Perinatal Depresyonla İlişkili Faktörlerin Değerlendirilmesi

Year 2025, Volume: 8 Issue: 3, 257 - 262, 22.10.2025

Özgür Mutlu , Zuhal Gündoğdu , Tuncay Müge Alvur

https://doi.org/10.53446/actamednicomedia.1301758

Abstract

Amaç: Depresyon en sık görülen duygu durum rahatsızlıklarından birisidir. Hamile kadınların depresyon açısından değerlendirilmesi anne ve çocuk sağlığı için önemlidir. Annenin ruh sağlığının iyi olması doğmamış bebeğin de yararına olarak değerlendirilmektedir.
Yöntem: Bu çalışmamız, Koceli Üniversitesi Tıp Fakültesi Gebe Kliniğine başvuran gebelere yapıldı. Gebelik haftası 34 hafta ve üstünde olanlar çalışmaya alındı. Çalışmaya onam veren 200 gebeye sosyo–demografik ve gebelikle ilgili 13 soruyu içeren anket yüz yüze uygulandı. Sonrasında Edinburgh Doğum Sonrası Depresyon Ölçeği içeren test yapıldı1,2.
Bulgular: Katılımcıların %17,5’unda Edinburgh Doğum Sonrası Depresyon Ölçeği (EDDÖ) 12 ve üzerinde çıktı. Öyküsünde ruhsal hastalık tanısı olanlar ile EDDÖ arasında anlamlı ilişki bulundu. EDDÖ ile aile yapısı arasında anlamlı ilişki bulunurken, diğer sosyodemografik özelliklerle karşılaştırıldığında anlamlı ilişki bulunamadı.
Sonuç: Peripartum depresyonun gebeyi etkileyen pek çok faktörle oluşabildiği ve gebe de sıklığının küçümsenemeyecek kadar fazla olduğu bilinmektedir. Hekimlerimiz bebek ve anne sağlığı için, tarama testi olan EDDÖ yi uygulayarak riskli grupta erken tanı ve tedaviye gitmelidir.

Keywords

Peripartum Depresyon , Edinburgh Postnatal Depression Scale , ilişkili faktörler

Project Number

ETİK KURUL ONAYI 08.10.2018 TARİHİNDE İZİN ALINDI. PROJE NO: 2018/252 2020

EVALUATION OF FACTORS RELATED TO PRENATAL DEPRESSION

Abstract

ABSTRACT
Objective: Depression is a common mood disorder. Assessing for depression in pregnant women is important due to both the mother's and child's health. The well-being of the mother’s mood is also beneficial for the unborn child.
Methods: This study was conducted at Kocaeli University Hospital's maternity clinic. The study included pregnant women who were at least 34 weeks along. A questionnaire with thirteen socio-demographic and pregnancy-related items was administered face-to-face to 200 pregnant women who gave their consent for the study. Following that, a test using the Edinburgh Postpartum Depression Scale was conducted1,2.
Results: 17.5% percent of the participants had a score of 12 or above on the Edinburgh Postnatal Depression Scale (EPDS). A significant correlation was found between those with a history of mental illness and EPDS. While there was a significant relationship between EPDS and family type, no significant relationship was found when compared with other socio-demographic characteristics.
Conclusion: Peripartum depression can occur, and many factors affect pregnant women. Its frequency is too high to be underestimated in pregnant women. The physicians should apply EPDS as a screening test for infant and maternal health and go to early diagnosis and treatment in the risky group.

Keywords

Keywords: Peripartum Depression , Edinburgh Postnatal Depression Scale (EPDS) , risk factors

Supporting Institution

NONE

Project Number

ETİK KURUL ONAYI 08.10.2018 TARİHİNDE İZİN ALINDI. PROJE NO: 2018/252 2020

References

• Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry 1987; 150:782-786. doi:10.1192/bjp.150.6.782.
• Wisner KL, Parry BL, Piontek CM. Clinical practice.Postpartum Depression. N Engl J Med vol. 2002; 347(3):194-199. doi:10.1056/NEJMcp011542.
• Fava M, Kendler KS. Major Depressive Disorder. Neuron. 2000;28(2):335-341. doi:10.1016/s0896-6273(00)00112-4.
• Mental Health and Behavioral Disorders in Pregnancy- ClinicalKey [Internet]. [a.yea 09 April 2023]. Erişim adresi: https://www.clinicalkey.com/#!/content/book/3-s2.0-B978032332108200055X?scrollTo=%23hl0000585.
• Bartollotta TE, Child Development. In: Brian B. Shulman, Nina Capone Singleton, editors. Language Development: foundations, processes, and clinical applications, Joness and Bartlett Publishers, 2014, :45-59.
• [Pregnancy as a psychological event].- ClinicalKey [Internet]. [a.yer 28 April 2023]. Erişim adresi: https://www.clinicalkey.com/#!/content/medline/2-s2.0-15462597.
• Shahoei R, Riji HM, Saeedi ZA. Kurdish pregnant women’s feelings: A qualitative study. Midwifery. 2011;27(2):215-20. doi:10.1016/j.midw.2009.05.011.
• Cutler A, McNamara B, Qasba N, Kennedy HP, Lundsberg L, Gariepy A. “I Just Don’t Know”: An Exploration of Women’s Ambivalence about a New Pregnancy. Womens Health Issues. 2018;28(1):75-81. doi:10.1016/j.whi.2017.09.009.
• Öhman SG, Grunewald C, Waldenström U. Women’s worries during pregnancy: testing the Cambridge Worry Scale on 200 Swedish women. Scand J Caring Sci. 2003;17(2):148-52.doi:10.1046/j.14716712.2003.00095.x.
• Perinatal psychiatry- ClinicalKey [Internet]. [a.yer 26 Ağustos 2019]. Erişim adresi: https://www.clinicalkey.com/#!/content/book/3-s2.0 B9780702031373000279?scrollTo=%23hl0000312. Cantwell R, Cox JL. Psychiatric disorders in pregnancy and the puerperium. Curr Obstet Gynaecol. 2006;16(1):14-20.
• Alvarado-Esquivel C.,Sifuentes-Alvareza A, Salas-Martinez C. Validation of the Edinburgh Postpartum Depression Scale in a Population of Adult Pregnant Women in Mexico J Clin Med Res. 2014;6(5):374-378. doi: http://dx.doi.org/10.14740/jocmr1883w.
• Depression in Childbearing Women: When Depression Complicates Pregnancy- ClinicalKey [Internet]. [a.yer 11 May 2023]. Erişim adresi: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S0095454308001012?scrollTo=%23hl0000057
• Major depressive disorders in pregnancy- ClinicalKey [Internet]. [a.yer 28 April 2023]. Erişim adresi: https://www.clinicalkey.com/#!/content/clinical_overview/67-s2.0-b0200fb1-9413-4799-9b5c-d098947ca716.
• Depression during Pregnancy - ScienceDirect [Internet]. [a.yer 19 May 2023]. Erişim adresi: https://www.sciencedirect.com/science/article/pii/S1521693415000723?via%3Dihub.
• Manber R, Blasey C, Allen JJB. Depression symptoms during pregnancy. Arch Womens Ment Health. 2008;11(1):43-8. doi:10.1007/s00737-008-0216-1.
• Antenatal and postnatal mental health (QS115)- ClinicalKey [Internet]. [a.yer 29 April 2023]. Erişim adresi: https://www.clinicalkey.com//#!/content/nice_guidelines/65-s2.0-QS115.
• Prenatal care: Second and third trimesters - UpToDate [Internet]. [a.yer 06 April 2023]. Erişim adresi: https://www.uptodate.com/contents/prenatal-care-second-and-third trimesters?search=pregnancy&source=search_result&selectedTitle=3~150&usage_type=default&display_rank=3#H21417065.
• ACOG Committee Opinion No. 757: Screening for Perinatal Depression. Obstet Gynecol. 2018;132(5):e208. doi:10.1097/AOG.0000000000002927.
• Siu AL, Bibbins-Domingo K, Grossman DC, Baumann LC, Davidson KW, Ebell M, vd. Screening for Depression in Adults: US Preventive Services Task Force Recommendation Statement. JAMA. 2016;315(4):380-387. doi:10.1001/jama.2015.18392
• Aydin N, Inandi T, Yigit A, Nalan Sahin Hodoglugil N. Validation of the Turkish version of the Edinburgh Postnatal Depression Scale among women within their first postpartum year. Soc Psychiatry Psychiatr Epidemiol. 2004;39(6):483-486. doi:10.1007/s00127-004-0770-4
• Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: a systematic review of prevalence and incidence. Obstet Gynecol. 2005;106(5 Pt 1):1071-83. doi:10.1097/01.AOG.0000183597.31630.db.
• Pilowsky DJ, Wickramaratne P, Talati A, Tang M, Hughes CW, Garber J, vd. Children of depressed mothers 1 year after the initiation of maternal treatment: findings from the STAR*D-Child Study.AmJPsychiatry. 2008;165(9):1136-1147. doi:10.1176/appi.ajp.2008.07081286.
• Ko JY, Farr SL, Dietz PM, Robbins CL. Depression and Treatment Among U.S. Pregnant and Nonpregnant Women of Reproductive Age, 2005–2009. J Womens Health. 2012;21(8):830-836. doi:10.1089/jwh.2011.3466.
• Dikmen-Yildiz P, Ayers S, Phillips L. Depression, anxiety, PTSD and comorbidity in perinatal women in Turkey: A longitudinal population-based study. Midwifery. 2017;55:29-37. doi:10.1016/j.midw.2017.09.001.
• Jairaj C, Fitzsimons CM, McAuliffe FM, O’Leary N, Joyce N, McCarthy A, vd. A population survey of prevalence rates of antenatal depression in the Irish obstetric services using the Edinburgh Postnatal Depression Scale (EPDS). Arch Womens Ment Health. 2019;22(3):349-55. doi:10.1007/s00737-018-0893-3.
• Bassi M, Fave AD, Cetin I, Melchiorri E, Pozzo M, Vescovelli F, vd. Psychological well-being and depression from pregnancy to postpartum among primiparous and multiparous women. J Reprod Infant Psychol. 2017;35(2):183-95. doi:10.1080/02646838.2017.1290222.
• Koleva H, Stuart S, O’Hara MW, Bowman-Reif J. Risk factors for depressive symptoms during pregnancy. Arch Womens Ment Health. 2011;14(2):99-105. doi:10.1007/s00737-010-0184-0.
• Siegel RS, Brandon AR. Adolescents, Pregnancy, and Mental Health. J Pediatr Adolesc Gynecol. 2014;27(3):138-150. doi:10.1016/j.jpag.2013.09.008.
• Kirkan TS, Aydin N, Yazici E, Akcali Aslan P, Acemoglu H, Daloglu AG. The depression in women in pregnancy and postpartum period: A follow-up study. Int J Soc Psychiatry. 2015;61(4):343-349. doi:10.1177/0020764014543713.
• Martini J, Petzoldt J, Einsle F, Beesdo-Baum K, Höfler M, Wittchen H-U. Risk factors and course patterns of anxiety and depressive disorders during pregnancy and after delivery: A prospective-longitudinal study. J Affect Disord. 2015;175:385-395. doi:10.1016/j.jad.2015.01.012.
• Lancaster CA, Gold KJ, Flynn HA, Yoo H, Marcus SM, Davis MM. Risk factors for depressive symptoms during pregnancy: a systematic review. Am J Obstet Gynecol. 2010;202(1):5-14. doi:10.1016/j.ajog.2009.09.007.
• Woody CA, Ferrari AJ, Siskind DJ, Whiteford HA, Harris MG. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. J Affect Disord. 2017;219:86-92. doi:10.1016/j.jad.2017.05.003.
• Verbeek T, Bockting CLH, Beijers C, Meijer JL, van Pampus MG, Burger H. Low socioeconomic status increases effects of negative life events on antenatal anxiety and depression. Women Birth. 2019;32(1):e138-143. doi:10.1016/j.wombi.2018.05.005.
• O’Connor E, Rossom RC, Henninger M, Groom HC, Burda BU. Primary Care Screening for and Treatment of Depression in Pregnant and Postpartum Women: Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2016;315(4):388-406. doi:10.1001/jama.2015.18948.