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PubMed2000

Promoting mental health after childbirth: a controlled trial of primary prevention of postnatal depression.

OBJECTIVES: To investigate the effectiveness of a psychosocial intervention for the prevention of postnatal depression. DESIGN: A controlled trial. METHOD: Women expecting their first or second child and designated as 'more vulnerable' by the Leverton Questionnaire (LQ) or Crown Crisp Experiential Index (CCEI) were allocated to a preventive intervention (N = 47) or control group (N = 52) by expected date of delivery to provide groups expecting their babies around the same time. Women were assessed at 3 months postnatal. An additional group of women designated as 'less vulnerable' (N = 88) were assessed to confirm the validity of the LQ as a vulnerability measure. RESULTS: Questionnaire measures of mood in first-time mothers invited to the Preparation for Parenthood groups revealed significantly more positive mood than in the group receiving routine care. The median Edinburgh Postnatal Depression Scale (EPDS) score for those invited was 3, compared to 8 for those not invited (p < .005). The diagnosis of depression using the Present State Examination revealed differences for both groups, though it reached statistical significance only with the first-time mothers. Only 19% of the 'more vulnerable' invited first-time mothers were 'borderline' or 'cases' at any time in the first 3 months postnatally compared to 39% of those not invited. The Surviving Parenthood groups for second-time mothers were not successful. CONCLUSION: Some depressions following childbirth can be prevented by brief interventions that can be incorporated with existing systems of antenatal classes and postnatal support groups.

Adult↗
PubMed1998

Prenatal and postnatal depression among low income Brazilian women.

Postnatal depression is a significant problem affecting 10-15% of mothers in many countries and has been the subject of an increasing number of publications. Prenatal depression has been studied less. The aims of the present investigation were: 1) to obtain information on the prevalence of prenatal and postnatal depression in low income Brazilian women by using an instrument already employed in several countries, i.e., the Edinburgh Postnatal Depression Scale (EPDS); 2) to evaluate the risk factors involved in prenatal and postnatal depression in Brazil. The study groups included 33 pregnant women interviewed at home during the second and third trimesters of pregnancy, and once a month during the first six months after delivery. Questions on life events and the mother's relationship with the baby were posed during each visit. Depressed pregnant women received less support from their partners than non-depressed pregnant women (36.4 vs 72.2%, P < 0.05; Fisher exact test). Black women predominated among pre- and postnatally depressed subjects. Postnatal depression was associated with lower parity (0.4 +/- 0.5 vs 1.1 +/- 1.0, P < 0.05; Student t-test). Thus, the period of pregnancy may be susceptible to socio-environmental factors that induce depression, such as the lack of affective support from the partner. The prevalence rate of 12% observed for depression in the third month postpartum is comparable to that of studies from other countries.

Adult↗
PubMed2000

Selective cyclooxygenase-2 inhibition prevents alveolar bone loss in experimental periodontitis in rats.

BACKGROUND: Prostaglandins are implicated in periodontal bone destruction. We investigated the effect of a non-selective cyclooxygenase (COX) inhibitor (indomethacin-IND) or a type 2 COX inhibitor (meloxicam-MLX) in an experimental periodontal disease (EPD) model. METHODS: Wistar rats were subjected to placement of a nylon thread ligature around the maxillary molars and sacrificed after 7 days. Alveolar bone loss (ABL) was measured in one quadrant as the distance between the cemento-enamel junction and the alveolar bone. The other quadrant was processed for histopathologic analysis. Daily weight and white blood cell count were recorded. Groups were treated subcutaneously for 7 days with either IND (0.5, 1, or 2 mg/kg) or MLX (0.75, 1.5, or 3 mg/kg). Controls received no treatment. Macroscopic analysis of the gastric mucosa was done. The control group did not receive any manipulation, and a non-treated group consisted of rats subjected to periodontitis that received no pharmacological treatment. RESULTS: In the non-treated (NT) group, there was significant ABL, severe mononuclear influx, and an increase in osteoclast numbers. Significant neutrophilia and lymphomonocytosis occurred at 6 hours and at 7 days, respectively, as compared to controls. Significant weight loss persisted until the seventh day in the NT group. Both IND and MLX reduced ABL and histopathologic changes. Neutrophilia and lymphomonocytosis were also significantly reversed. Both IND and MLX induced earlier weight recovery. The stomachs of the IND (1 and 2 mg/kg) groups presented hemorrhage and ulcers, whereas in the MLX-treated groups, there were mild petechiae just in the 3 mg/kg group. CONCLUSIONS: COX inhibition prevented ABL in this experimental periodontal disease model. MLX displays similar efficacy and less gastric damage than IND. MLX may provide a better risk/benefit ratio in the treatment of human periodontitis than non-selective COX inhibitors.

Alveolar Bone Loss↗
PubMed1994

Optimal contemporary group structure to maximize genetic progress through genetic evaluation of swine.

Accuracies of sire EPD were calculated for a typical growth trait and a typical maternal trait for alternative contemporary group structures. For a given family size (number of progeny tested for a sire in a contemporary group), accuracy increased as the number of sires increased and as the number of contemporary groups increased. An exponential equation was found to best predict accuracy from the number of sires and groups. Partial derivatives can be used to determine the optimal number of sires and groups for a given economic situation (fixed number of animals tested per group). It is recommended that progeny of at least two sires be represented in each contemporary group, but having more than five sires does not effectively increase accuracy further. Accuracy increases with a larger herd size, as more sires and more groups of pigs are tested. When the number of litters that can be tested is at its limit, accuracy is maximized with a small number of sires, and progeny divided among several contemporary groups. However, accuracy is only part of the herd's genetic improvement. Selection decisions must be made to avoid inbreeding, which can be a problem, particularly in small herds.

Animals↗
PubMed1995

The effect of selective reporting on estimates of weaning weight parameters in beef cattle.

The effect of selective reporting on estimates of weaning weight parameters in beef cattle was evaluated by comparing REML estimates from unaltered and altered simulated data. Selective reporting reduced estimates of weaning weight direct (WWD), maternal milk (MAT), and error variances. However, heritability estimates were not greatly affected because the reductions in variance estimates were relatively proportionate. When the true value for the direct-maternal (DM) correlation was zero or negative, selective reporting caused estimates of DM to be less positive or more negative in 50 of 62 comparisons, with an average change of -.136. When the true value for DM was positive, selective reporting increased the positive magnitude of DM estimates in 12 of 20 comparisons, with an average change of +.040. In BLUP of unaltered data with a true DM value of -.09, using a -.28 and a zero DM correlation reduced the correlation of MAT EPD with true values .065 and .041, respectively. These results suggest that the reliability of parameter estimates (and BLUPs) would be improved by estimating parameters from representative subsets of data free of reporting bias.

Animals↗
PubMed1996

Efficiency of production in cattle of two growth potentials on northern great plains rangelands during spring-summer grazing.

A study was conducted to evaluate the effect of sire growth potential, steer age, and cow size on intake, growth, and production efficiency in grazing cattle. Data were collected on 24 cow-calf pairs during each of four summers (1989 to 1992) and on 12, 7-mo-old and 12 yearling steers during three summers (1990 to 1992). Suckling calves and older steers were sired by either high-(Charolais with high EPD for yearling weight) or moderate-growth-potential (Line 1 Hereford with average yearling weight ratios) bulls. Cow size was defined by principal component scores developed from cow weights, condition scores, and hip heights. Forage, but not milk, OM intake by suckling calves was influenced (P < .05) by sire growth potential. Yearling high-growth-potential steers tended to consume more OM than yearling moderate growth potential steers (P < .10) when expressed as kilograms/day but not when expressed as grams/kilogram BW (P > .10). Seven-month-old steers ate less (P < .01) forage (4.3 kg/d) than yearlings (5.6 kg/d) when expressed as kilograms/day but more (P < .01) when expressed as grams/kilogram BW (7-mo-old, 15.9 vs yearling, 14.4 g/kg BW). Cow OM intake was affected by cow size and milk production but not calf growth potential. Milk production but not cow size was a significant covariate for cow efficiency (grams of calf BW gain/kilogram of forage OM intake by cow-calf pair). Calf sire growth potential did not affect cow efficiency. We conclude that growth potential of sire for suckling calves and steers and cow size for cows affected intake of rangeland forage in summer but did not affect efficiency of production from Northern Great Plains rangelands.

Analysis of Variance↗
PubMed1997

Estimation of direct and maternal breed effects for prediction of expected progeny differences for birth and weaning weights in three multibreed populations.

Direct and maternal breed effects on birth and 200-d weights were estimated for nine parental breeds (Hereford [H], Angus [A], Braunvieh [B], Limousin [L], Charolais [C], Simmental [S], Gelbvieh [G], Red Poll [R], and Pinzgauer [P]) that contributed to three composite populations (MARC I = 1/4B, 1/4C, 1/4L, 1/8H, 1/8A; MARC II = 1/4G, 1/4S, 1/4H, 1/4A; and MARC III = 1/4R, 1/4P, 1/4H, 1/4A). Records from each population, the composite plus pure breeds and crosses used to create each composite, were analyzed separately. The animal model included fixed effects of contemporary group (birth year-sex-dam age), proportions of individual and maternal heterosis and breed inheritance as covariates, and random effects of additive direct genetic (a) and additive maternal genetic (m) with covariance (a,m), permanent environment, and residual. Sampling correlations among estimates of genetic fixed effects were large, especially between direct and maternal heterosis and between direct and maternal breed genetic effects for the same breed, which were close to -1. This resulted in some large estimates with opposite sign and large standard errors for direct and maternal breed genetic effects. Data from a diallel experiment with H, A, B, and R breeds, from grading up and from a top cross experiment were required to separate breed effects satisfactorily into direct and maternal genetic effects. Results indicate that estimation of direct and maternal breed effects needed to predict hybrid EPD for multibreed populations from field data may not be possible. Information from designed crossbreeding experiments will need to be incorporated in some way.

Aging↗
PubMed1998

Heterogeneity of (co)variance among herds for backfat measures of swine.

Within-herd variation for the trait of backfat was examined in swine. Backfat depth data (n=21,877) from 11 herds that had each recorded over 1,000 measures were evaluated using univariate animal model procedures in analyses for individual herds and all herds together. Variance components were estimated by a derivative-free REML algorithm, and significance tests for variance components were carried out as likelihood ratio tests. Adjustment for heterogeneous variance by correction for within-herd phenotypic SD was also evaluated. Additive genetic and residual variances were heterogeneous across herds and ranged from 1.39 to 9.78 mm2 and from .88 to 7.05 mm2, respectively. Eleven parameter estimates from individual herd analyses were significantly different (P < .05) from the analysis for all herds together. However, only small differences were observed between estimates of heritability, which ranged from .37 to .73. Scaling data to a constant within-herd SD resulted in more homogeneous variance. For additive genetic variance, only one herd differed significantly (P < .01) from the analysis for all herds together. However, five estimates of residual variance were found to be significantly different (P < .05) from the analysis for all herds together. The rank correlation between EPD predicted from the analyses with all herds together, homogeneous variance, and scaled to a constant within-herd SD was .97 (P < .01). Effects of heterogeneous variance may need to be accounted for in genetic evaluation procedures for swine.

Adipose Tissue↗
PubMed1998

Effect of ignoring random sire and dam effects on estimates and standard errors of breed comparisons.

Data were weights of F1 calves and weaning weights of top-cross progeny from sires and maternal grandsires of 13 breeds. Three analyses were performed on each trait to obtain estimates and standard errors of breed effects needed to calculate across-breed EPD and accuracies. Model (R) for records of F1 progeny contained fixed effects for birth year and date of birth, sex, age and breed of dam, and breed of sire, and a random residual effect. The second analysis included random effects for sires (RS), and the third analysis included random effects for sires and dams (RSD). In maternal analysis of top-cross progeny, model (Rm) contained fixed effects for cycle of experiment, age of dam, year of birth, sex, breeds of maternal grandam and grandsire, and breed of sire, and a random residual effect. In addition, the second and third analyses fit random effects for maternal grandsires (RSm) and for maternal grandsires and daughters of maternal grandsires (RSDm). Estimates of breed of sire effects changed only slightly for different models. Total variance increased in RSD and RS relative to R. Standard errors of breed of sire comparisons were underestimated with Model R, compared to Models RS and RSD. Standard errors of other contrasts were generally not affected. Variance components, breed effects, and standard errors followed patterns for Rm, RSm, and RSDm similar to those for R, RS, and RSD. Ignoring random variation due to sires and dams underestimated standard errors of breed of sire comparisons.

Animals↗
PubMed1998

The U.S. National Sheep Improvement Program: across-flock genetic evaluations and new trait development.

The U.S. National Sheep Improvement Program (NSIP) began in 1987 to provide within-flock genetic evaluations for the American sheep industry. An evaluation of operating procedures and methodology for NSIP began in 1993 and has resulted in across-flock, multiple-trait EPD for three breeds: Targhee, Suffolk, and Polypay. Traits reported in the across-flock analyses included direct and maternal effects on weaning weight in all breeds, postweaning weight at 120 d in Suffolk and Polypay and at 365 d in Targhee, greasy fleece weight in Targhee and Polypay, and wool fiber diameter in Targhee. Number born per ewe lambing was also evaluated in single-trait analyses for all breeds. Genetic parameters were derived separately for each breed. Important genetic antagonisms include an unfavorable genetic correlation of .51 between fleece weight and fiber diameter in Targhee and a genetic correlation of -.55 between direct and maternal effects on weaning weight in Polypay. Estimates of genetic trends between 1987 and 1995 were consistent with perceived breed roles. In Targhee, direct and maternal effects on body weights increased, fiber diameter declined, fleece weight was maintained, and number born declined. In Suffolk, direct effects on body weight increased, but number born and maternal effects on weaning weight did not change. In Polypay, number born and maternal contributions to weaning weight increased, but direct genetic merit for body weight declined. Prospective enhancements to NSIP include methods for genetic evaluation of performance in accelerated lambing and of carcass leanness and development of breeding objectives and selection aids for various production systems.

Animals↗
PubMed1999

Predicting bull growth performance and carcass composition from growth hormone response to growth hormone-releasing hormone.

Development of practical, physiologically based methods that provide an early, yet accurate, evaluation of a bull's genetic merit could benefit the beef industry. The use of GH response to a single, acute dose of GHRH was evaluated as a predictor of future growth performance and carcass characteristics of weanling bulls. Fifty-six Angus bulls averaging 229 d (SD = 27) of age were administered three doses i.v. (0, 1.5, and 4.5 microg/100 kg BW) of human GHRH (1-29) analog in a Latin square design balanced for residual effects. Blood samples were collected via jugular catheter at -60, -45, -30, -15, 0, 5, 10, 15, 30, 45, 60, 90 and 120 min relative to GHRH injection. Serum concentrations of GH were plotted over time. Response to GHRH was calculated as the area under the GH response curve (AUC-GH) using the trapezoidal approximation. Relationships between AUC-GH, weaning weight adjusted to 205 d of age (205-d WW), and direct weaning weight EPD (WWEPD) versus age-adjusted BW (BWadj), ADG, and carcass measurements from a 140-d growth performance test were evaluated using simple linear regression. A positive correlation between AUC-GH and ADG and an inverse relationship between AUC-GH and carcass fat were observed. The present study provides evidence that AUC-GH is a better predictor of future growth performance in beef bulls than 205-d WW or WWEPD values. Thus, GH response to GHRH is associated with subsequent growth and may be a useful tool for sire selection in beef production.

Animals↗
PubMed2003

Influence of milk production potential on forage dry matter intake by multiparous and primiparous Brangus females.

Brangus cows (n = 29) were used in three experiments to evaluate the effects of parity (multiparous vs. primiparous) and potential genetic merit for milk production (high vs. low) on forage intake during late gestation, early lactation, and late lactation. Cows were selected for milk production based on their sire's EPD for milk production (MEPD). Cows had ad libitum access to (130% of previous 2-d average intake) low-quality hay (5.3% CP and 76% NDF), and cottonseed meal was supplemented to ensure adequate degradable intake protein. All females were adapted to diets for at least 7 d, and individual intake data were collected for 9 d. During the lactation trials, actual milk production was determined using a portable milking machine following a 12-h separation from calves. During late gestation, multiparous cows consumed 24% more (P = 0.01) forage DM (kg/d) than primiparous cows; however, parity class did not influence forage intake when intake was expressed relative to BW. Furthermore, MEPD did not influence forage intake during late gestation. During early lactation, multiparous cows produced 66% more (P < 0.001) milk than primiparous cows, and high MEPD tended (P = 0.10) to produce more milk than low MEPD. Multiparous cows consumed 19% more (P < 0.0001) forage DM than did primiparous cows when expressed on an absolute basis, but not when expressed on a BW basis. High-MEPD cows consumed 8% more (P < 0.05) forage DM than did low-MEPD cows. During late lactation, multiparous cows produced 84% more milk than primiparous cows, although MEPD did not influence (P = 0.40) milk yield. In addition, multiparous cows consumed 17% more (P < 0.01) forage DM per day than primiparous cows, but when intake was expressed relative to BW, neither parity nor MEPD influenced forage DMI during late lactation. Milk yield and BW explained significant proportions of the variation in forage DMI during early and late lactation. Each kilogram increase in milk yield was associated with a 0.33- and 0.37-kg increase in forage DMI for early and late lactation, respectively. Results suggest that multiand primiparous cows consume similar amounts of low-quality forage DM, expressed per unit of BW, during late gestation and lactation. Selecting beef cows for increased genetic merit for milk production increases forage DMI during early lactation.

Animal Feed↗
PubMed2006

Combining genetic test information and correlated phenotypic records for breeding value estimation.

The use of marker assisted selection in the beef cattle industry to date has involved using traditional EPD in tandem with molecular test information. In the current study, a multiple-trait simulation was carried out to create a beef cattle data set using genetic parameter estimates from the literature to identify the best procedure for combining both sources of information and to assess the added benefit of the procedure. To reach these objectives, the following simulation/ analysis steps were implemented: (1) varying percentages (100, 5, or 0) of available records for the trait of interest, (2) varying percentages (100, 50, 25, or 0) of animals with molecular information, (3) scenarios where the favorable (F) or the unfavorable (U) allele was more frequent, and (4) analysis of the response due to selection over 5 generations. The data sets included 3 correlated traits in which 2 of them, birth weight and postweaning gain, had complete recording and the availability of records for the third trait (marbling score) varied. It was further assumed that molecular information was available for the third trait for a causative gene that explained 10% of the genetic variation. Estimates of Pearson correlations between true and predicted breeding values for marbling score declined as the amount of information declined, and instances in which the molecular information was recorded were always closer to the true values than in the case in which the molecular information was absent. When the U allele was more frequent, rank correlation estimates were increased among top sires, low accuracy sires, and high accuracy sires by approximately 24.9, 12.1, and 4.7% with limited marbling score records and complete genotyping compared with limited marbling score records and no genotyping. Similar results were seen when the F allele was more frequent. When there was a complete absence of recording for the trait of interest, the same trends in correlations were observed and were lower than when the trait of interest was recorded. Jointly considering molecular and phenotypic information showed a greater long-term response compared with tandem selection, showing that discrimination of candidates for selection based solely on molecular information is not optimal.

Alleles↗
PubMed2003

How useful is the concept of somatization in cross-cultural studies of maternal depression? A contribution from the Mothers in a New Country (MINC) study.

Somatization of depression symptoms has been assumed to characterize particular cultural groups, yet evidence for this has often been anecdotal. The Mothers in a New Country (MINC) study aimed to explore cultural assumptions about somatization in three groups of immigrant women who had recently given birth in Melbourne, Australia. Physical health (SF-36 physical health dimensions and a symptom list) and depression (EPDS, SF-36 mental health dimension and self assessment) data from personal interviews with Vietnamese (n = 104), Turkish (n = 107) and Filipino (n = 107) women, conducted in women's language of choice, six to nine months after childbirth were analyzed. Comparisons with data from a statewide postal survey of Victorian women are also made. Contrary to the study hypothesis that Turkish and Vietnamese women in particular would exhibit a high degree of somatization (leading to low depression scores on the standard measures and greater reporting of somatic symptoms), Turkish women were in fact most likely of the three groups to be assessed as depressed on the two psychological measures and by self-assessment, to report high levels of somatic symptoms, and Vietnamese and Filipino women had a low prevalence of depression on all measures and relatively lower levels of somatic symptom reporting. The MINC study findings thus call into question some common cultural assumptions about depression and demonstrate the importance of designing studies which can put hypothesized cultural differences to the test.

Asia, Southeastern↗
PubMed2004

[The predictors of postpartum depression].

PURPOSE: This study was designed to determine the predictors of postpartum depression. METHOD: One hundred- sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. RESULT: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. CONCLUSION: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.

Adult↗
PubMed2005

[The relationship between early neo-maternal exposure, and maternal attachment, maternal self-esteem and postpartum depression in the mothers of NICU infants].

PURPOSE: This study was performed to investigate the quantities of three neo-maternal exposures; visiting frequency, auditory contact and physical contact, and to examine the relationship between the quantities of each exposure and maternal attachment, maternal self-esteem and postpartum depression in 40 mothers of NICU babies during the first week in the NICU. METHOD: Each neo-maternal exposure was counted at every mother's visit to the newborn and maternal attachment, maternal self-esteem and postpartum depression were measured using the maternal attachment inventory, the maternal self-report inventory and Edinburgh Postpartum Depression Scale (EPDS) on the first and seventh day in the NICU. RESULT: The Mean of each neo-maternal exposure was 8.77(2.81) for the visiting frequency, 5.82(3.66) for the auditory contact and 5.60(2.89) for the physical contact during 7 days in the NICU. No significant changes were found in the scores of maternal attachment, maternal self-esteem and postpartum depression between the first and the seventh day in the NICU. The quantities of neo-maternal exposures were positively related to the scores of maternal attachment and maternal self-esteem but not related to postpartum depression. CONCLUSION: The results of the study suggest the lack of early neo-maternal exposure in cases of NICU hospitalization negate its beneficial effects on maternal psychological well-being in increasing maternal attachment and self-esteem. More efforts are needed for the neo-maternal interaction and the reevaluation of NICU visitation hours in order to promote maternal-infant interaction.

Adult↗
PubMed2005

Prevalence of maternal depressive symptoms in low-income Hispanic women.

BACKGROUND: Maternal depression can have significant repercussions for the health and well-being of mothers and children. In primarily white middle-income populations, approximately 15% of mothers experience depression. Among ethnically and socioeconomically diverse populations, the prevalence of maternal depression has not been as well established. However, the highest rates have been observed among low-income women. Because information about minority, underserved women is particularly sparse, we utilize data from the San Mateo County, California, Prenatal to Three project to describe the prevalence and self-recognition of depressive symptoms among low-income Hispanic mothers of infants and toddlers. METHOD: Telephone interviews of a random sample of women who received Medicaid and gave birth in San Mateo County provided our sample of 218 nonpregnant Hispanic mothers. High levels of depressive symptoms were defined as a score of > or =10 on the Edinburgh Postnatal Depression Scale (EPDS). We performed descriptive analyses and analyses of variance. RESULTS: Twenty-three percent of mothers reported high levels of depressive symptoms. Half of them recognized a need for help with depression. CONCLUSIONS: High levels of maternal depressive symptoms were prevalent among the Hispanic women on Medicaid, but only half of the women experiencing these symptoms identified themselves as needing help with depression.

Adolescent↗
PubMed2004

Postpartum depression in a maternity hospital in Nigeria.

OBJECTIVE: To explore the recognition and management of postpartum depression (PPD) by the obstetric team in a maternity hospital concomitantly, was to find the rate of PPD in the centre. DESIGN: A descriptive cross-sectional study. SETTING: Island Maternity Hospital, Lagos, Nigeria; a moderately large obstetric facility with 68 beds and 42 paediatric cots. SUBJECTS: The medical staff including doctors and nurse midwives in the study centre. Concomitantly, a sample of women that delivered in the hospital during the study period. RESULTS: Seventy two (65.5%) of the total 110 obstetric staff in the hospital consented to the study; made up of 10 doctors and 62 midwives of varying cadres. 43.1% of them admitted their difficulty to recognise PPD with X2 of 25.8, while 19.4% expressed doubt in the obstetric team's ability to manage PPD. 86.1% would rather refer PPD cases to the psychiatrists, but saw stigma as a militating factor. Hence 77.8% with X2 of 65.3 would want consultation-liaison psychiatric services established in the centre. Concomitantly, of the 252 women assessed with EPDS, 23% were depressed with scores >12. CONCLUSION: It is concluded that there is need to update the obstetric team's knowledge on the management of PPD through Continuous Medical Education (CME) to which 97.2% of them agreed.

Adult↗