Resumo

LATORRE-LATORRE, José Fidel; CONTRERAS-PEZZOTTI, Leddy Marina; GARCIA-RUEDA, Susana  e  ARTEAGA-MEDINA, Juan. Postpartum depression in adolescent women from Bucaramanga, Colombia. Rev Colomb Obstet Ginecol [online]. 2006, vol.57, n.3, pp.147-155. ISSN 0034-7434.

Background: depression, which occurs very frequently in women, is a worldwide problem and the likelihood of suffering from it increases during puerperium. Postpartum depression rates are highly variable; however, some reports from Latin-American communities have shown more than a 20% incidence rate. Increased incidence during adolescence has been reported. There is no readily available data concerning adolescent mothers in Colombia. Objective: establishing the incidence of postpartum depression in adolescent women and comparing it with incidence reported in older women. Methods: a cohort was assembled between May 2003 and April 2004 involving puerperal women from 11 health centres located in Bucaramanga’s metropolitan area. Women were followed-up for six week. Information was obtained for socio-demographic, obstetric and psychiatric antecedents as well as characteristics regarding their newborn, delivery data and breast feeding pattern. Postpartum depression was established by a psychiatrist according to DSM IV criteria. Incidence rates were calculated by age group, incidence rate ratio was established and risk adjusted by Cox regression. Results: postpartum depression incidence rate in adolescent women was 0.6 cases/1,000 people - day (0.07-2.2 CI95%), 1 case/1,000 people - day in 21 to 34 year-old-women (0.3-2.0 CI95%) and 1.9 cases/1,000 people - day (0.3-5.4 CI95%) in women aged 34 and older. When adjustment was made, hazard ratio was 3.0 (0.3-29.9 CI95%) in 21 to 34 year-old women and 7.4 (0.6-95.6 CI95%) in women aged 34 and older compared to adolescent women. Conclusions: Postpartum depression is a frequent health problem in Bucaramanga’s metropolitan area. Adolescent mothers are at no more risk than other women.

Palavras-chave : depression; postpartum; incidence; age.

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