Postnatal Depression And Socio-Cultural Practices Among Postnatal Mothers In Kota Bharu, Kelantan, Malaysia

Author

Azidah A. K.1, Shaiful B. I.1, Rusli N.2, M. Jamil Y.3, 1Department of Family Medicine, 2Department of Community Medicine, 3Department of Psychiatry, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia

Proceeding

1st International Conference & Exhibition on Women's Health & Asian Traditional (WHAT) Medicine

Date

23/8/2005

Keyword

postnatal depression, socio-cultural practices, post natal mothers, cross sectional study , traditional massage , Kelantan

Abstract

Aim To determine the relationship of postnatal depression (PND) and socio-cultural practices post-delivery among women in Kota Bharu, Kelantan, Malaysia. Methods A cross sectional study involving four hundred and twenty one pregnant women attending primary health care facilities in Kota Bharu were screened for depression at 36 - 42 weeks of pregnancy, 1 week and 4 - 6 weeks postpartum using Edinburgh Postnatal Depression Scale (EPDS). The women were also requested to complete questionnaires on socio-demography, psychosocial support and traditional postnatal care. Results In the study, three hundred and seventy seven women successfully completed the questionnaires and EPDS (response rate = 89.8%). The prevalence of PND at 4-6 weeks postpartum, based on EPDS score of 12 and above, was 20.7%. Depressive symptoms at the end of pregnancy (p<0.05) and one week postpartum (p<0.05), worry about the baby (p<0.05), use of traditional medication (p<0.05) and traditional massage (p<0.05) were significantly associated with PND. Conclusions PND among women in Kota Bharu was more common compared to previously reported series in Malaysia. Onset of depressive symptoms towards the end of pregnancy and early postpartum period, worry about the baby and use of traditional medicine independently predicted postnatal depression. However, using traditional massage seems to have a protective effect.