https://www.ijmhr.org/ijpr.html editor_physiotherapy@hotmail.com
ISSN:       2321-1822 (E) 2321-8975 (P)

IJPR.2018.105

DOWNLOAD PDF
Table of Contents

Type of Article:  Original Research

Volume 6; Issue 2 (March 2018)

Page No.: 2643-2647

DOI: https://dx.doi.org/10.16965/ijpr.2018.105

COMPARISON OF POST-NATAL DEPRESSION AMONG WOMEN OF UPPER, MIDDLE AND LOWER SOCIOECONOMIC STATUS

Dhwani. Prakash. Sidhpura *1, Satish Pimpale 2, Ajay Kumar 3.

*1 UG Intern, DPO’S Nett college of Physiotherapy, Thane, India.

2Assistant Professor, Lokmanya Medical College of Physiotherapy, Kharghar, India.

3 Principal, DPO’S Nett college of Physiotherapy, Thane, India.

Corresponding author: Dhwani. Prakash. Sidhpura,  UG Intern, DPO’S Nett college of Physiotherapy, Thane, India. Address: A/301, Vijay Park Building, Mathuradas Extn Road, Kandivali (W), Mumbai-400067. Contact Number-09930358898 E-Mail: dhwanisidhpura23268@gmail.com

ABSTRACT

Background: Postnatal Depression (PND) is depression with onset usually 6 weeks of delivery. The prevalence of PND according to western studies is 13-19% and in India rates are 11-26.3%. Socioeconomic Status (SES) is an important determinant of health, nutritional status, mortality and morbidity of an individual. Women belonging to Upper SES have ability to access to all the up to date facilities available in the market required during pregnancy, delivery and post-delivery whereas considering women of lower SES, they lack even the basic of the adequate facilities and access to mental health services and are least likely to report symptoms of depression. This scenario calls for more studies on PND, in an attempt to better understand the disease and its associations, with a view to prevention, early diagnosis and management.

Materials and Methods: An observational study was conducted for duration of 1 year in metropolitan city with a sample size of 300 women between age of 20-30 years also the inclusion criteria consisted of women who had Full term normal vaginal delivery, immediate postpartum to 6 weeks postpartum and primiparous women .

Outcome Measures: Women were classified into Upper, Middle and lower SES using the Modified Kuppuswamy Scale. A Score of 26-29 –Upper Class, 11-15 middle class and <5 lower class. Women were screened for depression using the Edinburgh Postnatal Depression Scale. (EPDS). A score of ≥10 on the EPDS was used as a measure of primary outcome, depression.

Results: Mean scores of PND was 1.58, 10.58 and 14.80 of upper, middle and lower SES women respectively which was analysed statistically and found to be significant.

Conclusion: This study concludes that there is significant difference in the level of postnatal depression when compared between upper, middle and lower socioeconomic status women.

KEY WORDS: Postnatal depression, Socioeconomic Status, Edinburgh Postnatal Depression Scale.

REFERENCES

  1. Sword K, Kurtz landy C, Thabane L, Watt S, Krueger P, Farine D, Foster G. Is mode of delivery associated with postpartum depression at 6 weeks: a prospective cohort study: BJOG 2011; 118:966-977.
  2. Johson AR, Edwin S, Joachim N, Mathew G, Ajay S, Joseph B. Post Natal Depression among women availing maternal health services in a rural hospital in south India. Pak J Med Sci 2015; 31(2):408-413.
  3. Margaret Polden and Jill Mantle book: Physiotherapy on Obstetrics & Gynaecology Second Edition 200; Page 235.
  4. Deepika Goyal, Caryl Gay, Kathryn A Lee. How much does low socioeconomic status increase the risk of prenatal and postpartum depressive symptoms in First time mothers? Women Health Issues 2010; 20(2):96-104.
  5. Sukhvinder Singh Oberoi. Updating Income Ranges for Kuppuswamy’s Socio-economic Status Scale for the Year 2014. Indian Journal of Public Health, Volume 59, Issue 2, April-June 2015.
  6. Morrison, J.M Najman, G.M Williams, J.D Keeping, M.J Andersen. Socio-economic Status and pregnancy outcome: An Australian Study. British Journal Of Obstetrics and Gynaecology 1989; 96(3):298-307.
  7. Joan Webster, Catherine Nicholas, Catherine Velacott, Noelle Cridland, Lisa Fawcett. Quality of life and depression following childbirth: Impact of social support. Midwifery, Volume 27, Issue 5, Pages 745-749.
  8. Vikram Patel, Merlyn Rodrigues, Nandita Desouza. Gender, Poverty and Post Natal Depression: A Study of mothers in Goa, India. Am J Psychiatry 2002; 159:43-47).
  9. Christine Kurtz L, Wendy Sword, Donna Ciliska. Urban women’s socioeconomic status, health service needs and utilization in the four weeks after postpartum hospital discharge: findings of a Canadian cross-sectional survey. BMC Health Services Research Canada 2008, 8:203
  10. Pravin Salari, Sakineh Nazari, Seyed Reza. Comparing Postpartum Stressors and Social Support Level in Primiparous and Multiparous Women. Journal of Midwifery & Reproductive Health. 2014; 2(1):71-76. 

Cite this article: Dhwani. Prakash. Sidhpura, Satish Pimpale, Ajay Kumar. COMPARISON OF POST-NATAL DEPRESSION AMONG WOMEN OF UPPER, MIDDLE AND LOWER SOCIOECONOMIC STATUS. Int J Physiother Res 2018;6(2):2643-2647. DOI: 10.16965/ijpr.2018.105