Examining the relationship between mothers’ prenatal mental health and demographic factors with postpartum depression
نویسندگان
1 Behavioral Sciences Research Center, Isfahan University of Medical Sciences
2 Behavioral Sciences Research Center, Isfahan University of Medical Sciences
3
4 Women Health Research Centre, School of Nursing and Midwifery, Isfahan University of Medical Sciences
5 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
doi
چکیده
BACKGROUND AND AIM: Prenatal mental health has been shown to be related with postpartumdepression. However, the role of mental and psychological factors in postpartum depression requiresespecial attention. Furthermore, the relationship between demographic factors and postpartumdepression is contradictory. The study was aimed to identify role of prenatal anxiety and depressionand demographic factors with postpartum depression.MATERIALS AND METHODS: A prospective cohort study was conducted with 303 pregnant womenwho have gestational age from 28 to 36 weeks and referred to health‑care centers in Isfahan cityand follow‑up for 6–12 weeks after postpartum. Data were collected using the demographic form,Edinburgh depression, and anxiety Spielberger questionnaire during pregnancy and Edinburghdepression inventory in the 6th and 12th weeks after childbirth. Descriptive statistics and linear logisticregression were used to analyze the data. In demographic factors, data were analyzed using theStudent’s t‑test, Chi‑square, Pearson and Spearman test and after the meaningfulness of regressionwas used.RESULTS: Results showed that the 6 and 12 weeks after childbirth, 61 patients (20/1%) and33 patients (10/9%) had postpartum depression. The most important risk factors for depressionin the first 6 weeks were history of infertility (confidence interval [CI]: 0.56–0.767) (P = 0.018) andhistory of depression (CI: 1.155–1.369) (P = 0.000) and in 12 weeks, postpartum were history ofdepression (CI: 0.072–1.305) (P = 0.001).CONCLUSION: Infertility and history of depression during pregnancy were two risk factors ofpostpartum depression which should be taken into consideration during prenatal care.