Özhan ÖZDEMİR, Ferit SARAÇOĞLU, Mehtap OKTAY, Ahmet İSTANBULLU, Mustafa Yasin SELÇUK, Mustafa Gökhan USMAN

Postpartum Depresyonun Gebelikte Alınan Kilo ve Sosyodemografik Faktörlerle İlişkisi

Amaç: Bu çalışma postpartum depresyonun yaygınlığı, yaşam kalitesi üzerine etkisi ve gebelikte alınan kilo ile postpartum depresyonun sosyodemografik parametrelerle ilişkilerini araştırmak amacıyla yapılmıştır. Gereç ve Yöntemler: Kadın hastalıkları ve doğum kliniğine Nisan 2008- Mayıs 2008 tarihleri arasında başvuran gebeler arasından rastgele yöntemle seçilmiş 41 postpartum anne araştırmanın evrenini oluşturdu. Bu gebelerin sosyodemografik özelliklerini belirlemek için 25 soruluk anket yapıldı. Sonrasında Edinburgh Postpartum Depresyon Skalası (EPDS) uygulandı. Bulgular: Olgularımızın EPDS değerleri ortalaması 9.6, standart sapması 5.18 idi, minimum değer 0 iken, maksimum değer 23 idi. EPDS düzeylerine ilişkin kesme puanına göre oluşturulan gruplar arasında EPDS düzeyi 13'ten az olan grubun (n=30) ortalama kilo alımı 14.0±4.15 iken 13 ve üzerinde olan gruba (n=11) ortalama kilo alımı 10.5±6.28 idi. Bu sonuçlara göre EPDS düzeyi 13'ten az olan grubun EPDS düzeyi 13 ve üzerinde olan gruba göre gebelikte daha fazla kilo aldığı saptandı (p=0.031). Çalışma sonucu EPDS'ye göre postpartum depresyon insidansı %26 olarak saptandı. Sonuç: Biz postpartum depresyon için risk faktörü olarak gebelik sürecinde beslenme sonucu yetersiz kilo alımının da üzerinde durulması gerektiğini vurgulamak isteriz.

The Relationship of Postpartum Depression With Weight Gain During Pregnancy and Sociodemographic Factors

Objective: This study is intended to investigate the prevalence of postpartum depression, its effect on life quality, and the relationship of the weight gained during pregnancy and the postpartum depression with sociodemographic parameters. Material and Methods: 41 postpartum mothers chosen randomly among the pregnant women, who had applied to the outpatient clinic for obstetrics and gynecology between dates of April 2008 - May 2008, constituted the extent of the study. A survey including 25 questions was carried out to determine the sociodemographic characteristics of these pregnant women. Thereafter, Edinburgh Postpartum Depression Scale (EPDS) was applied. Results: Average of EPDS scores of our cases was 9.6 and standard derivation was found as 5.18. Minimum value was 0, whereas maximum value was determined to be 23. Among groups, which were constituted according to cut-off scores regarding their EPDS levels, mean weight gain of the group (n=30) with an EPDS score lower than 13 was 14.0±4.15, whereas mean weight gain of the group (n=11) with EPDS score equal to or above 13 was found to be 10.5±6.28. According to these results, it was determined that the group with a EPDS score less than 13 gained more weight during pregnancy compared to the other group (p=0.031). Result of the study with regard to EPDS revealed a postpartum depression incidence of 26%. Conclusion: We also intend to lay emphasis on insufficient weight gain revealed as the result of nutrition, which constitutes a risk factor for postpartum depression during pregnancy.

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