INTRODUCTION: There appears to be a growing international recognition of postpartum depression as a significant public health concern. This paper determined the prevalence and psycho-socio-demographic predictors of postpartum depression symptomatology and its constancy over 12-week postpartum in Mazandaran province Iranian women. METHODS: Edinburgh Postnatal Depression Scale and General Health Questionnaire were used to identify possible health and depression status in a cohort of 1,950 eligible pregnant women who attended primary health centers from January to June 2010, at 2 and 12 weeks postpartum. Logistic regression analysis was used to determine the predictors of postpartum depression among women. RESULTS: Prevalence of continued depression was found to be 9.9% on all three assessments. A mother's psychological distress, experience of depression, and anxiety in the first and second trimester of pregnancy and a family history of depression were the characteristics that had the strongest significant association with the development of postpartum depression. Women who married at a younger age also were more prone to postpartum depression development. CONCLUSIONS: One in ten depressed women in this study continued to be depressed over the 12-week postpartum period. Interventions should target women with the greatest risk, especially those with psychological distress during pregnancy.
INTRODUCTION: There appears to be a growing international recognition of postpartum depression as a significant public health concern. This paper determined the prevalence and psycho-socio-demographic predictors of postpartum depression symptomatology and its constancy over 12-week postpartum in Mazandaran province Iranian women. METHODS: Edinburgh Postnatal Depression Scale and General Health Questionnaire were used to identify possible health and depression status in a cohort of 1,950 eligible pregnant women who attended primary health centers from January to June 2010, at 2 and 12 weeks postpartum. Logistic regression analysis was used to determine the predictors of postpartum depression among women. RESULTS: Prevalence of continued depression was found to be 9.9% on all three assessments. A mother's psychological distress, experience of depression, and anxiety in the first and second trimester of pregnancy and a family history of depression were the characteristics that had the strongest significant association with the development of postpartum depression. Women who married at a younger age also were more prone to postpartum depression development. CONCLUSIONS: One in ten depressed women in this study continued to be depressed over the 12-week postpartum period. Interventions should target women with the greatest risk, especially those with psychological distress during pregnancy.
Authors: Kathrin Haßdenteufel; Katrin Lingenfelder; Cornelia E Schwarze; Manuel Feisst; Katharina Brusniak; Lina Maria Matthies; Maren Goetz; Markus Wallwiener; Stephanie Wallwiener Journal: JMIR Ment Health Date: 2021-12-10