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Predicting early post‐partum depressive symptoms among older primiparous J apanese mothers
Author(s) -
Iwata Hiroko,
Mori Emi,
Tsuchiya Miyako,
Sakajo Akiko,
Maehara Kunie,
Ozawa Harumi,
Morita Akiko,
Maekawa Tomoko,
Aoki Kyoko,
Makaya Miyuki,
Tamakoshi Koji
Publication year - 2015
Publication title -
japan journal of nursing science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.363
H-Index - 17
eISSN - 1742-7924
pISSN - 1742-7932
DOI - 10.1111/jjns.12069
Subject(s) - medicine , childbirth , depression (economics) , logistic regression , edinburgh postnatal depression scale , depressive symptoms , post partum , informed consent , pregnancy , medical record , prospective cohort study , cohort , pediatrics , obstetrics , psychiatry , cognition , alternative medicine , surgery , radiology , pathology , biology , genetics , economics , macroeconomics
Aim The number of older primiparas is increasing in J apan. These women have been shown to be more vulnerable to post‐partum depression. This study aimed to identify factors for predicting post‐partum depressive symptoms during hospitalization after childbirth in Japanese primiparas aged 35 years and over. Methods The present authors used the data of 479 primiparas aged 35 years and over from a prospective cohort study. Data were collected using self‐report questionnaires on the day before hospital discharge. The questionnaire consisted of: demographics and background information; depressive symptoms; fatigue; maternal confidence and maternal satisfaction; child‐care values; physical symptoms; perceptions of daily life during hospitalization; concerns about child care and daily life; and infant feeding. Additionally, vital records data were obtained from the hospitals. A stepwise logistic regression analysis was performed on the binary outcome variable of depressive symptoms, measured by the J apanese version of the E dinburgh P ostnatal D epression S cale. Women who scored 9 or more were considered to be at high risk for post‐partum depression. The authors obtained informed consent from all participants and institutional ethics approvals before initiating the study. Results The following six variables reliably predicted the risk of post‐partum depression: emergency cesarean section, lower satisfaction with birth experience, higher physical burden in daily life, long‐term complications with the newborn, more concerns about newborn caretaking after discharge, and more concerns about one's own life after discharge. Conclusion Recognition of women with these factors will help nurses to identify those at risk for developing post‐partum depression and to provide appropriate care during hospitalization after childbirth.