FACTORS RELATED TO POSTPARTUM DEPRESSION AMONG WOMEN IN SIALKOT

Abstract

To assess the factors related to postpartum depression among women in Sialkot A cross-sectional multi-centers study conducted in 10 hospitals like Imran Idrees Teaching Hospital, Idrees Hospital, Islam Centre Hospital, Bashir Hospital, Allama Iqbal Memorial Teaching Hospital, Government Sardar Begum Civil Hospital, Tehsil Headquarter(THQ) Pasrur, Combined Military Hospital(CMH), Dr. Abdul Sattar Hospital, Amina Hospital, located in Sialkot, Punjab, Pakistan from June 2022 - August 2022. According to Edinburgh postnatal depression scale the women were interviewed from different hospitals of Sialkot. The depression in participants was graded as mild, moderate and severe based on the Edinburgh postnatal scale score.200 participants were included in the study; 20 each belonging to 10 different hospitals. The evaluations revealed that 134 out of 200 participants suffered or likely have a chance to suffer from depressive illness. Among them 22% showed possibility of depression, 13% showed fairly high possibility of depression and 27% cases showed probable depression. However in 38% of women no sign and symptoms of postpartum depression (according to Edinburgh postnatal depression scale) were seen. High risk factors responsible for possible postpartum depression among women were C-section (74%) prevalence, previous abortion/miscarriage history (38.7%), unplanned pregnancy (35.5%) and others. High risk factors that caused fairly high possibility of postpartum depression among women were C-section (76.9%), Dissatisfaction with in-laws (53.8%) depression during first trimester (46.1%), financial issues (75%), abortion history (30.8%) and others. Factors related to probable depression were untreated depression  during pregnancy, any mental disorder, domestic violence, C-section, dissatisfaction with in-laws and financial issues.There is high prevalence of PPD among women in Sialkot (62%). The wide range of factors include untreated depression during first trimester, unplanned pregnancy, dissatisfaction with in-laws, antidepressants taken before pregnancy, bad gynecological history, mode of delivery, discrimination between baby boy/girl and others.