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Prevalence of Postpartum Depression Using the Edinburgh Postpartum Depression Scale at the Aga Khan University Hospital, Nairobi

Thesis Info

Author

Khadija, Warfa

Department

Obstetrics and Gynaecology (East Africa)

Program

MMed

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

2011

Thesis Completion Status

Completed

Subject

Medicine

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728062482

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Background: Postpartum depression is an illness that affects 10-20% of mothers following delivery; the impact it has on the family, partner and the new born baby is significant. There are insufficient data in Kenya as its rate and severity hence the impact is unknown. Screening could allow earlier treatment of these mothers and prevent the long term effects on the family. Objectives: The primary objective was to identify the prevalence of postpartum depression at the Aga Khan University Hospital and to identify associations between participant’s socio demographics and depression. Methods: Cross sectional study to screen postpartum women six weeks after delivery using the Edinburgh Postpartum Depression Scale (EPDS). Participants were recruited using consecutive sampling from the postpartum clinics, six weeks after delivery at the Aga Khan University Hospital from October 2010 to May 2011. Analysis: Point estimate of the disorder using results from the screening tool and the identification of patient characteristics potentially associated with the disorder. Results: 195 participants were recruited, 181 were eligible for analysis in whom a prevalence of 13.8% (95% CI: 8.8 to 18.8) was estimated. Among the patient characteristics assessed for potential associations; the neonatal sex reached statistical significance with a P value of 0.014. Conclusion & recommendations: The prevalence of postpartum depression is 13.8% among women at the Aga Khan university Hospital postpartum clinic. We therefore recommend the introduction of regular screening to identify affected mothers to avert the adverse effects that may be associated with the condition.
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سی حرفی : ۱۰

سی حرفی ۔۸
(تن بیتاں وچ مکمل)
الف
آماہی، ’ب‘ بہت تھکی، ت تاہنگ تیری پئی مار دی اے
ث
ثابتی نہیں، ’ج‘ جگر باہجوں، ’ح‘ حالت گئی گھر بار دی اے
خ
خوشی گئی، ’د‘ دکھ بہتے، ’ذ‘ ذکر تے فکر سب یار دی اے
ر
رب وارث، ’ز‘ زاریاں دا، ’س‘ سک حنیف دیدار دی اے

ش
شوق لگا، ’ص‘ صادقاں دا، ’ض‘ ضعف نہیں کجھ نتار دا اے
ط
طوق پیا، ’ظ‘ ظالماں دا، ’ع‘ عاشقاں ہانگرا دار دا اے
غ
غم لگا، ’ف‘ فکر ڈاہڈا، ’ق‘ قسم مینوں شوق یار دا اے
ک
کون کٹے، ’ل‘ لکھ دتا،’م‘ مویاں نوں یار کیوں مار دا اے

ن
نیہہ ڈونگھی، چڑھی گھٹ کالی، اساں لنگھنا پہلڑے پور یارو
و
واہ کوئی نہیں، ہور راہ کوئی نہیں، ’ہ‘ ہڑ دا سماں ضرور یارو
لا
لا مکان دا پتہ دسے، ’ی‘ یاد نہ مان غرور یارو
ے
یار حنیف بھلائی دنیا، کیڈ پائے نیں عشق فتور یارو

٭٭٭٭٭٭

گلوبلائزیشن: تعارف, محركات اور مقاصد

The humanity witnesses a strange international phenomenon called the Globalization which endeavors to make an intellectual unification in the sphere of norms — education, social, economic and politics. 77m carries a strong challenge for the Muslim societies across the world. Through a focus on the educational, cultural, economical and politiiclal spheres and to employ the devices of communication — media and the internet. The world has shrunk into a small village which is diminishing the geographical, historical, political and educational boundaries. The world is undergoing the transition in materialistic and educational values and principles which are not accorded as per the Islamic values. Through media and interactive modes of communication. Hence, it becomes necessary to examine all aspects of this subject to be on a firm position of this transformation to preserve and safeguard our Muslim identity. In this context, the concept of globalization by Muslim and western scholars and its impact on globalization are discussed along with some proposals in order to cope with the negative effects of globalization in the Muslim societies.

Evaluation of Behavioral, Physiological and Productive Responses of Dairy Animals under Strategic Management During Hot Dry and Hot Humid Summer

Heat stress is a concern for all livestock production systems. Prolonged periods of thermal stress have significantly negative impact on production and health due to reduced dry matter intake. Nili-Ravi buffaloe and Sahiwal cattle are well adapted to tropical hot and humid climates, but at high temperatures prolonged exposure can add to several changes in biological functions that affect thermoregulation. Keeping in view, the geographical position of Pakistan, four ambient management studies (two each in buffaloe and cattle) were conducted on fifteen Nili Ravi buffaloes and fifteen Sahiwal cattle to devise the strategic management system applicable during varying environmental conditions to achieve best physiological, behavioral and productive responses in dairy animals. The dairy animals of approximately same age, weight, production and parity (third) were randomly allocated to three treatments: 1) provision of only roof shade, named as S, 2) provision of fans along with roof shade, named as SF, and 3) provision of roof shade, fans and sprinklers, named as SFS under Completely Randomized Design. The dairy animals were kept in separate sheds under tied sloped floor system and fed twice a day (at 9:00 am and 3:00 pm) on iso-nitrogenous and iso-caloric diet. DMI, water intake, milk production, rectal temperature, respiration rate, pulse rate and total time spent in eating, ruminating, standing and lying were recorded at different intervals. Mean daily milk production in Nili Ravi buffaloes was significantly (p≤0.01) higher in cooled animals compared to heat stressed animals. Water intake was significantly (p≤0.05) lower in SFS than SF treatment. Physiological responses (respiration rate, pulse rate, rectal temperature, and skin temperature) were significantly (p≤0.01) lower in SFS than control treatment. The behavioral responses (time spent in drinking, ruminating and locomotion) were significantly (p≤0.01) increased in SFS compared to S treatment during hot dry and hot humid summer months. The effect of different ambient management strategies in lactating Sahiwal cattle showed significant improved dry matter intake and decreased water intake. Significant (p≤0.01) low skin temperature, respiration rate and skin temperature were found in cooled cows than heat stressed cows. The behavioral responses (time spent in feeding, ruminating, lying and rumination) were found significantly increased than heat stressed cow during hot dry and hot humid summer. Overall better results were observed in fan assisted ventilation treatment during hot dry summer and it is better option to improve milk production efficiency, milk constituents, comfort and behavioral responses, whereas, the goals of improved milk production, physiological and behavioral performance in lactating Sahiwal cows during hot humid season can be achieved though provision of sprinkler alongwith fan assisted ventilation in the sheds. It is therefore recommended that the Nili-Ravi buffaloes and Sahiwal cows should be at least maintained with the combined facility of fan assisted ventilation and sprinklers in the sheds during hot dry and hot humid season to optimize the productive, physiological and behavioral performance under sub-tropical conditions of Pakistan. Precise studies are further suggested to explore the cost effective use of fan assisted ventilation, sprinklers and also wallowing in buffaloes.