A Study on Postpartum Depression in Tertiary Care Hospital: Implication for Maternal Mental Health

Authors

  • Supriya Jagdale Symbiosis Medical College for Women, Symbiosis International (Deemed University), Pune, India
  • Aishwarya Dengi Dr D.Y. Patil Medical College and Research Centre Pune, India
  • Meghana Datar Symbiosis Medical College for Women, Symbiosis International (Deemed University), Pune, India
  • Lakshmi Sunil Symbiosis Medical College for Women, Symbiosis International (Deemed University), Pune, India
  • Krishna R. Sudev Symbiosis Medical College for Women, Symbiosis International (Deemed University), Pune, India
  • Pooja Garg Sunrise Hospital and Research Centre Delhi, India

DOI:

https://doi.org/10.6000/1929-6029.2026.15.11

Keywords:

Postpartum Depression, Maternal Mental Health, Edinburgh Postnatal Depression Scale, Risk Factors, Tertiary Care Hospital, India

Abstract

Background: Postpartum depression (PPD) is a significant maternal health issue often overlooked in India. This study assesses its prevalence, risk factors, and implications in a tertiary care hospital in Pune.

Methods: A cross-sectional study was conducted from March 2025 to June 2025, involving 102 postpartum women. The Edinburgh Postnatal Depression Scale (EPDS) was used to assess depression immediately postpartum and at six months

Results: The incidence of PPD was 12.75% immediately postpartum and 15.69% at six months. Significant risk factors included young maternal age (<20 years), low family income, unplanned pregnancy, preterm birth, antenatal complications, and low self-esteem. Employment status and lack of antenatal care were also associated with higher EPDS scores. However, factors such as education level, delivery mode, and baby’s gender did not show statistical significance.

Conclusion: PPD is a prevalent yet underdiagnosed condition that requires urgent integration into maternal healthcare programs. Early screening, mental health support, and targeted interventions can improve outcomes for mothers and infants. Further research and policy focus on maternal mental health are necessary for better healthcare delivery.

References

World Health Organization. Maternal Mental Health and Child Health and Development in Low and Middle-Income Countries. WHO 2022.

O'Hara MW, McCabe JE. Postpartum depression: Current status and future directions. Annu Rev Clin Psychol 2013; 9: 379-407. DOI: https://doi.org/10.1146/annurev-clinpsy-050212-185612

Stewart DE, Vigod S. Postpartum depression: Pathophysiology, treatment, and emerging therapeutics. Annu Rev Med 2016; 67: 231-243.

Gavin NI, Gaynes BN, Lohr KN, Meltzer-Brody S, Gartlehner G, Swinson T. Perinatal depression: A systematic review of prevalence and incidence. Obstet Gynecol 2005; 106(5): 1071-1083. DOI: https://doi.org/10.1097/01.AOG.0000183597.31630.db

Chandran M, Tharyan P, Muliyil J, Abraham S. Postpartum depression in a cohort of women from a rural area of Tamil Nadu, India. Br J Psychiatry 2002; 181: 499-504. DOI: https://doi.org/10.1192/bjp.181.6.499

Saldanha D, Rathi N, Bal H, Chaudhury S. Prevalence and risk factors for postpartum depression in Indian mothers. Med J Armed Forces India 2020; 76(2): 157-161.

Goyal D, Gay C, Lee KA. How much does low socioeconomic status explain about postpartum depressive symptoms? J Obstet Gynecol Neonatal Nurs 2010; 39(5): 488-498.

Beck CT. Predictors of postpartum depression: An update. Nursing Research 2001; 50(5): 275-285. DOI: https://doi.org/10.1097/00006199-200109000-00004

Howard LM, Molyneaux E, Dennis C-L, Rochat T, Stein A, Milgrom J. Non-psychotic mental disorders in the perinatal period. Lancet 2014; 384(9956): 1775-1788. DOI: https://doi.org/10.1016/S0140-6736(14)61276-9

Patel V, Rodrigues M, DeSouza N. Gender, poverty, and postnatal depression: A study of mothers in Goa, India. Am J Psychiatry 2002; 159(1): 43-47. DOI: https://doi.org/10.1176/appi.ajp.159.1.43

Field T. Postpartum depression effects on early interactions, parenting, and safety practices: A review. Infant Behav Dev 2010; 33(1): 1-6. DOI: https://doi.org/10.1016/j.infbeh.2009.10.005

Wisner KL, Sit DK, McShea MC, et al. Onset timing, thoughts of self-harm, and diagnoses in postpartum women with screen-positive depression findings. JAMA Psychiatry 2013; 70(5): 490-498. DOI: https://doi.org/10.1001/jamapsychiatry.2013.87

Dennis C-L, Hodnett E. Psychosocial and psychological interventions for treating postpartum depression. Cochrane Database Syst Rev 2007; 4: CD006116. DOI: https://doi.org/10.1002/14651858.CD006116.pub2

Ram S, Mishra P, Kumari N, et al. Postpartum depression: A study of risk factors and prevalence in Indian mothers. Indian J Psychiatry 2019; 61(2): 165-170.

Cohen LS, Wang B, Nonacs R, et al. Treatment of mood disorders during pregnancy and postpartum. Psychiatr Clin North Am 2010; 33(2): 273-293. DOI: https://doi.org/10.1016/j.psc.2010.02.001

Robertson E, Grace S, Wallington T, Stewart DE. Antenatal risk factors for postpartum depression: A synthesis of recent literature. Gen Hosp Psychiatry 2004; 26(4): 289-295. DOI: https://doi.org/10.1016/j.genhosppsych.2004.02.006

Kettunen P, Koistinen E, Hintikka J. Risk factors and prevention of postpartum depression. Primary Care Companion CNS Disord 2014; 16(4): PCC.14r01732.

Yonkers KA, Vigod S, Ross LE. Diagnosis, pathophysiology, and management of mood disorders in pregnant and postpartum women. Obstet Gynecol 2011; 117(4): 961-977. DOI: https://doi.org/10.1097/AOG.0b013e31821187a7

Shorey S, Chee CYI, Ng ED, Chan YH, Tam WWS, Chong YS. Prevalence and incidence of postpartum depression among healthy mothers: A systematic review and meta-analysis. J Psychiatr Res 2018; 104: 235-248. DOI: https://doi.org/10.1016/j.jpsychires.2018.08.001

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry 1987; 150: 782-786. DOI: https://doi.org/10.1192/bjp.150.6.782

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Published

2026-04-07

How to Cite

Jagdale, S. ., Dengi, A. ., Datar, M. ., Sunil, L. ., Sudev, K. R. ., & Garg, P. . (2026). A Study on Postpartum Depression in Tertiary Care Hospital: Implication for Maternal Mental Health. International Journal of Statistics in Medical Research, 15, 121–128. https://doi.org/10.6000/1929-6029.2026.15.11

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General Articles