Daud, Mohd Nazri Bin Mohd
(2006)
Relationship between obstetric risk factors and postnatal depression among women who deliver at Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Objective To determine the prevalence of postnatal depression (PND) and its/
relationship with obstetric risk factors in Hospital Universiti Sains Malaysia (HUSM), Kota
Bharu, Kelantan between March and August 2005.
Material and Methodology This is a cross sectional study involving 293 women from
postnatal ward HUSM. They were screened for depression at day 1 to day 5 postpartum and
4 to 6 weeks postpartum using the Edinburgh Postnatal Depression Scale (EPDS). At the
first visit, the women completed questionnaires on socio-demography and obstetric risk
factors, Brief Patient Health Questionnaire (BPHQ-9) and Life Event Scale questionnaire.
At the second visit which is 4-6 weeks postpartum, they only completed EPDS.
Results Two hundred and ninety-three women successfully completed the study 8
response rates. The prevalence of PND at 4-6 weeks postpartum using the EPDS score of
12 or more was 27.3% (80 out of 293 women). The prevalence of depression at early
postpartum period based on EPDS was 22.5%. Women with the history of abortion
(p<0.05) and early postnatal depression (p<0.05) was significantly associated with PND.
Conclusion Postnatal depression among women in Hospital USM was more common
compared to previously reported series in Malaysia. Women with the history of abortion
and early postnatal depression was significantly associated with PND. Early identification
of potential risk for postnatal depression should include assessment of socio-demography,personality, psychiatric history and recent life events, as well as past and present obstetric
factors.
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