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

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. Anahtar kelimeler: Postpartum Depresyon; Risk Faktörleri; Gebe; Kilo Alımı

Anahtar Kelimeler:

Postpartum Depresyon; Risk Faktörleri; Gebe; Kilo Alımı

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. Key words: Postpartum Depression; Risk Factors; Pregnant; Weight Gain

Keywords:

Postpartum Depression; Risk Factors; Pregnant; Weight Gain,

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Letourneau NL, Dennis CL, Benzies K, Duffett-Leger L, Stewart M, Tryphonopoulos PD, et al. Postpartum depression is a family affair: addressing the impact on mothers, fathers, and children. Issues Ment Health Nurs 2012;33:445-57.
Cantwell R, Cox JL. Psychiatric disorders in pregnancy and the puerperium. Currt Obstet Gynaecol 2006;16:14- 20.
Brugha TS, Sharp HM, Cooper SA, Weisender C, Britto D, Shinkwin R,et al. the leicester 500 project. social support and the development of postnatal depressive symptoms, a prospective cohort survey. Psychol Med 1998;28:63-79.
Treloar SA, Martin NG, Bucholz KK, Madden PA, Heath AC. Genetic influences on postnatal depressive symptoms: findinings from an Australian twin sample. Psychol Med 1999;29:645-54
Nielsen Forman D, Videbech P, Hedegaard M, Dalby Salvig J, Secher NJ. Postpartum depression: identification of women at risk. BJOG 2000;107:1210- 17
Beck CT. A meta-analysis of predictors of postpartum depression. Nurs Res 1996;45:297-303
Henshaw C, Foreman D, Cox J. Postnatal blues: a risk factor for postnatal depression. J Psychosom Obstet Gynaecol 2004;25:267-72.
Nunes PA, Phipps MG. Postpartum depression in adolescent and adult mothers: comparing prenatal risk factors and predictive models. Matern Child Health J 2012; DOI 10.1007/s10995-012-1089-5
O’Neill T, Murphy P, Greene VT. Postnatal depression aetiological factors. Ir Med J 1990;83:17-8
Abraham S, Taylar A, Conti J. Postnatal depression, eating, exercise, and vomiting before and during pregnancy. Int J Eat Disord 2001;29:482-7.
Inandi T, Elci OC, Ozturk A, Egri M, Polat A, Sahin TK.Risk factors for depression in postnatal first year, in eastern Turkey. Int J Epidemiol 2002;31:1201-07.
Gürel S, Gürel H. The evaluation of determinants of early postpartum low mood: the importance of parity and inter-pregnancy interval. Eur J Obstet Gynecol Reprod Biol 2000;91:21-4.
Walker L, Timmerman GM, Kim M, Sterling B. Relationships depressive symptoms during postpartum in ethnicallyd verse, low income women. Women Health 2002;36:101- 21. body image and
Ege E, Timur S, Zincir H, Geçkil E, Sunar-Reeder B. Social support and symptoms of postpartum depression among new mothers in Eastern Turkey. J Obstet Gynaecol Res 2008;34:585-93.
Ayvaz S, Hocaoğlu Ç, Tiryaki A, Ak İ. Trabzon il merkezinde doğum sonrası depresyon sıklığı ve gebelikteki ilişkili demografik risk etmenleri. Türk Psikiyatri Derg 2006;17:243-51.
Aydın N, İnandı T, Karabulut N. Depression and associated factors among women within their first postnatal year in Erzurum province in eastern Turkey. Women Health 2005;41:1-12.
Dindar İ, Erdoğan S. Screening of Turkish women for postpartum depression within the first postpartum year: the risk profile of a community sample. Public Health Nursing 2007;24:176–83.
Ekuklu G, Tokuç B, Eskiocak M, Berberoğlu U, Saltık A. Prevalence of postpartum depression in Edirne, Turkey, and related factors. J Reprod Med 2004;49:908- 14.
Durukan E, İlhan MN, Bumin MA, Aycan S. İki hafta- 18 aylık bebeği olan annelerde postpartum depresyon sıklığı ve yaşam kalitesi. Balkan Med J 2011;28:385-93.
Seguin L, Potvin L, St-Denis M, Loiselle J. Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 1999;26:157-63.
Righetti-Veltema M, Conne-Perréard E, Bousquet A, Manzano J. Risk factors and predictive signs of postpartum depression. J Affect Disord 1998;49:167-80.
Kırpınar I, Gözüm S, Pasinlioğlu T, Prospective study of postpartum depression in eastern Turkey prevalence, socio-demographic and obstetric correlates, prenatal anxiety and early awareness. J Clin Nurs 2010;19:422- 31.
Negron R, Martin A, Almog M, Balbierz A, Howell EA. Social support during the postpartum period: mothers’ views on needs, expectations, and mobilization of support. Matern Child Health J DOI 10.1007/s10995- 012-1037-4.
Hübner-Liebermann B, Hausner H, Wittmann M. Recognizing and treating peripartum depression. Dtsch Arztebl Int 2012;109:419-24.
Bingöl TY, Tel H. Postpartum dönemdeki kadınlarda algılanan sosyal destek ve depresyon düzeyleri ile etkileyen faktörler. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi. 2007;10:3
Atasoy N, Bayar Ü, Sade H, Konuk N, Atik L, Barut A ve ark. Doğum sonrası dönemde depresif belirti düzeyini etkileyen klinik ve sosyodemografik risk etkenleri. Türkiye Klinikleri J Gynecol Obst 2004;14:252-7.
Erbay DP. Yarı kentsel bir bölgede postpartum depresyon prevlansı ve risk faktörleri. VIII. Ulusal Halk Sağlığı Kongresi Kitabı 2002:862-5
McMahon CA, Boivin J, Gibson FL, Fisher JR, Hammarberg K, Wynter K, et al. Older first-time mothers and early postpartum depression: a prospective cohort study of women conceiving spontaneously or with assisted reproductive technologies. Fertil Steril 2011;96:1218-24.
Chung EK, McCollum KF, Elo IT, Lee HJ, Culhane JF. Maternal depressive symptoms and infant health practices among low-income women. Pediatrics 2004;113:523-9.
Barbadoro P, Cotichelli G, Chiatti C, Simonetti ML, Marigliano A, Di Stanislao F,et al. Socio-economic determinants and self-reported depressive symptoms during 2012;52:352-68. Women Health.
Karaçam Z, Ançel G. Depression, anxiety and influencing factors in pregnancy: a study in a Turkish population. Midwifery 2009;25:344-56.
Danaci AE, Dinç G, Deveci A, Sen FS, Içelli I. Postnatal depression in Turkey: epidemiological and cultural aspects. Soc Psychiatry Psychiatr Epidemiol 2002;37:125-9.
Ozbasaran F, Coban A, Kucuk M. Prevalence and risk factors concerning postpartum depression among women within early postnatal periods in Turkey. Arch Gynecol Obstet 2011;283:483-90.
Kit LK, Janet G, Jegasothy R. Incidence of postnatal depression in Malaysian women. J Obstet Gynaecol Res 1997;23:85-9.
O’Hara M, Swain A. Rates and risk of postpartum depression: a meta-analysis. Int Rev Psychiatr 1996;8:37-54.
Nur N, Çetinkaya S, Bakır DA, Demirel Y. Sivas il merkezindeki kadınlarda postnatal depresyon prevalansı ve risk faktörleri. Cumhuriyet Üniv Tıp Fakültesi Derg. 2004;26:55-9.