Pandeminin Dördüncü Dalgasında Postpartum Depresyon ve İlişkili Faktörler

Year 2024, , 22 - 26, 29.02.2024

Furkan Bahadır Alptekin , Eylül Sucularlı , Semra Yüksel , Oya Güçlü

https://doi.org/10.54005/geneltip.1312885

Abstract

Giris: Birçok çalışma, COVID-19 pandemisinin postpartum depresyon (PPD) üzerindeki etkilerini bir stres etkeni olarak göstermiştir. Bir yandan da pandemi sürecinde kısıtlamaların kaldırılması ve aşıma gibi birçok değişiklik oldu. Ancak, değişen koşulların psikolojik etkileri üzerine çok az çalışma yapılmıştır. Bu çalışmada, pandeminin dördüncü dalgasında doğum yapmış veya son gebelik döneminde olan annelerde PPD sıklığını ve ilişkili sosyodemografik-obstetrik faktörleri incelemeyi amaçladık.
Gereç ve Yöntemler: Bu kesitsel çalışmaya, Aralık 2021 ile Ağustos 2022 arasında doğum sonrası kontrol muayenesi için başvuran 211 kadın dahil edildi. Tüm kadınlar, pandeminin dördüncü dalgasında doğum yapmış veya hamileliklerinin son bölümünü geçirmişti. PPD, Edinburgh Postpartum Depresyon Ölçeği (EPDÖ) kullanılarak ölçüldü. Ayrıca yazarlar sosyodemografik ve obstetrik özellikleri bir form ile değerlendirdiler.
Bulgular: PPD prevalansı %22,7 idi (EPDÖ kesme puanı ≥ 13). Sosyal desteği yetersiz, doğum korkusu olan veya geçmişte psikiyatrik hastalığı olanlarda EPDS puanları daha yüksekti.
Tartışma: Pandeminin geç döneminde, pandeminin PPD üzerindeki olumsuz etkisinin devam etmediği söylenebilir. Ancak PPD, Türkiye'de önemli bir halk sağlığı sorunu olmaya devam etmektedir. Ayrıca PPD ile ilişkili bazı sosyodemografik özellikler risk oluşturmaya devam etmektedir.

Keywords

COVID19, depresyon, obstetrik doğum, pandemik, doğum sonrası

Postpartum Depression During the Fourth Wave of the Pandemic and Related Factors

Abstract

Aims: Many studies have shown the effects of the COVID-19 pandemic on postpartum depression (PPD) as a stressor. In addition, there have been many changes in the pandemic process, such as vaccination and removal of restrictions. However, few studies have been conducted on the psychological effects of changing conditions. In this study, we aimed to examine the frequency of PPD and the associated sociodemographic–obstetric factors in mothers who gave birth or were in the last pregnancy period in the fourth wave of the pandemic.
Methods: This cross-sectional study included 211 women who underwent a postpartum checkup between December 2021 and August 2022. All women had given birth or passed the last part of their pregnancy in the fourth wave of the pandemic. PPD was measured using the Edinburgh Postnatal Depression Scale (EPDS). In addition, the authors assessed sociodemographic and obstetric characteristics with a form.
Results: The prevalence of PPD was 22.7% (EPDS cut-off score ≥ 13). EPDS scores were higher in those with inadequate social support, fear of childbirth, or having a past psychiatric illness.
Conclusions: In the late pandemic, the negative effect on PPD does not seem to continue. However, PPD remains a significant public health problem in Turkey. In addition, some sociodemographic characteristics associated with PPD continue to pose risks.

Keywords

COVID-19, depression, obstetrics, pandemics

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