Abstract
Objective: To evaluate the prevalence and associated risk factors for postpartum depression (PPD) using the Edinburgh Postpartum Depression Scale (EPDS). Study design: The population of this cross-sectional analytic study consisted of 311 women who were admitted to our hospital at 4-6 weeks after birth. The data were collected between April-June 2018 by applying a sociodemographic data form consisting of 44 questions and the EPDS consisting of 10 questions. We used the EPDS in postpartum period to divide parturients into those with (n=47) and without (n=264) PPD using a cut-off score of ³ 13. The primary outcome is the prevalence of PPD, while the secondary outcomes are associated risk factors.Results: The PPD prevalence was 15.1% (n=47). In the PPD group, the difference was highly significant in terms of abortion, antenatal depression, inadequate care for the baby and health problem in the newborn [0.6±0.9 vs. 0.2±0.6, 13 (37.1%) vs. 27 (10.5%), 9 (56.3%) vs. 38 (12.9%), 12 (36.4%) vs. 35 (12.6%), respectively] (p<0.001). The logistic regression analysis revealed that abortion increased PPD by 1.64 fold (1.13-2.37% at 95% CI), antenatal depression by 5.04 fold (2.38-10.68% at 95% CI), inadequate care for the baby by 6.28 fold (1.89-20.86% at 95% CI), and health problem in the newborn increased PPD by 3.59 fold (1.43-8.99% at 95% CI).Conclusion: PPD is a health problem that can affect primarily mother and child. Therefore, it is important to determine highly predictable risk factors using a scale (e.g. EPDS) for early diagnosis and timely treatment of symptoms.
Highlights
Pregnancy is part of the natural cycle of women's life, it may lead to an increase in anxiety and stress levels due to changes, especially physical and psychosocial
In the postpartum depression group, the difference was highly significant in terms of abortion, antenatal depression, inadequate care for the baby, and health problem in the newborn ✻0.6±0.9 vs. 0.2±0.6, 13 (37.1%) vs. 27 (10.5%), 9 (56.3%) vs. 38 (12.9%), 12 (36.4%) vs. 35 (12.6%), respectively✽ (p
Due to the health problems caused by Postpartum depression (PPD) in mother and child, studies on its prevalence and causes in communities are the most important steps to be taken in the prevention of the disease
Summary
Pregnancy is part of the natural cycle of women's life, it may lead to an increase in anxiety and stress levels due to changes, especially physical and psychosocial. Because of this stress and anxiety, one in seven women is affected by mood disorders in the postpartum period [1]. Years of research have identified some factors that increase a woman's risk of psychiatric disorders in the postpartum period These factors can be listed as complications associated with a personal or family history of psychiatric illness, increased life stress, pregnancy, birth, breastfeeding, and neonatal health. The onset of PPD has been most commonly observed in the first 4-6 weeks after birth, it may have a later
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