The Dynamics of Depression in Women in the Antenatal and Postnatal Period

More than 10% of women worldwide experience depression during pregnancy and after childbirth. The article presents the results of a study examining the dynamics of depression in women in the antenatal and postnatal periods. To identify the prevalence of depression, the following methods were used: questionnaires and testing. The Beck Depression Scale (BDI) is used to diagnose depression in the antenatal and postnatal period, the Edinburgh Postnatal Depression Scale (EPDS) is used in the postnatal period. The results showed that the prevalence of depression according to BDI at registration for pregnancy was 19,1% (N=162), in the third trimester – 18,3%, 2-6 weeks after delivery – 15,4% (according to EPDS – 21,2%). There was no statistically significant dynamics in depression over time, that is, if a woman is registered for pregnancy with signs of depression, then this condition accompanies her during pregnancy and can lead to postpartum depression. The results of the study substantiate the need to study the psychoemotional state of women at different gestation periods and carry out preventive measures to prevent postpartum depression.

1. Aizberg O.R. Diagnostika i lechenie poslerodovoi depressii [Diagnosis and treatment of postpartum depression]. Psikhiatriya, psikhoterapiya i klinicheskaya psikhologiya = Psychiatry, psychotherapy and clinical psychology, 2021. Vol. 12, no. 1, pp. 116–123. (In Russ.)
2. Depressivnoe rasstroistvo (depressiya) [Depressive disorder (depression)]. Vsemirnaya organizatsiya zdravookhraneniya: ofitsial'nyi sait [World Health Organization: official website]. URL: https://www.who.int/ru/news-room/fact-sheets/detail/depression (Accessed 15.03.2024) (In Russ.)
3. Nechaeva E.A., Kharkova O.A., Postoev V.A. et al. Znaniya srednego meditsinskogo personala o poslerodovoi depressii: sistematicheskii obzor [Knowledge on postpartum depression among midwives and nurses: a systemic review]. Sibirskoe meditsinskoe obozrenie = Siberian Medical Review, 2021. No. 6, pp. 44–52. DOI:10.20333/25000136-2021-6-44-52 (In Russ., abstr. in Engl.)
4. Kornetov N.A. Poslerodovaya depressiya — tsentral'naya problema okhrany psikhicheskogo zdorov'ya rannego materinstva [Postpartum depression is a central issue of early motherhood mental health]. Byulleten' sibirskoi meditsiny = Bulletin of Siberian Medicine, 2015. Vol. 14, no. 6, pp. 5–24. (In Russ., abstr. in Engl.)
5. Kravtsova A.G. Ivanova M.D. Aktual'nost' poslerodovoi depressii v praktike psikhologa i vracha [Relevance of postpartum depression in the practice of a psychologist and doctor]. Vestnik Pridnestovskogo Universiteta. Seriya: Gumanitarnye nauki = Bulletin of the Pridnestrovian university. Series: Humanitarian sciences, 2023. No. 1 (73), pp.173–182. (In Russ., abstr. in Engl.)
6. Makarova M.A., Tikhonova Yu.G., Avdeeva T.I. et al. Poslerodovaya depressiya — faktory riska razvitiya, klinicheskie i terapevticheskie aspekty [Postpartum depression — risk factors for development, clinical and therapeutic aspects]. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, neuropsychiatry, psychosomatics, 2021. Vol. 13, no.4, pp. 75–80. DOI: 10.14412/2074-2711-2021-4-75-80 (In Russ., abstr. in Engl.)
7. Ovchinnikov A.V. Vazagaeva T.I. Sovremennye podkhody k farmakoterapii poslerodovoi depressii [Modern approaches to the pharmacotherapy of postpartum depression]. Meditsinskii sovet = Medical advice, 2020. no. 11, pp. 70–81. DOI: 10.21518/2079-701X-2020-11-70-81 (In Russ., abstr. in Engl.)
8. Podoinitsyna I.A. Khar'kova O.A. Teoreticheskie aspekty poslerodovoi depressii [Theoretical aspects of postpartum depression]. Innovatsionnaya nauka = Innovative science, 2020. No. 7, pp. 113–117. (In Russ.)
9. Reznik V.A., Kozyrko E.V., Ryazanova O.V. et al. Rasprostranennost' i laboratornye markery poslerodovoi depressii [Prevalence and laboratory markers of postpartum depression]. Zhurnal akusherstva i zhenskikh boleznei = Journal of Obstetrics and Women's Diseases, 2018. Vol. 67, no. 4, pp. 19–29. DOI: 10.17816/JOWD67419-29. (In Russ., abstr. in Engl.)
10. Tret'yakova A.O. Etiopatofiziologicheskie aspekty poslerodovoi depressii (obzor literatury) [Etiopathophysiological aspects of postpartum depression (literature review)]. Mezhdunarodnyi nauchnyi zhurnal «Simvol nauki» = International scientific journal «Symbol of Science», 2023. No. 2-1, pp. 48–51. (In Russ.)
11. Usova A.A. Napalkov I.V. Ivanova T.I. Ratsional'naya terapiya depressivnykh rasstroistv u beremennykh (obzor literatury) [Rational therapy of depressive disorders in pregnant women (literature review)]. Omskii psikhiatricheskii zhurnal = Omsk Psychiatric Journal, 2017. No. 2 (12), pp. 19–23. URL: http://omskoop.ru/opj/2017_02.pdf (In Russ.)
12. Yakupova V.A. Bukhalenkova D.A. Regulyatornye funktsii i poslerodovaya depressiya [Regulatory functions and postpartum depression]. Vestnik YuUrGU. Seriya “Psikhologiya” = Bulletin of SUSU. The series “Psychology”, 2018. Vol. 11, no. 3, pp. 57–63. DOI: 10.14529/psy180307 (In Russ.)
13. Yakupova V.A. Suarez A.D. Shraibman L.A. Sotsialno-ekonomicheskie faktory riska razvitiya poslerodovoi depressii i poslerodovogo PTSR v Rossii [Socio-economic risk factors for postpartum depression and postpartum PTSD in Russia]. Rossiiskii psikhologicheskii zhurnal = Russian Psychological Journal, 2023. Vol. 20, no. 1, pp. 182–201. DOI: 10.21702/rpj.2023.1.12 (In Russ.)
14. Almutairi A.F., Salam M., Alanazi S. et al. Impact of help-seeking behavior and partner support on postpartum depression among Saudi women. Neuropsychiatric Disease and Treatment, 2017. Vol. 13, pp. 1929–1936. DOI: 10.2147/NDT.S135680
15. Kroska E.B., Stowe Z.N. Postpartum Depression: Identification and Treatment in the Clinic Setting. Obstetrics and Gynecology Clinics of North America, 2020. Vol. 47, no. 3, pp. 409–419. DOI: 10.1016/j.ogc.2020.05.001
16. Özkan S.A., Kücükkelepce D.S., Korkmaz B. et al. The effectiveness of an exercise intervention in reducing the severity of postpartum depression: A randomized controlled trial. Perspectives in Psychiatric Care, 2020. Vol. 56, no. 4, pp. 844–850. DOI: 10.1111/ppc.12500
17. Suarez A., Shraibman L., Yakupova V. Long-Term Effects of Maternal Depression during Postpartum and Early Parenthood Period on Child Socioemotional Development. Children (Basel, Switzerland), Vol. 10, no. 10, p. 1718. DOI: 10.3390/children10101718
18. Woody C.A., Ferrari A.J., Siskind D.J. et al. A systematic review and meta-regression of the prevalence and incidence of perinatal depression. Journal of Affective Disorders, Vol. 219. P. 86–92. DOI: 10.1016/j.jad.2017.05.003
19.