Naslov
Acute stress and depression 3 days after vaginal delivery – observational, comparative study

Autori
Srkalović Imširagić, Azijada ; Begić, Dražen ; Martić-Biočina, Sanja

Izvornik
Collegium Antropologicum (0350-6134) 33 (2009), 2; 521-527

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
delivery; postpartum; post-traumatic stress disorder; depression

Sažetak
During the first month postpartum, 85 % of women experience some form of mood disorders. The most common are: postpartum blues, non-psychotic postpartum depression, puerperal psychosis. Delivery of a child can be traumatic for some women. Several authors have found that women could get symptoms on one form of posttraumatic stress disorder (PTSD) after childbirth. However, etiology of established postpartum disorders is still unknown. The aim of this study is to detect symptoms of acute stress reaction and acute depressive state as a consequence of peripartal complications, as early as three days postpartum using Impact of Events Scale revised (IES-R) and the Edinburgh Postnatal Depression Scale (EPDS) questionnaires and to demonstrate their potential usage for the early detection of vulnerable mothers with greater risk to develop any of postpartum psychiatric disorder, including PTSD. For that purpose 103 subjects, without previous medical history of psychiatric illness, were included in the investigation. Long duration of delivery (≥ 12 h), very painful delivery, complication and illness of mother during and after delivery as a consequence of delivery, preterm delivery (before week 36) and/or illness of the child (as a consequence of delivery or congenital) are considered to be risk factors for acute stress reaction and acute depressive state after delivery. Sixty one out of 103 investigated mothers had one or more researched peripartal complications. A satistically significant difference has been found between the control (n = 42) and the peripartal complications (n = 61) groups in both the mean IES-R (4.67 ± ; 5.43 and 13.50 ± ; 14.12, respectively, p ˂ 0.01) as well as in the mean EPDS (3.85 ± ; 2.76 and 7.03 ± ; 3.90, respectively, p ˂ 0.01) scores. Additionally, while there were 4 cases of acute stress reactions and 3 cases of acute depressive state in the peripartal complications group there were no cases of these states in the control group. Based on our findings we concluded that using IES-R and EPDS questionnaires as early as three days after delivery could provide on early detection of previously healthy mothers with greater risk for development of postpartum psychiatric disorders.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA