Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India

Objective: To determine point prevalence of postpartum depression (PPD) and whether quarantine policies required in postpartum COVID-19 suspects increased the risk of depressive symptoms when compared COVID -19 non suspects in early postpartum period. Methods: A cross-sectional study conducted in th...

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Autores principales:	VidhiChaudhary, Manju Puri, Prerna Kukreti, Viswas Chhapola, Divya Kanwar, Anujna Tumpati, Poonam Jakhar, Geetanjali Singh
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	COVID 19 suspects COVID-19 non- suspects Postpartum Depression Isolation EDPS Mental healing RZ400-408
Acceso en línea:	https://doaj.org/article/d0182b6710a34293bc4b9cfd01a437e0
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spelling	oai:doaj.org-article:d0182b6710a34293bc4b9cfd01a437e02021-11-04T04:43:36ZPostpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India2666-915310.1016/j.jadr.2021.100269https://doaj.org/article/d0182b6710a34293bc4b9cfd01a437e02021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2666915321001852https://doaj.org/toc/2666-9153Objective: To determine point prevalence of postpartum depression (PPD) and whether quarantine policies required in postpartum COVID-19 suspects increased the risk of depressive symptoms when compared COVID -19 non suspects in early postpartum period. Methods: A cross-sectional study conducted in the postnatal ward of Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi from August 2020 to February 2021 using Edinburgh Postnatal Depression Scale (EPDS) to estimate point prevalence of postpartum depression (PPD) in the stratified zones (suspect and nonsuspect) of the hospital. Results: Total of 408 postpartum women,204 each (COVID-19 suspects, and nonsuspects zone) were enrolled. Prevalence of Postpartum depression using an EDPS score of >9 was 11.9%. Prevalence of depression (17.9%; vs 4.85%, p <0.001) and level of depression (5.01±3.41 vs 4.14± 2.54, p 0.004) was significantly higher in mothers in isolated quarantine wards of COVID-19 suspect zone as compared to nonsuspect zones. Anhedonia was reported significantly higher (p <0.001) in suspect zone mothers. Multivariate analysis showed 'stay in COVID-19 suspect zone' and 'COVID-19 Suspect status' as a significant predictor of PPD. Conclusion: Covid -19 postpartum suspects are at increased risk of developing postpartum depressive symptoms due to isolation and quarantine measures required in suspect zones to mitigate viral transmission.Limitations - Due to the cross-sectional nature of the study long-term impacts on mental health due to isolation could not be assessed. Factors such as marital relationship, COVID -19 related risk factors weren't assessed which may have bearing on the risk of developing PPD. VidhiChaudharyManju PuriPrerna KukretiViswas ChhapolaDivya KanwarAnujna TumpatiPoonam JakharGeetanjali SinghElsevierarticleCOVID 19 suspectsCOVID-19 non- suspectsPostpartumDepressionIsolationEDPSMental healingRZ400-408ENJournal of Affective Disorders Reports, Vol 6, Iss , Pp 100269- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	COVID 19 suspects COVID-19 non- suspects Postpartum Depression Isolation EDPS Mental healing RZ400-408
spellingShingle	COVID 19 suspects COVID-19 non- suspects Postpartum Depression Isolation EDPS Mental healing RZ400-408 VidhiChaudhary Manju Puri Prerna Kukreti Viswas Chhapola Divya Kanwar Anujna Tumpati Poonam Jakhar Geetanjali Singh Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
description	Objective: To determine point prevalence of postpartum depression (PPD) and whether quarantine policies required in postpartum COVID-19 suspects increased the risk of depressive symptoms when compared COVID -19 non suspects in early postpartum period. Methods: A cross-sectional study conducted in the postnatal ward of Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, New Delhi from August 2020 to February 2021 using Edinburgh Postnatal Depression Scale (EPDS) to estimate point prevalence of postpartum depression (PPD) in the stratified zones (suspect and nonsuspect) of the hospital. Results: Total of 408 postpartum women,204 each (COVID-19 suspects, and nonsuspects zone) were enrolled. Prevalence of Postpartum depression using an EDPS score of >9 was 11.9%. Prevalence of depression (17.9%; vs 4.85%, p <0.001) and level of depression (5.01±3.41 vs 4.14± 2.54, p 0.004) was significantly higher in mothers in isolated quarantine wards of COVID-19 suspect zone as compared to nonsuspect zones. Anhedonia was reported significantly higher (p <0.001) in suspect zone mothers. Multivariate analysis showed 'stay in COVID-19 suspect zone' and 'COVID-19 Suspect status' as a significant predictor of PPD. Conclusion: Covid -19 postpartum suspects are at increased risk of developing postpartum depressive symptoms due to isolation and quarantine measures required in suspect zones to mitigate viral transmission.Limitations - Due to the cross-sectional nature of the study long-term impacts on mental health due to isolation could not be assessed. Factors such as marital relationship, COVID -19 related risk factors weren't assessed which may have bearing on the risk of developing PPD.
format	article
author	VidhiChaudhary Manju Puri Prerna Kukreti Viswas Chhapola Divya Kanwar Anujna Tumpati Poonam Jakhar Geetanjali Singh
author_facet	VidhiChaudhary Manju Puri Prerna Kukreti Viswas Chhapola Divya Kanwar Anujna Tumpati Poonam Jakhar Geetanjali Singh
author_sort	VidhiChaudhary
title	Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
title_short	Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
title_full	Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
title_fullStr	Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
title_full_unstemmed	Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India
title_sort	postpartum depression in covid-19 risk-stratified hospital zones: a cross-sectional study from india
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/d0182b6710a34293bc4b9cfd01a437e0
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Postpartum depression in Covid-19 risk-stratified hospital zones: A cross-sectional study from India

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