Knowledge Of Postpartum Depression And Its Associated Risk Factors Among Nurse-Midwives In A Nigerian Tertiary Hospital

Joel Adeleke Afolayan, Olayinka A Onasoga, F.M. Rejuaro, Yusuf, Abdur-Rashid Gambari, Chibuike Onuabueke

Abstract


Postpartum depression (PPD) is a global childbirth-related problem that affects many women and if ignored can have long-term adverse consequences, for both mother and child. Timely identification of its risk factors requires a good knowledge base for the care provider

A descriptive cross sectional study was used to assess the knowledge of PPD and its associated risk factors among nurse-midwives in a tertiary hospital in Bayelsa State. A systematic random sampling technique was used to select a sample size 114 nurse-midwives respondents. A well-structured questionnaire was used to collect data from the participants. The same were analysed using descriptive and inferential statistics with level of significance set at 0.05(5%).

Despite the fact that majority of nurse-midwives rated their information level on postpartum depression as moderate, most of them still maintained that cigarette smoking, unwanted pregnancy, poor economic status cannot predispose a woman to PPD. Furthermore, majority affirmed that Edinburg Postnatal Depression Scale (EPDS) can be used to screen for PPD yet only about half of the respondents opined that PPD tendency can be detected during pregnancy and less than half of them affirmed that a score of > 10 using the EPDS indicates depression. The study also found significant relationship between educational qualification and level of information about PPD and its associated risk factors.

The level of knowledge of nurse-midwives is not at the expected level since majority still have knowledge deficit regarding risk factors and how to detect PPD. Hence, it was recommended that periodic suitable training programs on PPD should be developed for healthcare professionals especially for nurse-midwives who are the first point of contact during antenatal, labour and post natal period.

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References


Amankwaa L.C (2003). Postpartum depression among African- American women: Issues in mental health nursing, 24:297-316.

Babatunde T, (2010). An exploration of perception of postnatal depression in african women in Greenwich community health care. The Mary seacole project, lead public health community Nurse, 67-70.

Beck C.T. (2002). Postpartum depression; A metasynthesis, university of Connecticut, storrs, USA. Qual health res. Vol.12 no. 4. 453-472.

Breese, S. J., Beal, M. J., Shipman, S.B. M., Payton, M. E., Watson, G. H. (2006). Risk Factors for Postpartum Depression: A Retrospective Investigation at 4-Weeks Postnatal and a Review of the Literature The Journal of the American Osteopathic Association, Vol. 106, 193-198

CDC. (2008). Centers for Disease Control and Prevention and National Association of Chronic Disease Directors. The state of mental health and aging in America Issue Brief 1: what do the data tell us?, 2008. Available at http://apps.nccd.cdc.gov/MAHA/MahaHome.aspx.

Celestine-Balfour, S. (2014). Postpartum depression: An exploration of nurses’ attitude and knowledge 2nd Commonwealth Nurses Federation Conference http://www.commonwealthnurses.org/conference2014/Documents/SarahCelestine-Balfou

Corwin, E., Kohen, R., Jarrett, M., Stafford, B. (2010). The Heritability of Postpartum Depression. Biological Research for Nursing,

Drozdowicz, E., Rodzoch, R., Matsumoto, H., Skalski, M., Wielgoś, M. Radziwoń-Zaleska, M. (2013). Postpartum depression – a review of current knowledge Med Sci Tech, 2013; 54: 125-129 http://www.ceml online.com/download/index/idArt/889512

Ebeigbe, P.N, Akhigbe, K.O.(2008). “Incidence and associated risk factors of postpartum depression in a tertiary hospital in Nigeria”Niger postgrad. Med j. 15(1)-18.

Forman, D. N., Videbech, P., Hedegaard, M., Salvig, J. D., Secher, N. J. (2000). Postpartum depression:identification of women at risk. British Journal of Obstetrics &Gynaecology, 107, 1210-1217.

Goodman, J.H. (2004). "Paternal postpartum depression, its relationship to maternal postpartum depression, and implications for family health". Journal of Advanced Nursing (JAN) 45 (1): 26–35.

Halbreich, U, Karkun, S. (2006). Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. Journal of Affectine disorders, 91:97-111.

Henshaw, C. Stewart,T. (2002). Midwives and perinatal health. British Journal of Midwifery ; 10:117–121

Kavanaugh M, Halterman J, Montes G, Epstein M, Hightower A.D., Weitzman, M. (2006). Maternal depressive symptoms are adversely associated with prevention practices and parenting behaviors for preschool children. Ambulatory pediatrics, 6:32-37.

Limlomwongse, N., Liabsuetrakul, T. (2006). Cohort study of depressive moods in Thai women during late pregnancy and 6-8 weeks of postpartum using the Edinburgh postnatal depression scale (EPDS). Arch Womens Ment Health 2006;9:131-8.

Mancini, F., Carlson, C.N.D., Albers, L., (2007). Use of postpartum depression screening scale in a collaborative obstetric practice. Journal of midwifery womens`s health , 52:429-439.

McClanahan, K.K. (2009). Depression in Pregnant Adolescents: Considerations for Treatment. Journal of Pediatric and Adolescent Gynecology, 22:59-64.

Mehta, S., Mehta, N. (2014). An Overview of Risk Factors Associated to Post-partum Depression in Asia. Mental Illness, 6(1), 5370. http://doi.org/10.4081/mi.2014.5370

NIHCM Foundation Issue Brief (2010). Identifying and Treating Maternal Depression:Strategies & Considerationsfor Health Plans NIHCM Issue Brief

Rothman, R. (2006).The health visitor's role and postnatal depression: an overview. British Journal Of Midwifery, 14(11):658–66

Sarah, J. Breese, M. (2006). "Risk Factors for Postpartum Depression: A Retrospective Investigation at 4-Weeks Postnatal and a Review of the Literature" The Journal of the American Osteopathic Association (JAOA) 106 (4): 193–8. http://www .jaoa.org/cgi/content/full/106/4/193.

Sayil, M., Gure, A., Ucanok, Z. (2006). First time mothers’ anxiety and depressive symptoms across the transition to motherhood: associations with maternal and environmental characteristics. Women Health, 44:61-77

Schmidt, R.M., Weimann, C.M., Rickert, VI, O’Brian - Smith, E. (2006). Moderate to sever depressive symptoms among adolescent mothers followed fours years postpartum. Journal of Adolescent Health, 38:712-718.

Seda. N., Naile, B. (2010). Postnatal depression; Midwives and nurses knowledge and practice. Erciyes Elect. ISSN 2147-1789

World Health Organization–U.N. Fund for Population Activities. (2007). UNFPA-WHO consensus statement on maternal mental health and child survival/health/development in resource-constrained settings for achieving the millennium development goals. Geneva, Switzerland: WHO.




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