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2 results

  • Medical and psychosocial determinants of risk of postpartum depression: a cross-sectional study

  • Karolina Maliszewska, Mariola Bidzan, Małgorzata Świątkowska-Freund, Krzysztof Preis
  • Journal:
    Acta Neuropsychiatrica / Volume 29 / Issue 6 / December 2017
    Published online by Cambridge University Press:
    31 May 2017, pp. 347-355
  • Objective

    The aim of this study was to investigate the degree of risk of maternal postpartum depression during the second month of puerperium.

    Method

    In total, 387 postnatal women filled out a questionnaire concerning their health and social status, as well as the following tests: the Edinburgh Postnatal Depression Scale (EPDS), the Patient Health Questionnaire-9 (PHQ-9), the Neo Five-Factor Inventory (NEO-FFI) Personality Inventory and the Berlin Social Support Scales. After 4–8 weeks, patients responded to another questionnaire with the EPDS and the PHQ-9.

    Results

    In total, 48 patients (12.40%) were found to be at risk of postpartum depression between the fourth and eighth weeks after delivery. Premenstrual syndrome [adjusted odds ratio (ORa)=2.93, confidence interval (CI) 1.30–6.63] and EPDS>12 points during the first week after the delivery (ORa=3.74, CI 1.59–9.04) increased the risk of postnatal depression. A similar role is played by a high result in neuroticism scale of the NEO-FFI (ORa=1.50, CI 1.17–1.92) and a positive family history of any psychiatric disorder (ORa=1.03, CI 1.01–1.06).

    Conclusion

    A history of premenstrual syndrome and a higher risk of affective disorder soon after a childbirth are associated with greater chances of depressive symptoms in the second month postpartum. This is also the case if a patient is neurotic and has a relative with a history of any psychiatric disorder. Such women should have their mental status carefully evaluated.

  • The impact of puerperal diseases in sows on their fertility and health up to next farrowing

  • S. Hoy
  • Journal:
    Animal Science / Volume 82 / Issue 5 / October 2006
    Published online by Cambridge University Press:
    09 March 2007, pp. 701-704
    Print publication:
    October 2006

  • Investigations utilizing a total number of 3998 farrowings from 1558 sows on two farms have shown a frequency of puerperal diseases (periparturient hypogalactia syndrome=PHS) of 32·7% and 27·0% respectively with significant differences between gilts and sows. Sows without PHS after farrowing (farm A) had a lower frequency of animals without oestrus after weaning of the piglets (0·3 V. 1·1%), a lower rate of late onset of oestrus (3·4% V. 5·9%, P<0·05), fewer sows had abortions (0·9 V. 2·3%, P<0·05) and a lower mortality rate (1·2 V. 4·1%, P<0·05) compared with sows which contracted puerperal diseases. The return rate was significantly lower in sows without PHS (12·4%, 16·1% in herds A and B) when compared with sows with puerperal diseases (15·8%, 21·7%, P<0·05). Also, the litter size of live born piglets was lower in sows with PHS when compared with healthy sows (farm A: 10·42 V. 10·66, P>0·05; farm B: 10·44 V. 10·80, P<0·05)