Peripartum depresyon ve etki eden faktörler: Bir gözlemsel çalışma

Abstract

Amaç: Peripartum depresyon (PD) yaygın bir halk sağlığı sorunudur. Zamanında tanı ve tedavi çok önemlidir ve sağlık hizmeti sağlayıcılarının dikkatli bir şekilde ilgilenmesini gerektirir. Bu çalışma, Edinburgh Doğum Sonrası Depresyon Ölçeği'ni (EPDS) kullanarak peripartum depresyon riskiyle ilişkili demografik, klinik ve laboratuvar faktörlerini belirlemeyi amaçlamaktadır. Gereç ve Yöntem: Üniversite hastanemizin kadın doğum servis ve ayakta tedavi polikliniklerinden toplam iki yüz yirmi dokuz gebe ve doğum sonrası olgu, peripartum depresyon gelişme riskini ve katkıda bulunan faktörleri değerlendirmek için çalışmaya alındı. Demografik ve klinik özellikler, belirlenen laboratuvar değerleriyle (hemoglobin, tiroid hormonları ve D vitamini düzeyleri) birlikte analiz edildi. Bulgular: iki yüz yirmi dokuz olgu arasında (137 gebe, 92 doğum sonrası), %30,1'inin anormal Edinburgh Edinburgh Doğum Sonrası Depresyon Ölçeği puanları (13 ve üzeri) idi. İstatistiksel analiz, maternal obstetrik risk faktörlerinin, fetal ve neonatal sağlık sorunlarının ve düşük D vitamini düzeylerinin perinatal depresyon riskinin artmasıyla önemli ölçüde ilişkili olduğunu gösterdi. Sonuçlar: EPDS, yoğun kadın doğum servis ve polikliniklerinde peripartum depresyon riskini taramak için pratik bir araçtır. Obstetrik anne sağlık sorunları, fetal veya neonatal sağlık sorunları ve düşük D vitamini seviyeleri daha yüksek PD riskine katkıda bulunabilir. Bu risk faktörlerine sahip hamile veya lohusa kadınlar peripartum depresyonuna ilerlemesi açısından yakından izlenmeli ve endike olduğunda bir psikiyatri uzmanına yönlendirilmelidir.

Keywords

• Perinatal depresyon
• Doğum sonrası
• Gebelik
• Depresyon
• D vitamini

Peripartum depression and contributing factors: An observational study

Abstract

Objective: Peripartum depression (PD) is a common public health problem. Timely diagnosis and management are crucial and require careful attention from healthcare providers. This study aims to identify demographic, clinical, and laboratory factors associated with PD risk using the Edinburgh Postnatal Depression Scale (EPDS). Materials and Methods: A total of two hundred and twenty-nine pregnant and postpartum subjects were recruited from our university hospital’s inpatient and outpatient clinics to evaluate peripartum depression development risk and contributing factors. Demographic and clinical characteristics, along with certain laboratory values (hemoglobin, thyroid hormones, and vitamin D levels) were analyzed. Results: Among the 229 subjects (137 pregnant, 92 postpartum), 30.1% had abnormal EPDS scores (≥13). Statistical analysis showed that maternal obstetric risk factors, fetal and neonatal health issues, and low vitamin D levels were significantly associated with an increased risk of perinatal depression. Conclusions: EPDS is a practical tool for screening PD risk in busy obstetrics inpatient and outpatient settings. Obstetric maternal health issues, fetal or neonatal health problems, and low vitamin D levels may contribute to a higher risk of PD. Pregnant or postpartum women with these risk factors should be closely monitored for PD progression and referred to a psychiatric professional when indicated.

Keywords

• Perinatal depression
• Postnatal
• Pregnancy
• Depression
• Vitamin D

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