Introduction: Postpartum mental disorders are psychopathological states that affect women after childbirth. These disorders often negatively impact a child’s mental health and the mother-child bond. The objective of this work was to determine the frequency of mental disorders during the postpartum period at the University Community Health Center of Konobougou in Mali. Methods: This descriptive cross-sectional study took place from March 1 to July 31, 2022, for four months. Results: The study involved 201 immediate postpartum women at the Konobougou Community and University Health Center. The 20-35 age group accounted for 70.00% of the population; the average age was 24 years ± 5.95 years, with a range of 15 to 45 years. Married women made up 96.00% of the sample. The overall frequency of mental disorders was 15.92%. The mental disorders recorded were postpartum depression (5.47%), anxiety disorders (3.98%), postpartum blues (5.47%), and posttraumatic stress disorder (0.50%). Puerperal psychosis was found in 0.50% of the participants. Conclusion: This study revealed a high prevalence of mental disorders among postpartum women in Konobougou, Mali. During postnatal consultations, health workers should prioritize screening for mental health disorders.
References
[1]
Haute Autorité de Santé (2018) Psychiatrie et santé mentale 2018-2023. Programme pluriannuel. Saint-Denis La Plaine: HAS. https://www.has-sante.fr/jcms/c_1721760/fr/programme-sante-mentale-et-psychiatrie-de-la-has
[2]
Duan, Z., Wang, Y., Jiang, P., Wilson, A., Guo, Y., Lv, Y., et al. (2020) Postpartum Depression in Mothers and Fathers: A Structural Equation Model. BMC Pregnancy and Childbirth, 20, Article No. 537. https://doi.org/10.1186/s12884-020-03228-9
[3]
Bauer, A., Parsonage, M., Knapp, M., Iemmi, V. and Adelaja, B. (2014) The Costs of Perinatal Mental Health Problems. Centre for Mental Health, 43.
[4]
Bales, M., Pambrun, E., Melchior, M., Glangeaud-Freudenthal, N.M., Charles, M., Verdoux, H., et al. (2015) Prenatal Psychological Distress and Access to Mental Health Care in the ELFE Cohort. European Psychiatry, 30, 322-328. https://doi.org/10.1016/j.eurpsy.2014.11.004
[5]
National Institute for Health and Care Excellence (2019) Antenatal and Postnatal Mental Health: Clinical Management and Service Guidance. Clinical Guideline. Programme pluriannuel et Psychiatrie et santé mentale 2018-2023.
[6]
Gueye, M. (1976) Les psychoses puerpérales en milieu sénégalais (A propos de 92 observations). Master’s Thesis, Université de Dakar.
[7]
Diarra, S. (2003) Les psychoses puerpérales en milieu psychiatrique à Bamako: À propos de 124 cas. Master’s Thesis, Universite de Bamako.
[8]
Achim, J., Benoit, M. and Terradas, M.M. (2014) Adaptation du Guide d’intervention mhGAP pour lutter contre les troubles mentaux, neurologiques et liés à l’utilization de substances psychoactives dans les structures de soins non spécialisées. OMS.
[9]
Institut National de la Statistique (INSTAT) (2019) Cellule de Planification et de Statistique Secteur Santé-Développement Social et Promotion de la Famille (CPS/SS-DS-PF) et ICF. Enquête Démographique et de Santé au Mali 2018. INSTAT, CPS/SS-DS-PF et ICF.
[10]
Tliji, A. (2022) Psychoses puerpérales: Étude rétrospective étalée sur 10 ans au service de psychiatrie du CHU Hassan II de Fès au Maroc. https://psychiatriefes.org/formation/medecins-residents/communications-affichees
[11]
Togola, H. (2015) Etude épidémio-clinique des psychoses puerpérales dans le service de psychiatrie du CHU du Point G. https://www.bibliosante.ml/handle/123456789/952
[12]
Massoubre, C., Desfonds, E. and Bendjeddou, M. (2014) Les troubles psychiatriques du péri et du postpartum. Urgences psychiatriques, CHU de Saint-Étienne, Hôpital Nord.
[13]
Bydlowski, S. (2015) Les troubles psychiques du post-partum: Dépistage et prévention après la naissance: Recommandations. Journal de Gynécologie Obstétrique et Biologie de la Reproduction, 44, 1152-1156. https://doi.org/10.1016/j.jgyn.2015.09.016
[14]
Gavin, N.I., Gaynes, B.N., Lohr, K.N., Meltzer-Brody, S., Gartlehner, G. and Swinson, T. (2005) Perinatal Depression: A Systematic Review of Prevalence and Incidence. Obstetrics & Gynecology, 106, 1071-1083. https://doi.org/10.1097/01.aog.0000183597.31630.db
[15]
Wenzel, A. and Stuart, S.C. (2011) Anxiety in Childbearing Women: Diagnosis and Treatment. American Psychological Association.
[16]
Matthey, S., Barnett, B., Howie, P. and Kavanagh, D.J. (2003) Diagnosing Postpartum Depression in Mothers and Fathers: Whatever Happened to Anxiety? Journal of Affective Disorders, 74, 139-147. https://doi.org/10.1016/s0165-0327(02)00012-5
[17]
Makrides, M., Gibson, R.A., McPhee, A.J., Yelland, L., Quinlivan, J., Ryan, P., et al. (2010) Effect of DHA Supplementation during Pregnancy on Maternal Depression and Neurodevelopment of Young Children: A Randomized Controlled Trial. JAMA, 304, 1675-1683. https://doi.org/10.1001/jama.2010.1507
[18]
Riquin, E., Faure, K., Legras, M., Chocard, A.S., Gillard, P., Descamps, P., et al. (2015) Troubles psychiques de la grossesse et du postpartum. La revue du praticien, 65, 701-708.
[19]
Yildiz, P.D., Ayers, S. and Phillips, L. (2017) The Prevalence of Posttraumatic Stress Disorder in Pregnancy and after Birth: A Systematic Review and Meta-Analysis. Journal of Affective Disorders, 208, 634-645. https://doi.org/10.1016/j.jad.2016.10.009
