Evaluation of the Relationship between Stress Level During Pregnancy and Postpartum Depression as the Pandemic Ends
Creators
- 1. Health Directorate of Kayseri, Melikgazi, Kayseri, Türkiye.
Description
Özet
Gebelik biyolojik, fizyolojik ve psikososyal değişimlerle seyreden yaşamsal bir süreçtir. Özellikle pandemi döneminde meydana gelen zorlayıcı faktörler gebelerin normalden daha fazla stres yaşamasına neden olmuştur. Postpartum depresyon, doğum sonrası ortaya çıkan önemli ruh sağlığı sorunlarından birisidir. Çalışmamızda, pandeminin etkisini azalttığı bir dönemde gebelik dönemi stres düzeyinin postpartum depresyon ile ilişkisini araştırmayı amaçladık. Çalışmamız, yaş ortalaması 25.8±4.5 olan toplam 102 kişi ile yapıldı. Veri toplama süreci araştırmacıların gözetiminde anket uygulaması ile gerçekleştirildi. Anket uygulaması iki aşamalı olup ilk aşamada kişilerin sosyodemografik özellikleri sorgulandı ve Gebelik Stresini Değerlendirme Ölçeği (GSDÖ) uygulandı. İkinci aşamada, katılımcılara Edinburgh Postpartum Depresyon Ölçeği (EPDÖ) uygulandı. GSDÖ puan ortalaması 97.0±23.7, EPDÖ puan ortalaması ise 8.07±5.55 olarak bulundu. Gebelikte kronik hastalığı olanların GSDÖ puan ortalaması daha yüksekti (p=0.011). Gebeliği abortus ile sonuçlanan grupta ise EPDÖ puan ortalaması anlamlı olarak daha yüksekti (p=0.001). Pandemi, postpartum dönemde kadınlar için büyük endişe kaynağı olmuştur. Ancak normalleşme süreci ile bu endişelerin azalmış olduğunu düşünüyoruz. Çalışmamızda, gebelerin stres düzeyi ile postpartum depresyon durumu arasında ilişki bulunmadı. Postpartum psikolojik durumun daha çok anne ve bebeğin doğum sonrası sağlık durumlarından etkilendiği görüldü. Doğum sonrası annenin ruh sağlığını yakın takip etmek ve sağlık personelinin anneye destek olması, annenin ruh sağlığının korumasında anneye yardımcı olacaktır.
Abstract
Pregnancy is a life process that progresses with biological, physiological, and psychosocial changes. Especially the challenging factors during the pandemic caused pregnant women to experience more stress than expected. Postpartum depression is one of the important mental health problems that follow giving birth. In our study, we aimed to investigate the relationship between postpartum depression and stress levels during the pregnancy, in a period in which the effects of the pandemic decreased. Our study was conducted on 102 persons with a mean age of 25.8±4.5. The data collection process was carried out using a survey under the supervision of the researchers. The survey consisted of two-stages. In the first stage, the sociodemographic characteristics of the people were questioned, and the Pregnancy Stress Assessment Scale (PSAS) was applied. In the second stage, the Edinburgh Postpartum Depression Scale (EPDS) was applied. PSAS mean score was 97.0±23.7 and SPDS mean score was 8.07±5.55. Pregnant women who have chronic diseases had a higher stress level (p=0.011). EPDS mean score was significantly higher in the group whose pregnancy ended in abortion (p=0.001). The pandemic has been a source of great concern for women in the postpartum period. However, we think these worries must have been decreased with the normalization process. In our study, no relationship was found between postpartum depression and stress level of pregnancy. It was observed that the postpartum psychological state was mostly affected by the postnatal health conditions of the mother and the baby. Closely monitoring the mother's mental health after birth and supporting the mother from medical personnel will help the mother to protect her mental health.
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References
- 1. Beydağ KD. Doğum sonu dönemde anneliğe uyum ve hemşirenin rolü. TSK Koruyucu Hekimlik Bülteni 2007; 6(6), 479-84.
- 2. Marakoğlu K, Şahsıvar MŞ. Gebelikte depresyon. Turkiye Klinikleri J Med Sci 2008; 28(4): 525-32.
- 3. Kemp B, Bongartz K, Rath W. Psychic disturbances in the postpartum period: an increasing problem? Z Geburtshilfe Neonatol 2003; 207(5): 159-65.
- 4. Agrawal I, Mehendale AM, Malhotra R. Risk Factors of Postpartum Depression. Cureus 2022; 14(10): e30898.
- 5. Payne JL, Maguire J. Pathophysiological mechanisms implicated in postpartum depression. Front Neuroendocrinol 2019; 52: 165-80.
- 6. Evins GG, Theofrastous JP. Postpartum depression: A review of postpartum screening. Primary Care Update for Ob/Gyns 1997; 4(2): 241-6.
- 7. Georgiopoulos AM, Bryan TL, Yawn BP, Houston MS, Rummans TA, Therneau TM. Population-based screening for postpartum depression. Obstet Gynecol 1999; 93(5): 653-7.
- 8. O'Hara MW. Social support, life events and depression during pregnancy and the puerperium. Arch Gen Psychiatry 1986; 43(6): 569-73.
- 9. Viinamäki H, Niskanen L, Pesonen P, Saarikoski S. Evolution of postpartum mental health. J Psychosom Obstet Gynaecol 1997; 18(3): 213-9.
- 10. Séguin L, Potvin L, St-Denis M, Loiselle J. Depressive symptoms in the late postpartum among low socioeconomic status women. Birth 1999; 26(3): 157-63.
- 11. Dankner R, Goldberg RP, Fisch RZ, Crum RM. Cultural elements of postpartum depression. A study of 327 Jewish Jerusalem women. J Reprod Med 2000; 45(2): 97-104.
- 12. Aksoy SD, Dutucu N, Özdilek R, Acar Bektaş H, Keçeci A. 'Gebelik Stresi Değerlendirme Ölçeği'nin Türkçe'ye Uyarlanması Ve Faktör Analizi. Kocaeli Üniversitesi Sağlık Bilimleri Dergisi 2019; 5(1): 10-4.
- 13. Aydin N, Inandi T, Yigit A, Hodoglugil NNS. Validation of the Turkish version of the Edinburgh Postnatal Depression Scale among women within their first postpartum year. Soc Psychiatry Psychiatr Epidemiol 2004; 39(6): 483-6.
- 14. Yılmaz M, Yar D. Gebelik ve postpartum dönemde kadın ruh sağlığı: Derleme çalışması. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2021; 5(1): 93-100.
- 15. Moya A, Serneels P, Desrosiers A, Reyes V, Torres MJ, Lieberman A. The COVID-19 pandemic and maternal mental health in a fragile and conflict-affected setting in Tumaco, Colombia: a cohort study. Lancet Glob Health 2021; 9(8): e1068-e1076.
- 16. Traylor CS, Johnson JD, Kimmel MC, Manuck TA. Effects of psychological stress on adverse pregnancy outcomes and nonpharmacologic approaches for reduction: an expert review. Am J Obstet Gynecol MFM 2020; 2(4): 100229.
- 17. Glaser R, Kiecolt-Glaser JK. Stress-associated immune modulation: relevance to viral infections and chronic fatigue syndrome. Am J Med 1998; 105(3A): 35S-42S.
- 18. Lamontagne SJ, Pizzagalli DA, Olmstead MC. Does inflammation link stress to poor COVID-19 outcome? Stress Health 2021; 37(3): 401-14.
- 19. Wastnedge EAN, Reynolds RM, van Boeckel SR, Stock SJ, Denison FC, Maybin JA, et al. Pregnancy and COVID-19. Physiol Rev 2021; 101(1): 303-18.
- 20. Yao XD, Zhu LJ, Yin J, Wen J. Impacts of COVID-19 pandemic on preterm birth: a systematic review and meta-analysis. Public Health 2022; 213: 127-34.
- 21. Weng SC, Huang JP, Huang YL, Lee TS, Chen YH. Effects of tobacco exposure on perinatal suicidal ideation, depression, and anxiety. BMC Public Health 2016; 16: 623.
- 22. Kołomańska-Bogucka D, Micek A, Mazur-Bialy AI. The COVID-19 Pandemic and Levels of Physical Activity in the Last Trimester, Life Satisfaction and Perceived Stress in Late Pregnancy and in the Early Puerperium. Int J Environ Res Public Health 2022; 19(5): 3066.
- 23. Răchită A, Strete GE, Suciu LM, Ghiga DV, Sălcudean A, Mărginean C. Psychological Stress Perceived by Pregnant Women in the Last Trimester of Pregnancy. Int J Environ Res Public Health 2022; 19(14): 8315.
- 24. Hobel CJ, Dunkel-Schetter C, Roesch SC, Castro LC, Arora CP. Maternal plasma corticotropin-releasing hormone associated with stress at 20 weeks' gestation in pregnancies ending in preterm delivery. Am J Obstet Gynecol 1999; 180(1Pt3): S257-63.
- 25. World Health Organization (WHO), Geneva, Switzerland. 1 in 10 babies worldwide are born early, with major impacts on health and survival. Available at: https://www.who.int/news/item/06-10-2023-1-in-10-babies-worldwide-are-born-early--with-major-impacts-on-health-and-survival [July 18, 2020].
- 26. Allotey J, Stallings E, Bonet M, Yap M, Chatterjee S, Kew T, et al. Clinical manifestations, risk factors, and maternal and perinatal outcomes of coronavirus disease 2019 in pregnancy: living systematic review and meta-analysis. BMJ 2020; 370: m3320.
- 27. Bobei TI, Haj Hamoud B, Sima RM, Gorecki GP, Poenaru MO, Olaru OG, et al. The Impact of SARS-CoV-2 Infection on Premature Birth-Our Experience as COVID Center. Medicina (Kaunas) 2022; 58(5): 587.
- 28. Takemoto MLS, Menezes MO, Andreucci CB, Knobel R, Sousa LAR, Katz L, et al. Maternal mortality and COVID-19. J Matern Fetal Neonatal Med 2022; 35(12): 2355-61.
- 29. Dağlar G, Nur N. Gebelerin stresle başa çıkma tarzlarının anksiyete ve depresyon düzeyi ile ilişkisi. Cumhuriyet Tıp Dergisi 2014; 36(4): 429-41.
- 30. Mutiso SK, Murage A, Mukaindo AM. Prevalence of positive depression screen among post miscarriage women- A cross sectional study. BMC Psychiatry 2018; 18(1): 32.
- 31. Ozgen L, Ozgen G, Simsek D, Dıncgez B, Bayram F, Mıdıkhan AN. Are women diagnosed with early pregnancy loss at risk for anxiety, depression, and perinatal grief? Saudi Med J 2022; 43(9): 1046-50.
- 32. Xu H, Ding Y, Ma Y, Xin X, Zhang D. Cesarean section and risk of postpartum depression: A meta-analysis. J Psychosom Res 2017; 97: 118-26.
- 33. An R, Chen X, Wu Y, Liu J, Deng C, Liu Y, et al. A survey of postpartum depression and health care needs among Chinese postpartum women during the pandemic of COVID-19. Arch Psychiatr Nurs 2021; 35(2): 172-7.