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Comparisons Effects of Smoking and some Problems in Pregnancy on Postpartum Depresive Symptoms in First and 60th Day After Birth

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Author(s): Mehmet Ali Kurcer | Ebru Keles

Journal: TAF Preventive Medicine Bulletin
ISSN 1303-734X

Volume: 8;
Issue: 4;
Start page: 323;
Date: 2009;
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Keywords: Postpartum depression | smoking

ABSTRACT
BACKGROUND: Pregnant may be caused different problems before and after of the delivery changes and her health may be demaged and also smoking may be influence them. There is some evidences about smoking in pregnancy with correlated depression. The aim of this study is to examine the influence of smoking and other risk factors on PPD in womens who deliverated in Sanliurfa Delivery and Ginecology Hospital in first and 60th day after delivery. METHOD: Type of this study is nested. The study was conducted with 205 women who applied to Sanliurfa Delivery and Ginecology Hospital by face to face method. A new questionnaire which was devoloped investigators, which was include gynecolgical history and sociodemographic data, and Edinburgh Postpartum Depression test and Fagerstrom Nicotin Tolerance test applicated 205 Postpartum women in first day day. Edinburgh Postpartum Depression test was applicated again in thirty smoker women and also in thirty women who were selected simple random method from the 175 non-smoker women in 60th day. RESULTS: Thirty-six percent of women who smoked during pregnancy were nicotine dependent. FNTT score mean was 3.8±1.9 in the first day and 2.8±1.9 in postnatal 60th day. Mean of EPDS scores were 11.3±5.6 in postpartum first day and 8.6±5.2 in the postpartum sixtieth day. There was a significant association between EPDS score mean on the first day (11.3±5.6) and the sixtieth days (8.6±5.2), (p=0.0001). Complicate delivery, caesarian section and smoking during pregnancy were found to be associated factors with depression in women in the first day of the delivery. CONCLUSION: This study indicates that to smoke during pregnancy and have complicated delivery and also cesarian sectio increase the PPD risk in postpartum first day. [TAF Prev Med Bull. 2009; 8(4): 323-328]
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