Postpartum Depression (PPD) Among Working and NonworkingMothers/Women in Karachi, Pakistan

Rozina Ramji*, Muhammad Yahya Noori**, Asima Faisal***
* Manager, Quality and Patient Safety Department, Aga Khan University Hospital, Karachi, Pakistan.
** Assistant Professor, Department of Pathology, Dow International Medical College, Dow University of Health Sciences, Karachi.
*** Head of the Department, MBA Health and Hospital Management Program, Institute of Business Management, Karachi, Pakistan.
Periodicity:August - October'2016
DOI : https://doi.org/10.26634/jnur.6.3.8257

Abstract

Parenthood is a transition period, characterized by significant change in a new parent's life, which is called post-partum period. It's a time in which woman undergoes the transition of motherhood to parenthood. It is extremely important to manage the postpartum period very effective if not, then mother may go through postpartum depression stage. The Cross Sectional Study design was used to determine whether there is a difference in the rate of PPD between working and non-working mothers as well to determine whether there is a relationship of associated factors of postpartum depression among working and non-working women. The data were collected using the validated EPDS & PNRQ Tool and a General Questionnaire. A Chi square test was used to determine the difference in the rate of PPD between both working and non-working mothers during the postpartum phase. According to Edinburgh postnatal depression scale, no depression was found in 202 participants of non-working women (80.8%) whereas in working women only 89 participants reported no depression (35.6%) and this difference was found to be statistically significant at P<0.001. The study findings revealed that there is increase in postpartum depression in working mothers than non-working mothers; therefore, early intervention could be planned in the form of group teaching sessions which will help new mothers to develop a friendship network to support with the challenges of caring for her preterm infant.

Keywords

Postpartum Depression, Working Mother, Non-Working Mother, Mother Infant Interaction, Developing Countries.

How to Cite this Article?

Ramji, R.S., Noori, M.Y., and Faisal, A. (2016). Postpartum Depression (PPD) Among Working and Nonworking Mothers/Women in Karachi, Pakistan. i-manager’s Journal on Nursing, 6(3), 5-16. https://doi.org/10.26634/jnur.6.3.8257

References

[1]. Ali, N. S., Ali, B. S., & Azam, I. S. (2009). “Postpartum anxiety and depression in peri-urban communities of Karachi, Pakistan: a quasi-experimental study”. BMC Public Health, Vol.9, No.384.
[2]. Adhikari, H. (2012). “Anxiety and Depression: Comparative Study between Working and Non-Working Mothers”. Global Journal of Human Social Science, Vol.12, No.12.
[3]. Beck. (2001). “Predictors of postpartum depression”. Nursing Research.
[4]. Dagher, Rada Kamil. (2007). A longitudinal analysis of postpartum depression among employed women: ProQuest.
[5]. Gulamani, S., Premji, S., Kanji, Z., & Azam, I.S. (2013). “A review of postpartum depression, preterm birth, and culture”. The Journal of Perinatal & Neonatal Nursing, Vol.27, No.1.
[6]. Gurudatt, Neha. (2014). Postpartum Depression in Working and Non-Working Women. International Proceedings of Economics Development and Research, Vol.78, No.69.
[7]. GK, P. & Arounassalame, B. (2014). Impact of sociocultural factors on postpartum depression in South Indian women. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, Vol.3, No.2, pp.338-343.
[8]. Husain, N, Tomenson, B, Creed, F. (2000). “Depression and social stress in Pakistan”. Psychol Med, Vol.30.
[9]. Kalyani, G. H. S., Saeed, K., Rehman, I. U., & Mubbashar, M. H. (2001). “Incidence of depressive illness in Pakistani women during postnatal period”. Journal of College of Surgery Pakistan, Vol.11, No.4.
[10]. Kashiwagi, H., & Shirataki, S. (1995). “Development in mother infant en face interaction of high risk newborn infants: a longitudinal follow up from 0 to 7 months”. Early Human Development, Vol.43.
[11]. Leigh, B., & Milgrom, J. (2008). “Risk factors for antenatal depression, postnatal depression, and parenting stress”. BMC Psychiatry, Vol.8, No.24
[12]. Misri, S., Reebye, P., Milis, L., & Shah, S. (2006). “The impact of treatment intervention on parenting stress in postpartum depressed mothers: a prospective study”. American Journal of Orthopsychiatry, Vol.76, No.1.
[13]. Muneer, A., Minhas, F. A., Tamiz-ud-Din Nizami, A., Mujeeb, F., &Usmani, A. T. (2009). “Frequency and associated factors for postnatal depression”. J Coll Physicians Surg Pak, Vol.19, No.4.
[14]. McClain, S., Luis, H. Z., Sarah, B. S. (2013). “Treatment Engagement Using Motivational Interviewing for Low- Income, Ethnically Diverse Mothers with Postpartum Depression”. Clinical Social Work Journal, Vol.41, No.4._Toc448936212.
[15]. Moehler, (2006). “Maternal depressive symptoms in the postnatal period are associated with long-term impairment of mother-child bonding”. Archives of Women's Mental Health.
[16]. Mirrat, G., Saqib, B., Saima, N. (2013). “Postnatal depression and its comparison with the gender of newborn in fourth pregnancy”. International Journal of Culture and Mental Health. Vol.6, No.1.
[17]. Neece, C., & Baker, B. (2008). “Predicting maternal parenting stress in middle childhood: the roles of child intellectual status, behavior problems and social skills”. Journal of Intellectual Disability Research, Vol.52, No.12.
[18]. Rada, K. D., Patricia, M., McGovern, B. E., Dowd, U. (2011). “Postpartum depressive symptoms and the combined load of paid and unpaid work: a longitudinal analysis”. International Archives of Occupational and Environmental Health, Vol.84.
[19]. Santrock, J. W. (2007). Child development (11thed). USA: McGrow-Hill Companies.Inc.
[20]. Srinivasan, Nivetha, Murthy, Shruti, Singh, Awnish K, Upadhyay, Vandana, Mohan, Surapaneni Krishna, & Joshi, Ashish. (2015). Assessment of burden of depression during pregnancy among pregnant women residing in rural setting of chennai. Journal of Clinical and Diagnostic Research: JCDR, Vol.9, No.4.
[21]. Zahidie, A., Kazi, A., Fatmi, Z., Bhatti, M. T., & Dureshahwar, S. (2011). “Social environment and depression among pregnant women in rural areas of Sind, Pakistan”. JPMA-Journal of the Pakistan Medical Association, Vol.61.
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