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Depressiva symtom hos blivande och nyblivna mödrar samt parrelationens inverkan på moderns välmående
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2013 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Cirka 10 – 15 % av alla nyblivna mödrar drabbas av depression efter förlossning. Riskfaktorer för att utveckla depression är bland annat depressiva symtom under graviditeten eller en dålig parrelation.

Syfte: Syftet var att undersöka i vilken utsträckning kvinnor upplevde depressiva symtom under graviditet och efter förlossning samt hur kvinnor upplevde sin parrelation under graviditet och efter förlossning, vidare om det fanns samband mellan självskattning av parrelationen och depressiva symtom.

Metod: En kohortstudie där 135 kvinnor från 16 barnmorskemottagningar besvarade en enkät i graviditetsvecka 9-11 samt 6 månader efter förlossningen. Enkäterna innehöll mätinstrumenten Edinburgh Postnatal Depression Scale som mäter depressiva symtom och Relationship Assessment Scale som mäter tillfredsställelse i parrelationen.

Resultat: Det var 10,4% av kvinnorna som självskattade depressiva symtom under graviditet och 10,8% som skattade depressiva symtom efter förlossning. Det fanns ingen signifikant skillnad i skattning av depressiva symtom under graviditet och efter förlossning, däremot var det ett fåtal kvinnor som skattade depressiva symtom både under graviditet och efter förlossning. En signifikant skillnad (p=,001) fanns mellan skattad parrelation under graviditet och efter förlossning. Parrelationen under graviditet skattades bättre än efter förlossning. Inga samband fanns mellan skattning av parrelationen och depressiva symtom under graviditeten, däremot fanns ett negativt samband mellan skattning av parrelation och depressiva symtom efter förlossning.

Slutsats: Depressiva symtom under graviditet och efter förlossning var lika vanligt, men endast ett fåtal kvinnor skattade depressiva symtom både under graviditet och efter förlossning. Olika mekanismer skulle kunnat vara orsaken till de depressiva symtomen under graviditet och efter förlossning. Parrelationen var överlag god.  

Abstract [en]

Background: About 10-15% of all new mothers are affected of postpartum depression. Risk factors for developing postpartum depression include depressive symptoms during pregnancy or a poor partner relationship.

Aim: To investigate the extent to which women experience depressive symptoms during pregnancy and after childbirth and also how women experience their partner relationship before and after childbirth, furthermore if there is any correlation between self-assessment of partner relationship and depressive symptoms.

Method: A Cohort study where 135 women from 16 midwifery clinics answered a questionnaire in pregnancy week 9-11 and 6 months after childbirth. The questionnaires included the measuring instrument Edinburgh Postnatal Depression Scale that measures depressive symptoms and Relationship Assessment Scale that measures the satisfaction in the partner relationship.

Results: There was no significant difference in self-assessment of depressive symptoms during pregnancy compared to after childbirth. At the group level was estimation of depressive symptoms as common during pregnancy as after childbirth, however there was few women who estimated depressive symptoms during pregnancy and after childbirth. A difference was found between self-rated partner relationship during pregnancy and after childbirth. Partner relationship during pregnancy was self-estimated as better than after childbirth. No correlations existed between partner relationships during pregnancy. However, there was a negative correlation between estimation of partner relationship and depressive symptoms after childbirth.

Conclusions: Estimation of depressive symptoms during pregnancy and after childbirth was equal. However, estimated few women depressive symptoms both during pregnancy and after childbirth suggesting that different mechanisms may underlie depression during pregnancy and postpartum. Partner relationship estimated generally good but slightly worse after childbirth.

Place, publisher, year, edition, pages
2013. , 31 p.
Keyword [sv]
Post partum depression, Edinburgh Postnatal Depression Scale (EPDS), prenatal, relationship assessment scale (RAS)
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-210700OAI: oai:DiVA.org:uu-210700DiVA: diva2:664097
Subject / course
Caring Sciences
Educational program
Specialistsjuksköterskeprogrammet med inriktning mot distriktssköterska
Supervisors
Examiners
Available from: 2013-11-15 Created: 2013-11-13 Last updated: 2013-11-15Bibliographically approved

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