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Differential risk factors for prenatal and postpartum depression in South Korea

Published online by Cambridge University Press:  13 August 2021

S.H. Park ,
K. Chung ,
H.Y. Cho ,
Y.R. Kim  and
K. Jhung
S.H. Park*
Affiliation:
#405 Biomedical Research Institute, Catholic Kwandong University International St. Mary’s Hospital, INCHEON METROPOLITAN CITY, Korea, Republic of
K. Chung
Affiliation:
Department Of Psychiatry And Institute Of Behavioral Science In Medicine, Yonsei University College of Medicine, Yonsei University Health System, Yongin, Korea, Republic of
H.Y. Cho
Affiliation:
Department Of Obstetrics And Gynecology, CHA Gangnam Medical Center, CHA University, Seoul, Korea, Republic of
Y.R. Kim
Affiliation:
Department Of Obstetrics And Gynecology, CHA bundang Medical center, CHA University, Seongnam-si, Korea, Republic of
K. Jhung
Affiliation:
Department Of Psychiatry & Behavioral Neuroscience, Catholic Kwandong University International St. Mary’s HospitalCatholic Kwandong University International St. Mary’s Hospital, INCHEON Metropolitan city, Korea, Republic of
*
*Corresponding author.

Abstract

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Introduction

Incidence for depression increases during the perinatal period. Risk factors for depression may differentially affect each time period.

Objectives

To assess demographic, psychological and obstetric risk factors that differentially affect prenatal and postpartum depression

Methods

A total of 169 subjects participated. Assessment was conducted during the first trimester, second trimester, third trimester, within a month after childbirth, and a month after childbirth. Demographic and obstetric measures, as well as psychological measures, including the Edinburgh Postnatal Depression Scale were conducted. Multiple regression and the Mann-Whitney U test were performed to examine the association between variables and depression scores.

Results

Depression score was higher during the postpartum period than the prenatal period. Younger age was associated with depression during the first trimester. In the second trimester, less education, a history of depression and having stress within a year significantly affected depression scores. Smoking, artificial abortion and lack of support from family and parents correlated with depression during the third trimester. Within a month after childbirth, psychiatric and depression history, smoking, stress level within a year and lack of family support were associated with depression. At a month after childbirth, those who were primiparous and not breastfeeding had significantly higher depression scores.

Conclusions

This study identifies various risk factors for each gestational and postpartum period and suggests differential interventions for different perinatal periods.

Keywords

Perinatal depressionpostpartum periodRisk factorsgestation period
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S599
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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