Prevalence and factors associated with depressive symptoms among post-partum mothers in Nepal

BMC Research Notes

Ritu Prasad Gartoula¹  Vidya Dev Sharma³  Vishnu Khanal⁶  Shiva Raj Mishra²  Resham Bahadur Khatri⁵  Rajendra Kumar Giri⁴ 

[1] Department of Community Medicine and Public Health, Institute of Medicine, Tribhuwan University, Kathmandu, Nepal;Nepal Development Society, Kathmandu, Nepal;Department of Psychiatry, Institute of Medicine, Tribhuwan University, Kathmandu, Nepal;Department of Ayurveda, Ministry of Health and Population, Kathmandu, Nepal;Save the Children, Saving Newborn Lives Program, Kathmandu, Nepal;School of Public Health, Curtin University, Perth, Australia

关键词: Nepal;    Mothers;    Post-partum;    Depressive symptoms;    Edinburgh postnatal depression scale;   

Others  :  1145786
DOI  :  10.1186/s13104-015-1074-3

 received in 2014-07-20, accepted in 2015-03-19,  发布年份 2015

【 摘 要 】

Background

Post-partum depression is a common complication of women after childbirth. The objective of this study was to determine the prevalence of and factors associated with depressive symptoms among post-partum mothers attending a child immunization clinic at a maternity hospital in Kathmandu, Nepal.

Methods

This cross-sectional study was conducted among 346 post-partum mothers at six to ten weeks after delivery using systematic random sampling. Mothers were interviewed using a semi-structured questionnaire. The Edinburgh Postnatal Depression Scale (EPDS) was used to screen for depressive symptoms. Logistic regression analysis was used to calculate the association of post-partum depressive symptoms with socio-demographic and maternal factors.

Results

The prevalence of post-partum depressive symptoms among mothers was 30%. Mothers aged 20 to 29 years were less likely to have depressive symptoms (adjusted odds ratio (aOR) = 0.40; 95% CI: 0.21-0.76) compared to older mothers. Similarly, mothers with a history of pregnancy-induced health problems were more likely to have depressive symptoms (aOR = 2.16; CI: 1.00-4.66) and subjective feelings of stress (aOR = 3.86; CI: 1.84-4.66) than mothers who did not.

Conclusions

The number of post-partum mothers experiencing depressive symptoms was high; almost one-third of the participants reported having them. Pregnancy-induced health problems and subjective feelings of stress during pregnancy in the post-partum period were found to be associated with depressive symptoms among these women. Screening of depressive symptoms should be included in routine antenatal and postnatal care services for early identification and prevention.

【 授权许可】

   
2015 Giri et al.; licensee BioMed Central.

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