THE IMPACT OF THE GESTATION COURSE AND THE WOMEN`S QUALITY OF LIFE ON THE DEVELOPMENT OF POSTPARTUM DEPRESSION
This article presents the studying the effect of gestation course and women`s quality of life on development of depression in late postpartum period. The longitudinal study included an analysis of the dynamics of postpartum depressive conditions in women of the three study groups, depending on the presence and severity of anxiety, depressive, asthenic, obsessive-phobic and hysterical conditions in the third trimester of pregnancy. It was revealed that the presence of vegetative disorders, the low subjective assessment of physical functioning, well-being and overall health status in pregnant women with pronounced negative emotional states in the third trimester of pregnancy, affect the development of postpartum depression six weeks after delivery. It was found that the greatest negative impact on the development of postpartum depression in late postpartum period is the presence of obsessive fears and the poor quality of life in women who had mild negative emotional states in the third trimester of pregnancy. Additional predictors of postpartum depression in these pregnant women are concomitant gestational diabetes and history of cesarean section. Pregnant women of this category are the high risk group for the development of postpartum depression, they are indicated psychological support during the perinatal period.