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Praxis medica
2019, vol. 48, br. 2, str. 33-37
Faktori rizika za nastanak postporođajne depresije u ranom postpartalnom periodu
Stojanov Jelenaa, Stojanov Aleksandarb ORCID, Stanković Miodragc
aSpecijalna bolnica za psihijatrijske bolesti 'Gornja Toponica'
bKlinički centar Niš, Klinika za neurologiju
cKlinički centar Niš, Klinika za zaštitu mentalnog zdravlja + Univerzitet u Nišu, Medicinski fakultet

e-adresa: jelena.a.86.ja@gmail.com
Ključne reči: postporođajna depresija; psihosociodemografski faktori; prevencija
Sažetak
Uvod: Određene psihosociodemografske i karakteristike trudnoće i porođaja se u literaturi povezuju sa nastankom postpartalne depresije. Cilj rada: Sagledavanje određenih psihosociodemografskih i karakteristika trudnoće i porođaja kao potencijalnih faktora rizika za nastanak postporođajne depresije u ranom postpartalnom periodu. Materijal i metode rada: Istraživanje je obuhvatilo 120 ispitanica, što je podrazumevalo primenu Edinburške skale za postpartalnu depresiju i sociodemografskog upitnika konstruisanog za potrebe ovog istraživanja, u ranom postpartalnom periodu. Rezultati: Od ukupnog broja 92 (76,7%) ispitanice nisu bile depresivne, dok je 28 (23,3%) imalo depresiju. Sa visokim rizikom nastanka postapartalne depresije koreliraju: težina nakon porođaja, subjektivni doživljaj nepostojanja slobode, postojanja straha da će ispitanica biti ostavljena (p<0,05), kao i postojanje učestalih svađa, spominjanje rastanka ili razvoda i privremena rastajanja u partnerskoj ili bračnoj vezi, loš odnos sa roditeljima sa obe strane i loša opšta porodična atmosfera u sadašnjoj porodici (p<0,001). Statistički značajan rizik za nastanak depresije je nađen i u grupi ispitanica kod kojih je postojala komplikacija u toku porođaja, neplanirana trudnoća (p<0,001) kao i konzumacije alkohola i cigareta u toku trudnoće (p<0,05). Zaključak: Rizik za nastanak postporođajne deprestije se može detektovati primenom EPDS skale u ranom postpartalnom periodu. Rana detekcija potencijalnih faktora rizika značajno može prevenirati nastanak postporođajne depresije, a bitno uticati na centralni psihološki proces u postpartalnom periodu, koji se odnosi na razvoj emocionalnog odnosa između majke i deteta.
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O članku

jezik rada: srpski
vrsta rada: stručni članak
DOI: 10.5937/pramed1902033S
objavljen u SCIndeksu: 20.09.2019.
Creative Commons License 4.0

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