The mode of delivery and some selected obstetric factors as predictors of post-partum depression
Background: The most prevalent mental or emotional problem associated with childbirth is post-partum depression (PPD). This study was designed to determine the psychological responses of Iranian women to difficult childbirth. Methods: In this prospective cohort design, incidence rate and associate...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Babol University of Medical Sciences
2015-06-01
|
Series: | Caspian Journal of Reproductive Medicine |
Subjects: | |
Online Access: | http://caspjrm.ir/browse.php?a_code=A-12-1-10&slc_lang=en&sid=1 |
id |
doaj-870d75205be94f51a48919b14dd24e1f |
---|---|
record_format |
Article |
spelling |
doaj-870d75205be94f51a48919b14dd24e1f2020-11-24T21:53:22ZengBabol University of Medical SciencesCaspian Journal of Reproductive Medicine2423-56602423-56602015-06-01121321The mode of delivery and some selected obstetric factors as predictors of post-partum depressionFatemeh Abdollahi0Azhar MD Zain1 Mazandaran University of Medical Sciences, Sari, Iran Psychiatry Department, Faculty of Medicine and Health Sciences, University Putra Malaysia Background: The most prevalent mental or emotional problem associated with childbirth is post-partum depression (PPD). This study was designed to determine the psychological responses of Iranian women to difficult childbirth. Methods: In this prospective cohort design, incidence rate and associated obstetric predictors of PPD over twelve week’s post-partum were investigated among 1801 non depressed pregnant women attending primary health centers (PHCs) of Mazandaran province from January to June 2009 using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS > 12). Using logistic regression analyses, odds ratios (ORs) for the significant obstetric risk factors that were significantly associated with PPD from chi-square tests were calculated. The associations were controlled for possible socio-demographic confounding factors. Results: The incidence proportions of depression occurring over a 12 weeks period of post-partum were 12.30%. The regression model showed that the risk of PPD was increased by experienced recurrent urinary infection [OR=2.25, (95% CI: 1.15-4.38), unwanted pregnancy [OR=1.97, (95% CI: 1.15-3.35)] and gestational diabetes [OR=3.41, (95% CI=1.46-5.88)] during pregnancy. Conclusions: Although the mode of delivery was not predictive of PPD, other difficulties during pregnancy were associated with higher levels of depressive symptoms over 12 week's post-partum that needs on-time interventions.http://caspjrm.ir/browse.php?a_code=A-12-1-10&slc_lang=en&sid=1DepressionObstetricsPost-partumRisk factors |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Fatemeh Abdollahi Azhar MD Zain |
spellingShingle |
Fatemeh Abdollahi Azhar MD Zain The mode of delivery and some selected obstetric factors as predictors of post-partum depression Caspian Journal of Reproductive Medicine Depression Obstetrics Post-partum Risk factors |
author_facet |
Fatemeh Abdollahi Azhar MD Zain |
author_sort |
Fatemeh Abdollahi |
title |
The mode of delivery and some selected obstetric factors as predictors of post-partum depression |
title_short |
The mode of delivery and some selected obstetric factors as predictors of post-partum depression |
title_full |
The mode of delivery and some selected obstetric factors as predictors of post-partum depression |
title_fullStr |
The mode of delivery and some selected obstetric factors as predictors of post-partum depression |
title_full_unstemmed |
The mode of delivery and some selected obstetric factors as predictors of post-partum depression |
title_sort |
mode of delivery and some selected obstetric factors as predictors of post-partum depression |
publisher |
Babol University of Medical Sciences |
series |
Caspian Journal of Reproductive Medicine |
issn |
2423-5660 2423-5660 |
publishDate |
2015-06-01 |
description |
Background: The most prevalent mental or emotional problem associated with childbirth is post-partum depression (PPD). This study was designed to determine the psychological responses of Iranian women to difficult childbirth.
Methods: In this prospective cohort design, incidence rate and associated obstetric predictors of PPD over twelve week’s post-partum were investigated among 1801 non depressed pregnant women attending primary health centers (PHCs) of Mazandaran province from January to June 2009 using the Iranian version of the Edinburgh Postnatal Depression Scale (EPDS > 12). Using logistic regression analyses, odds ratios (ORs) for the significant obstetric risk factors that were significantly associated with PPD from chi-square tests were calculated. The associations were controlled for possible socio-demographic confounding factors.
Results: The incidence proportions of depression occurring over a 12 weeks period of post-partum were 12.30%. The regression model showed that the risk of PPD was increased by experienced recurrent urinary infection [OR=2.25, (95% CI: 1.15-4.38), unwanted pregnancy [OR=1.97, (95% CI: 1.15-3.35)] and gestational diabetes [OR=3.41, (95% CI=1.46-5.88)] during pregnancy.
Conclusions: Although the mode of delivery was not predictive of PPD, other difficulties during pregnancy were associated with higher levels of depressive symptoms over 12 week's post-partum that needs on-time interventions. |
topic |
Depression Obstetrics Post-partum Risk factors |
url |
http://caspjrm.ir/browse.php?a_code=A-12-1-10&slc_lang=en&sid=1 |
work_keys_str_mv |
AT fatemehabdollahi themodeofdeliveryandsomeselectedobstetricfactorsaspredictorsofpostpartumdepression AT azharmdzain themodeofdeliveryandsomeselectedobstetricfactorsaspredictorsofpostpartumdepression AT fatemehabdollahi modeofdeliveryandsomeselectedobstetricfactorsaspredictorsofpostpartumdepression AT azharmdzain modeofdeliveryandsomeselectedobstetricfactorsaspredictorsofpostpartumdepression |
_version_ |
1725872808962031616 |