BACKGROUND: To investigate determinants of development of postpartum depression among women in Yerevan, Armenia. METHOD: A case-control study of all reproductive age (18-45) women having 1-3 months old children registered in 7 Primary Health Care (PHC) facilities, in Yerevan. We used Edinburgh Postnatal Depression Scale (EPDS) and a structured questionnaire to assess possible postpartum depression status of mothers and exposure status through telephone interviews. RESULTS: The study had a 96.7% response rate for 63 cases and 272 controls. The prevalence of possible postpartum depression was 14.4%. The risk of possible postpartum depression associated with age less than 25 years at childbirth was increased only among women who delivered their child through C-section (OR=7.8; 95% CI: 1.5-40.7). Meanwhile, this risk was much lower among women who delivered through vaginal delivery (OR=0.9; 95% CI: 0.4-1.8). LIMITATIONS: EPDS had not been translated and validated in Armenia. Study population included only women having 1-3 months old children. CONCLUSION: The study suggested that the effect of younger age at last childbirth on the risk of possible postpartum depression development was higher for women who gave birth through C-section compared to those with vaginal delivery. Despite the stressful and crisis conditions existing in Armenia over the past 2 decades the prevalence of possible postpartum depression does not differ much from that in other societies.
BACKGROUND: To investigate determinants of development of postpartum depression among women in Yerevan, Armenia. METHOD: A case-control study of all reproductive age (18-45) women having 1-3 months old children registered in 7 Primary Health Care (PHC) facilities, in Yerevan. We used Edinburgh Postnatal Depression Scale (EPDS) and a structured questionnaire to assess possible postpartum depression status of mothers and exposure status through telephone interviews. RESULTS: The study had a 96.7% response rate for 63 cases and 272 controls. The prevalence of possible postpartum depression was 14.4%. The risk of possible postpartum depression associated with age less than 25 years at childbirth was increased only among women who delivered their child through C-section (OR=7.8; 95% CI: 1.5-40.7). Meanwhile, this risk was much lower among women who delivered through vaginal delivery (OR=0.9; 95% CI: 0.4-1.8). LIMITATIONS: EPDS had not been translated and validated in Armenia. Study population included only women having 1-3 months old children. CONCLUSION: The study suggested that the effect of younger age at last childbirth on the risk of possible postpartum depression development was higher for women who gave birth through C-section compared to those with vaginal delivery. Despite the stressful and crisis conditions existing in Armenia over the past 2 decades the prevalence of possible postpartum depression does not differ much from that in other societies.
Authors: Francisco Javier Riesco-González; Irene Antúnez-Calvente; Juana María Vázquez-Lara; Luciano Rodríguez-Díaz; Rocío Palomo-Gómez; Juan Gómez-Salgado; Juan Jesús García-Iglesias; Tesifón Parrón-Carreño; Francisco Javier Fernández-Carrasco Journal: Medicina (Kaunas) Date: 2022-05-31 Impact factor: 2.948