• Title, Summary, Keyword: Postpartum-depression

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The Predictors of Postpartum Depression (산후우울 예측요인)

  • 박영주;신현정;유호신;천숙희;문소현
    • Journal of Korean Academy of Nursing
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    • v.34 no.5
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    • pp.722-728
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    • 2004
  • Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

A Clinical Study on the Social Environmental Factors of Postpartum blues and depression (사회환경적 인자와 관련된 산후우울의 임상적 연구)

  • Kim Lak-Hyung;Kwon Bo-Hyung;Kim Su-Yeon
    • Journal of Oriental Neuropsychiatry
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    • v.12 no.2
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    • pp.27-35
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    • 2001
  • Objective : Doctors who treat women in childbed have to pay attention to postpartum blues and depression which women in childbed can suffer from, as well as recovery of physical function. Methods : Subjects were 107 females who admitted in Woosuk Hospital of Oriental Medicine from September, 2000 to October, 2001 and made out the question paper within 10 days after delivery. The paper included EPDS(Edinburgh Postnatal Depression Scale) and many items known to be the factors related to postpartum blues and depression. Results : The rate of postpartum depression assessed by EPDS was 16.8%. As the result of analysis, there were significant statistic corelations between each group assessed by EPDS and age parity relation with husband yes or no living with parents-in-law. But there were no significant corelations between each group assessed by EPDS and education religion yes or no occupation delivery method sex of infant marriage type yes or no rearing the infant. Conclusions : We recognized that insufficiency- of delivery experience and stress due to bad adaptation after delivery are possible to be risk factors of postpartum blues and depression. More research should be taken on the corelation between postpartum depression and yes or no living with parents-in-law, because this result is opposite to the trouble between mother-in-law and daughter-in-law. In addition, more research is needed on corelation between physical condition, oriental-diagnosis of women in childbed and postpartum depression.

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Related Factors to Postpartum Care Performance in Postpartum Women (출산여성의 산후관리수행의 관련요인)

  • Kim, Jeung-Im
    • Korean Journal of Women Health Nursing
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    • v.13 no.2
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    • pp.98-104
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    • 2007
  • Purpose: The purpose of this study was to explore the barriers and the enhancing factors and predictors to postpartum care performance. Methods: The Research design in this study was a cross-sectional correlational survey. Subjects were 145 women at 6 to 10 weeks post delivery at an OB & GY clinic. Data was gathered with postpartum care performance, and other related variables including emotional status during pregnancy, fatigue, health recovery status, maternal role and identity. Data was analyzed using the SPSS WIN(version 11.0) program. Results: The mean score of postpartum care performance was 3.08 of 5, it had significant differences in emotional status during pregnancy, coincidence of expected sex, health recovery status, postpartum fatigue and postpartum depression. The maternal role and health recovery status were enhancing factors of postpartum care performance. Also, the barrier factors were fatigue, depression and coincidence of expected sex. Among these factors, the present health recovery status had an predictability of 11.7%, postpartum fatigue 3.2%, and coincidence of expected sex 2.5%, for a total predictability factor of 17.4% on postpartum care performance. Conclusion: Among these related factors to postpartum care performance, present health recovery status was the most predictable factor and then postpartum fatigue, and coincidence of expected sex. We need to establish a strategy to reduce postpartum fatigue and implement nursing interventions for health related consequences in postpartum women.

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The Effects of Supportive Nursing Management on Postpartum Depression of Mothers with Premature Infants (지지간호가 미숙아 어머니의 산후 우울에 미치는 효과)

  • Kim, Eun Sook;Kim, Eun Young;Lee, Ji Yeon;Kim, Jin Kyoung;Lee, Hyun Ju;Lee, Seung Hee;Kim, Ji Young;Won, Ha Yeon
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.3
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    • pp.157-170
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    • 2009
  • Purpose: This quasi-experimental study was conducted to investigate the effects of supportive nursing management on postpartum depression in the mothers with premature infants. Methods: The subjects were 21 mothers who delivered premature babies in a university hospital. The experimental group of 10 mothers was provided with supportive nursing management program by nurses in neonatal ICU and the control group of 11 mothers was provided with usual management only. The designed programs were given 4 times to the experimental group while their babies were hospitalized, and telephone consultation was provided 3 times after discharge. The stress, anxiety, identity, support from their husbands & family members, and postpartum depression were measured 3 times using Edinburgh Postnatal Depression Scale (the 4th day of premature's hospitalization, the day of discharge and the day of 4 weeks after discharge). Results: There was no significant difference in general characteristics and the influential factors of postpartum depression between the two groups, so they were homogeneous. There was no significant difference in depression (F=0.01, p=.917). However there was significant difference over time (F=6.74, p=.003) and the interaction between measurement time and treatment (F=3.59, p=.037). Conclusion: The supportive nursing management on postpartum depression of mothers with premature infants is considered effective and useful in reducing postpartum depression. Further research is warranted to investigate paternal depression and the program's long-term effects.

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The Effect of Postpartum Depression on Breast-Feeding Practice in Puerperium Mothers (산욕기 산모의 산후우울이 모유수유 실천에 미치는 영향)

  • Kim, Sun Mi;Kim, Byung Kwan
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.187-195
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    • 2019
  • The purpose of this study is to identify the relationship between postpartum depression and breast-feeding in puerperium mothers to practice healthy breast-feeding. Puerperium mothers at postnatal care center completed an anonymous survey. Postpartum depression severity was observed at ($x^2=19.556$, p = 0.000). Postpartum depression was found to negatively affect healthy breast-feeding at a rate of Exp (B) = 0.887, p = 0.014. Puerperium mothers' postpartum depression has shown significant effect on breast-feeding practice, thus, when postpartum depression rate decrease, regular breast-feeding practice rate increased. Despite lacking robust statistical evidence, these results indicate that postpartum depression leads to bottle-feeding.

Family Factors Influencing Korean Mothers' Postpartum Depression

  • Kim, Sang Lim;Yang, Sungeun
    • International Journal of Advanced Culture Technology
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    • v.6 no.4
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    • pp.45-51
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    • 2018
  • The purpose of the study was to examine the effects of family related factors (mothers' self-esteem, mothers' parenting stress, mothers' marital satisfaction, fathers' parenting involvement, and social support) on mothers' postpartum depression. The subjects were 797 households that were extracted from the $1^{st}$ wave of the Panel Study of Korean Children (PSKC). The study variables were measured using the survey questionnaires, and analyses of Pearson's correlation and multiple regression were conducted. Results showed that family related factors significantly predicted mothers' postpartum depression. Moreover, the most significant predictor was mothers' parenting stress, followed by marital satisfaction, self-esteem, fathers' parenting involvement, and social support. Study findings indicate that mothers' postpartum depression is attributed to not only personal but also family related factors. Our results suggest importance of parent education and family support along with social support.

The Relationship between a Father's Involvement in Parental Roles and Postpartum Depression : The Mediating Effects of Marital Relationships and the Moderating Effects of Mother's Self-Perception (영아 자녀를 둔 어머니가 지각하는 부의 양육참여와 산후 우울의 관계 : 부부관계의 매개효과 및 모의 자아인식의 중재효과)

  • Seo, Mi-Jung
    • Korean Journal of Child Studies
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    • v.32 no.6
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    • pp.107-121
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    • 2011
  • This study examined the mediating effects of marital relationships (marital satisfaction, marital conflict) and the moderating effects of mother's self-perception (self-efficacy, self-esteem) on the relationship between a father's involvement in parental roles and postpartum depression. The participants consisted of 1,863 mothers with infants from the Panel Study of Korean Children. The findings from this study are as follows. First, there were significant correlations between a father's involvement in the parental role, marital satisfaction, marital conflict, self-efficacy, self-esteem and postpartum depression. Second, the relationship between a father's involvement in the parental role and postpartum depression was significantly mediated by both marital satisfaction and marital conflict. Finally, both self-efficacy and self-esteem were seen to moderate the relationship between a father's involvement in the parental role and postpartum depression.

The Impacts of Postpartum Depression on the Temperament, Health and Development of 4-month-old Infants (산모의 우울이 생후 4개월 영아의 기질, 건강과 성장발달에 미치는 영향)

  • Bang, Kyung-Sook
    • Perspectives in Nursing Science
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    • v.9 no.1
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    • pp.9-15
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    • 2012
  • Purpose: This study was conducted to determine the impacts of maternal depression on the temperament, health problems, and development of 4-month-old infants. Methods: For this longitudinal comparative study, data collected at one month postpartum and at the 4th month of follow-up were evaluated from sixty five pairs. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess the symptoms of depression. Results: Eighteen point 5 percent and15.4% of mothers were diagnosed with postpartum depression at one month post-partum and at the 4th month of follow-up, respectively. The temperament of the infants between the two groups was not different. However, the infants of the depressed mothers had more health problems after 4 months. Depressed mothers had a lower score for the acceptance of Home Observation for Measurement of the Environment (HOME), and the development score of their infants was lower than that of the non-depressed mothers. Conclusion: Maternal depression affects the health and development of infants. Women should be screened for potential risk factors and for symptoms of depression during postpartum periods so that appropriate interventions including emotional support can be initiated in a timely manner.

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The Effects of Music on the Frontal EEG Asymmetry of the Mothers with Postpartum Blues (산후 우울감을 보이는 산모에서 나타나는 전두엽 뇌파 비대칭에 대한 음악의 영향)

  • Lim, Sung-Jin;Shin, Chul-Jin
    • Korean Journal of Biological Psychiatry
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    • v.18 no.3
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    • pp.134-140
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    • 2011
  • Objectives Postpartum blues is known to be a major risk factor for postpartum depression and can be associated with the problems of language skills, behaviors or learning skills of their children. Therefore, it is very important for clinicians to evaluate precisely and control postpartum blues. Recent studies have found that music has an effect on depressive mood and the frontal EEG asymmetry of the patients with depression. The purpose of this study was to find out the effects of music on the frontal EEG asymmetry of the mothers with postpartum blues. Method Among one hundred and seventy mothers assessed with Korean version of the Edinburg Postnatal Depression Scale (EPDS), nine mothers with postpartum blues (EPDS ${\geq}$ 10) as postpartum blues group and nine non-depressive mothers (EPDS < 10) as non-depressive mother group were included. Ten non-labored, non-depressive women were also included as a normal control group. The subjects were evaluated with the State Trait Anxiety Inventory (STAI)-X1, the Visual Analogue Scale (VAS) and the Depression Adjective Checklist-Korean version (K-DACL) and EEG twice before and after the music sesssion with the length of twenty minutes and thirty two seconds. The statistical analyses were done for A1 score (log R - log L) which were computed from the alpha powers at F3 and F4. Results No significant difference was noted in demographic data among all three groups. The postpartum blues group had higher scores in the STAI-X1, the VAS and the K-DACL compared to the other groups at baseline, and their A1 scores were lower than those of only normal controls. There was a statistically significant increase of A1 score only in the postpartum blues group after the music session. Conclusion This study suggests that the mothers with postpartum blues may have a frontal EEG asymmetry which is possibly associated with their depressive mood, and the music session can affect the frontal asymmetry positively.

The Relationship between Perineal Demage in Delivery and Postpartum Depression (분만 시 회음부 손상과 산후 우울간의 관계)

  • Jang, Hyun-Jung
    • The Journal of the Convergence on Culture Technology
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    • v.4 no.1
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    • pp.111-117
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    • 2018
  • This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.