Skip to main content
×
×
Home

Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India: Incidence and risk factors

  • Mani Chandran (a1), Prathap Tharyan (a1), Jayaprakash Muliyil (a2) and Sulochana Abraham (a2)
Abstract
Background

Community-based epidemiological data on post-partum depression from developing countries are scarce.

Aims

To determine the incidence of and risk factors for developing post-partum depression in a cohort of women living in rural south India.

Method

We assessed 359 women in the last trimester of pregnancy and 6–12 weeks after delivery for depression and for putative risk factors.

Results

The incidence of post-partum depression was 11% (95% CI 7.1–14.9). Low income, birth of a daughter when a son was desired, relationship difficulties with mother-in-law and parents, adverse life events during pregnancy and lack of physical help were risk factors for the onset of post-partum depression.

Conclusions

Depression occurred as frequently during late pregnancy and after delivery as in developed countries, but there were cultural differences in risk factors. These findings have implications for policies regarding maternal and child-care programmes.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India
      Available formats
      ×
Copyright
Corresponding author
Professor Prathap Tharyan, Department of Psychiatry, Christian Medical College, Vellore-632002, Tamil Nadu, India. E-mail: prathap@cmcvellore.ac.in
References
Hide All
Booth, B. E., Verma, M. & Beri, R. S. (1994) Fetal sex determination in infants in Punjab, India: correlations and implications. BMJ, 309, 12591261.
Cooper, P. J., Campbell, E. A., Day, A., et al (1988) Non-psychotic psychiatric disorder after childbirth: a prospective study of prevalence, incidence, course and nature. British Journal of Psychiatry, 152, 799806.
Cooper, P. J., Tomlinson, M., Swartz, L., et al (1999) Post-partum depression and the mother-infant relationship in a South African peri-urban settlement. British Journal of Psychiatry, 175, 554558.
Cox, J. L., Connor, Y. & Kendell, R. E. (1982) Prospective study of the psychiatric disorders of childbirth. British Journal of Psychiatry, 140, 111117.
Evans, J., Heron, J., Francomb, H., et al (2001) Cohort study of depressed mood during pregnancy and after childbirth. BMJ, 323, 257260.
Gautam, S. (1989) Post partum psychiatric syndromes: are they biologically determined? Indian Journal of Psychiatry, 31, 3142.
George, S., Abel, R. & Miller, B. D. (1992) Female infanticide in rural south India. Economic and Political Weekly, 30, 11531156.
Ghubash, R. & Abou-Saleh, M. T. (1997) Postpartum psychiatric illness in Arab culture: prevalence and psychosocial correlates. British Journal of Psychiatry, 171, 6568.
John, J., Seethalakshmi, G., Charles, S. X., et al (1977) Psychiatric disturbance during the postpartum period – a prospective study. Indian Journal of Psychiatry, 19, 4043.
Kitamura, T., Shima, S., Sugaara, M., et al (1993) Psychological and social correlates of the onset of affective disorders among pregnant women. Psychological Medicine, 23, 967975.
Kumar, R. & Robson, K. M. (1984) A prospective study of emotional disorders in childbearing women. British Journal of Psychiatry, 144, 3547.
Kuruvilla, A., Pothen, M., Philip, K., et al (1999) The validation of the Tamil Version of the 12 item General Health Questionnaire. Indian Journal of Psychiatry, 41, 217221.
Lee, D. T. S., Yip, A. S. K., Chiu, H. F. K., et al (2001) A psychiatric epidemiological study of postpartum Chinese women. American Journal of Psychiatry, 158, 220226.
Lewis, G., Pelosi, A., Araya, R., et al (1992) Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers. Psychological Medicine, 22, 465486.
Najman, J. M., Andersen, M. J., Bor, W., et al (2000) Postnatal depression – myth or reality? Maternal depression before and after the birth of a child. Social Psychiatry and Psychiatric Epidemiology, 35, 1927.
Nhiwatiwa, S., Patel, V. & Acuda, S. W. (1998) Predicting postnatal mental disorder with a screening questionnaire: a prospective cohort study from a developing country. Journal of Epidemiology and Community Health, 52, 262266.
Nielsen, B. B., Liljestrand, J., Hedegaard, M., et al (1997) Reproductive pattern, perinatal mortality, and sex preference in rural Tamil Nadu, South India: community based, cross sectional study. BMJ, 314, 1521.
O'Hara, M. W. & Swain, A. M. (1996) Rates and risk of postpartum depression: a meta-analysis. International Review of Psychiatry, 8, 3754.
O'Hara, M. W., Neunaber, D. J. & Zekoski, E. M. (1984) Prospective study of postpartum depression: prevalence, course and predictive factors. Journal of Abnormal Psychology, 93, 158171.
Patel, V., Araya, R., Lima, M. S., et al (1999) Women, poverty and common mental disorders in four restructuring societies. Social Science and Medicine, 49, 14611471.
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.
World Health Organization (1992) The ICD–10 Classification of Mental and Behavioural Disorders: Clinical Descriptions and Diagnostic Guidelines. Geneva: WHO.
Yoshida, K., Yamashita, H., Ueda, M., et al (2001) Postnatal depression in Japanese mothers and the reconsideration of ‘Satogaeri bunben’. Pediatrics International, 43, 189193.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 9
Total number of PDF views: 115 *
Loading metrics...

Abstract views

Total abstract views: 391 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 17th August 2018. This data will be updated every 24 hours.

Post-partum depression in a cohort of women from a rural area of Tamil Nadu, India: Incidence and risk factors

  • Mani Chandran (a1), Prathap Tharyan (a1), Jayaprakash Muliyil (a2) and Sulochana Abraham (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *