Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023)
Mental disorders affecting women during pregnancy and puerperium are underdiagnosed and undertreated. Among them, postpartum depression (PPD) stands out for its high prevalence, a condition that affects both maternal health and mother-baby interaction, conditioning psychopathological vulnerability t...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2023
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/42824 |
| Aporte de: |
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I10-R327-article-42824 |
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Universidad Nacional de Córdoba |
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R-327 |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
puerperal depression maternal-filial care perinatal mental health depresión puerperal cuidado materno-filial salud mental perinatal . |
| spellingShingle |
puerperal depression maternal-filial care perinatal mental health depresión puerperal cuidado materno-filial salud mental perinatal . Argüello Caro , L Santander , L Bella, M Faas , A Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| topic_facet |
puerperal depression maternal-filial care perinatal mental health depresión puerperal cuidado materno-filial salud mental perinatal . |
| author |
Argüello Caro , L Santander , L Bella, M Faas , A |
| author_facet |
Argüello Caro , L Santander , L Bella, M Faas , A |
| author_sort |
Argüello Caro , L |
| title |
Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| title_short |
Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| title_full |
Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| title_fullStr |
Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| title_full_unstemmed |
Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) |
| title_sort |
evaluation of the risk of postpartum depression in pregnant women under obstetric care in a university hospital in córdoba, argentina (2023) |
| description |
Mental disorders affecting women during pregnancy and puerperium are underdiagnosed and undertreated. Among them, postpartum depression (PPD) stands out for its high prevalence, a condition that affects both maternal health and mother-baby interaction, conditioning psychopathological vulnerability throughout the infant's life. The aim of this study was to identify the presence of risk factors for PPD in pregnant women under obstetric care at the Maternity and Neonatology University Hospital (UNC).
The research design was observational, descriptive, correlational and longitudinal. The sample consisted of 91 patients from the Obstetrics Service, between August 2022 and July 2023. The type of sampling was deliberate according to eligibility criteria verified with the institutional medical record. The informed consent process was carried out with the participants, who signed a form previously approved by the hospital's Institutional Health Research Ethics Committee (CIEIS). The Postpartum Depression Predictors Inventory - Revised Version - (PDPI-R) was administered to all the pregnant women and the Edinburgh Postpartum Depression Scale (EPDS) to 30 of them in the fourth postpartum week. An analysis was performed with the Statistical Package for Social Sciences, determining frequency distribution and T-test.
57% of the pregnant women presented PDPI-R scores corresponding to high risk for PPD, with a mean of 9.71 points, higher than the cut-off point (7 points). The most frequent risk factors were: prenatal anxiety (84%), unplanned pregnancy (58%) and history of maternal depression (51%). In the postnatal evaluation, half of the cases evaluated presented indicators of depression (score ≥ 10). In the correlation between PDPI-R (prenatal) and EPDS (postnatal) scores it was observed that those cases with puerperal depressive indicators had registered risk factors during gestation (p= 0.09, borderline).
The identification of prenatal risk factors such as anxiety in the pregnant woman, unplanned pregnancy and personal history of depression, allow the detection of cases of greater vulnerability to PPD and the implementation of timely preventive measures. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2023 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/42824 |
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I10-R327-article-428242023-10-19T21:18:59Z Evaluation of the risk of postpartum depression in pregnant women under obstetric care in a University Hospital in Córdoba, Argentina (2023) Evaluación de riesgo de depresión postparto en gestantes bajo atención obstétrica en un Hospital Universitario de Córdoba, Argentina (2023) . Argüello Caro , L Santander , L Bella, M Faas , A puerperal depression maternal-filial care perinatal mental health depresión puerperal cuidado materno-filial salud mental perinatal . Mental disorders affecting women during pregnancy and puerperium are underdiagnosed and undertreated. Among them, postpartum depression (PPD) stands out for its high prevalence, a condition that affects both maternal health and mother-baby interaction, conditioning psychopathological vulnerability throughout the infant's life. The aim of this study was to identify the presence of risk factors for PPD in pregnant women under obstetric care at the Maternity and Neonatology University Hospital (UNC). The research design was observational, descriptive, correlational and longitudinal. The sample consisted of 91 patients from the Obstetrics Service, between August 2022 and July 2023. The type of sampling was deliberate according to eligibility criteria verified with the institutional medical record. The informed consent process was carried out with the participants, who signed a form previously approved by the hospital's Institutional Health Research Ethics Committee (CIEIS). The Postpartum Depression Predictors Inventory - Revised Version - (PDPI-R) was administered to all the pregnant women and the Edinburgh Postpartum Depression Scale (EPDS) to 30 of them in the fourth postpartum week. An analysis was performed with the Statistical Package for Social Sciences, determining frequency distribution and T-test. 57% of the pregnant women presented PDPI-R scores corresponding to high risk for PPD, with a mean of 9.71 points, higher than the cut-off point (7 points). The most frequent risk factors were: prenatal anxiety (84%), unplanned pregnancy (58%) and history of maternal depression (51%). In the postnatal evaluation, half of the cases evaluated presented indicators of depression (score ≥ 10). In the correlation between PDPI-R (prenatal) and EPDS (postnatal) scores it was observed that those cases with puerperal depressive indicators had registered risk factors during gestation (p= 0.09, borderline). The identification of prenatal risk factors such as anxiety in the pregnant woman, unplanned pregnancy and personal history of depression, allow the detection of cases of greater vulnerability to PPD and the implementation of timely preventive measures. Los trastornos mentales que afectan a la mujer durante el embarazo y el puerperio son subdiagnosticados y subtratados. Entre ellos destaca por su alta prevalencia la depresión posparto (DPP), condición que afecta tanto la salud materna como la interacción madre-bebé, condicionando vulnerabilidad psicopatológica a lo largo de la vida de éste. El objetivo de este trabajo fue identificar la presencia de factores de riesgo para DPP en mujeres embarazadas bajo atención obstétrica en el Hospital Universitario de Maternidad y Neonatología (HUMN-UNC). El diseño de investigación fue observacional descriptivo, correlacional y longitudinal. La muestra constó de 91 pacientes del Servicio de Obstetricia , entre agosto de 2022 y julio de 2023. El tipo de muestreo fue deliberado según criterios de elegibilidad verificados con la historia clínica institucional. Se llevó a cabo el proceso de consentimiento informado con las participantes, con firma de formulario aprobado por el Comité institucional de Ética de las Investigaciones en Salud (CIEIS) del hospital. Se aplicó el Inventario Predictor de la Depresión Postparto -Versión Revisada- Prenatal (PDPI-R) a la totalidad de las gestantes y la Escala de Depresión Post-Parto de Edimburgo (EPDS) a 30 de ellas en la cuarta semana posparto. Se realizó un análisis con el Paquete Estadístico para las Ciencias Sociales, determinando distribución de frecuencias y Test T. El 57% de las embarazadas presentó puntuaciones de PDPI-R correspondientes a riesgo elevado para DPP, con una media de 9.71 puntos, mayor al punto de corte (7 ptos). Los factores de riesgo más frecuentes fueron: ansiedad prenatal (84%), embarazo no planeado (58%) y antecedente de depresión materna (51%). En la evaluación postnatal, la mitad de los casos evaluados presentó indicadores de depresión (puntuación ≥ 10). En la correlación entre los puntajes de PDPI-R (prenatal) y EPDS (posnatal) se observó que aquellos casos con indicadores depresivos puerperales se habían registrado factores de riesgo durante la gestación (p= 0.09, borderline). La identificación de factores de riesgo prenatales tales como ansiedad en la gestante, embarazo no planeado y antecedente personal de depresión, permiten la detección de casos de mayor vulnerabilidad para DPP y la implementación de medidas preventivas oportunas. . Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2023-10-19 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/42824 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 80 (2023): Suplemento JIC XXIV Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 80 (2023): Suplemento JIC XXIV Revista da Faculdade de Ciências Médicas de Córdoba; v. 80 (2023): Suplemento JIC XXIV 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/42824/42842 Derechos de autor 2023 Universidad Nacional de Córdoba http://creativecommons.org/licenses/by-nc/4.0 |