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Perinatal death triples the prevalence of postpartum depression among women in Northern Uganda: A community-based cross-sectional study.
Arach, Anna Agnes Ojok; Nakasujja, Noeline; Nankabirwa, Victoria; Ndeezi, Grace; Kiguli, Juliet; Mukunya, David; Odongkara, Beatrice; Achora, Vincentina; Tongun, Justin Bruno; Musaba, Milton Wamboko; Napyo, Agnes; Zalwango, Vivian; Tylleskar, Thorkild; Tumwine, James K.
Afiliação
  • Arach AAO; Faculty of Health Sciences, Department of Nursing and Midwifery, Lira University, Lira, Uganda.
  • Nakasujja N; Department of Psychiatry, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Nankabirwa V; Department of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
  • Ndeezi G; Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
  • Kiguli J; Department of Community Health and Behavioural Sciences, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
  • Mukunya D; Sanyu Africa Research Institute, Mbale, Uganda.
  • Odongkara B; Department of Paediatrics and Child Health, Gulu University, Gulu, Uganda.
  • Achora V; Department of Obstetrics and Gynaecology, Gulu University, Gulu, Uganda.
  • Tongun JB; Department of Paediatrics and Child Health, University of Juba, Juba, South Sudan.
  • Musaba MW; Faculty of Health Sciences, Department of Obstetrics and Gynaecology, Busitema University, Mbale, Uganda.
  • Napyo A; Faculty of Health Sciences, Department of Public Health, Busitema University, Tororo, Uganda.
  • Zalwango V; Department of Epidemiology and Biostatistics, School of Public Health, Makerere University College of Health Sciences, Kampala, Uganda.
  • Tylleskar T; Centre for International Health, University of Bergen, Bergen, Norway.
  • Tumwine JK; Department of Paediatrics and Child Health, School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.
PLoS One ; 15(10): e0240409, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33048971
ABSTRACT

INTRODUCTION:

Deaths during the perinatal period remain a big challenge in Africa, with 38 deaths per 1000 pregnancies in Uganda. The consequences of these deaths can be detrimental to the women; some ending up with postpartum depression. We examined the association between perinatal death and postpartum depression among women in Lira district, Northern Uganda.

METHODS:

We conducted a community-based cross-sectional study of 1,789 women. Trained research assistants screened women for postpartum depressive symptoms on day 50 postpartum using the Edinburgh postpartum depression scale (EPDS). Socio-demographic, economic, birth and survival status of the neonate were collected during pregnancy and within one week postpartum. We used generalized estimating equation for the Poisson family with a log link using Stata to estimate the prevalence ratio of the association between postpartum depressive symptoms (EPDS scores ≥14) and perinatal death. Mothers who lost their babies between 7-49 days postpartum were excluded.

RESULTS:

Of the 1,789 participants symptomatically screened for postpartum depression, 377 (21.1%) [95% confidence interval (95%CI) 17.2%, 23.0%] had probable depressive symptoms. The prevalence of postpartum depressive symptoms among the 77 women who had experienced perinatal death (37 stillbirths and 40 early neonatal deaths (≤7 days of life)) was 62.3% [95% CI 50.8%, 72.6%] compared to 19.2% [95% CI 17.4%, 21.2%], among 1,712 with live infants at day 50 postpartum. Women who had experienced a perinatal death were three times as likely to have postpartum depressive symptoms as those who had a live birth [adjusted prevalence ratio 3.45 (95% CI 2.67, 4.48)].

CONCLUSIONS:

The prevalence of postpartum depressive symptoms, assessed by EPDS, was high among women who had had a perinatal death in Northern Uganda. Women experiencing a perinatal death need to be screened for postpartum depressive symptoms in order to intervene and reduce associated morbidity.
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos Base de dados: MEDLINE Tipo de estudo: Estudo observacional / Estudo de prevalência / Pesquisa qualitativa / Fatores de risco Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar Tema em saúde: Meta 3.2: Reduzir as mortes de recém nascidos e crianças com menos de 5 anos Base de dados: MEDLINE Tipo de estudo: Estudo observacional / Estudo de prevalência / Pesquisa qualitativa / Fatores de risco Idioma: Inglês Revista: PLoS One Assunto da revista: Ciência / Medicina Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda
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