Addo, Kwaku Mari (2024) The association between hypertensive disorders of pregnancy and postpartum depression in Ghana. Doctoral thesis, University of West London.

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Abstract

This research explores the intricate association between hypertensive disorders in
pregnancy (HDP) and postpartum depression (PPD) through a multidimensional
approach. A systematic review and meta-analysis synthesize evidence, revealing a
robust link between HDP and heightened risks of depressive symptoms postpartum.
Notably, severe variants of HDP exhibit the highest likelihood of subsequent PPD.
Complementing this quantitative synthesis, qualitative interviews with healthcare
professionals in Ghana shed light on the experiences and challenges within the local
healthcare system.
Our study spans diverse ranks of healthcare practitioners with experience in several
regions in Ghana, ensuring comprehensive insights. The prevalence estimates from
doctors and midwives underscore the extensive reach of HDP, with rates varying
based on geographical and cultural factors. Co-occurrence rates of PPD among HDP
patients, estimated at 2-50%, emphasize the vulnerability of this population.
Conversely, most unaffected women exhibit lower rates of postpartum depression,
highlighting the specific challenges faced by those with HDP.
The research reveals a complex interplay of physiological and psychological factors
contributing to the association between HDP and PPD. Stressors related to labour,
financial strain, and lack of awareness emerge as common threads, emphasizing the
need for a holistic approach to maternal healthcare. The absence of standardized
screening tools and variations in clinical judgment practices underscore potential
areas for improvement.
Findings indicate a substantial need for continuous monitoring, heightened
awareness, and comprehensive support during the perinatal period.
Recommendations include standardizing definitions and screening practices, building
healthcare capacity, designing targeted interventions, implementing patient education
programs, and conducting further research to elucidate mediators between HDP and PPD

Item Type:	Thesis (Doctoral)
Identifier:	10.36828/xvqy2138
Subjects:	Medicine and health > Midwifery
Depositing User:	Marc Forster
Date Deposited:	04 Jul 2024 09:26
Last Modified:	04 Nov 2024 11:33
URI:	https://repository.uwl.ac.uk/id/eprint/12138

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