Postpartum Blues and Late Postpartum Depressive Symptoms at Her Royal Highness Princess Mahachakri Sirindhorn Medical Center
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Abstract
Objective To identify association between postpartum blue and late postpartum depressive symptoms (LPDS) and incidence of both conditions with other risk factors of LPDS at Her Royal Highness Princess Mahachakri Sirindhorn Medical Center.
Materials and methods Case-control study where 128 mothers were assigned to complete Thai Edinburgh Postnatal Depressive Scale (Thai EPDS) at 2 days and 6 weeks postpartum to detect postpartum blues and LPDS respectively. Risk factors of LPDS were assessed using bivariate analysis. Multiple logistic regression was used to identify association between postpartum blues and LPDS along with other risk factors of LPDS.
Results Majority of participants in this study are aged between 26 – 35 years old (52.4%), and multiparous women (67.2%) accounting more than nulliparous women (32.8%). Postpartum blues is significantly associated with LPDS with adjusted OR 7.16 (95% CI 1.87-27.39). The incidence of postpartum blues is 24.2% while the incidence of LPDS is 15.6%. Other significant risk factors are lack of support in newborn care with aOR of 4.48 (95% CI 1.31-15.33), breastmilk inadequacy with aOR of 8.62 (95% CI 2.33-31.84) and Bangkok and vicinity habitation with aOR 4.99 (95% CI 1.29-19.28).
Conclusion Postpartum blues are highly associated with late postpartum depressive symptoms and being an early prediction of postpartum depression.
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