Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-23T05:31:19.970Z Has data issue: false hasContentIssue false

Risk Factors for Postnatal Depression among Primipara Mothers

Published online by Cambridge University Press:  12 July 2019

Abdul D. Alzahrani*
Affiliation:
King Abdulaziz University (Saudi Arabia)
*
*Correspondence concerning this article should be addressed to Abdul D. Alzahrani. King Abdulaziz University. Department of Psychology. P. O. BOX 108345 21351 Western Jeddah (Saudi Arabia). E-mail: adalzahrani@kau.edu.sa

Abstract

In recent years postnatal depression (PND) has become one of the most important public health issues because of its prevalence. Estimates for those affected by PND suggest a range of 10–15% of new mothers worldwide. In the context of Saudi society, attitudes toward this disorder are influenced by various beliefs, traditions, cultural factors, and values. These variables trigger considerable disparity in terms of frequency of symptoms. The symptoms of postnatal depression vary and can arise over a period of months, causing profound effects on mothers, also effecting mother-baby and broader familial relationships. The current study establishes the rate of occurrence and risk factors for PND in the western region of Saudi Arabia, to build on existing data. In total, 217 new Saudi mothers were recruited and data was collected using the Edinburgh Postnatal Scale (EPDS) in conjunction with a self-report questionnaire. Based on recommendations in previous studies, an EPND cut-off point of 13 ≥ was applied herein. Findings show the prevalence of PND, approximately 17.1% among the participants, and contributing factors included a previous history of depression, χ2 = 67.74, df = 1, p < .05, problems with the child’s health, χ2 = 31.42, df = 1, p < .05, issues with home support, χ2 = 43.47, df = 1, p < .05, and pregnancy complications, χ2 = 7.19, df = 1, p < .05. Meanwhile, no correlation was found between PND and the baby’s gender, delivery type, breastfeeding, mother’s age, or mother’s educational level. Additional studies are required to confirm these findings, and to identify other risk factors.

Type
Research Article
Copyright
Copyright © Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid 2019 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

How to cite this article:

Alzahrani, A. D. (2019). Risk factors for postnatal depression among primipara mothers. The Spanish Journal of Psychology, 22. e35. Doi: 10.1017/sjp.2019.33.

References

Agoub, M., Moussaoui, D., & Battas, O. (2005). Prevalence of postpartum depression in a Moroccan sample. Archives of Women’s Mental Health, 8(1), 3743. https://doi.org/10.1007/s00737-005-0069-9CrossRefGoogle Scholar
Alasoom, L., & Koura, M. (2014). Predictors of postpartum depression in the eastern province capital of Saudi Arabia. Journal of family medicine and primary care, 3(2), 146150. https://doi.org/10.4103/2249-4863.137654Google ScholarPubMed
Al Dallal, F., & Grant, I. (2012). Postnatal depression among Bahraini women: prevalence of symptoms and psychosocial risk factors. Eastern Mediterranean Health Journal, 18(5), 439945. https://doi.org/10.26719/2012.18.5.432CrossRefGoogle ScholarPubMed
Alharbi, A., & Abdulghani, H. (2014). Risk factors associated with postpartum depression in the Saudi population. Neuropsychiatric Disease and Treatment 10(3), 311316. https://doi.org/10.2147/NDT.S57556Google ScholarPubMed
Al Hinai, F. I., & Al Hinai, S. S. (2014). Prospective study on prevalence and risk factors of postpartum depression in Al-Dakhlyia Governorate in Oman. Oman Medical Journal 29(3), 198202. https://doi.org/10.5001/omj.2014.49CrossRefGoogle ScholarPubMed
Al-Modayfer, O., Alatiq, Y., Khair, O., & Abdelkawi, S. (2015). Postpartum depression and related risk factors among Saudi females. International Journal of Culture and Mental Health, 8(3), 316324. https://doi.org/10.1080/17542863.2014.999691CrossRefGoogle Scholar
Bener, A., Burgut, F., Ghuloum, S., & Sheikh, J. (2012). A study of postpartum depression in a fast developing country: Prevalence and related factors. The International Journal of Psychiatry in Medicine, 43(4), 325337. https://doi.org/10.2190/PM.43.4.cCrossRefGoogle Scholar
Cankorur, V., Abas, M., Berksun, O., & Stewart, R. (2015). Social support and the incidence and persistence of depression between antenatal and postnatal examinations in turkey: A cohort study. British Medical Journal Open, 5(4), e006456. https://doi.org/10.1136/bmjopen-2014-006456Google ScholarPubMed
Chaaya, M., Campbell, O., Kak, F., Shaar, D., Harb, H., & Kaddour, A. (2002). Postpartum depression: Prevalence and determinants in Lebanon. Archives of Women’s Mental Health, 5(2), 6572. https://doi.org/10.1007/s00737-002-0140-8CrossRefGoogle ScholarPubMed
Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782786. https://doi.org/10.1192/bjp.150.6.782CrossRefGoogle ScholarPubMed
Currò, V., Rosa, E., Maulucci, S., Maulucci, M., Silvestri, M., Zambrano, A., & Regine, V. (2009). The use of Edinburgh Postnatal Depression Scale to identify postnatal depression symptoms at well child visit. Italian Journal of Pediatrics, 35, 32. https://doi.org/10.1186/1824-7288-35-32CrossRefGoogle ScholarPubMed
Deng, A., Xiong, R., Jiang, T., Luo, Y., & Chen, W. (2014). Prevalence and risk factors of postpartum depression in a population-based sample of women in Tangxia Community, Guangzhou. Asian Pacific Journal of Tropical Medicine, 7(3), 244249. https://doi.org/10.1016/S1995-7645(14)60030-4CrossRefGoogle Scholar
Dhillon, N., & Macarthur, C. (2010). Antenatal depression and male gender preference in Asian women in the UK. Midwifery, 26(3), 286293. https://doi.org/10.1016/j.midw.2008.09.001CrossRefGoogle ScholarPubMed
Falah-Hassani, K., Shiri, R., & Dennis, C.-L. (2016). Prevalence and risk factors for comorbid postpartum depressive symptomatology and anxiety. Journal of Affective Disorders, 198, 142147. https://doi.org/10.1016/j.jad.2016.03.010CrossRefGoogle ScholarPubMed
Ghaedrahmati, M., Kazemi, A., Kheirabadi, G., Ebrahimi, A., & Bahrami, M. (2017). Postpartum depression risk factors: A narrative review. Journal of Education and Health Promotion, 6, 60. https://doi.org/10.4103/jehp.jehp_9_16Google ScholarPubMed
Ghubash, R., & Abou-Saleh, M. (1997). Postpartum psychiatric illness in Arab culture: prevalence and psychosocial correlates. The British Journal of Psychiatry, 171(1), 6568. https://doi.org/10.1192/bjp.171.1.65CrossRefGoogle ScholarPubMed
Ghubash, R., & Eapen, V. (2009). Postpartum mental illness: Perspectives from an Arabian Gulf Population. Psychological Reports, 105, 127136. https://doi.org/10.2466/PR0.105.1.127-136CrossRefGoogle ScholarPubMed
Goker, A., Yanikkerem, E., Demet, M., Dikayak, S., Yildirim, Y., & Koyuncu, F. (2012). Postpartum depression: Is mode of delivery a risk factor?. ISRN Obstetrics and Gynecology, 2012, Article ID 616759. https://doi.org/10.5402/2012/616759CrossRefGoogle ScholarPubMed
Green, K., Broome, H., & Mirabella, J. (2006). Postnatal depression among mothers in the United Arab Emirates: Socio-cultural and physical factors. Psychology, Health & Medicine, 11(4), 425431. https://doi.org/10.1080/13548500600678164CrossRefGoogle ScholarPubMed
Guedeney, N., Fermanian, J., Guelfi, J., & Kumar, R. (2000). The Edinburgh Postnatal Depression Scale (EPDS) and the detection of major depressive disorders in early postpartum: Some concerns about false negatives. Journal of Affective Disorders, 61(1-2), 107112. https://doi.org/10.1016/S0165-0327(99)00186-XCrossRefGoogle ScholarPubMed
Gul, M., Bajwa, S., Niaz, S., Haroon, M., Liaqat, S., Ahmad, M., … Chaudhry, H. R. (2013). Postnatal depression and its comparison with the gender of newborn in fourth pregnancy. International Journal of Culture and Mental Health, 6(1), 1628. https://doi.org/10.1080/17542863.2011.602543CrossRefGoogle Scholar
Halbreich, U., & Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affective Disorders, 91(2–3), 97111. https://doi.org/10.1016/j.jad.2005.12.051CrossRefGoogle ScholarPubMed
Heron, J., O’Connor, T., Evans, J., Golding, J., & Glover, V. (2004). The course of anxiety and depression through pregnancy and the postpartum in a community sample. Journal of Affective Disorders, 80(1), 6573. https://doi.org/10.1016/j.jad.2003.08.004CrossRefGoogle Scholar
Husain, N., Husain, B., Chaudhry, I., Atif, N., & Rahman, A. (2006). Prevalence and social correlates of postnatal depression in a low income country. Archives of Women’s Mental Health., 9(4), 197202. https://doi.org/10.1007/s00737-006-0129-9CrossRefGoogle Scholar
Jain, A., Tyagi, P., Kaur, P., Puliyel, J., & Sreenivas, V. (2014). Association of birth of girls with postnatal depression and exclusive breastfeeding: An observational study. British Medical Journal Open, 4(6), e003545. https://doi.org/10.1136/bmjopen-2013-003545Google Scholar
Joury, A., AlAtmi, A., AlBabtain, S., Alsharif, M., AlBabtain, N., Mogbil, A, & AlRuwaili, M. (2014). Prevalence of depression and its association with socio-demographic characteristics among the general population. International Journal of Modern and Alternative Medicine Research. 2, 815.Google Scholar
Khalifa, D., Glavin, K., Bjertness, E., & Lien, , (2015). Postnatal depression among Sudanese women: Prevalence and validation of the Edinburgh Postnatal Depression Scale at 3 months postpartum. International Journal of Women’s Health, 7, 677684. https://doi.org/10.2147/IJWH.S81401CrossRefGoogle ScholarPubMed
Klainin, P., & Arthur, D. (2009). Postpartum depression in Asian cultures: A literature review. International Journal of Nursing Studies, 46(10), 13551373. https://doi.org/10.1016/j.ijnurstu.2009.02.012CrossRefGoogle ScholarPubMed
Lanes, A., Kuk, L., & Tamim, H. (2011). Prevalence and characteristics of postpartum depression symptomatology among Canadian women: A cross-sectional study. BMC Public Health, 11(302). https://doi.org/10.1186/1471-2458-11-302CrossRefGoogle ScholarPubMed
Leahy-Warren, P., McCarthy, G., & Corcoran, P. (2011). Postnatal depression in first-time mothers: Prevalence and relationships between functional and structural social support at 6 and 12 weeks postpartum. Archives of Psychiatric Nursing, 25(3), 174184. https://doi.org/1016/j.apnu.2010.08.005CrossRefGoogle ScholarPubMed
Masmoudi, J., Tabelsi, S., Charfeddine, F., Ben Ayed, B., Guermazzi, M., & Jaoua, A. (2008). Étude de la prévalence de la dépression du post-partum auprès de 213 parturientes tunisiennes [Study of the prevalence of postpartum depression among 213 Tunisian parturients]. Gynécologie Obstétrique & Fertilité, 36(7–8), 782787. https://doi.org/10.1016/j.gyobfe.2008.03.015CrossRefGoogle Scholar
Mohamed, N., Mahmoud, G., Said, N., Abdelhafez, H., & Maklof, A. (2011). Postpartum depression: Prevalence and predictors among women at El Eman’s Specialized Hospital. Journal of American Science, 7(12), 122128.Google Scholar
Morais, M., Lucci, T., & Otta, E. (2013). Postpartum depression and child development in first year of life. Estudos de Psicologia (Campinas), 30(1), 717. https://doi.org/10.1590/S0103-166X2013000100002CrossRefGoogle Scholar
Murray, L., & Cooper, P. (1997). Effects of postnatal depression on infant development. Archives of Disease in Childhood, 77(2), 99101. https://doi.org/10.1136/adc.77.2.99CrossRefGoogle ScholarPubMed
Nasreen, H., Ab Rahman, J., Rus, R., Kartiwi, M., Sutan, R., & Edhborg, M. (2018). Prevalence and determinants of antepartum depressive and anxiety symptoms in expectant mothers and fathers: Results from a perinatal psychiatric morbidity cohort study in the east and west coasts of Malaysia. BMC Psychiatry, 18(1), 195. https://doi.org/10.1186/s12888-018-1781-0CrossRefGoogle Scholar
Oates, M., Cox, J. L., Neema, P., Asten, P., Glangeaud-Freudenthal, N., Figueiredo, B., … TCS-PND Group (2004). Postnatal depression across countries and cultures: A qualitative study. British Journal of Psychiatry. Supplement, 184(46), 1016. https://doi.org/10.1192/bjp.184.46.s10CrossRefGoogle Scholar
Obeidat, H., Bond, E., & Callister, L. (2009). The parental experience of having an infant in the Newborn Intensive Care Unit. The Journal of Perinatal Education, 18(3), 2329. https://doi.org/10.1624/105812409X461199CrossRefGoogle ScholarPubMed
Panzarine, S., Slater, E., & Sharps, P. (1995). Coping, social support, and depressive symptoms in adolescent mothers. The Journal of Adolescent Health, 17(2), 113119. https://doi.org/10.1016/1054-139X(95)00064-YCrossRefGoogle ScholarPubMed
Patel, V., Rodrigues, M., & DeSouza, N. (2002). Gender, poverty, and postnatal depression: A study of mothers in Goa, India. American Journal of Psychiatry, 159, 4347. https://doi.org/10.1176/appi.ajp.159.1.43CrossRefGoogle ScholarPubMed
Patel, V., DeSouza, N., & Rodrigues, M. (2003). Postnatal depression and infant growth and development in low income countries: A cohort study from Goa, India. Archives of Disease in Childhood, 88(1), 3437. https://doi.org/10.1136/adc.88.1.34CrossRefGoogle ScholarPubMed
Pooler, J., Perry, D., & Ghandour, R. (2013). Prevalence and risk factors for postpartum depressive symptoms among women enrolled in WIC. Maternal and Child Health Journal, 17(10), 9691980. https://doi.org/10.1007/s10995-013-1224-yCrossRefGoogle ScholarPubMed
Ramasubramaniam, S., Madhavanprabhakaran, G. K., Renganathan, L., & Raman, S. (2014). Prevalence of postnatal depression among Arab women: A narrative review. Journal of Research in Nursing and Midwifery, 3(1), 113.Google Scholar
Sati, H. (2011). Prevalence of postnatal depression among Sudanese women and the associated risk factors. The Sudanese Journal of Psychiatry, 1(3), 153165.Google Scholar
Seyfried, L., & Marcus, S. (2003). Postpartum mood disorders. International Review of Psychiatry. International Review of Psychiatry, 14(3), 231242. https://doi.org/10.1080/0954026031000136857CrossRefGoogle Scholar
Shrestha, N., Hazrah, P., & Sagar, R. (2015). Incidence and prevalence of postpartum depression in rural community of India. Journal of Chitwan Medical College, 5(2), 1119. https://doi.org/10.3126/jcmc.v5i2.13149CrossRefGoogle Scholar
Silveira, M., Ertel, K., Dole, N., & Chasan-Taber, L. (2015). The role of body image in prenatal and postpartum depression: a critical review of the literature. Archives of women’s mental health, 18(3), 409421. https://doi.org/10.1007/s00737-015-0525-0CrossRefGoogle ScholarPubMed
Soares, C. N., & Zitek, B. (2008). Reproductive hormone sensitivity and risk for depression across the female life cycle: A continuum of vulnerability? Journal of Psychiatry and Neuroscience, 33(4), 331343.Google Scholar
Stewart, D. E., Robertson, E., Dennis, C.-L., & Grace, S. (2004). An evidence-based approach to post-partum depression. World Psychiatry, 3(2), 9798.Google ScholarPubMed
Sylvén, S., Papadopoulos, F., Olovsson, M., Ekselius, L., Poromaa, I., & Skalkidou, A. (2011). Seasonality patterns in postpartum depression. American Journal of Obstetrics and Gynecology, 204(5), 413e1–413.e6. https://doi.org/10.1016/j.ajog.2011.01.022CrossRefGoogle ScholarPubMed
Ukaegbe, C. I., Iteke, O. C., Bakare, M. O, & Agbata, A. T. (2012). Postpartum depression among Igbo women in an urban mission hospital, South East Nigeria. Ebonyi Medical Journal, 11(1–2), 2936.Google Scholar
Veisani, Y., Delpisheh, A., Sayehmiri, K., & Rezaeian, S. (2013). Trends of postpartum depression in Iran: A systematic review and meta-analysis. Depression Research and Treatment, 2013, ID 291029. https://doi.org/10.1155/2013/291029CrossRefGoogle ScholarPubMed
Wisner, K. L., Parry, B. L., & Piontek, C. M. (2002). Clinical practice. Postpartum depression. The New England Journal of Medicine, 347, 194199. https://doi.org/10.1056/NEJMcp011542CrossRefGoogle ScholarPubMed
Yehia, D. B. M., Callister, L. C., & Hamdan-Mansour, A. (2103). Prevalence and predictors of postpartum depression among Arabic Muslim Jordanian women serving in the military. The Journal of Perinatal & Neonatal Nursing, 27(1), 2533. https://doi.org/10.1097/JPN.0b013e31827ed6dbCrossRefGoogle Scholar
Zangeneh, M., Alizadeh, N., Kaamrvamanesh, M., Rezaie, M., & Pormehr, S. (2009). Postpartum depression and its relation to baby gender and unplanned pregnancy. Scientific Journal of Kurdistan University of Medical Sciences, 14(2), 6571.Google Scholar