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Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi

Year 2019, , 58 - 62, 14.03.2019
https://doi.org/10.16948/zktipb.527120

Abstract

Amaç: Doğum
sonrası süreçte annelerde gözlenen depresif duygu-durum değişiklikleri anne,
bebek ve toplum sağlığı bakımından önemlidir. Postpartum depresyon için
geliştirilen tarama testlerinin klinik kullanımları hastalığın önlenmesi, hasta
bireylerin erken tanınması ve tedavi edilmesinin sağlanması için önerilmektedir.
Bu çalışma ile annelerde postpartum depresif duygusal bozukluklar üzerine etki
eden risk faktörlerini ve depresif duygusal bozuklukların emzirme üzerine
etkilerini değerlendirmek amaçlanmaktadır.

Yöntem: Çalışmaya
Nisan 2018- Ekim 2018 tarihleri arasında hastanemizde doğum yapan ve çalışmaya
katılmayı kabul eden anneler ve bebekleri dahil edildi. Bu çalışma için yerel
etik komiteden onay alındı. Çalışmaya
katılan annelerin yaşları, gebelik ve doğum sayıları, doğum şekilleri, maddi
durumları, eğitim düzeyleri, eş destekleri, bebeklerinin cinsiyetleri, doğum
ağırlıkları ve gestasyon haftaları, bebeklerin başvuru sırasındaki vücut
ağırlıkları,  beslenme şekilleri ve
hastane yatışlarının olup olmadığı kaydedildi. Tüm annelere EPDS testi ile
postpartum depresyon taraması yapıldı.

Sonuçlar:
Çalışmaya 100 anne- bebek çifti katıldı. Annelerin yaşları median 29 (
19-39)  ve çalışmada spontan vajinal
doğum oranı % 48 idi.  Bebeklerin oğum
ağırlıkları median 3300 gr ( 1700 gr – 4500 gr), gestasyon haftaları  median 38 hafta ( 34 hafta-41 hafta) idi.
EPDS skorunun 10’un üzerinde olması ile anne yaşının büyük olması, anne sütüne
ek olarak mama verilmesi, gebelikte kayıp öyküsünün olması ve bebeğin hastanede
yatışının olması arasında istatistiksel olarak anlamlı pozitif ilişki saptandı.
EPDS skoru 10’un altında olan 58 annenin 48’inin (%82,7) bebeklerini sadece
anne sütü ile beslediği, EPDS puanı 10 ve üzerinde olan 42 annenin 27’sinin (
%64,2) bebeklerini sadece anne sütü ile beslediği saptandı. Bu fark
istatistiksel olarak anlamlı bulundu ( p= 0,035).







Tartışma:
Postpartum depresyon açısından risk taşıyan bireylerin önceden belirlenmesi, bu
anneler için psikososyal desteğin daha erken ve güçlü verilmesi bakımından
önemlidir. Postpartum depresyon gelişimin önlenmesi bebeklerin anne sütü ile
beslenme oranlarını artıracaktır. 

References

  • Referans 1. Ukatu N, Clare CA, Brulja M. Postpartum Depression Screening Tools: A Review. Psychosomatics. 2018 May;59(3):211-19
  • Referans 2. O'Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379-407
  • Referans 3. Heron J, Haque S, Oyebode F, Craddock N, Jones I. A longitudinal study of hypomania and depression symptoms in pregnancy and the postpartum period. Bipolar Disord. 2009;11(4):410-7
  • Referans 4. Bobo WV, Yawn BP. Concise review for physicians and other clinicians: postpartum depression. Mayo Clin Proc. 2014;89(6):835-44
  • Referans 5. Clare CA, Yeh J. Postpartum depression in special populations: a review. Obstet Gynecol Surv. 2012;67(5):313-23
  • Referans 6. Horowitz JA, Goodman J. A longitudinal study of maternal postpartum depression symptoms. Res Theory Nurs Pract. 2004;18(2-3):149-63
  • Referans 7. Miller ES, Hoxha D, Wisner KL, Gossett DR. The impact of perinatal depression on the evolution of anxiety and obsessive-compulsive symptoms. Arch Womens Ment Health. 2015;18(3):457-61
  • Referans 8. Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev. 2010 ;33(1):1-6
  • Referans 9. Earls MF; Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics. Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics. 2010;126(5):1032-9
  • Referans 10. Committee on Obstetric Practice. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet Gynecol. 2015 May;125(5):1268-71
  • Referans 11. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6
  • Referans 12. Yawn BP, Pace W, Wollan PC, Bertram S, Kurland M, Graham D, Dietrich A. Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to assess increased risk of depression among postpartum women. J Am Board Fam Med. 2009;22(5):483-91
  • Referans 13. Usuda K, Nishi D, Okazaki E, Makino M, Sano Y. Optimal cut-off score of the Edinburgh Postnatal Depression Scale for major depressive episode during pregnancy in Japan. Psychiatry Clin Neurosci. 2017;71(12):836-42
  • Referans 14. Owora AH, Carabin H, Reese J, Garwe T. Diagnostic performance of major depression disorder case-finding instruments used among mothers of young children in the United States: A systematic review. J Affect Disord. 2016;201:185-93
  • Referans 15. Wilkinson A, Anderson S, Wheeler SB. Screening for and Treating Postpartum Depression and Psychosis: A Cost-Effectiveness Analysis. Matern Child Health J. 2017;21(4):903-14
  • Referans 16. Lanzi RG, Bert SC, Jacobs BK. Depression among a sample of first-time adolescent and adult mothers. J Child Adolesc Psychiatr Nurs. 2009;22(4):194-202.
  • Referans 17. Salihu HM, Luke S, Alio AP, Deutsch A, Marty PJ. The impact of obesity on spontaneous and medically indicated preterm birth among adolescent mothers. Arch Gynecol Obstet. 2010;282(2):127-34
  • Referans 18. Silverman ME, Reichenberg A, Savitz DA, Cnattingius S, Lichtenstein P, Hultman CM, Larsson H, Sandin S. The risk factors for postpartum depression: A population-based study. Depress Anxiety. 2017;34(2):178-87
  • Referans 19. Gravensteen IK, Jacobsen EM, Sandset PM, Helgadottir LB, Rådestad I, Sandvik L, Ekeberg. Anxiety, depression and relationship satisfaction in the pregnancy following stillbirth and after the birth of a live-born baby: a prospective study. BMC Pregnancy Childbirth. 2018;18(1):41
  • Referans 20. Lefkowitz DS1, Baxt C, Evans JR. Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU). J Clin Psychol Med Settings. 2010;17(3):230-7
  • Referans 21. Seimyr L1, Edhborg M, Lundh W, Sjögren B. In the shadow of maternal depressed mood: experiences of parenthood during the first year after childbirth. J Psychosom Obstet Gynaecol. 2004;25(1):23-34
  • Referans 22. Figueiredo B, Canário C, Field T. Breastfeeding is negatively affected by prenatal depression and reduces postpartum depression. Psychol Med. 2014;44(5):927-36
  • Referans 23. Chaudron LH, Klein MH, Remington P, Palta M, Allen C, Essex MJ. Predictors, prodromes and incidence of postpartum depression. J Psychosom Obstet Gynaecol. 2001;22(2):103-12
  • Referans 24. Groër MW. Differences between exclusive breastfeeders, formula-feeders, and controls: a study of stress, mood, and endocrine variables. Biol Res Nurs. 2005;7(2):106-17
  • Referans 25. Stuebe AM1, Grewen K, Pedersen CA, Propper C, Meltzer-Brody S. Failed lactation and perinatal depression: common problems with shared neuroendocrine mechanisms? J Womens Health (Larchmt). 2012;21(3):264-72

Evaluation of Maternal Postpartum Depressive Emotional Disorders and Determination of Their Effects on Breastfeeding

Year 2019, , 58 - 62, 14.03.2019
https://doi.org/10.16948/zktipb.527120

Abstract

Aim: Maternal depressive changes in postpartum period are important for mother, infant and community health. The clinical use of screening tests developed for postpartum depression is recommended for prevention of disease, early diagnosis and treatment of patients. The aims of this study are to evaluate the effective risk factors on postpartum depressive emotional disorders in mothers and to evaluate the effects of depressive emotional disorders on breastfeeding.

Method: Between April 2018 and October 2018, mothers who gave birth in our hospital and who agreed to participate in the study and their babies were included. Approval was obtained from the local ethics committee for this study. Age of mothers, numbers of pregnancies and births, forms of birth, financial conditions, education levels, partner supports, genders of infants, birth weights and gestational weeks, the body weight of infants at the time of application, feeding patterns and whether or not hospitalizations were recorded. All mothers were screened for postpartum depression by EPDS test.

Results: 100
mother-infant couples participated in the study. Median ages of mothers was 29
(19-39) and spontaneous vaginal birth rate was 48%. The median weight of the
infants was 3300 g (1700 g - 4500 g) and gestational weeks were median 38 weeks
(34 weeks - 41 weeks). There was a statistically significant positive
correlation between the EPDS score of more than 10 and maternal age, feeding of
breast milk, the history of loss of pregnancy and the hospitalization of the
baby.
It was found that 48
(82.7%) of 58 mothers with EPDS score less than 10 had only breast milk and 27
(64.2%) of 42 mothers with EPDS score of 10 or higher fed their babies only
with breast milk. This difference was statistically significant (p = 0.035).





Conclusion:
The prediction of individuals at risk for postpartum depression is important
for providing early and strong psychosocial support to these mothers. Prevention
of postpartum depression will increase the feeding rate of infants with breast
milk.

References

  • Referans 1. Ukatu N, Clare CA, Brulja M. Postpartum Depression Screening Tools: A Review. Psychosomatics. 2018 May;59(3):211-19
  • Referans 2. O'Hara MW, McCabe JE. Postpartum depression: current status and future directions. Annu Rev Clin Psychol. 2013;9:379-407
  • Referans 3. Heron J, Haque S, Oyebode F, Craddock N, Jones I. A longitudinal study of hypomania and depression symptoms in pregnancy and the postpartum period. Bipolar Disord. 2009;11(4):410-7
  • Referans 4. Bobo WV, Yawn BP. Concise review for physicians and other clinicians: postpartum depression. Mayo Clin Proc. 2014;89(6):835-44
  • Referans 5. Clare CA, Yeh J. Postpartum depression in special populations: a review. Obstet Gynecol Surv. 2012;67(5):313-23
  • Referans 6. Horowitz JA, Goodman J. A longitudinal study of maternal postpartum depression symptoms. Res Theory Nurs Pract. 2004;18(2-3):149-63
  • Referans 7. Miller ES, Hoxha D, Wisner KL, Gossett DR. The impact of perinatal depression on the evolution of anxiety and obsessive-compulsive symptoms. Arch Womens Ment Health. 2015;18(3):457-61
  • Referans 8. Field T. Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behav Dev. 2010 ;33(1):1-6
  • Referans 9. Earls MF; Committee on Psychosocial Aspects of Child and Family Health American Academy of Pediatrics. Incorporating recognition and management of perinatal and postpartum depression into pediatric practice. Pediatrics. 2010;126(5):1032-9
  • Referans 10. Committee on Obstetric Practice. The American College of Obstetricians and Gynecologists Committee Opinion no. 630. Screening for perinatal depression. Obstet Gynecol. 2015 May;125(5):1268-71
  • Referans 11. Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry. 1987;150:782-6
  • Referans 12. Yawn BP, Pace W, Wollan PC, Bertram S, Kurland M, Graham D, Dietrich A. Concordance of Edinburgh Postnatal Depression Scale (EPDS) and Patient Health Questionnaire (PHQ-9) to assess increased risk of depression among postpartum women. J Am Board Fam Med. 2009;22(5):483-91
  • Referans 13. Usuda K, Nishi D, Okazaki E, Makino M, Sano Y. Optimal cut-off score of the Edinburgh Postnatal Depression Scale for major depressive episode during pregnancy in Japan. Psychiatry Clin Neurosci. 2017;71(12):836-42
  • Referans 14. Owora AH, Carabin H, Reese J, Garwe T. Diagnostic performance of major depression disorder case-finding instruments used among mothers of young children in the United States: A systematic review. J Affect Disord. 2016;201:185-93
  • Referans 15. Wilkinson A, Anderson S, Wheeler SB. Screening for and Treating Postpartum Depression and Psychosis: A Cost-Effectiveness Analysis. Matern Child Health J. 2017;21(4):903-14
  • Referans 16. Lanzi RG, Bert SC, Jacobs BK. Depression among a sample of first-time adolescent and adult mothers. J Child Adolesc Psychiatr Nurs. 2009;22(4):194-202.
  • Referans 17. Salihu HM, Luke S, Alio AP, Deutsch A, Marty PJ. The impact of obesity on spontaneous and medically indicated preterm birth among adolescent mothers. Arch Gynecol Obstet. 2010;282(2):127-34
  • Referans 18. Silverman ME, Reichenberg A, Savitz DA, Cnattingius S, Lichtenstein P, Hultman CM, Larsson H, Sandin S. The risk factors for postpartum depression: A population-based study. Depress Anxiety. 2017;34(2):178-87
  • Referans 19. Gravensteen IK, Jacobsen EM, Sandset PM, Helgadottir LB, Rådestad I, Sandvik L, Ekeberg. Anxiety, depression and relationship satisfaction in the pregnancy following stillbirth and after the birth of a live-born baby: a prospective study. BMC Pregnancy Childbirth. 2018;18(1):41
  • Referans 20. Lefkowitz DS1, Baxt C, Evans JR. Prevalence and correlates of posttraumatic stress and postpartum depression in parents of infants in the Neonatal Intensive Care Unit (NICU). J Clin Psychol Med Settings. 2010;17(3):230-7
  • Referans 21. Seimyr L1, Edhborg M, Lundh W, Sjögren B. In the shadow of maternal depressed mood: experiences of parenthood during the first year after childbirth. J Psychosom Obstet Gynaecol. 2004;25(1):23-34
  • Referans 22. Figueiredo B, Canário C, Field T. Breastfeeding is negatively affected by prenatal depression and reduces postpartum depression. Psychol Med. 2014;44(5):927-36
  • Referans 23. Chaudron LH, Klein MH, Remington P, Palta M, Allen C, Essex MJ. Predictors, prodromes and incidence of postpartum depression. J Psychosom Obstet Gynaecol. 2001;22(2):103-12
  • Referans 24. Groër MW. Differences between exclusive breastfeeders, formula-feeders, and controls: a study of stress, mood, and endocrine variables. Biol Res Nurs. 2005;7(2):106-17
  • Referans 25. Stuebe AM1, Grewen K, Pedersen CA, Propper C, Meltzer-Brody S. Failed lactation and perinatal depression: common problems with shared neuroendocrine mechanisms? J Womens Health (Larchmt). 2012;21(3):264-72
There are 25 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Original Research
Authors

Sara Erol 0000-0002-8758-7662

Nilgün Altuntaş

Publication Date March 14, 2019
Published in Issue Year 2019

Cite

APA Erol, S., & Altuntaş, N. (2019). Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi. Zeynep Kamil Tıp Bülteni, 50(1), 58-62. https://doi.org/10.16948/zktipb.527120
AMA Erol S, Altuntaş N. Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi. Zeynep Kamil Tıp Bülteni. March 2019;50(1):58-62. doi:10.16948/zktipb.527120
Chicago Erol, Sara, and Nilgün Altuntaş. “Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi Ve Emzirme Üzerine Etkilerinin Belirlenmesi”. Zeynep Kamil Tıp Bülteni 50, no. 1 (March 2019): 58-62. https://doi.org/10.16948/zktipb.527120.
EndNote Erol S, Altuntaş N (March 1, 2019) Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi. Zeynep Kamil Tıp Bülteni 50 1 58–62.
IEEE S. Erol and N. Altuntaş, “Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi”, Zeynep Kamil Tıp Bülteni, vol. 50, no. 1, pp. 58–62, 2019, doi: 10.16948/zktipb.527120.
ISNAD Erol, Sara - Altuntaş, Nilgün. “Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi Ve Emzirme Üzerine Etkilerinin Belirlenmesi”. Zeynep Kamil Tıp Bülteni 50/1 (March 2019), 58-62. https://doi.org/10.16948/zktipb.527120.
JAMA Erol S, Altuntaş N. Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi. Zeynep Kamil Tıp Bülteni. 2019;50:58–62.
MLA Erol, Sara and Nilgün Altuntaş. “Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi Ve Emzirme Üzerine Etkilerinin Belirlenmesi”. Zeynep Kamil Tıp Bülteni, vol. 50, no. 1, 2019, pp. 58-62, doi:10.16948/zktipb.527120.
Vancouver Erol S, Altuntaş N. Annelerin Doğum Sonrası Depresif Duygusal Bozukluklar Açısından Değerlendirilmesi ve Emzirme Üzerine Etkilerinin Belirlenmesi. Zeynep Kamil Tıp Bülteni. 2019;50(1):58-62.