Stress in pregnancy and puerperium: a correlation with postpartum depression

• Published in: Revista Brasileira de ginecologia e obstetrícia 2011-09, Vol.33 (9), p.252-257
• Main Authors: Rodrigues, Olga Maria Piazentin Rolim, Schiavo, Rafaela de Almeida
• Format: Article
• Language: Portuguese
• Subjects: Adolescent; Adult; Depression, Postpartum - epidemiology; Female; Humans; Pregnancy; Pregnancy Complications - epidemiology; Pregnancy Trimester, Third; Stress, Psychological - epidemiology; Young Adult
• ISSN: 1806-9339

To describe and compare the phases of stress of primiparae in the third trimester of pregnancy and postpartum, associating them with the occurrence of postpartum depression. The study consisted of two stages (Stage 1 and Stage 2), characterized as longitudinal research. Ninety-eight primiparae participated in Stage 1, and 64 of them participated in Stage 2. In Stage 1, data were collected in the third trimester of pregnancy, and in Stage 2, at least 45 days after delivery. The Stress Symptoms Inventory Lipp (ISSL) was applied in Stage 1 and an interview was held to characterize the sample. In Stage 2, we applied again the ISSL and also the EPDS (Edinburgh Postnatal Depression Scale). Data were analyzed using SPSS for Windows®, version 17.0. The statistical analyses were performed using the Student's t-test and the Spearman p. Seventy-eight percent of the participants showed significant signs of stress in the third quarter and 63% of them during the postpartum period, with a significant difference in the stress occurring in the third trimester and postpartum (t=2.20, p=0.03). There was also a correlation between the stress occurring during pregnancy and in the puerperium and the manifestation of postpartum depression (p