--- abstract: 'Background: Prevalence of postnatal depression (PND) is 12-15%. Recent studies are equivocal about the earlier inference that PND is higher among caesarian than normal delivery. Objective: The aim of this study is to investigate the frequency of PND among the Indian women and the association between the mode of delivery and PND. Material and method: Fifty subjects each; having delivered normally and by caesarian section was chosen. All the women were within 3 months post delivery and could understand Kannada language. Those who consented were asked to complete the Edinburgh Postnatal Depression Scale (EPDS). Those found to have scores suggestive of depression on EPDS were assessed for depression according to ICD-10. The data was analyzed using paired t test and chi square test. Result and conclusion: Among Post caesarean subjects, depression was diagnosed in 20% (n=10) as compared to 16% (n=8) in subjects that delivered normally. However there was no significant difference in the frequency of depression among the two groups. Due to the small sample size the results cannot be generalized.' altloc: - http://www.ojhas.org/issue34/2010-2-4.htm chapter: ~ commentary: ~ commref: ~ confdates: ~ conference: ~ confloc: ~ contact_email: ~ creators_id: - ~ - nagarajakm24@gmail.com - ~ - ~ - ~ creators_name: - family: Sankapithilu given: GJ honourific: '' lineage: '' - family: Nagaraj given: AKM honourific: '' lineage: '' - family: Bhat given: SU honourific: '' lineage: '' - family: Raveesh given: BN honourific: '' lineage: '' - family: Nagaraja given: V honourific: '' lineage: '' date: 2010-07-30 date_type: published datestamp: 2010-09-13 03:52:20 department: ~ dir: disk0/00/00/70/03 edit_lock_since: ~ edit_lock_until: 0 edit_lock_user: ~ editors_id: - Kakkilaya BS editors_name: - family: Kakkilaya given: Srinivas honourific: Dr lineage: '' eprint_status: archive eprintid: 7003 fileinfo: /style/images/fileicons/application_pdf.png;/7003/1/2010%2D2%2D4.pdf full_text_status: public importid: ~ institution: ~ isbn: ~ ispublished: pub issn: ~ item_issues_comment: [] item_issues_count: 0 item_issues_description: [] item_issues_id: [] item_issues_reported_by: [] item_issues_resolved_by: [] item_issues_status: [] item_issues_timestamp: [] item_issues_type: [] keywords: 'Postnatal depression, EPDS, Caesarian delivery ' lastmod: 2011-03-11 08:57:43 latitude: ~ longitude: ~ metadata_visibility: show note: ~ number: 2 pagerange: ~ pubdom: TRUE publication: Online Journal of Health and Allied Sciences publisher: Dr. B.S. Kakkilaya refereed: TRUE referencetext: "1.\tKlerman GL, Weissman MM. Increasing rates of depression. JAMA.1989; 261(15):2229-35. \r\n2.\tO Hara MW, Swain AM. Rates and risk of postpartum depression-A Meta analysis. Int Rev Psychiatr. 1996;8:37-54 \r\n3.\tWeismann M, Olfson M. Depression in women: Implications for health care research. Science. 1995. 269; 799-801. \r\n4.\tWeissman MM, Klerman GL. Sex differences and the epidemiology of depression. Arch Gen Psychiatry. 1977;34:98-111 \r\n5.\tGregoire AJ, Kumar R, Everitt B et al. Transdermal estrogen for treatment of severe postnatal depression. Lancet. 1996;347(9006):930-933 \r\n6.\tCooper PJ, Murray L. Postnatal depression. BMJ. 1998;316:1884–1886. \r\n7.\tUpadhyaya A, Creed F, Upadyaya M. Psychiatric morbidity among mothers attending a well baby clinic: A cross cultural comparison. Acta psychiatric Scandinavia. 1989;81:148-151 \r\n8.\tBostock J, Marsen M, Sarwar Z et al. Postnatal depression in Asian women. Community Nurse 1996;2(10):34-36 \r\n9.\tMcCutcheon H. Postnatal depression — A systematic review of published scientific literature to 1999. Australian Journal of Midwifery. 1999;17(4):11-16 \r\n10.\tWorld Health Organization. The ICD-10 classification of mental and behavioural disorders: Clinical descriptions and diagnostic guidelines. Geneva; 1992 \r\n11.\tAmerican Psychiatric Association. Diagnostic and Statistical Manual of Mental disorders. 4th edition, Text Revision. Washington, DC. American Psychiatric Association Press. 2000. \r\n12.\tCox JL, Holden JM, Sagovsky R. Development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry. 1987;150:782-786. \r\n13.\tEdwards DR, Porter SA, Stein GS. A pilot study of postnatal depression following caesarean section delivery. J psychosom Res. 1994;(2):111-7. \r\n14.\tMurray D, Cox J L. Screening for depression during pregnancy with the Edinburgh Depression Scale (EPDS). J Reprod Infant Psychol. 1990;8(2):99–107. \r\n15.\tCox JL, Murray D, Chapman G. A controlled study of the onset, duration and prevalence of postnatal depression. Br J Psychiatry. 1993;163:27–31 \r\n16.\tMurray L, Carothers AD. The validation of the EPDS on a community sample. British J Psychiatry. 1990;157:2878-2900 \r\n17.\tTokran B, Parsay S, Lamyian M et al. Postnatal quality of life in women after normal vaginal delivery and caesarian section. BMC Pregnancy Childbirth. 2009; 9:4. \r\n18.\tThe effect of birth experience on postpartum depression. Available at http://clearinghouse.missouriwestern.edu/manuscripts/59.php Accessed on May 8th, 2010 \r\n19.\tCox JL, Connor V, Kendell RE. Prospective study of psychiatric disorders of childbirth. British J Psychiatry. 1982; 140: 111-17. \r\n20.\tO’Hara MW, Zekoski EM, Philips LH et al. Controlled prospective study of postpartum mood disorders: Comparison of child bearing and non-childbearing women. Journal of Abnormal Psychology. 1990;99:3-15. \r\n21.\tJosefsson A, Angelsioo L, Berg G et al. Obstetric, somatic and demographic risk factors for postpartum depressive symptoms. Obstet Gynecol. 2002;99(2):233-8. \r\n22.\tPatel V, Rodrigues M, Desouza N. Gender, poverty and postnatal depression: A study of mothers in Goa, India. Am J Psychiatry. 2002;159(1):43-47. \r\n23.\tSood M, Sood AK. Depression in pregnancy and postpartum period. Indian Journal of Psychiatry. 2003;45(1):48-51. \r\n24.\tHalbreich U, Karkun S. Cross-cultural and social diversity of prevalence of postpartum depression and depressive symptoms. J Affect Disord. 2006;91:97-111. \r\n25.\tLee SY, Lee KA. Early postpartum sleep and fatigue for mothers after caesarian delivery compared with vaginal delivery: an exploratory study. J Perinat Neonatal Nurs. 2007;21:109-113. \r\n26.\tShindl M, Birner P, Reingrabner M et al. Elective caesarian section vs spontaneous delivery: a comparative study of birth experience. Acta Obstet Gynaecol Scand. 2003;82:834-840. \r\n27.\tJansen AJG, Essink-Bot ML, Duvekot JJ et al. Psychometric evaluation of health related quality of life measures in women after different types of delivery. J Psychosom Res. 2007;63:275-281. \r\n28.\tCarter FA, Frampton CM, Mulder RT. Caesarian section and postpartum depression: a review of the evidence examining the link. Psychosom Med. 2006;68:321-330. \r\n29.\tYonkers KA, Ramin SM, Rush AJ et al. Onset and persistence of postnatal depression in an inner city maternal health clinic system. Am J Psychiatry. 2001;158:1856-1863. \r\n30.\tForty L, Jones L, Macgregor S et al. Familiality of postpartum depression in unipolar disorder: results of a family study. Am J Psychiatry. 2006;163:1549-1553. \r\n31.\tKendell RE, Chalmers JC, Platz C. Epidemiology of puerperal psychosis. Br J Psychiatry. 1987;150:662-673. \r\n32.\tBloch M, Schmidt PJ, Danaceau M et al. Effects of gonadal steroids in women with a history of postpartum depression. Am J Psychiatry. 2000;157:924-930." relation_type: [] relation_uri: [] reportno: ~ rev_number: 20 series: ~ source: ~ status_changed: 2010-09-13 03:52:20 subjects: - OJHAS succeeds: ~ suggestions: ~ sword_depositor: ~ sword_slug: ~ thesistype: ~ title: A comparative study of frequency of postnatal depression among subjects with normal and caesarean deliveries type: journale userid: 4338 volume: 9