The Underlying Factors for Postpartum Depression Severity in Iran: A Single-Center Study
Objective: Postpartum depression (PPD) is a common mental disorder among women and it can cause negative consequences for them, children, and families; however, accurate statistics and underlying factors on PPD and its severity are not available in Iran.
Materials and methods: In this cross-sectional study, 200 women referred to an academic hospital for normal vaginal delivery, which had a full-term and single pregnancy and had passed between 6 weeks and 6 months of delivery, were selected by convenience sampling methods. The Edinburgh Depression Inventory and the checklist for demographic information of mothers were completed.
Results: The prevalence of postpartum depression was 11.0% and 68.2% of mothers had a mild type. 31.8% had a history of depression. There was a significant relationship between the severity of postpartum depression in women with a previous history of depression (P = 0.012). Between postpartum depression and maternal age (P = 0.115), body mass index at delivery (P = 0.571), number of pregnancies (P = 0.693), number of deliveries (P = 0.446), number of abortions (P = 0.424), willing
or unwilling pregnancy (P = 0.451), neonatal sex (P = 0.533), history of neonatal hospitalization
(P = 0.725), previous history disease (P = 0.725) was no statistical association.
Conclusion: The prevalence of PPD was approximately 11%, and there was a significant association between postpartum depression severity and a history of depression Physicians and policymakers should consider early screening for PPD, especially among women with previous depression.
2. Biaggi A, Conroy S, Pawlby S, Pariante CM. Identifying the women at risk of antenatal anxiety and depression: A systematic review. J Affect Disord. 2016;191:62-77.
3. Pavlov M, Steiner N, Kessous R, Weintraub AY, Sheiner E. Obstetric and neonatal outcome in patients with anxiety disorders. J Matern Fetal Neonatal Med. 2014;27(13):1339–42.
4. Yedid Sion M, Harlev A, Weintraub AY, Sergienko R, Sheiner E. Is antenatal depression associated with adverse obstetric and perinatal outcomes? J Matern Fetal Neonatal Med. 2016;29(6):863–7.
5. Iles J, Slade P, Spiby H. Posttraumatic stress symptoms and postpartum depression in couples after childbirth: the role of partner support and attachment. J Anxiety Disord. 2011;25(4):520–30.
6. Honey KL, Bennett P, Morgan M. Predicting postnatal depression. J Affect Disord. 2003;76(1–3):201–10.
7. Sharma P, Avasthi A, Chakrabarti S, Varma S. Depression among hospitalised medically ill patients: a two-stage screening study. J Affect Disord. 2002;70(2):205-9.
8. Azimi-Lolaty Hamideh , Danesh Mahmonir , Hosaini Syed Hamze , Khalililian Alireza and Zarghami Mehran. Prevalence and Predictors of Postpartum Depression among Pregnant Women Referred to Mother-Child Health Care (MCH) Clinics. Research Journal of Biological Sciences. 2007;(2):285–90.
9. Nikpour M. Relationship between delivery method and postpartum depression. Journal of Fundamentals of Mental Health. 2012;14(53):46–53.
10. Sadock VA, Sadock B, Ruiz P. Kaplan & Sadock’s comprehensive textbook of psychiatry. Philadelphia, PA: Lippincott Williams & Wilkins; 2000.
11. Lilja G, Edhborg M, Nissen E. Depressive mood in women at childbirth predicts their mood and relationship with infant and partner during the first year postpartum. Scand J Caring Sci. 2012;26(2):245–53.
12. Alhusen JL, Hayat MJ, Gross D. A longitudinal study of maternal attachment and infant developmental outcomes. Arch Womens Ment Health. 2013;16(6):521–9.
13. Amini S, Jafarirad S, Amani R. Postpartum depression and vitamin D: A systematic review. Crit Rev Food Sci Nutr. 2019;59(9):1514–20.
14. Mazhari S, Nakhaee N. Validation of the Edinburgh Postnatal Depression Scale in an Iranian sample. Arch Womens Ment Health. 2007;10(6):293–7.
15. Mahdavy M, Kheirabadi G. The Prevalence of Postpartum Depression and Its Related Factors among Women in Natanz City in 2018(Iran). Qom University of Medical Sciences Journal. 2020;14(2):78–85.
16. Saei M, Mohaddesi H, Edalatnemun R. The Predisposing Factors of Postpartum Depression in Women Referring To Selected Health Centers In Urmia In 2015. Nursing and Midwifery Journal. 2017;14(11):918–25.
17. Veisani Y, Delpisheh A, Sayehmiri K, Rezaeian S. Trends of postpartum depression in iran: a systematic review and meta-analysis. Depress Res Treat. 2013;2013:291029.
18. Zolfaghari F, Heydari Z, Zamani-alavijeh F, Araban M. Determinants of Postpartum Depression According to the World Health Organization Model: A Review of Literature. Journal of Health System Research. 2021;16(4):290–302.
19. Kelishadi R, Rashidian A, Jari M, Khosravi A, Khabiri R, Elahi E, Bahreynian M. national survey on the pattern of breastfeeding in Iranian infants: The IrMIDHS study. Med J Islam Repub Iran. 2016;30:425
20. G. Khooshemehry MS, A. Shariati Feizabady BS, V. Naserkhaki MS. Prevalence of Postpartum Depression and the Factors that Decides in Clinics in the North of Tehran. Avicenna Journal of Nursing and Midwifery Care. 2011;19(1):59–69.
21. Rahmani F, Seyedfatemi N, Asadollahi M, Seyedrasooli A. Predisposing Factors of Postpartum Depression. Iran Journal of Nursing. 2011;24(72):78-87.
22. Kheyrabadi G, Sadr S, Abedi Z, Velayati E. Postpartum Depression and Related Factors in Rural Areas of Najafabad, Iran. Journal of Research in Behavioural Sciences. 2015;13(4):555–61.
|Issue||Vol 17, No 3 (September 2023)|
|Postpartum Depression Mental Health Women's Health Pregnancy|
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