Who is most at risk for postnatal depression?

Doctor's Answer

Photo of Dr Alvona Loh
Dr Alvona Loh

General Practitioner

Various factors are associated with a higher risk for Postpartum depression. These factors are delineated in a narrative review by Ghaedrahmati et al [1].

You may read this article for more information about other Postnatal Mental Conditions.

Factors Causing Higher Risk of Post Partum Depression:

Psychological Risk Factors:

  • Previous history of depression and anxiety
  • The occurrence of mental health disorders such as depression during pregnancy
  • A negative attitude toward the recent pregnancy, number of life events
  • History of sexual abuse in the past
  • The reluctance of the baby gender
  • Having low self-esteem with the impact on parenting stress etc.

Obstetric Risk Factors:

  • Multiparity (having borne more than 1 child)
  • Risky pregnancy—conditions that lead to emergency cesarean section or hospitalization during pregnancy
  • Postpartum complications— meconium passage, umbilical cord prolapse, and obstetric hemorrhages
  • The birth of an infant with a weight <1500 g.

Biological Risk factors:

  • Young age
  • Glucose metabolism disorders etc.

Social Risk Factors:

  • Spouse sexual violence
  • Other forms of domestic violence during pregnancy
  • smoking during prenatal period etc.

Lifestyle Risk Factors:

  • Reduced intake of zinc and selenium
  • Less sleep etc.

Reference:

[1] Ghaedrahmati M, Kazemi A, Kheirabadi G, Ebrahimi A, Bahrami M. Postpartum depression risk factors: A narrative review. J Educ Health Promot. 2017;6:60. Published 2017 Aug 9. doi:10.4103/jehp.jehp916

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