Journal Reading

Relationship Between the Baby Blues and Postpartum

Depression: A Study Among Cameroonian Women

Disusun Oleh:
Miftahul Arif Himawan J510215017
Angesti Atiqah Ranasatri J510215102
Aprilia Fani Pratiwi J510215116
Woro Puspita Gati J510215120
Melliyana Wahyu Sukamta J510215122

Pembimbing
Dr. dr. Adriesti Herdaetha, Sp.KJ, M.H.

KEPANITERAAN KLINIK STASE JIWA

FAKULTAS KEDOKTERAN
UNIVERSITAS MUHAMMADIYAH SURAKARTA
RSJD DR. ARIF ZAINUDIN SURAKARTA
2022
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 • Baby blues and postpartum depression  two
of the three main entities of psychological
disorders associated with the postpartum
period. There are chronological differences of
this condition which equally vary according
to the severity and prognosis.

• Objectives : investigated a possible

Abstract association between the baby blues and

postpartum depression in Cameroonian
women who have just given birth

• Method : retrospective study with

case-control design

• Result : After multivariate

analysis of risk factors, the baby blues
emerged as one of the independent predictive
factors for postpartum depression
 Introduction
• Postpartum period  a period of emotional and
psychological disturbance for a woman's life  the
risk of psychological disorders increases ten times
 One in ten women will experience postpartum
psychiatric disorders.
• The period of a new mother must get used to her
baby  behavior disorder  unexpected
irritability, crying, indifference to the baby, refusal to
breastfeed and care  all of them are physiological
hormonal variations.
• Failure or threat to this adaptation process 
psychological changes  including baby blue.
 Baby blues :
Also known as maternity blues or postpartum blues can be
defined as mild and transient physiological mental disorders that
occur in the first two weeks after giving birth.  The baby
blues are sometimes described briefly  Postpartum
depression is a depressive syndrome, which is known to be
more serious and long-lasting.

• Our study is thus intended to investigate to

confirm or disprove this hypothesis in our
context.
 Methodology
• Retrospective study  A case-
control design was performed on an
overall sample of 214 women who
had recently given birth.

• Subjects were recruited over a 6-

month period in the maternity unit of
the Yaoundé Gynaeco Hospital for
Obstetrics and Children (YGOPH),
which is a university teaching
hospital in Cameroon.
 2 3
Subjects were assessed for the baby Women diagnosed with postpartum
blues during the first week after depression consisted of: case group,
delivery  reassessed between 4 while those who were not
and 6 weeks postpartum for considered as control group.
Postpartum Depression.

1 4
Tested questionnaires and The various groups were
information taken from then statistically cross-
patient files  The data examined to identify risk
collected included factors, including the baby
blues.
demographic, clinical,
psychosocial and neonates
Methodology
parameters.
Methodology

 The scale used is the Kennerley and

Gath blues questionnaire and the
Edinburgh Postnatal Depression
 Odds Ratio (OR) and 95% Confidence
Scale (EPDS).
interval (CI) were calculated  assessing
 Statistic analysis  CSPro software
version 4.1 and SPSS version 22.0. the relationship between variables.

 The difference was statistically

 Multivariate analysis  isolate predictive
significant for P value < 0.05.
factors.
 Pearson Chi square and Fisher's
exact test  compare proportions.
 Result

 We recruited 214 women  Women who experienced

who had recently given the baby blues were 80
birth, of whom 50 (37.38%), of which 31
(23.46%) had (62%) later experienced
postpartum depression postpartum depression.
while 164 (76.63%) did
not.
Bivariate analysis  baby blues appeared to be a risk factor
associated with postpartum depression 3.94 (OR=3.94, p=0.0),
and persisted as an independent predictive factor after
multivariate analysis (OR=3.52, p=0.00) .
 Discussion

• Final analysis  The baby blues may not only be a risk factor but also a
predictive factor for women experiencing postpartum depression.
• This relationship was previously described by a number of researchers in
various contexts of study design, population size and means of
measurement.

• In this survey  Nearly one in three women with the baby blues experience
postpartum depression  possible continuity between poorly managed baby
blues and postpartum depression  Postpartum depression may be assimilated
to a severe form of the baby blues.
• Severe atypical baby blues  characterized by abnormally longer duration
and/or more severe signs and symptoms.
 Conclusion

Baby blues is not only a risk

factor, but also an independent
predictive factor for the manifestation of
postpartum depression in this survey.
Therefore, early prevention and
treatment of the baby blues during
the perinatal period can help prevent
postpartum depression.
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