulating breastfeeding soon after birth while still in the maternity ward also relating to the mother-baby bond as a protective factor.
References
1. Poles MM, Carvalheira, APP, Carvalhaes MABL, Parada CMGL. Sintomas depressivos maternos no puerpério imediato: fatores associados. Acta Paul Enferm. 2018 Ago; 31(4): 351-8.
2. Sampaio AFS, Rocha MJF, Leal EAS. Gestação de alto risco: perfil clínico-epidemiológico das gestantes atendidas no serviço de pré-natal da maternidade pública de Rio Branco, Acre. Rev. Bras. Saúde Mater. Infant. 208 Set; 18(3): 567-575.
3. Fonseca BCR A construção do vínculo afetivo mãe-filho na gestação. Revista Científica Eletrônica e Psicologia. 2010 Mai; 14(2): 1-17.
4. Vieira LB, Soares JO, Pontes NA. The experience of women in postpartum depression under the humanizing view of nursing. Ciências da Saúde. 2023 Jun 27, 123. Available from: http://DOI: 10.5281/zenodo.8071377.
5. AMERICAN PSYCHIATRIC ASSOCIATION. Diagnostic and Statistical Manual of Mental Disorders – DSM. 5 ed. Washington D/C, 2014
6. Sanches MA, Mannes M, Cunha TRD. Vulnerabilidade moral: leitura das exclusões no contexto da bioética. Revista de bioética. 2018 Abr; 26(1): 39-46.
7. Souza NKP, Magalhães EQ, Junior OMR. A prevalência da depressão pós-parto e suas consequências em mulheres no Brasil. Research, Society and Development, 2021;10(15):1-8.
8. Van der Zee-van den Berg AI, Boere-Boonekamp MM, Groothuis-Oudshoorn CGM.; Reijneveld SA. Postpartum depression and anxiety: a community-based study on risk factors before, during and after pregnancy. J Affect Disord. 2021;286:158-165.
9. Xu H, Ding Y, Ma Y, Xin X, Zhang D. Cesarean section and risk of postpartum depression: A meta-analysis. Journal of Psychosomatic Research. 2017; 97(1): 118-126.
10. Barros MVV; Aguiar RS. Perfil sociodemográfico e psicossocial de mulheres com depressão pós-parto: uma revisão integrativa. Revista de Atenção à Saúde. 2019;17(59):122-139.
11. Santos EG, Rattner D. Puerpério: estudo de diretrizes para Atenção Primária à Saúde. Revista Brasileira de Saúde Materno-Infantil, Recife, 25: e20240063. Available from: http://www.scielo.br/j/rbsmi/a/TqPnSHSK6mvftrhSmmgVFGx.
12. Hartmann JM, Mendonza-Sassi RA, Cesar JÁ. Postpartum depression: prevalence and associated factors. Cad. Saúde Pública. 2017; 33(9): 1-10.
13. Bomfim VVBS, Araujo PC, Neves APCD, Sobrinho WDL, Lima TMS, Silva MES. Depressão pós-parto: prevenção e tratamentos. Research, Society and Development. 2022; 11(7):1-12.
14. Kroska EB, Stowe ZN. Postpartum Depression: Identification and Treatment in the Clinic Setting. Obstet Gynecol Clin North Am. 2020;47(3):409-419.
15. Falana, SD, Carrington JM. Postpartum Depression: Are You Listening?. Nursing Clinics of North America. 2019 Dez; 54(4): 561-7.
16. Substance Abuse and Mental Health Services Administration (SAMHSA). Key substance use and mental health indicators in the United States: Results from the 2018 National Survey on Drug Use and Health [Internet]. Rockville (MD): SAMHSA; 2019 [cited 2020 Sept 02]. Available from: https://www.samhsa.gov/data/sites/default/files/cbhsqreports/NSDUHNationalFindingsReport2018/NSDUHNationalFindingsReport2018.pdf
17. Lopes KB, Ribeiro JP, Dilélio AS, Tavares AR, Franchini B, Hartmann M. Prevalência do uso de substâncias psicoativas em gestantes e puérperas. Rev. Enferm. 2021; 11(45): 1-19.
18. Cupertino MC, Martins CAL, Spósito, PAF. Fatores socioeconômicos associados a gravidez na adolescência e estratégias de educação em saúde. DELOS: Desarrollo Local Sostenible, Curitiba, v.16, n.44, p. 1465-1487, 2023. Available from: http:// doi: 10.55905/rdelosv16.n44-029.
19. Taborda, JAT, Silva, FC, Ulbricht L, Neves EB. Consequências da gravidez na adolescência para as meninas considerando-se as diferenças socioeconômicas entre elas. Caderno de Saúde Coletiva, 2014, Rio de Janeiro, 22 (1): 16-24. Available from: http://dx. doi: 10.1590/1414-462X201400010004.
20. Aghamohammadi A, Zafari M. Crack abuse during pregnancy: maternal, fetal and neonatal complication. J Matern Fetal Neonatal Med. 2015;29(5):795-7. doi: 10.3109/14767058.2015.1018821
21. Oztora S, Arslan A, Caylan A, Dagdeviren HN. Postpartum depression and affecting factors in primary care. Niger J Clin Pract.2019; 22(1): 85-91.
22. Sousa PHSF, Souza RF, Nascimento RT, Silva MML, Jesus DVD, Pedral LDO, Santos MF, Gomes VDS. Fatores de risco associados à depressão pós-parto: Revisão integrativa / Risk factors associated with postpartum depression: Integrative review. Braz. J. Develop. [Internet]. 2021 Jan. 29 [cited 2023 Apr. 2];7(1):11447-62. Available from: https://ojs.brazilianjournals.com.br/ojs/index.php/BRJD/article/view/23993.
23. Zhao XH, Zhang ZH. Risk factors for postpartum depression: An evidence-based systematic review of systematic reviews and meta-analyses. Asian J Psychiatr. 2020 Oct;53:102353. Available from: https://doi.org/10.1016/j.ajp.2020.102353. Epub 2020 Aug 30. PMID: 32927309.
24. Arrais A da R, Araujo TCCF, Schiavo RA. Fatores de Risco e Proteção Associados à Depressão Pós-Parto no Pré-Natal Psicológico. Psicol cienc prof [Internet]. 2018Oct;38(Psicol. cienc. prof., 2018 38(4)):711–29. Available from: https://doi.org/10.1590/1982-3703003342016.
25. Vigod SN, Villegas L, Dennis CL, Ross LE. Prevalence and risk factors for postpartum depression among women with preterm and low-birth-weight infants: a systematic review. BJOG. 2010 Apr;117(5):540-50. Available from: https://doi.org/10.1111/j.1471-0528.2009.02493.x. Epub 2010 Jan 29. PMID: 20121831.
26. Gila-Díaz A, Carrillo GH, López de Pablo ÁL, Arribas SM, Ramiro-Cortijo D. Association between Maternal Postpartum Depression, Stress, Optimism, and Breastfeeding Pattern in the First Six Months. International Journal of Environmental Research and Public Health [Internet]. 2020 Sep 30;17(19):7153. Available from: http://dx.doi.org/10.3390/ijerph17197153.
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