Postpartum depression and associated factors among mothers in Bahir Dar Town, Northwest Ethiopia

Annals of General Psychiatry

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[1] 0000 0000 8539 4635, grid.59547.3a, Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia;0000 0004 0439 5951, grid.442845.b, Department of Psychiatry, Felege Hiwot Referral Hospital, Bahir Dar University, Bahar Dar, Ethiopia;0000 0004 1762 2666, grid.472268.d, Department of Psychiatry, College of Medicine and Health Sciences, Dilla University, 419, Dilla, Ethiopia;Research and Training Department, Amanuel Mental Specialized Hospital, Addis Ababa, Ethiopia;

关键词: Postpartum depressive symptoms;    Mothers;   

DOI  :  10.1186/s12991-019-0244-4

来源: publisher

【 摘 要 】

BackgroundPostpartum depressive symptoms are the occurrence of major depressive episode within 4 weeks following delivery. Globally, 10%–20% of mothers suffer from depressive symptoms during their postpartum course. Therefore, assessing postpartum depressive symptoms has a pivotal role in ensuring that their mental health needs are met.MethodsAn institution-based cross-sectional study was conducted including 511 mothers coming for postnatal care service in public health centers in Bahir Dar Town. Data were collected using a pre-tested, structured, and interviewer-administered questionnaire, while the Edinburgh Postnatal Depression Scale (EPDS) was used to assess individuals’ depressive symptoms. The systematic random sampling technique was employed to recruit the study participants. Adjusted odds ratio with a 95% confidence interval (CI) was used to declare the statistical significance of the factors.ResultsPostpartum depressive symptoms among mothers were found to be 22.1 (95%, CI 18.6%, 25.8%). In multivariate logistic regression, stressful life events (AOR = 4.46, 95% CI 2.64, 7.54), domestic decision making (AOR = 4.26, 95% CI 2.54, 7.14), unplanned pregnancy (AOR = 1.86, 95% CI 1.02, 3.41), partner violence (AOR = 3.16, 95% CI 1.76, 5.67), and hospitalization of their babies (AOR = 2.24, 95% CI 1.17, 4.310) were factors significantly associated with postpartum depressive symptoms.ConclusionsPostpartum depressive symptoms among mothers were common in the study area. Stressful life events, lack of empowerment in domestic decision making, intimate partner violence, unplanned pregnancy, and hospitalization of their baby were factors significantly associated with postpartum depression. The Ministry of Health needs to give training on how to screen postpartum depressive symptoms among mothers, and interventions that would address the above factors would benefit in tackling further complications.

【 授权许可】

CC BY