فهرست نشریات علمی دسترسی آزاد ایران

PURPOSE: Postpartum period is a critical interval in which the woman is under risk for psychiatricdisorders including postpartum depression (PD). This study was performed to investigate the impactof the mode of delivery on the occurrence of PD in primiparous mothers.MATERIALS AND METHODS: This correlational study was performed on 244 primiparouswomen (aged 15–49 years) in 17 primary health‑care centers. Sociodemographic, obstetric, andPD‑related data were gathered using questionnaires and the Edinburgh Postnatal DepressionScale (EPDS) on the 1st and 3rd months after delivery. The questionnaires were administered to allprimiparous mothers who were registered to the relevant health-care center. Questionnaires wereadministered by the researcher for 25–30 min with face-to-face interview technique.RESULTS: Comparison of EPDS scores on the 1st and 3rd months indicated that there was aremarkable decline over time (Z = 11.112, P = 0.001). There was an inverse association betweeneducational level and EPDS scores on the 3rd month (P = 0.037). On the other hand, no significantrelationship was detected between age groups, occupation, income, place of accommodation, andEPDS scores. Evaluation of the relationship between obstetric features and EPDS scores revealedthat desired and performed modes of delivery, induction, episiotomy, and spinal anesthesia werenot linked with EPDS scores. The postpartum behavior (2=10.315; P = 0.035) and feeding methodof infants (2 = 6.109; P = 0.013) were associated with EPDS scores on the 1st month, but not withEPDS scores on the 3rd month.CONCLUSION: Effective measures must be established for early recognition of factors affecting theoccurrence of PD. Health planners and policymakers must spend their efforts for promotion of theknowledge and attitudes of mothers during pregnancy. Identification of factors for PD necessitatesimplementation of multicentric, controlled trials on larger series.