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Is Maternity Blues a risk factor for the onset of post-partum depression? A longitudinal Study

Published online by Cambridge University Press:  01 September 2022

V. Sollo*
Affiliation:
Università della Campania “Luigi Vanvitelli”, Dipartimento Di Psichiatria, Napoli, Italy
F. Zinno
Affiliation:
University of Campania “Luigi Vanvitelli”, Department Of Psychiatry, Naples, Italy
A. Vece
Affiliation:
University of Campania, Department Of Psychiatry, Naples, Italy
V. Giallonardo
Affiliation:
University of Campania, Department Of Psychiatry, Naples, Italy
G. Sampogna
Affiliation:
University of Campania “Luigi Vanvitelli”, Department Of Psychiatry, Naples, Italy
M. Luciano
Affiliation:
University of Campania, Department Of Psychiatry, Naples, Italy
A. Fiorillo
Affiliation:
University of Campania, Department Of Psychiatry, Naples, Italy
*
*Corresponding author.

Abstract

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Introduction

The period after delivery is characterised by physical, hormonal and psychological changes. Up to 20% of women can present depressive and anxiety symptoms and difficulties in the interaction with the newborn, emotional lability. This condition is also called “Maternity Blues (MB)”.

Objectives

To: 1) assess the frequency of MB presentation of depressive symptoms immediately after the delivery; 2) identify those characteristics more frequently associated to the onset of depressive symptoms after the delivery; and 3) verify the hypothesis that the presence of maternity blues is a risk factor for the onset of a depressive episode in the 12 months after the delivery.

Methods

From December 2019 to February 2021 all women who gave birth at the University of Campania “Vanvitelli” were enrolled. Upon acceptance, they filled in the EPDS Scale. Sociodemographic, gynaecological, peripartum and psychiatric anamnesis was collected at baseline. Women have been reassessed after 1, 3, 6 and 12 months.

Results

359 women were recruited, with a mean EPDS score of 5.51. Among these, 83 reported the presence of MB (EPDS score≥10; 23.12%). Anxiety disorders with onset prior to pregnancy (p<.000), preeclampsia (p<.01), increased foetal health rate (p<.01), conflicts with relatives (p<.001) and anxiety disorders the partner (p<.01) emerged as predictors of Mb. The presence of MB increase 7 time the risk to have higher EPDS score at follow-up assessments (p<.000).

Conclusions

The presence of MB should always be assessed in the immediate post-partum and psychosocial interventions should be provided to women with MB to reduce its potential negative effect on mental health.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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