Jaya Gurung received Bachelor’s Degree in Pharmacy at RIPANS, Mizoram, India and pursuing Doctor of Pharmacy at Al-Ameen College of Pharmacy, Bangalore, India. Currently, she is an Intern at St. Philomena’s Hospital, Bangalore, India. She has completed her project entitled “Screening for postpartum depression among newly delivered women”. She actively participates in ward rounds, monitoring adverse drug reactions, checking drug interactions and counseling the patients, which is a worth full experience for the positive health care outcome. She is interested in Clinical Research, Pharmacovigilance, Clinical Pharmacologist and Oncotherapeutics.
Depression having an onset usually during the first three months after delivery is called postpartum depression or peripartum depression. Major depression in women has a peak onset during the childbearing years. It affects the quality of life of the women resulting in strained relationship within new born and her partner. The study was designed to analyze the prevalence of postpartum depression, among newly delivered mothers on the day of discharge followed by four weeks after discharge using Edinburg Scale and to correlate the postpartum depression with the experience of breastfeeding and child birthing. A prospective observational study was carried out in the OBG department, in-patient ward of St. Philomena’s Hospital. The clinical pharmacist visited the OBG in-patient ward on the daily basis and enrolled the subjects according to our inclusion criteria. Every newly delivered woman was assessed for the postpartum depression by using Edinburgh Postpartum Depression Scale (EPDS) on the day of discharge. A total no. of 150 newly delivered women was included. A pilot study also carried out using various scale to select the suitable scales to be used during the study. EPDS score, breastfeeding and child-birthing experience questionnaire were used to assess the postpartum depression. According to the scale, 122 women (81%) were not found to be depressed and 28 women (19%) were found to be depressed. Women depressed were mostly found in between the age group of 20-30 yrs. followed by 21 women (39%) were between the age group of 21-25 yrs. 21 women (75%) had a normal delivery followed by seven women (25%) caesarean, among which 17 women (61%) had a first baby followed by 10 women (36%) a second baby. 16 women (57%) were graduated followed by seven women (25%) passed SLC, among them 51 women (54%) were working and 13 women (46%) were housewives. On the religion basis 18 women (64%) were Hindus and six women (22%) Islam. 15 women (54%) delivered a female baby and 13 women (46%) delivered a male baby. 3\4th of the women were without complications. And the breastfeeding questionnaire gave the result that 19 women (67%) experience painful child-birthing, nine women (32%) did not experience painful child-birthing and the child-birthing questionnaire showed that 22 women (79%) has a satisfactory breastfeeding followed by six women (21%) were not satisfied with their breastfeeding. It was observed only one-third of the women were depressed and majority of them overcome from the depression after the four weeks which we could identify in our follow up.
Saed Amarneh has vast experience in hospital pharmacy and is presently Director of Pharmaceutical Services at Laniado Hospital, Netanya. He completed his MSc in Pharmacy at Hebrew University (Jerusalem) and BSc at Jordan University of Science and Technology. He is especially interested in improving standards in the hospital pharmacy and introducing clinical pharmacy to all hospital departments. He has a number of publications reflecting his interests.
Statement of the Problem: Drug interactions (DIs) can be a major cause of illness, mask underlying disease, prevent patient recovery, and prolong bed occupancy. Presently, within this hospital, there are no standardized procedures to identify potential drug interactions, (PDIs), because there is no drug interaction software. Aim: To identify the incidence of some common PDI’s within the hospital and to influence prescribers’ actions to common PDI’s. Method: A selection of commonly used drugs known to have interactions with other drugs was chosen from a range of therapeutic groups. Pharmacists recorded PDI’s from selected hospital departments. Data was collected over an initial ten week period. Each department received a report showing the number of patient records checked; number of PDI’s; and if any action had been taken. Data was re-collected after a second ten week period. Findings: There was a significant increase in physician responses to reported PDI’s from period one to two. Departmental percentage increased and ranged from 33% to 77%. The average increase across the selected departments was 51%. The incidence of PDI’s over both periods remained relatively unchanged; 186 during period one (6.1% of records checked), 198 during period two (7.1% of records checked). Conclusions: The physicians’ responses have been greatly improved by a heightened awareness to PDI’s as a result of the mid-study report. We are unaware of the reasons for departmental differences in physicians’ responses to PDI’s and suggest this needs further investigation. The unchanged incidence of PDI’s in the second period is predictable because the majority of actions taken were only the physicians acknowledging their awareness of the PDI.