Browsing by Subject "Edinburgh Postnatal Depression Scale"
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Item Mid-pregnancy vitamin D levels and postpartum depression(Elsevier Ireland Ltd, 2014) Gur E.B.; Gokduman A.; Turan G.A.; Tatar S.; Hepyilmaz I.; Zengin E.B.; Eskicioglu F.; Guclu S.Objectives: Postpartum depression (PPD) is a common disorder that affects 10-15% of postpartum women, and it can have negative effects on both the mother and newborn. Recent studies have suggested that low levels of vitamin D are associated with poor mood and depression. The aim of this prospective study was to evaluate a possible association between PPD and serum levels of 25-hydroxy vitamin D3 (25(OH)D3), a reliable measurement of vitamin D, during mid-pregnancy. Study design: The source population consisted of all pregnant women between 24 and 28 gestational weeks from June 2012 to October 2012 at Bornova Health Research and Application Hospital, Sifa University. In order to better evaluate a possible effect between vitamin D levels and PPD, individuals with characteristics that put them at risk for developing PPD were excluded from the study. Serum 25(OH)D3 levels were evaluated mid-pregnancy in the study group. Serum 25(OH)D3 concentrations ≤20 ng/mL (50 nmol/L) were classified as a mild deficiency and those ≤10 ng/mL (25 nmol/L) were classified as a severe deficiency. Pregnant subjects having complications during birth or with the newborn after delivery were excluded from the study. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess maternal PPD 1 week, 6 weeks, and 6 months after delivery. A Pearson correlation was used to measure the strength of the associations between the EPDS scores and vitamin D levels analyzed during the three time periods. A logistic regression analysis was used to determine the independent effects of vitamin D on PPD. Results: Six hundred and eighty-seven pregnant women were included in this study. After excluding women due to PPD risk factors (in two stages), 179 pregnant women were screened for vitamin D levels during mid-pregnancy and in the 6th month postpartum. Eleven percent of our study group had severe vitamin D deficiency and 40.3% had mild vitamin D deficiency. The frequency of PPD was 21.6% at the 1st week, 23.2% at 6th week, and 23.7% at the 6th month. There was a significant relationship between low 25(OH)D3 levels in mid-pregnancy and high EPDS scores, which is indicative of PPD for all three follow-up periods (p = 0.003, p = 0.004 and p < 0.001, respectively). In addition, there was a significant negative correlation between vitamin D levels and EDPS at all three time points (r = -0.2, -0.2, -0.3, respectively). Conclusions: Vitamin D deficiency in mid-pregnancy may be a factor affecting the development of PPD. More extensive studies are required to be carried out on this subject. © 2014 Elsevier Ireland Ltd. All rights reserved.Item The effect of vitamin D level in pregnancy on postpartum depression(Springer-Verlag Wien, 2015) Gur E.B.; Genc M.; Eskicioglu F.; Kurtulmus S.; Guclu S.[No abstract available]Item Relation between mothers’ types of labor, birth interventions, birth experiences and postpartum depression: A multicentre follow-up study(Elsevier B.V., 2018) Unsal Atan Ş.; Ozturk R.; Gulec Satir D.; Ildan Çalim S.; Karaoz Weller B.; Amanak K.; Saruhan A.; Şirin A.; Akercan F.Aim: This definitive and cross-sectional study was conducted to determine the relation between mothers’ types of labor, birth interventions, birth experiences and postpartum depression. Methods: A total of 1010 mothers who gave birth in four different provinces of Turkey were chosen to participate in the study via purposive sampling method Results: The Edinburgh Postpartum Depression Scale score was determined to be 13 and over in 36.4% of the women. In this study, it was determined that the Edinburgh Postpartum Depression Scale scores for women in the 18–24 age group who had a vaginal birth, did not have health insurance, experienced health problems during pregnancy and were not trained about type of labor during pregnancy were statistically higher. There was no significant correlation between the birth experiences and postpartum depression. The linear regression model showed that there was a statistically significant correlation between enema and amniotomy interventions practised during the birth and the Edinburgh Postpartum Depression Scale scores. Conclusion: In conclusion, it is thought that preparing the mothers for birth with birth preparation training in the antenatal period and imposing the necessary regulations in the delivery room for the mothers to have a positive birth experience are important in reducing postpartum depression risk. © 2018Item Maternal psychiatric status and infant wheezing: The role of maternal hormones and cord blood cytokines(John Wiley and Sons Inc, 2021) Yilmaz O.; Yasar A.; Caliskan Polat A.; Ay P.; Alkin T.; Taneli F.; Odabasi Cingoz F.; Hasdemir P.S.; Simsek Y.; Yuksel H.Rationale: Maternal psychosocial stress might be associated with development of allergic diseases in the offspring. Objectives: To evaluate the association of maternal depression and anxiety with ever wheezing and recurrent wheezing among infants and to assess the role of maternal hypothalamo-pituatary-adrenal axis changes and fetal immune response in this association. Methods: This study encompasses two designs; cohort design was developed to evaluate the association of prenatal depression with development of wheezing in infants while nested case–control design was used to assess the role of maternal cortisol and tetranectin and cord blood interleukin 13 and interferon γ. Results: We enrolled 697 pregnant women. Elementary school graduate mother (odds ratio [OR] = 1.5, p =.06), maternal smoking during pregnancy (OR = 3.4, p =.001), familial history of asthma (OR = 2.7, p <.001) increased the risk of ever wheezing. Elementary school graduate mother (OR = 2.6, p =.002), maternal smoking during pregnancy (OR = 4.8, p <.001) and familial history of asthma (OR = 1.7, p =.01) increased the risk of recurrent wheezing. Maternal previous psychiatric disease, or Edinburgh Postnatal Depression Scale or Spielberger State-Trait Anxiety Inventory scores were not associated with wheezing. Maternal tetranectin levels were significantly higher among never wheezers compared to the ever wheezers (264.3 ± 274.8 vs. 201.6 ± 299.7, p =.04). Conclusions: In conclusion, the major risk factors for ever wheezing and recurrent wheezing were maternal smoking, level of education and family history of asthma. However, maternal depression and anxiety were not determined as risk factors for wheezing. Maternal tetranectin carries potential as a biomarker for wheezing in the infant. © 2021 Wiley Periodicals LLC