Perinatal death triples the prevalence of postpartum depression among women in Northern Uganda :

Show simple item record Arach, Anna Agnes Ojok Nakasujja, Noeline Nankabirwa, Victoria Ndeezi, Grace Kiguli, Juliet Mukunya, David Odongkara, Beatrice Achora, Vincentina Tongun, Justin Bruno Musaba, Milton Wamboko 2021-05-03T11:44:24Z 2021-05-03T11:44:24Z 2020-10-13
dc.identifier.citation Arach A. A. O., . . . et al. (2020). Perinatal death triples the prevalence of postpartum depression among women in Northern Uganda : A community-based cross-sectional study. PLoS ONE 15(10): e0240409. https://doi. org/10.1371/journal.pone.0240409 en_US
dc.description Article en_US
dc.description.abstract Introduction Deaths during the perinatal period remain a big challenge in Africa, with 38 deaths per 1000 pregnancies in Uganda. The consequences of these deaths can be detrimental to the women; some ending up with postpartum depression. We examined the association between perinatal death and postpartum depression among women in Lira district, Northern Uganda. Methods We conducted a community-based cross-sectional study of 1,789 women. Trained research assistants screened women for postpartum depressive symptoms on day 50 postpartum using the Edinburgh postpartum depression scale (EPDS). Socio-demographic, economic, birth and survival status of the neonate were collected during pregnancy and within one week postpartum. We used generalized estimating equation for the Poisson family with a log link using Stata to estimate the prevalence ratio of the association between postpartum depressive symptoms (EPDS scores 14) and perinatal death. Mothers who lost their babies between 7–49 days postpartum were excluded. design, data collection, and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. Results Of the 1,789 participants symptomatically screened for postpartum depression, 377 (21.1%) [95% confidence interval (95%CI): 17.2%, 23.0%] had probable depressive symptoms. The prevalence of postpartum depressive symptoms among the 77 women who had experienced perinatal death (37 stillbirths and 40 early neonatal deaths (7 days of life)) was 62.3% [95% CI: 50.8%, 72.6%] compared to 19.2% [95% CI: 17.4%, 21.2%], among 1,712 with live infants at day 50 postpartum. Women who had experienced a perinatal death were three times as likely to have postpartum depressive symptoms as those who had a live birth [adjusted prevalence ratio 3.45 (95% CI: 2.67, 4.48)]. Conclusions The prevalence of postpartum depressive symptoms, assessed by EPDS, was high among women who had had a perinatal death in Northern Uganda. Women experiencing a perinatal death need to be screened for postpartum depressive symptoms in order to intervene and reduce associated morbidity. en_US
dc.description.sponsorship Lira University, Makerere University, Busitema University. en_US
dc.language.iso en en_US
dc.publisher Busitema University ; Plos One. en_US
dc.subject Deaths en_US
dc.subject Perinatal period en_US
dc.subject Africa en_US
dc.subject Pregnancies en_US
dc.subject Uganda en_US
dc.subject Women en_US
dc.subject Postpartum depression en_US
dc.subject Perinatal death en_US
dc.title Perinatal death triples the prevalence of postpartum depression among women in Northern Uganda : en_US
dc.title.alternative a community-based cross sectional study. en_US
dc.type Article en_US

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