Postpartum Depression among Mothers of Low-Birth-Weight Babies

Hira Shafqat; Abeera Choudry; Hamza  Rizwan; Sadaf Mumtaz; Zainab Abbas Mirza; Aleena Khan

doi:10.51253/pafmj.v75iSUPPL-7.8557

Authors

Hira Shafqat Department of Gynecology & Obstetrics, Pak Emirates Military Hospital, Rawalpindi /National University of Medical Sciences (NUMS) Pakistan
Abeera Choudry Department of Gynecology & Obstetrics, Pak Emirates Military Hospital, Rawalpindi /National University of Medical Sciences (NUMS) Pakistan
Hamza Rizwan Department of Medicine, Combined Military Hospital, Rawalpindi/National University of Medical Sciences (NUMS), Pakistan
Sadaf Mumtaz Department of Gynecology & Obstetrics, Pak Emirates Military Hospital, Rawalpindi /National University of Medical Sciences (NUMS) Pakistan
Zainab Abbas Mirza Department of Gynecology & Obstetrics, Pak Emirates Military Hospital, Rawalpindi /National University of Medical Sciences (NUMS) Pakistan
Aleena Khan Department of Public Health, Armed Forces Institute of Cardiology, Rawalpindi/National Institute of Heart Diseases/National University of Medical Sciences (NUMS), Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-7.8557

Keywords:

Postpartum depression, low-birth weight babies, mothers, risk factors

Abstract

Objective: To determine the Postpartum depression among mothers of low-birth weight babies and its associated risk factors.

Study Design: Cross-sectional analytical study.

Place and Duration of Study: Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jun to Dec 2021.

Methodology: A total of 144 women (44 with low-birth weight (LBW) and 100 with normal-birth-weight babies) were enrolled using a consecutive sampling technique. Edinburgh Postnatal Depression Scale (EPDS) was used to assess postpartum depression (PPD). Variables included age, education status, ethnicity, occupation, parity, socioeconomic status, BMI, gestational age at delivery, mode of delivery, comorbidity, antenatal depression, past or family history, suicidal attempts, history of antidepressants, and stressful life events. social support, sleep deprivation, birth weight, gender, feeding practice, length of hospital stays, stay with mother in neonatal period, and ongoing illness.

Results: Mothers of LBW babies had a higher rate of PPD 47.4% as compared to mothers of normal birth weight babies 23.0%. Lower socioeconomic status (p=0.018), preterm delivery (p=0.003), stressful life events (p=0.03), lack of social support by in-laws (p=0.05), antenatal depression (p=0.001), baby not being with mother (p=0.003), bottle-fed babies (p<0.0001), ongoing illness (p=0.002), and prolonged hospital stay (p<0.0001) were associated with PPD with significant p-values.

Conclusion: Health care workers need to be mindful that a low-birth weight baby increases the risk of developing PPD in mothers. Prevention revolves around social support and building confidence among these mothers.

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