OJOG  Vol.5 No.11 , September 2015
Prevalence and Risk Factors of Postpartum Depression in Yaounde, Cameroon
ABSTRACT
Introduction: Postpartum Depression is one of the commonest complications of the postpartum period. In Cameroon, little is known about this condition. Our objective was to determine the prevalence and identify the risk factors for postpartum depression. Methodology: The study was carried out at the Yaoundé Gyneco-Obstetric and Pediatric Hospital, from November 4th 2013 to April 4th 2014. All the women between the 4th and 6th week after birth who gave their consent were included. A pretested questionnaire including demographic, psychosocial, maternal and infant variables as well as the Edinburgh Postnatal Depression Scale (EPDS) was filled. A woman with an EPDS score ≥12 was considered having postpartum depression, while a score < 12 ruled out a postpartum depression. Results: We recruited 214 women, among whom 50 had an EPDS score ≥ 12, giving a prevalence of 23.4% of postpartum depression. After multivariate analysis, the risk factors of postpartum depression were: lack of satisfaction in the marital relationship, recent financial problems, recent conflicts with the partner, baby blues, difficulties in feeding the baby and problems with the baby’s sleep. Conclusion: Postpartum depression is common and associated to specific risk factors in our setting.

Cite this paper
Adama, N. , Foumane, P. , Olen, J. , Dohbit, J. , Meka, E. and Mboudou, E. (2015) Prevalence and Risk Factors of Postpartum Depression in Yaounde, Cameroon. Open Journal of Obstetrics and Gynecology, 5, 608-617. doi: 10.4236/ojog.2015.511086.
References
[1]   Kakyo, T.A., Muliira, J.K., Mbalinda, S.N., Kizza, I.B. and Muliira, R.S. (2012) Factors Associated with Depressive Symptoms among Postpartum Mothers in a Rural District in Uganda. Midwifery, 28, 374-379.
http://dx.doi.org/10.1016/j.midw.2011.05.001

[2]   Bener, A., Gerber, L.M. and Sheikh, J. (2012) Prevalence of Psychiatric Disorders and Associated Risk Factors in Women during Their Postpartum Period: A Major Public Health Problem and Global Comparison. International Journal of Women’s Health, 4, 191-200.
http://dx.doi.org/10.2147/IJWH.S29380

[3]   Masmoudi, J., Trabelsi, S., Charfeddine, F. and Jaoua, A. (2006) La dépression du post partum. JIM SFAX, 11-12, 7-13.

[4]   Motzfeldt, I., Andreasen, S., Pedersen, A.L. and Pedersen, M.L. (2013) Prevalence of Postpartum Depression in Nuuk, Greenland—A Cross-Sectional Study Using Edinburgh Postnatal Depression Scale. International Journal of Circumpolar Health, 72.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3753142/

[5]   O’hara, M.W. and Swain, A.M. (1996) Rates and Risk of Postpartum Depression—A Meta-Analysis. International Review of Psychiatry, 8, 37-54.
http://dx.doi.org/10.3109/09540269609037816

[6]   Nakku, J.E., Nakasi, G. and Mirembe, F. (2006) Postpartum Major Depression at Six Weeks in Primary Health Care: Prevalence and Associated Factors. African Health Sciences, 6, 207-14.

[7]   Adewuya, A.O., Fatoye, F.O., Ola, B.A., Ijaodola, O.R. and Ibigbami, S.-MO. (2005) Sociodemographic and Obstetric Risk Factors for Postpartum Depressive Symptoms in Nigerian Women. Journal of Psychiatric Practice, 11, 353-358.
http://dx.doi.org/10.1097/00131746-200509000-00009

[8]   Cooper, P.J., Tomlinson, M., Swartz, L., Woolgar, M., Murray, L. and Molteno, C. (1999) Post-Partum Depression and the Mother-Infant Relationship in a South African Peri-Urban Settlement. British Journal of Psychiatry, 175, 554-558.
http://dx.doi.org/10.1192/bjp.175.6.554

[9]   Imbula Essam, B., Okitundu Luwa, E-.AD. and Mampunza Ma-Miezi, S. (2012) [Postpartum Depression in Kinshasa (DR Congo): Prevalence and Risk Factors]. Médecine et Santé Tropicales, 22, 379-384.

[10]   Robertson, E., Grace, S., Wallington, T. and Stewart, D.E. (2004) Antenatal Risk Factors for Postpartum Depression: A Synthesis of Recent Literature. General Hospital Psychiatry, 26, 289-95.
http://dx.doi.org/10.1016/j.genhosppsych.2004.02.006

[11]   Stewart, D.E., Robertson, E., Dennis, C.-L., Grace, S.L. and Wallington, T. (2003) Postpartum Depression: Literature Review of Risk Factors and Interventions.

[12]   Cox, J.L., Holden, J.M. and Sagovsky, R. (1987) Detection of Postnatal Depression. Development of the 10-Item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150, 782-786.
http://dx.doi.org/10.1192/bjp.150.6.782

[13]   Jardri, R. (2004) Le dépistage de la dépression postnatale: Revue qualitative des études de validation de l’Edinburgh Postnatal Depression Scale. Devenir, 16, 245-262.
http://dx.doi.org/10.3917/dev.044.0245

[14]   Owoeye, A.O., Aina, O.F. and Morakinyo, O. (2006) Risk Factors of Postpartum Depression and EPDS Scores in a GROUP of Nigerian women. Tropical Doctor, 36, 100-103.
http://dx.doi.org/10.1258/004947506776593341

[15]   Sawyer, A., Ayers, S. and Smith, H. (2010) Pre- and Postnatal Psychological Wellbeing in Africa: A Systematic Review. Journal of Affective Disorders, 123, 17-29.
http://dx.doi.org/10.1016/j.jad.2009.06.027

[16]   Dmitrovic, B.K., Dugalic, M.G., Balkoski, G.N., Dmitrovic, A. and Soldatovic, I. (2013) Frequency of Perinatal Depression in Serbia and Associated Risk Factors. International Journal of Social Psychiatry, 60, 528-532.

[17]   Amr, M.A., Balaha, M. and Al Moghannum, M. (2012) Postpartum Mental Health among Young Women. Online Journal of Health and Allied Sciences.
http://cogprints.org/8856/

[18]   Al Dallal, F.H. and Grant, I.N. (2012) Postnatal Depression among Bahraini Women: Prevalence of Symptoms and Psychosocial Risk Factors. East Mediterr Heal J Rev Santé Méditerranée Orient Al-Majallah Al-Sihhīyah Li-Sharq Al-Mutawassit, 18, 439-445.

[19]   Mece, D. (2013) Postpartum Depression and Marital Relationship. Academic Journal of Interdisciplinary Studies
http://www.mcser.org/journal/index.php/ajis/article/view/138

[20]   Taherifard, P., Delpisheh, A., Shirali, R., Afkhamzadeh, A. and Veisani, Y. (2013) Socioeconomic, Psychiatric and Materiality Determinants and Risk of Postpartum Depression in Border City of Ilam, Western Iran. Depression Research and Treatment.
http://www.hindawi.com/journals/drt/2013/653471/abs/

[21]   Husain, N., Bevc, I., Husain, M., Chaudhry, I.B., Atif, N. and Rahman, A. (2006) Prevalence and Social Correlates of Postnatal Depression in a Low Income Country. Archives of Women’s Mental Health, 9, 197-202.
http://dx.doi.org/10.1007/s00737-006-0129-9

[22]   Lee, D.T., Yip, A.S., Leung, T.Y. and Chung, T.K. (2000) Identifying Women at Risk of Postnatal Depression: Prospective Longitudinal Study. Hong Kong Medical Journal, 6, 349-354.

 
 
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