Exploring predictors and prevalence of postpartum depression among mothers: Multinational study.

Journal: BMC public health

Volume: 24

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Public Health and Community Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt. dr_samar@yahoo.com. Department of Family Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Department of Psychiatry, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Faculty of Medicine, Al-Azhar University, Damietta, Egypt. Department of Obstetrics and Gynecology, Faculty of Medicine, Zagazig University, Zagazig, Egypt. Hammurabi Medical College, University of Babylon, Al-Diwaniyah, Iraq. Hardamout University College of Medicine, Almukalla, Yemen. Department of General Medicine, Shadan Institute of Medical Science, Hyderabad, India. College of Medicine, Sulaiman Alrajhi University, Albukayriah, Al-Qassim, Saudi Arabia. Department of Virology, Noguchi Memorial Institute for Medical Research, University of Ghana Legon, Accra, Ghana. Department of Public Health and Community Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef, Egypt.

Abstract summary 

Postpartum depression (PPD) affects around 10% of women, or 1 in 7 women, after giving birth. Undiagnosed PPD was observed among 50% of mothers. PPD has an unfavorable relationship with women's functioning, marital and personal relationships, the quality of the mother-infant connection, and the social, behavioral, and cognitive development of children. We aim to determine the frequency of PPD and explore associated determinants or predictors (demographic, obstetric, infant-related, and psychosocial factors) and coping strategies from June to August 2023 in six countries.An analytical cross-sectional study included a total of 674 mothers who visited primary health care centers (PHCs) in Egypt, Yemen, Iraq, India, Ghana, and Syria. They were asked to complete self-administered assessments using the Edinburgh Postnatal Depression Scale (EPDS). The data underwent logistic regression analysis using SPSS-IBM 27 to list potential factors that could predict PPD.The overall frequency of PPD in the total sample was 92(13.6%). It ranged from 2.3% in Syria to 26% in Ghana. Only 42 (6.2%) were diagnosed. Multiple logistic regression analysis revealed there were significant predictors of PPD. These factors included having unhealthy baby adjusted odds ratio (aOR) of 11.685, 95% CI: 1.405-97.139, p = 0.023), having a precious baby (aOR 7.717, 95% CI: 1.822-32.689, p = 0.006), who don't receive support (aOR 9.784, 95% CI: 5.373-17.816, p = 0.001), and those who are suffering from PPD. However, being married and comfortable discussing mental health with family relatives are significant protective factors (aOR = 0.141 (95% CI: 0.04-0.494; p = 0.002) and (aOR = 0.369, 95% CI: 0.146-0.933, p = 0.035), respectively.The frequency of PPD among the mothers varied significantly across different countries. PPD has many protective and potential factors. We recommend further research and screenings of PPD for all mothers to promote the well-being of the mothers and create a favorable environment for the newborn and all family members.

Authors & Co-authors:  Amer Samar A SA Zaitoun Nahla A NA Abdelsalam Heba A HA Abbas Abdallah A Ramadan Mohamed Sh MS Ayal Hassan M HM Ba-Gais Samaher Edhah Ahmed SEA Basha Nawal Mahboob NM Allahham Abdulrahman A Agyenim Emmanuael Boateng EB Al-Shroby Walid Amin WA

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Sultan P, Ando K, Elkhateb R, George RB, Lim G, Carvalho B et al. (2022). Assessment of Patient-Reported Outcome Measures for Maternal Postpartum Depression Using the Consensus-Based Standards for the Selection of Health Measurement Instruments Guideline: A Systematic Review. JAMA Network Open; 1;5(6).
Authors :  11
Identifiers
Doi : 1308
SSN : 1471-2458
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Determinants;Postpartum depression;Psychosocial;The Edinburgh postnatal depression scale (EPDS)
Study Design
Study Approach
Country of Study
Ghana
Publication Country
England