Qiping Fan1, Qian Long2, Vijitha De Silva3, Nishan Gunarathna4, Upul Jayathilaka5, Thushani Dabrera6, Henry Lynn7, Truls Østbye8. 1. Duke University, Durham, North Carolina, United States; Global Health Research Center, Duke Kunshan University, Jiangsu, China. Electronic address: qipingfan0403@gmail.com. 2. Global Health Research Center, Duke Kunshan University, Jiangsu, China. Electronic address: qian.long@dukekunshan.edu.cn. 3. Duke University, Durham, North Carolina, United States; Global Health Research Center, Duke Kunshan University, Jiangsu, China; Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka. Electronic address: pvijithadesilva123@yahoo.com. 4. Regional Director of Health Service Office, Puttalam, Sri Lanka. Electronic address: nishangunarathna@gmail.com. 5. Medical Office of Health in Dankotuwa, Puttalam, Sri Lanka. Electronic address: upulpj@gmail.com. 6. Regional Director of Health Service Office, Puttalam, Sri Lanka. Electronic address: thushanidabrera@gmail.com. 7. School of Public Health, Fudan University, Shanghai, China. Electronic address: hslynn@shmu.edu.cn. 8. Duke University, Durham, North Carolina, United States; Global Health Research Center, Duke Kunshan University, Jiangsu, China. Electronic address: truls.ostbye@duke.edu.
Abstract
BACKGROUND: Previous studies in Sri Lanka have shown a high prevalence of postpartum depression (PPD). Postpartum depression screening using the Edinburgh Postnatal Depression Scale (EPDS) has been validated and included in routine postnatal care in 2012. OBJECTIVES: This study aimed to estimate the prevalence of PPD at 10 days and 4 weeks postpartum in 2017 in two medical officer of health (MOH) areas in Sri Lanka, and to assess the association between risk factors and postpartum depression. METHODS: An EPDS total score higher than 9 was used to estimate the prevalence of postpartum depression. PPD outcomes were assessed by mothers' responses to the EPDS. Potential risk factors were extracted from routine paper-based medical records. The associations were examined using simple and multivariable linear regression and multivariate logistic regression models. RESULTS: A total of 1349 mothers in the two areas, 523 from Dankotuwa and 826 from Bope Poddala, were included. The prevalence of PPD was 15.5% and 7.8% among mothers assessed 10 days postpartum (in Dankotuwa) and 4 weeks postpartum (in Bope Poddala), respectively. EPDS total scores were positively related to delivery age of mothers. Presence of postpartum depression was significantly associated with delivery age over 35, having more than 4 living children and mothers' diseases. Mothers who attended prenatal sessions and whose partners were employed were less likely to report postpartum depression. CONCLUSION: The prevalence of PPD in Sri Lanka was 15.5% at 10 days and 7.8% at 4 weeks postpartum. Future studies on the effect of time since delivery on postpartum depression screening outcomes are warranted.
BACKGROUND: Previous studies in Sri Lanka have shown a high prevalence of postpartum depression (PPD). Postpartum depression screening using the Edinburgh Postnatal Depression Scale (EPDS) has been validated and included in routine postnatal care in 2012. OBJECTIVES: This study aimed to estimate the prevalence of PPD at 10 days and 4 weeks postpartum in 2017 in two medical officer of health (MOH) areas in Sri Lanka, and to assess the association between risk factors and postpartum depression. METHODS: An EPDS total score higher than 9 was used to estimate the prevalence of postpartum depression. PPD outcomes were assessed by mothers' responses to the EPDS. Potential risk factors were extracted from routine paper-based medical records. The associations were examined using simple and multivariable linear regression and multivariate logistic regression models. RESULTS: A total of 1349 mothers in the two areas, 523 from Dankotuwa and 826 from Bope Poddala, were included. The prevalence of PPD was 15.5% and 7.8% among mothers assessed 10 days postpartum (in Dankotuwa) and 4 weeks postpartum (in Bope Poddala), respectively. EPDS total scores were positively related to delivery age of mothers. Presence of postpartum depression was significantly associated with delivery age over 35, having more than 4 living children and mothers' diseases. Mothers who attended prenatal sessions and whose partners were employed were less likely to report postpartum depression. CONCLUSION: The prevalence of PPD in Sri Lanka was 15.5% at 10 days and 7.8% at 4 weeks postpartum. Future studies on the effect of time since delivery on postpartum depression screening outcomes are warranted.
Authors: Hashem Salarzadeh Jenatabadi; Nadia Samsudin; Che Wan Jasimah Bt Wan Mohamed Radzi Journal: BMC Public Health Date: 2021-01-27 Impact factor: 3.295